Department File Number : | M202091316 |
Claim Number : | 1048693-01 |
Date Submitted : | 2/3/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ignacio | A | Rodriguez | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8181 NW 154th St Ste 200 | ||||
City | State | Zip Code | County | ||
Miami Lakes | FL | 33016 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
802375 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME42334 | Surgery - Otorhinolaryngology |
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 | ||||
Holy Cross Hospital | 100073 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/29/2015 | 9/19/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Pain post-extraction, Right facial swelling and history of a balloon sinuplasty the day before | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Consultation, right maxillary sinusotomy & sinusectomy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Medical Negligence | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/7/2018 | CACE-18-005372 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 1/15/2020 | ||||
Other Defendants Involved in this Claim | |||||
Lapco MD, Paul Gorensek MD, Margaret J Ear Nose & Throat Associates of South Florida PA Hesse MD, Sabine South Florida ENT Associates PA Holy Cross Hospital Inc dba Holy Cross Medical Group Holy Cross Hospital Inc dba Holy Cross Hospital | |||||
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 | |||||
1/14/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $32,184 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $14,049 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $382,353 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
Does Dr. IGNACIO A RODRIGUEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. IGNACIO A RODRIGUEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).