Medical Malpractice Cases

Dr. JASON VAN BENNEKOM, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address
Dr. JASON VAN BENNEKOM, MD
14546 St. Augustine Rd, Ste 311
US

Court Case # 16 2007CA 007926

Indemnity Paid: $99,999.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057361
Claim Number :34924-01
Date Submitted :5/19/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJason Van Bennekom
Insurer TypeStreet Address of Practice
Licensed14546 St. Augustine Rd, Ste 311
CityStateZip CodeCounty
JacksonvilleFL32258Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98026$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93647Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
7/4/200611/15/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient had a Mirena IUD placed for birth control while she was already pregnant, due to a false negative urine pregnancy test.The patient miscarried at approximately 15 weeks gestation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Placement of IUD, per allegation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
A urine pregnancy test came back negative, but later studies showed she was in fact pregnant when the IUD was placed.
Principal Injury Giving Rise To The Claim
The plaintiff had another miscarriage for which she blamed the IUD.The plaintiff's alleged that the fetal demise caused mental anguish.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/11/200716 2007CA 007926
County Suit Filed inDate of Final Disposition
Duval4/29/2010
Other Defendants Involved in this Claim
 
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
4/29/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$99,999
Loss Adjust Expense Paid to Defense Counsel$42,779
All Other Loss Adjustment Expense Paid$27,430
Injured Person's Total Non-Economic Loss$99,999
Deductible$50,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Court Case #

Indemnity Paid: $62,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679631
Claim Number : 53864
Date Submitted : 9/2/2016
 
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
IndividualJASON VAN BENNEKOM
Insurer TypeStreet Address of Practice
LicensedPO Box 16568
CityStateZip CodeCounty
JacksonvilleFL32245Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1603080 02$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93647Surgery - Obstetrics - Gynecology 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER SOUTH23960052
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
7/3/20157/10/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Labor and delivery
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 diagnose PIH and preeclampsia and failure to timely delivery baby
Principal Injury Giving Rise To The Claim
Emergency C-section; death of baby
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
 *NR
County Suit Filed inDate of Final Disposition
*NR8/9/2016
Other Defendants Involved in this Claim
Balanky, MD, Emily
Ramos-Santos, MD, Edgard
Gaudier, MD, Francisco
Baptist Medical Center South
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/9/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$62,500
Loss Adjust Expense Paid to Defense Counsel$18
All Other Loss Adjustment Expense Paid$39
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$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
 
No updates found.

 

 

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

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Frequently Asked Questions

Does Dr. JASON VAN BENNEKOM, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JASON VAN BENNEKOM, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

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