| Department File Number : | M199502275 |
| Claim Number : | 94214270104045 |
| Date Submitted : | 10/2/1995 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS PROTECTIVE TRUST FUND | Excess | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-6589378 | |||||
| Insurer Contact Information | |||||
| Type | Entity Name | ||||
| Entity | |||||
| Street Address | |||||
| City | State | Zip | |||
| FL | |||||
| Phone | Ext | Fax | E-Mail Address | ||
| Insured Information | |||||
| Type | Entity Name | ||||
| Entity | JEFFREY L KUGLER, M.D.& BRANDON, JONES, ET AL | ||||
| Insurer Type | Street Address of Practice | ||||
| Licensed | *NR | ||||
| City | State | Zip Code | County | ||
| *NR | FL | 33461 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| *NR | $1,000,000 | *NR | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| 0064441 | Surgery - Orthopedic | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | *NR | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| *NR | |||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/10/1994 | 8/5/1994 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| *NR | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| *NR | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| *NR | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/28/1995 | 0000095-1463-AN | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| 9/21/1995 | |||||
| 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 Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim subject to arbitration, but settlement reached in lieu of award. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $390,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $13,635 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $21,902 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| *NR | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M199900498 |
| Claim Number : | 248741 |
| Date Submitted : | 4/23/1999 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDICAL PROTECTIVE COMPANY (THE) | Excess | ||||
| Insurer FEIN | Professional License Number | ||||
| 35-0506406 | |||||
| Insurer Contact Information | |||||
| Type | Entity Name | ||||
| Entity | |||||
| Street Address | |||||
| City | State | Zip | |||
| FL | |||||
| Phone | Ext | Fax | E-Mail Address | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JEFFERY | L | KUGLER, M.D. | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | *NR | ||||
| City | State | Zip Code | County | ||
| *NR | FL | 33461 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| *NR | $1,000,000 | *NR | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| 0064441 | Surgery - Orthopedic | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | *NR | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| *NR | |||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/27/1995 | 9/3/1997 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| *NR | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| *NR | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| *NR | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/7/1998 | 000000098-111AB | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| 3/24/1999 | |||||
| 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 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 | $4,549 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $3,263 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $99,480 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| *NR | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. JEFFREY L KUGLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFFREY L KUGLER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).