Dr. PAUL JACOBSEN, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. PAUL JACOBSEN, MD

152 NE 167th St, Ste 102

Indemnity Paid: $100,000.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Paul			Jacobsen
Insurer Type		Street Address of Practice
Licensed		152 NE 167th St, Ste 102
City		State	Zip Code	County
North Miami Beach		FL	33162	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
64252		$250,000		$750,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS4671		Family Physicians or General Practitioners - No Surgery		80239

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

Date of Occurrence		Date Reported to Insurer
5/24/2006		7/21/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Plaintiff presented for yearly exam and blood was drawn.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Plaintiff alleges that after blood was drawn, she was unwell and dizzy and in light of her complaints she was left alone; resulting in her falling from the examining table and fracturing her cheekbone and left orbital floor.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Plaintiff alleges that she was left alone.In light of her complaints of feeling unwell and dizzy, resulting in her falling from the examining table and fracturing her cheekbone and left orbital floor.
Severity Of Injury
Emotional Only - Fright, no physical damage

Legal Information

Date of Suit			Circuit Court Case Number
9/5/2007			07-27892CA32
County Suit Filed in			Date of Final Disposition
Dade			2/19/2008
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
2/19/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$100,000

Loss Adjust Expense Paid to Defense Counsel

$11,786

All Other Loss Adjustment Expense Paid

$5,235

Injured Person's Total Non-Economic Loss

$100,000

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. Risk management referral is made if appropriate.

This page is not displaying certain sensitive information.

Does Dr. PAUL JACOBSEN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. PAUL JACOBSEN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).