| Department File Number : | M201574143 |
| Claim Number : | 70317 |
| Date Submitted : | 4/9/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-2813188 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Trisha | D | Bowles | ||
| Street Address | |||||
| 245 Riverside Avenue | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 482 - 4068 | (888) 974 - 6458 | claims@mymedmal.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Steven | E | Hodgett | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 863 Prudential Dr., Suite 1107 | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32207 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL707482 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME104162 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Duval | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BAPTIST HOSPITAL | 100093 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/9/2013 | 12/3/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| abdominal pain | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| splenectomy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Plaintiff alleged that the Defendants were negligent while performing a laproscopic splenectomy in which he suffered a known complication. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 2/26/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 2/26/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $242,500 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $10,115 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate. | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 4/9/2015 8:23:54 AM | ||||||
| Reason for Change: | I reported the incorrect ALAE amount | ||||||
| |||||||
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
| Department File Number : | M201887370 |
| Claim Number : | 70411-A |
| Date Submitted : | 12/19/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-2813188 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | James | P | Lacey | ||
| Street Address | |||||
| 76 S. Laura Street, Suite 900 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32202 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 482 - 4068 | (888) 974 - 6458 | claims@medmaldirect.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Steven | E | Hodgett | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 11945 San Jose Boulevard, Suite 300 | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32223 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL707389 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME104162 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Duval | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BAPTIST MEDICAL CENTER AND WOLFSON | 100088 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/5/2014 | 11/14/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Hysterectomy - vaginal bleeding | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Hysterectomy. | |||||
| Diagnostic Code : | 05 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Trocar causing injury and infection. | |||||
| 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 | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 11/28/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $16,313 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| None. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. STEVEN E HODGETT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEVEN E HODGETT, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).