| Department File Number : | M201573256 |
| Claim Number : | 70180 |
| Date Submitted : | 1/20/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-2813188 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Trisha | D | Bowles | ||
| Street Address | |||||
| 245 Riverside Avenue | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 482 - 4068 | (904) 354 - 4813 | claims@mymedmal.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kathleen | R | Philbin | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 8645 N Military Trail, Suite 508 | ||||
| City | State | Zip Code | County | ||
| West Palm Beach | FL | 33410 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL707687 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Midwife | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP9265135 | Surgery - Obstetrics - Gynecology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BETHESDA MEMORIAL HOSPITAL | 100002 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Labor and Delivery Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/22/2012 | 5/9/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Birth | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Birth | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Failure to monitor fetal heart strips and timely call for c-section | |||||
| Principal Injury Giving Rise To The Claim | |||||
| oxygenation deprivation | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/14/2014 | 13-CA-012481 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 9/18/2014 | ||||
| Other Defendants Involved in this Claim | |||||
| Bethesda Hospital Inc Borgella, Joel Florida OB GYN Grp LLC Williams, Sherida L Chauvin, Rebecca L Hylton, Daniella Hardack, Mary Sullivan, Heather | |||||
| 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 | |||||
| 12/4/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $37,836 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Company personnel consulted with insured | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201781965 |
| Claim Number : | 70291-A |
| Date Submitted : | 4/28/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-2813188 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | James | P | Lacey | ||
| Street Address | |||||
| 245 Riverside Ave, Suite 550 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 482 - 4068 | (888) 974 - 6458 | claims@medmaldirect.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kathleen | R | Philbin | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 8645 North Military Trail | ||||
| City | State | Zip Code | County | ||
| Palm Beach Gardens | FL | 33410 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL707687 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Other | Certified Nurse Midwife | ||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP9265135 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BETHESDA MEMORIAL HOSPITAL | 100002 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Labor and Delivery Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/17/2012 | 1/30/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Delivery of a term infant. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Vaginal delivery by co-defendant, Joel Borgella, MD | |||||
| Diagnostic Code : | 07 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Brain damage. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/22/2014 | 2014-CA-008951 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 4/13/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Borgella, Joel Bethesda Memorial Hospital, Inc. FL OB/GYN Group, PLLC Premier Associates for the Healthcare of Women, LLC | |||||
| 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 | |||||
| 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? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $142,760 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Discussed with Insured. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. KATHLEEN R PHILBIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KATHLEEN R PHILBIN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).