Department File Number : | M201990106 |
Claim Number : | 15-07 |
Date Submitted : | 9/30/2019 |
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 | RICHARD | S | KALSKI | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7000 S.W. 97 AV #114 | ||||
City | State | Zip Code | County | ||
MIAMI | FL | 33173 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
265 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME67050 | 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 | ||||
Other Outpatient Facility | OR | ||||
Name of Institution | Code | ||||
SOUTH FLORIDA AMBULATORY SURGICAL CENTER | 14960506 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/2/2014 | 3/14/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PATIENT HAD A MATURE CATARACT WHICH REQUIRED SURGICAL REMOVAL | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
CATARACT SURGERY WITH IMPLANTED INTRA OCULAR LENS | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
THE DIAGNOSIS WAS CORRECT | |||||
Principal Injury Giving Rise To The Claim | |||||
AT THE ONSET OF THE SURGERY THE PHACO EMULSIFICATION MACHINE HAND PIECE TIP CLOGGED RESULTING IN A CORNEAL BURN | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/29/2016 | 16-16661 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 9/17/2019 | ||||
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 not subject to Arbitration. | |||||
Date of Payment | |||||
9/16/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,999 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $82,380 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,786 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $70,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
REINFORCED TO INSURED THAT RARE SURGICAL COMPLICATIONS REQUIRE DETAILED OPERATIVE REPORTS AND EXPLANATIONS |
Updates | |
No updates found. |
Does Dr. RICHARD S KALSKI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RICHARD S KALSKI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).