Department File Number : | M202092142 |
Claim Number : | 63788 |
Date Submitted : | 4/6/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MAG MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1449198 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Markavia | Martin | |||
Street Address | |||||
3535 Piedmont Rd Building 14 Suite 1000 | |||||
City | State | Zip | |||
Atlanta | GA | 30305 | |||
Phone | Ext | Fax | E-Mail Address | ||
(404) 842 - 5600 | mmartin@magmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robert | Hill | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1155 35th Lane, Suite 100 | ||||
City | State | Zip Code | County | ||
Vero Beach | FL | 32960 | Indian River | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PSL 1602914 06` | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS12932 | Surgery - Orthopedic |
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 | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
MURDOCK AMBULATORY SURGERY CENTER | 14960592 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/19/2016 | 9/21/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Left femur pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Prophylactic IM nailing | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Patient alleges insured negligently performed prophylactic IM nailing of left femur | |||||
Principal Injury Giving Rise To The Claim | |||||
Left femur pain | |||||
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 | ||||
10/12/2018 | 31-2018-CA-000766 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Indian River | 3/13/2020 | ||||
Other Defendants Involved in this Claim | |||||
HILL, ROBERT SEBASTIAN RIVER MEDICAL CENTER VERO ORTHOPEDICS II PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/13/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $75,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $59,883 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,260 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Risk Management has counseled insured |
Updates | |
No updates found. |
Does Dr. ROBERT HILL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERT HILL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).