PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782993
Claim Number : 141296
Date Submitted : 9/11/2017
 
Insurer Information
 
Insurer Name Coverage Type
MEDICUS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-5623491  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Ishwari   Prasad
Insurer Type Street Address of Practice
Licensed 14447 University Cove Place
City State Zip Code County
Tampa FL 33613 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL-16088863 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME58761 Gastroenterology - Minor Surgery  

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
Other Location Florida Hospital Tampa
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
12/15/2011 1/7/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Male patient with 30 year history of ulcerative colitis prevented for surveillance colonoscopy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
surveillance colonoscopy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Disputed allegation made by an Estate of 69-year-old male with history of ulcerative colitis, who alleged failed to apparently monitor entire colon during surveillance colonoscopy resulting in 14 month delay in diagnosis and treatment of colon cancer.
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
6/11/2015 15-CA-4369
County Suit Filed in Date of Final Disposition
Hillsborough 8/2/2017
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
Other settled suit before trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/10/2017
 
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 $0
All Other Loss Adjustment Expense Paid $0
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 conferenced with defense attorney and claims representative
 
Updates
 
No updates found.

 

 

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

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