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).