| Department File Number : | M201886223 |
| Claim Number : | 59241401 |
| Date Submitted : | 8/23/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | D | King | ||
| Street Address | |||||
| 901 south mopac Blvd V ste 400 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JOSE | VELEZ-BORRAS | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2131 SW 22nd Place, Suite 202 | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34471 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 131389 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73660 | Pediatrics - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Marion | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MUNROE REGIONAL MEDICAL CENTER | 100062 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/12/2015 | 6/9/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Following infant's birth, parents elected to have their male child circumcised. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Circumcision was performed by insured physician on March 12, 2015, day of life 2. Insured physician used a Gomco 1.1 device after surgery consent was obtained. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was moderate bleeding following the procedure. Local pressure and Gelfoam was applied and urology was consulted at another hospital. Infant was transferred to another hospital for urology consult. Subsequently the circumcision was revised and child was discharged. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Lawsuit was filed. Plaintiffs alleged reporting physician improperly performed circumcision by removing too much foreskin. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/22/2016 | 2016-1871-CA | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 7/30/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Trinity Pediatrics | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within 90 days of suit being filed. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 7/25/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $62,500 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $18,564 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $3,520 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $60,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| none taken | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. JOSE VELEZ-BORRAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSE VELEZ-BORRAS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).