Department File Number : | M201886294 |
Claim Number : | 208097 |
Date Submitted : | 11/2/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
63-0720042 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Enrique | Molina | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4700 Sheridan Street, suite M | ||||
City | State | Zip Code | County | ||
Hollywood | FL | 33021 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP39666 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102292 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/24/2015 | 10/20/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
chest pain, ischemic bowel and stomach | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
No operation, diagnostic or treatment procedure | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/29/2018 | CACE-18-001055 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 8/22/2018 | ||||
Other Defendants Involved in this Claim | |||||
Blake, Dahlia A Behrens Molina, Caroline Gastro consultants PA Memorial Hospital West Abdalla, Emil V All Women's Healthcare of Sawgrass, Inc. Camacho, Natalia | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $23,998 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,532 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | |||||||||||||
Date of Change: | 8/29/2018 11:14:15 AM | ||||||||||||
Reason for Change: | Updated ALAE information | ||||||||||||
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Date of Change: | 10/29/2018 1:19:50 PM | ||||||||||||
Reason for Change: | updated alae | ||||||||||||
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Date of Change: | 10/29/2018 2:59:15 PM | ||||||||||||
Reason for Change: | updated alae | ||||||||||||
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Date of Change: | 11/2/2018 1:22:55 PM | ||||||||||||
Reason for Change: | Updated ALAE information | ||||||||||||
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Does Dr. ENRIQUE MOLINA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ENRIQUE MOLINA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).