| Department File Number : | M201886207 |
| Claim Number : | 158870-2 |
| Date Submitted : | 8/21/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HEALTH CARE INDEMNITY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 61-0904881 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Christina | J | Stoker | ||
| Street Address | |||||
| 1100 Charlotte Ave, Ste 500 | |||||
| City | State | Zip | |||
| Nashville | TN | 37203 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 344 - 1779 | (615) 344 - 5889 | christina.stoker@hcahealthcare.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JONATHAN | D | HOFFBERGER | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1540 S TAMIAMI TRAIL | ||||
| City | State | Zip Code | County | ||
| Sarasota | FL | 34239 | Sarasota | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HCI-10114 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Osteopathic Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| OS10986 | Surgery - Cardiovascular Disease | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | FLORIDA HEART & VASCULAR CARE | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/30/2014 | 7/27/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| PATIENT HAD PRESENTED TO DIFFERENT FACILITY WITH COMPLAINTS OF SEVERE CHEST PAIN, EPIGASTRIUM, AND NAUSEA. PATIENT WAS ADMITTED AND EVALUATED BY BOTH CARDIOLOGY AND GI. PATIENT ALSO UNDERWENT DIAGNOSTIC MRCP, REVEALING AN AORTIC DISSECTION INVOLVING THORACIC AND ABDOMINAL AORTA. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| PATIENT WAS URGENTLY TRANSFERRED TO SECOND FACILITY WHERE INSURED SURGEON ATTEMPTED TO REPAIR THE AORTIC DISSECTION | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| ALLEGED FAILURE TO PERFORM THE APPROPRIATE SURGICAL PROCEDURE FOR AN AORTIC DISSECTION REPAIR, FAILURE TO CONSIDER REPLACEMENT OF AORTA AND AORTIC VALVE, FAILURE TO MAKE A COMPLETE SURGICAL AORTIC DISSECTION REPAIR. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/6/2017 | CACE-17-002209 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 8/14/2018 | ||||
| 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 | |||||
| 6/26/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $56,250 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $10,310 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,559 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $56,250 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| STAFF EDUCATION. | |||||||||||||||||||||
| 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.
Does Dr. JONATHAN D HOFFBERGER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JONATHAN D HOFFBERGER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).