Department File Number : | M201678400 |
Claim Number : | 15-0033632 |
Date Submitted : | 5/12/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CAMPMED CASUALTY & INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
52-1827116 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Buffy | A | Rackley | ||
Street Address | |||||
10 Corporate Drive, #201 | |||||
City | State | Zip | |||
Bedford | NH | 03110 | |||
Phone | Ext | Fax | E-Mail Address | ||
(803) 270 - 8790 | (508) 926 - 1552 | brackley@hanover.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Curtis | M | Bleau | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1824 Blending Blvd | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32210 | Duval | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
L2Y-A283092-00 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO1753 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Sidewalk in Jacksonville | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Sidewalk | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/20/2011 | 5/21/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Wrongful death of Julia Ramirez Baltierra and Pablo Ramirez Baltierra | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Complaint alleges that insured had a duty to inform state of impaired driver who caused deaths of complainants. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Codefendant Isaac Mayhew drove into and killed the decedents who were standing on the sidewalk on September 20, 2011. Dr Bleau was sued for treating Mr Mayhew 6 days earlier for podiatric issues and not implementing driving restrictions. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/15/2014 | 16-2012-CA-1272 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 4/13/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Other | Dismissal | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $21,014 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $318 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. CURTIS M BLEAU, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CURTIS M BLEAU, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).