Department File Number : | M201988455 |
Claim Number : | 2018FL301 |
Date Submitted : | 4/11/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-3867083 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jody | Schwahn | |||
Street Address | |||||
611 Druid Road E Suite 512 | |||||
City | State | Zip | |||
Clearwater | FL | 33756 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 581 - 6400 | 6400 | jschwahn@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jose | Ruiz | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1172 Cypress Glen Circle | ||||
City | State | Zip Code | County | ||
Kissimmee | FL | 34741 | Osceola | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PC-2018-149 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME58319 | Surgery - Otorhinolaryngology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Osceola | ||||
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 | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/3/2014 | 5/8/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Squamous cell carcinoma | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient presented with the chief complaint of sinusitis and problems with the left ear. An endoscopic examination was performed in which the insured described inflammation of the adenoidal tissue with obstruction of the torus tubaris. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The allegations include failure to recognize it was unlikely for a 47 year old to have adenoidal tissue; failure to perform followup endoscopic examination; failure to suspect cancerous leasion; and failure to perform a biopsy. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/28/2018 | 18-CA-2656 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Osceola | 4/10/2019 | ||||
Other Defendants Involved in this Claim | |||||
Kumar, Krishna Simonmed imaging Florida | |||||
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 | |||||
4/10/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $240,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,113 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,212 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None |
Updates | |
No updates found. |
Does Dr. JOSE RUIZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSE RUIZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).