Dr. GILBERT JACOBSON, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. GILBERT JACOBSON, MD

1048 Kane Concourse

Indemnity Paid: $15,000.00

Insurer Information

Insurer Name				Coverage Type
FORTRESS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
36-4159841
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Janet		L	Meyer
Street Address
6133 North River Road, Suite 650
City				State	Zip
Rosemont				IL	60018
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823		(847) 653 - 8485	janet.meyer@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Gilbert			Jacobson
Insurer Type		Street Address of Practice
Licensed		1048 Kane Concourse
City		State	Zip Code	County
Bay Harbor Islands		FL	33154	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
32080		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN3781		Dentists

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
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
8/9/2012		7/15/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for the extraction of tooth #11.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured after a thorough exam and evaluation initially extracted tooth #10, as that tooth was broken below the gingiva. The insured then extracted tooth 11 in followup and placed an implant for numbers 10 and 11.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient alleges that tooth 10 was initially extracted instead of intended tooth 11 and that implant placement has failed.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			12/17/2014
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/19/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$15,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Unknown

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. GILBERT JACOBSON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. GILBERT JACOBSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases