Department File Number : | M202092784 |
Claim Number : | 111372 |
Date Submitted : | 6/19/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-3047990 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | Medical Risk Consultant Group | ||||
Street Address | |||||
PO Box 140457 | |||||
City | State | Zip | |||
Coral Gables | FL | 33114 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 445 - 3040 | (888) 909 - 5304 | MMORENO@MRCG.ORG |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gary | F | Jaffe | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 18999 Biscayne Boulevard | ||||
City | State | Zip Code | County | ||
Aventura | FL | 33180 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
OMC0014165 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME38393 | Surgery - Opthalmology |
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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/24/2018 | 8/12/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Dense Cataract OS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent uneventful cataract surgery OS by insured. Postoperatively, he developed a dense posterior opacification interfering with vision and view to the fundus. He was later diagnosed with a retinal detachment and required surgical repair. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged delay in diagnosis of retinal detachment. | |||||
Principal Injury Giving Rise To The Claim | |||||
Loss of functional vision OS. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/31/2020 | 2020-002419-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 4/20/2020 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/11/2020 |
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 | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussion with risk management personnel and medical experts concerning postoperative care. |
Updates | |
No updates found. |
Department File Number : | M201574729 |
Claim Number : | 15-09 |
Date Submitted : | 5/27/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SOUTH FLORIDA OPHTHALMOLOGICAL SELF INSURING TRUST | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-6628916 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Burt | E | Redlus | ||
Street Address | |||||
19 W. Flagler Street, Suite 711 | |||||
City | State | Zip | |||
Miami | FL | 33130 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 374 - 6368 | (305) 371 - 4759 | ber@redluspa.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gary | Jaffe | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 18999 Biscayne Blvd | ||||
City | State | Zip Code | County | ||
North Miami Beach | FL | 33180 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
98 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME38393 | Surgery - Opthalmology |
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 | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
NORTH MIAMI BEACH SURGICAL CENTER | 14960423 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/14/2013 | 2/23/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
mature cataract | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
cataract surgery with insertion of intra ocular lens | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
patient had mature cataract which required surgery | |||||
Principal Injury Giving Rise To The Claim | |||||
ruptured posterior capsule leading to nuclear fragments in vitreous | |||||
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 | 5/26/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/26/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $105,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $2,948 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $500 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $100,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
insured advised to carefully document patients understanding of risks of surgery |
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. GARY F JAFFE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GARY F JAFFE, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).