Department File Number : | M202091320 |
Claim Number : | 307801 |
Date Submitted : | 2/3/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angela | LaFrance | |||
Street Address | |||||
12724 Gran Bay Pkwy., W., Suite 400 | |||||
City | State | Zip | |||
JACKSONVILLE | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3045 | (707) 927 - 1809 | alafrance@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carlos | A | Caceres | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6003 NW 32nd Avenue | ||||
City | State | Zip Code | County | ||
Boca Raton | FL | 33496 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0946244 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME86216 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Hospital radiology department | ||||
Name of Institution | Code | ||||
BETHESDA HOSPITAL WEST | 23960098 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Radiology Dept | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/11/2011 | 7/9/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented for third trimester ultrasound. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Insured performed third trimester ultrasound. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to diagnose ventriculomegaly by not fully visualizing the posterior fossa, cerebellum or cisterna magna, or suspect evidence of a myelomeningocele or spina bifida based on a prenatal ultrasound. | |||||
Principal Injury Giving Rise To The Claim | |||||
Child born with ventriculomegaly, Chiari II malformation, spina bifida and myelomeningocele. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/6/2014 | 2013-CA-017316 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 1/29/2020 | ||||
Other Defendants Involved in this Claim | |||||
Bethesda Hospital Inc. State of Florida Department of Health | |||||
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 | |||||
1/24/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $45,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $84,804 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,482 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. CARLOS A CACERES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARLOS A CACERES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).