Dr. JERRY A MARGOLIN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Add Your Comments

Phycicians Practice Address

Dr. JERRY A MARGOLIN, MD

501 South Lincoln Avenue

Clearwater, FL

33756

Pinellas

Court Case #

Indemnity Paid: $225,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201677863
Claim Number :	1028595-01
Date Submitted :	2/22/2017

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	JERRY		A	MARGOLIN
Insurer Type		Street Address of Practice
Licensed		501 S Lincoln Ave, Ste 26
City		State	Zip Code	County
Clearwater		FL	33756	Pinellas
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
778904		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME17214		Surgery - Otorhinolaryngology

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Pinellas
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

Date of Occurrence		Date Reported to Insurer
6/17/2014		10/1/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Neck mass with history of trauma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Read of neck CT
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose tonsillar cancer
Principal Injury Giving Rise To The Claim
Growth and expanstion of cancer
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			4/5/2016
Other Defendants Involved in this Claim
Gordon MD, Kathleen
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
4/4/2016

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$225,000

Loss Adjust Expense Paid to Defense Counsel

$34,441

All Other Loss Adjustment Expense Paid

$9,311

Injured Person's Total Non-Economic Loss

$155,192

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

N/A

Updates

Date of Change:

8/11/2016 11:45:48 AM

Reason for Change:

ALE UPDATED 8/11/2016

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	3610	10311
Amount of Loss Adjustment Expense Paid to Defense Counsel	18008	34441

Date of Change:

2/22/2017 10:08:45 AM

Reason for Change:

ALE UPDATE 2/22/2017

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	10311	9311

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

This page is not displaying certain sensitive information.

Court Case # 11-1147-CI-13

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201574140
Claim Number :	FP4071101
Date Submitted :	4/6/2015

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City				State	Zip
Jacksonville				FL	32258
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jerry			Margolin
Insurer Type		Street Address of Practice
Licensed		501 South Lincoln Avenue
City		State	Zip Code	County
Clearwater		FL	33756	Pinellas
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FP-IN047902		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME17214		Otorhinolaryngology - Minor Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Pinellas
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

Date of Occurrence		Date Reported to Insurer
4/23/2007		9/24/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Persistent area of sensitivity at base of tongue.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physical examination and recommendation for surgery (which patient did not comply).
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Delay in diagnosis of squamous cell carcinoma.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
3/11/2011			11-1147-CI-13
County Suit Filed in			Date of Final Disposition
Pinellas			3/21/2014
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
No Payment Made
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

$64,482

All Other Loss Adjustment Expense Paid

$49,460

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
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. Patient Safety referral is made if appropriate

Updates

No updates found.

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

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. JERRY A MARGOLIN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JERRY A MARGOLIN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases