Medical Malpractice Cases

Dr. Dwight A Jacobus Medical Malpractice Cases

Court Case # 07-369-CA

Indemnity Paid: $480,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056218
Claim Number :04G26013PL
Date Submitted :2/1/2010
 
Insurer Information
 
Insurer NameCoverage Type
University of Florida JHMHC Self-Insurance ProgramPrimary
Insurer FEINProfessional License Number
59-600205 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDanelleHTowater
Street Address
3450 Hull Road, Ste 4358
CityStateZip
GainesvilleFL32611-2735
PhoneExtFaxE-Mail Address
(352) 273 - 7006 (352) 273 - 7287towatdt@shands.ufl.edu
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDwightAJacobus
Insurer TypeStreet Address of Practice
Self-Insurer368 Franklin Street
CityStateZip CodeCounty
Lake CityFL32205Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
UFBOT04G$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS8308Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SHANDS AT LAKE SHORE100102
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/1/20055/4/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Rotator cuff tears
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral rotator cuff repair surgeries
Diagnostic Code :726.19
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform rotator cuff repair surgery
Principal Injury Giving Rise To The Claim
Permanent bilateral shoulder injuries
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/6/200707-369-CA
County Suit Filed inDate of Final Disposition
Columbia11/25/2008
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/25/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$480,000
Loss Adjust Expense Paid to Defense Counsel$75,385
All Other Loss Adjustment Expense Paid$13,617
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Assessment of treatment with physician
 
Updates
 
No updates found.

 

 

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

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Court Case # 04-187-CA

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640261
Claim Number :19322
Date Submitted :4/13/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDwightAJacobus
Insurer TypeStreet Address of Practice
Licensed348 NE Methodist Terrace Suite 101
CityStateZip CodeCounty
Lake CityFL32055Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600271 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS8308Surgery - Orthopedic2878

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LAKE CITY MEDICAL CENTER100156
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/11/20011/26/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Posterior fracture dislocation of left humerus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Reduction
Diagnostic Code :812.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to confirm dislocation was properly reduced
Principal Injury Giving Rise To The Claim
Limitation in range of motion
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/28/200404-187-CA
County Suit Filed inDate of Final Disposition
Columbia3/24/2006
Other Defendants Involved in this Claim
Jacobus Orthopaedic & Sports Medicine Center
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/30/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$67,344
All Other Loss Adjustment Expense Paid$21,604
Injured Person's Total Non-Economic Loss$300,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Court Case # 01-04-36-CA

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537755
Claim Number :18885
Date Submitted :10/26/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDwightAJacobus
Insurer TypeStreet Address of Practice
Licensed348 NE Methodist Terrace Suite 101
CityStateZip CodeCounty
Lake CityFL32055Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600271 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS8308Surgery - Orthopedic2878

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/10/200110/23/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fracture of distal right radius
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Long arm fiberglass cast
Diagnostic Code :814.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly treat right arm injury
Principal Injury Giving Rise To The Claim
Dorsal angulation
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/24/200401-04-36-CA
County Suit Filed inDate of Final Disposition
Columbia10/14/2005
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/14/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$16,280
All Other Loss Adjustment Expense Paid$4,070
Injured Person's Total Non-Economic Loss$100,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$20,361$0
Wage Loss$18,926$8,652
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

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