PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M200640880
Claim Number : 83-007480
Date Submitted : 6/2/2006
 
Insurer Information
 
Insurer Name Coverage Type
TRUCK INSURANCE EXCHANGE Primary
Insurer FEIN Professional License Number
95-2575892  
Insurer Contact Information
Type First Name MI Last Name
Individual Richard A Jones
Street Address
4680 Wilshire Blvd., 6th Floor
City State Zip
Los Angeles CA 90010
Phone Ext Fax E-Mail Address
(714) 633 - 8331   (714) 633 - 1226 rich.jones@farmersinsurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual Mahesh   Patel
Insurer Type Street Address of Practice
Licensed 403 E. Martin Luther King, Jr. Blvd.
City State Zip Code County
Tampa FL 33603 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0118084880000 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME50436 Surgery - Urological  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physicians office
Date of Occurrence Date Reported to Insurer
2/12/1998 9/27/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Matastasized medullary cancer of the kidney
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
IVP, retrograde pyelogram
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to daignose cancer
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
3/6/2002 01-10171
County Suit Filed in Date of Final Disposition
Hillsborough 5/9/2006
Other Defendants Involved in this Claim
Hanner, James
Bulley, David A
Shaw, Michael
Mandel, Steven
CIGNA Healthcare of Florida
St. Joseph's Hospital
SDI Radiologists
McFadden, Gregory
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $325,000
Loss Adjust Expense Paid to Defense Counsel $73,086
All Other Loss Adjustment Expense Paid $21,422
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured does not purchase risk management services.
 
Updates
 
No updates found.

 

 

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