Department File Number : | M202092618 |
Claim Number : | 71300-A |
Date Submitted : | 5/29/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-2813188 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Daniel | J | Dupre | ||
Street Address | |||||
76 South Laura Street Suite 900 | |||||
City | State | Zip | |||
Jacksonville | FL | 32202 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 482 - 4067 | ddupre@medmaldirect.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jeffry | F | Rocker | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 110 Alafaya Woods Blvd. | ||||
City | State | Zip Code | County | ||
Oviedo | FL | 32765 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL707919 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS5703 | Family Physicians or General Practitioners - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Seminole | ||||
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 | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/23/2019 | 11/20/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Chronic Right shoulder pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Right trapezius lidocaine trigger point injection | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The claim alleged incorrect placement of the needle | |||||
Principal Injury Giving Rise To The Claim | |||||
Pneumothorax | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/26/2020 | ||||
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 | |||||
5/5/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $240,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,450 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,000 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $90,963 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
The insured went through comprehensive review of office practice with defense counsel and with input from medical expert to avoid future mishaps. |
Updates | |
No updates found. |
Does Dr. JEFFRY F ROCKER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFFRY F ROCKER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).