Department File Number : | M201677266 |
Claim Number : | 15-00452895 |
Date Submitted : | 2/19/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CAMPMED CASUALTY & INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
52-1827116 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Marian | McTague | |||
Street Address | |||||
12100 Sunset Hills Road | |||||
City | State | Zip | |||
Reston | VA | 20190 | |||
Phone | Ext | Fax | E-Mail Address | ||
(703) 880 - 3853 | mmctague@hanover.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robert | M | Gaynor | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 10489 Southern Blvd | ||||
City | State | Zip Code | County | ||
Royal Palm Beach | FL | 33441 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
L2Y-336603-00 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO1985 |
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 | ||||
Other Outpatient Facility | Shoes & More | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Shoes & More | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/1/2013 | 12/4/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Diabetes - Type 2 required special and appropriate footware | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Complaint alleges the dispensing of appropriate footware due to diabetes - type 2 diagnosis. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Complaint alleges surgical procedure without establishing relationship and without obtaining informed consent | |||||
Principal Injury Giving Rise To The Claim | |||||
Complaint alleges unnecessary and negligently performed surgical debridement on sole of left foot. | |||||
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 | ||||
4/30/2015 | 2015CA004927MB | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 1/15/2016 | ||||
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 | |||||
1/13/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $4,345,511 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $371,450 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $2,500 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured participates in continuing education courses. |
Updates | |
No updates found. |
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Does Dr. ROBERT M GAYNOR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERT M GAYNOR, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).