Dr. RAFAEL TRESPALACIOS, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. RAFAEL TRESPALACIOS, MD

665 Apollo Blvd.

Indemnity Paid: $650,000.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Rafael			Trespalacios
Insurer Type		Street Address of Practice
Licensed		665 Apollo Blvd.
City		State	Zip Code	County
Melbourne		FL	32901	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1602550 02		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME98468		Surgery - Opthalmology

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Brevard
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
Operating Suite
Date of Occurrence		Date Reported to Insurer
7/28/2011		1/27/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cataracts
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to note patient's medication allergies
Principal Injury Giving Rise To The Claim
Blindness
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Legal Information

Date of Suit			Circuit Court Case Number
8/12/2013			05-2013-CA-035615
County Suit Filed in			Date of Final Disposition
Brevard			10/1/2014
Other Defendants Involved in this Claim
Space Coast Optical Brevard Eye 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/1/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$650,000

Loss Adjust Expense Paid to Defense Counsel

$53,382

All Other Loss Adjustment Expense Paid

$12,253

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

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Does Dr. RAFAEL TRESPALACIOS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. RAFAEL TRESPALACIOS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases