Dr. ROBIN F ROTH, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. ROBIN F ROTH, MD

2500 Tamiami Trail North, Ste 112

Naples, FL

34113

Collier

Court Case # 11-1383-CA

Indemnity Paid: $60,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201366402
Claim Number :	1007895-01
Date Submitted :	1/22/2014

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Robin		F	Roth
Insurer Type		Street Address of Practice
Licensed		2500 Tamiami Trail North, Ste 112
City		State	Zip Code	County
Naples		FL	34113	Collier
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL010355		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME93547		Internal Medicine - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Nursing Home
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
5/4/2009		8/26/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Recovery after hospitalization
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Long term nursing care
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to prevent decubitus ulcers
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/12/2012			11-1383-CA
County Suit Filed in			Date of Final Disposition
Collier			3/8/2013
Other Defendants Involved in this Claim
HCR Manorcare Inc dba Manorcare at Lely Palms Robin Roth PA Manorcare Health Services LLC
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
3/8/2013

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$60,000

Loss Adjust Expense Paid to Defense Counsel

$17,075

All Other Loss Adjustment Expense Paid

$4,103

Injured Person's Total Non-Economic Loss

$40,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

N/A

Updates

Date of Change:

8/23/2013 3:13:26 PM

Reason for Change:

ALE Update

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	3259	4101
Amount of Loss Adjustment Expense Paid to Defense Counsel	13180	16806

Date of Change:

1/22/2014 3:18:31 PM

Reason for Change:

ALE Update

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	4101	4103
Amount of Loss Adjustment Expense Paid to Defense Counsel	16806	17075

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Frequently Asked Questions

Does Dr. ROBIN F ROTH, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. ROBIN F ROTH, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).