| Department File Number : | M201782566 |
| Claim Number : | PPLRRG-EP-14-321205 |
| Date Submitted : | 7/14/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS PROFESSIONAL LIABILITY RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 33-1010508 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kathy | A | Stockton | ||
| Street Address | |||||
| 1900 W. LOOP S., STE. 1500 | |||||
| City | State | Zip | |||
| Houston | TX | 77027 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ERNESTO | PINZON-REYES | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2950 ALT US 27 SO, SUITE 1 | ||||
| City | State | Zip Code | County | ||
| SEBRING | FL | 33870 | Highlands | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 102139 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME69730 | Internal Medicine - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Highlands | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL-HEARTLAND MEDICAL CENTER LAKE PLACID | 120013 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | PATIENT ROOM | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/13/2012 | 9/23/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| THYROID CONDITION | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| SEEN FOR THYROID CONDITION | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| REFUSED TO TREAT PATIENT WITH CHOLECYSTECTOMY SURGERY UNTL THROID CONDITION NORMALIZED | |||||
| Principal Injury Giving Rise To The Claim | |||||
| THYROID CONDITION | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/6/2015 | GC15-51 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Highlands | 7/14/2017 | ||||
| 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 | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim subject to arbitration, but settlement reached in lieu of award. | |||||
| Date of Payment | |||||
| 6/20/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $75,568 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $11,052 | ||||||||||||||||||||
| 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. |
This page is not displaying certain sensitive information.
| Department File Number : | M201680247 |
| Claim Number : | PPLRRG-BR-16-3346827 |
| Date Submitted : | 11/9/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS PROFESSIONAL LIABILITY RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 33-1010508 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kathy | A | Stockton | ||
| Street Address | |||||
| 1900 W. LOOP S., STE. 1500 | |||||
| City | State | Zip | |||
| Houston | TX | 77027 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ERNESTO | PINZON-REYES | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2950 ALT US HWY 27 SO | ||||
| City | State | Zip Code | County | ||
| SEBRING | FL | 33870 | Highlands | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 102139 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME69730 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Highlands | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | PHYSICIAN OFFICE | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | OFFICE | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/1/2012 | 7/22/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| HIV INFECTION | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| FAILURE TO DIAGNOSE AND TREAT | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| FAILURE TO DIAGNOSE | |||||
| Principal Injury Giving Rise To The Claim | |||||
| HIV INFECTION | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 11/9/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Settlement Reached Prior to Pre-Suit Period | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 11/4/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $5,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $13,116 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,257 | ||||||||||||||||||||
| 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. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ERNESTO PINZON-REYES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERNESTO PINZON-REYES, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).