Dr. THOMAS JACOB, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. THOMAS JACOB, MD

1138 Washington Street

Indemnity Paid: $100,000.00

Insurer Information

Insurer Name				Coverage Type
PROASSURANCE CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
38-2317569
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Maria			Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
City				State	Zip
Miramar				FL	33027
Phone	Ext	Fax	E-Mail Address
(954) 602 - 5834			mgonzalez@pronational.com

Insured Information

Type	First Name		MI	Last Name
Individual	Thomas			Jacob
Insurer Type		Street Address of Practice
Licensed		1138 Washington Street
City		State	Zip Code	County
Hollywood		FL	33019	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PNFL-1006812-00		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME47997		Surgery - Thoracic		0

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
MEMORIAL REGIONAL HOSPITAL(HOLLYWOOD)		100038
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
11/1/2000		6/11/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe aortic incomplete and basilar coronary artery disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Coronary artery bypass
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose postoperative condition of alleged hypoperfusion
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
6/14/2002			01-021836 (13)
County Suit Filed in			Date of Final Disposition
Broward			2/27/2008
Other Defendants Involved in this Claim
Edward Olguin, DO, PA Florida Institute for Cardiovascular Care, PA Ibrahim, Bassel Linzer, Dov Thomas Jacob, MDPA Acosta, Juan Nebhrajani, Rajkumar Sheridan Healthcorp Asanza, Luis Olguin, Edward
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

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$100,000

Loss Adjust Expense Paid to Defense Counsel

$140,667

All Other Loss Adjustment Expense Paid

$101,696

Injured Person's Total Non-Economic Loss

$100,000

Deductible

Injured Person's Total Economic Loss

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

Insured discussed claim with insurance personnel and medical experts.

Updates

Date of Change:

8/12/2009 8:49:56 AM

Reason for Change:

Additional invoices paid after file closed.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	118475	140667
All Other Loss Adjustment Expense Paid	84336	101696

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Does Dr. THOMAS JACOB, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. THOMAS JACOB, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).