Dr. JERE GILLAN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JERE GILLAN, MD

4307 13th St

Indemnity Paid: $0.00

Insurer Information

Insurer Name				Coverage Type
HUDSON EXCESS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
45-5271776
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Yolanda			Burke
Street Address
851 Napa Valley Corporate Way, Suite N
City				State	Zip
Napa				CA	94558
Phone	Ext	Fax	E-Mail Address
(707) 225 - 3331		(707) 224 - 6858	yburke@hudsoninsgroup.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jere			Gillan
Insurer Type		Street Address of Practice
Licensed		4307 13th St
City		State	Zip Code	County
Saint Cloud		FL	34769	Osceola
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HCD4012341		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN19418		Dentists

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Osceola
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Dentist office
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		Dentist office
Date of Occurrence		Date Reported to Insurer
10/28/2017		11/2/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for tooth extraction and dental implants
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Drill bit fell down patient's throat during dental surgical procedure; drill bit subsequently surgically removed
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Drill bit fell down patient's throat during dental surgical procedure
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
5/11/2018			0010707
County Suit Filed in			Date of Final Disposition
Orange			6/21/2018
Other Defendants Involved in this Claim
Cornerstone Dentistry PA
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
Disposed of by Court
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$6,241

All Other Loss Adjustment Expense Paid

$227

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

n/a

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

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Does Dr. JERE GILLAN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JERE GILLAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases