Medical Malpractice Cases

Dr. CLARISOL M MARTINEZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address
Dr. CLARISOL M MARTINEZ, MD
PO Box 357010
US

Court Case # 2017-CA-000698

Indemnity Paid: $75,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885717
Claim Number : 59478
Date Submitted : 6/22/2018
 
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   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualClarisolMMartinez
Insurer TypeStreet Address of Practice
Licensed13607 Pine Villa Lane
CityStateZip CodeCounty
Fort MyersFL33912Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1413763 00$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME86060Internal Medicine - No Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
5/15/201410/3/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hypertension
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribed Lisinopril
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly communicate or follow-up on suspected reaction to Lisinopril
Principal Injury Giving Rise To The Claim
Severe reaction/prolonged hospitalization
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/24/20172017-CA-000698
County Suit Filed inDate of Final Disposition
Alachua6/7/2018
Other Defendants Involved in this Claim
Pernice, MD, Mercedes T
SIMED
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/23/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$75,000
Loss Adjust Expense Paid to Defense Counsel$70,307
All Other Loss Adjustment Expense Paid$40,865
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$10,000
Wage Loss$0$0
Other Expenses$0$50,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Court Case # 01-2016-CA-000330

Indemnity Paid: $65,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679760
Claim Number : 54942
Date Submitted : 11/9/2016
 
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
 
TypeFirst NameMILast Name
IndividualClarisolMMartinez
Insurer TypeStreet Address of Practice
LicensedPO Box 357010
CityStateZip CodeCounty
GainesvilleFL32635Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1413763 00$500,000$150,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME86060Internal Medicine - No Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/19/201310/6/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pelvic cyst
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 timely follow-up on CT of abdomen
Principal Injury Giving Rise To The Claim
Delay in treatment of pelvic cyst
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/28/201601-2016-CA-000330
County Suit Filed inDate of Final Disposition
Alachua10/24/2016
Other Defendants Involved in this Claim
Southeastern Primary Care
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/14/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$65,000
Loss Adjust Expense Paid to Defense Counsel$20,147
All Other Loss Adjustment Expense Paid$6,858
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$10,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:11/9/2016 2:39:12 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 10/24/16
 
Field ChangedFormer ValueNew Value
Date of Final Disposition14-SEP-1624-OCT-16

 

 

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Frequently Asked Questions

Does Dr. CLARISOL M MARTINEZ, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CLARISOL M MARTINEZ, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

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