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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M201573138
Claim Number :	148606
Date Submitted :	1/22/2015

 

Insurer Information
Insurer Name				Coverage Type
HEALTH CARE INDEMNITY, INC.				Primary
Insurer FEIN		Professional License Number
61-0904881
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Teresa			Ross
Street Address
One Park Plaza P.O. Box 555
City				State	Zip
Nashville				TN	37202
Phone	Ext	Fax	E-Mail Address
(615) 344 - 5804			Teresa.Ross@HCAHealthcare.com

 

Insured Information
Type		Entity Name
Entity		Aventura Hospital & Medical Center
Insurer Type		Street Address of Practice
Licensed		20900 Biscayne Blvd.
City		State	Zip Code	County
Aventura		FL	33180	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HCI-10112		$5,000,000		$10,000,000
Profession or Business			Other Profession or Business
Hospitals
License Number		Specialty Code & Classification		Certification Number

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	Dade
City				State	Zip Code
Location where injury occured			Other location where injury occured
Hospital Inpatient Facility
Name of Institution			Code
AVENTURA HOSPITAL AND MEDICAL CTR.			100131
Location of Institutional Injury			Other Location of Institutional Injury
Patients' Room
Date of Occurrence			Date Reported to Insurer
10/24/2012			1/31/2013

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Disc herniation C6.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allege failure to timely diagnose C6 disc herniation. Also, allege failure to notify physicians of changes in neurological condition.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Quadraplegia.
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
10/22/2013			13032262CA01
County Suit Filed in			Date of Final Disposition
Dade			12/22/2014
Other Defendants Involved in this Claim
Moghaddam, M.D., Hamidrezo Amruthur, M.D., Kailash Sheridan Radiology Servics, Inc. Montes, ARNP, Marites Gilbert Leung, M.D., P.A. Vicioso, M.D., Luis Medical Specialists and Wellness Center of South Florida
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
10/9/2014

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					Yes
Indemnity Paid by Insurer on behalf of Insured					$4,000,000
Loss Adjust Expense Paid to Defense Counsel					$355,614
All Other Loss Adjustment Expense Paid					$115,651
Injured Person's Total Non-Economic Loss					$1,500,000
Deductible					$0
Injured Person's Total Economic Loss
Incurred to Date Anticipated Medical Expense $500,000 $2,000,000 Wage Loss $0 $0 Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.

 

Updates

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*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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