Dr. JORGE A FORNOS, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JORGE A FORNOS, MD

15790 SW 56 street

Indemnity Paid: $80,000.00

Insurer Information

Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nicole			Bursley
Street Address
12724 GRAN BAY PKWY W, Suite 400
City				State	Zip
JACKSONVILLE				FL	32258
Phone	Ext	Fax	E-Mail Address
(517) 324 - 6562			Nicole.Bursley@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jorge		A	Fornos
Insurer Type		Street Address of Practice
Licensed		15790 SW 56 street
City		State	Zip Code	County
Miami		FL	33185	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
1141458		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN20945		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Dade
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
7/1/2017		1/23/2018

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Removal of Tooth #32
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged improper extraction
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Nerve injury and alleged failure to timely refer for repair
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
10/10/2018			2018-033304-CA-01
County Suit Filed in			Date of Final Disposition
Dade			2/19/2020
Other Defendants Involved in this Claim
Westland Mall Dental, PA
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
2/19/2020

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$80,000

Loss Adjust Expense Paid to Defense Counsel

$38,823

All Other Loss Adjustment Expense Paid

$22,614

Injured Person's Total Non-Economic Loss

$80,000

Deductible

Injured Person's Total Economic Loss

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.

Does Dr. JORGE A FORNOS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JORGE A FORNOS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases