Department File Number : | M201988275 |
Claim Number : | 2017FL231 |
Date Submitted : | 3/25/2019 |
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 | jschwahn@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | RODGER | STRATT | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 100 N Federal Highway Suite C2 | ||||
City | State | Zip Code | County | ||
Fort Lauderdale | FL | 33301 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PCX-2016-850 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME74811 | Family Physicians or General Practitioners - Minor Surgery |
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 Location | BodtCare Liposculpture and Anti-Aging Cl | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/15/2016 | 5/26/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Local adiposity | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Liposculpture | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Unknown pregnancy | |||||
Severity Of Injury | |||||
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/25/2017 | CACE2017-016330 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 3/25/2019 | ||||
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 | |||||
3/25/2019 |
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 | $13,839 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,096 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Updated surgical pre op forms |
Updates | |
No updates found. |
Does Dr. RODGER STRATT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RODGER STRATT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).