Department File Number : | M201575778 |
Claim Number : | 307539 |
Date Submitted : | 9/16/2015 |
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 | AUDRA | M | FLOYD | ||
Street Address | |||||
13450 WEST SUNRISE BLVD | |||||
City | State | Zip | |||
SUNRISE | FL | 33323 | |||
Phone | Ext | Fax | E-Mail Address | ||
(877) 320 - 0748 | 3111 | (866) 636 - 5421 | afloyd@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Harold | H | Rosen | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1 West Sample Road, Suite #102 | ||||
City | State | Zip Code | County | ||
Pompano Beach | FL | 33064 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0072032 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME32990 | Gastroenterology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | 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 | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/6/2012 | 6/27/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented to the insured with rectal bleeding and anemia, recent colonoscopy positive for cancer. Patient was admitted to the hospital with abdominal pain. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was seen by a surgeon and was scheduled for surgery. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
A CT scan did not show perforation of sigmoid colon. | |||||
Principal Injury Giving Rise To The Claim | |||||
Colon perforation leading to death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/4/2014 | CACE-14-006573(12) | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 9/9/2015 | ||||
Other Defendants Involved in this Claim | |||||
Brien, MD, Gringe Borges, MD, Abdon Chediak, MD, Nidia L Gonzalez, MD, Pedro Gough-Fibkins, MD, Shawn Parra, MD, Michael W Williams, MD, Frederick L Broward Surgical Associates CAPS Medical Management Delray Trauma Associates North Broward Hospital District North Broward Radiologists | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/9/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $245,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $72,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Unknown |
Updates | |
No updates found. |
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Does Dr. HAROLD H ROSEN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HAROLD H ROSEN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).