Department File Number : | M201988269 |
Claim Number : | JY15J0181434 |
Date Submitted : | 3/25/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CHUBB NATIONAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
22-3253301 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kylie | Kilgannon | |||
Street Address | |||||
10 Exchange Place | |||||
City | State | Zip | |||
Jersey City | NJ | 07302 | |||
Phone | Ext | Fax | E-Mail Address | ||
(201) 356 - 5171 | kylie.kilgannon@chubb.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carlos | Rojas | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 8200 SW 117 Avenue, Ste 104-A | ||||
City | State | Zip Code | County | ||
Miami | FL | 33183 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
CLR 674769 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Podiatry | ||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3433 |
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 | ||||
BAPTIST HOSPITAL | 100093 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/13/2013 | 4/10/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Alleged negligent bone biospy and negligent post-op care in patient who presented with sepsis and osteomyelitis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Antibiotics and bone graft | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
sepsis and osteomyelitis | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/1/2016 | 16-013864 CA 01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 9/5/2018 | ||||
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 | |||||
9/5/2018 |
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 | $172,232 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Unknown |
Updates | |
No updates found. |
Department File Number : | M202091996 |
Claim Number : | JY15J0181434 |
Date Submitted : | 3/31/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ACE AMERICAN INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-2371728 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Karen | Mahon | |||
Street Address | |||||
10 Exchange Place | |||||
City | State | Zip | |||
Jersey City | NJ | 07302 | |||
Phone | Ext | Fax | E-Mail Address | ||
(201) 478 - 6465 | Karen.Mahon@chubb.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CARLOS | ROJAS | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 8200 SW 117 Avenue Suite 104-A | ||||
City | State | Zip Code | County | ||
Miami | FL | 33183 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
CRL 674769 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3433 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
BAPTIST HOSPITAL OF MIAMI | 100008 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/14/2013 | 4/10/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
acute osteomyelitis of the ankle | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
drainage of ankle | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
alleged that the physician failed to appropriately treat the infection | |||||
Principal Injury Giving Rise To The Claim | |||||
right ankle cellulitis progressing to osteomyelitis requiring numerous surgical debridements and placement of a drain with treatment spanning one year. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/18/2019 | ||||
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 | Dismissed with Prejudice | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/18/2019 |
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 | $196,668,323 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Unclear what is being requested. |
Updates | |
No updates found. |
Does Dr. CARLOS ROJAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARLOS ROJAS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).