PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679678
Claim Number : 328441
Date Submitted : 9/11/2016
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual MELINDA L LACERNA KIMBRELL
Insurer Type Street Address of Practice
Licensed 1274 North Palm Avenue
City State Zip Code County
Sarasota FL 34236 Sarasota
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0073591 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME109505 Surgery - Plastic  

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
  F Manatee
City State Zip Code
     
Location where injury occured Other location where injury occured
Patient's Home  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Patients Home
Date of Occurrence Date Reported to Insurer
1/1/2015 3/25/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient tested positive for the RCA 1 gene.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent a prophylactic bilateral skin and nipple sparing mastectomies and immediate breast reconstruction with silicone implants and AlloDerm sling.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The patient alleged failure to recognize compromised blood supply in reconstruction of the breasts subsequent to the mastectomy and using too large implants, which led to necrosis of breasts skin.
Principal Injury Giving Rise To The Claim
Bilateral breast mass abscesses that led to bilateral debridement of the breast wounds and removal of implants. Also, bilateral breast wound/infection and necrosis of skin to bilateral breasts that required bilateral breast reconstruction.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
2/3/2016 2016 CA 000336
County Suit Filed in Date of Final Disposition
Manatee 8/22/2016
Other Defendants Involved in this Claim
 
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 $250,000
Loss Adjust Expense Paid to Defense Counsel $12,324
All Other Loss Adjustment Expense Paid $9,213
Injured Person's Total Non-Economic Loss $250,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $243,530 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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