Department File Number : | M201573695 |
Claim Number : | 313217 |
Date Submitted : | 3/6/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tiffany | D | Taylor | ||
Street Address | |||||
13450 West Sunrise Blvd | |||||
City | State | Zip | |||
Sunrise | FL | 33323 | |||
Phone | Ext | Fax | E-Mail Address | ||
(877) 320 - 0748 | TTaylor@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ralph | B | Monnett | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 14410 US Highway 1 | ||||
City | State | Zip Code | County | ||
Sebastian | FL | 32958 | Indian River | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0963583 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME43454 | Surgery - Opthalmology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Indian River | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Practitioner's Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/30/2013 | 12/11/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient sought treatment for Ptosis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient underwent Blepharoplasty procedure. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to protect the patient's eyes during Blepharoplasty procedure. | |||||
Principal Injury Giving Rise To The Claim | |||||
Reduced vision in left eye due to injury to the left cornea. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/21/2014 | 312014CA000749 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Indian River | 3/5/2015 | ||||
Other Defendants Involved in this Claim | |||||
Monnett Eye and Optical Center | |||||
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 | ||||
Other | Case Settled | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/3/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $285,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $24,335 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
The insured cpnferenced with defense counsel and claims adjuster. |
Updates | |
No updates found. |
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Does Dr. RALPH B MONNETT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RALPH B MONNETT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).