Dr. RAFAEL JIMENEZ, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. RAFAEL JIMENEZ, MD

PO Box 423549

Indemnity Paid: $225,000.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Rafael			Jimenez
Insurer Type		Street Address of Practice
Licensed		PO Box 423549
City		State	Zip Code	County
Kissimmee		FL	34742	Osceola
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600622 05		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME59612		Cardiovascular Disease - No Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Osceola
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
OSCEOLA REGIONAL HOSPITAL		100110
Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
5/10/2005		6/18/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Stress test
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to conduct complete stress test and diagnose coronary artery disease
Principal Injury Giving Rise To The Claim
Atherosclerotic coronary artery disease
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
10/23/2007			CI-07-MP4711
County Suit Filed in			Date of Final Disposition
Osceola			12/15/2008
Other Defendants Involved in this Claim
PriMed Healthcare, PA
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
12/16/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$225,000

Loss Adjust Expense Paid to Defense Counsel

$29,104

All Other Loss Adjustment Expense Paid

$12,464

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

12/19/2008 3:30:26 PM

Reason for Change:

Report updated to reflect correct Loss Adjusted/Counsel amount of $29,104

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	2914	29104

This page is not displaying certain sensitive information.

Does Dr. RAFAEL JIMENEZ, MD have any medical malpractice cases, lawsuits, or complaints?

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