Dr. SLOBODAN JAZAREVIC, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. SLOBODAN JAZAREVIC, MD

1411 N. Flagler Drive, # 8300

West palm Beach, FL

33401

Palm Beach

Court Case # CL 00 4265 AO

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200642727
Claim Number :	A5-009080
Date Submitted :	10/17/2006

Insurer Information

Insurer Name				Coverage Type
TRUCK INSURANCE EXCHANGE				Primary
Insurer FEIN		Professional License Number
95-2575892
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Richard		A	Jones
Street Address
4680 Wilshire Blvd., 6th Floor
City				State	Zip
Los Angeles				CA	90010
Phone	Ext	Fax	E-Mail Address
(714) 633 - 8331		(714) 633 - 1226	rich.jones@farmersinsurance.com

Insured Information

Type	First Name		MI	Last Name
Individual	Slobodan			Jazarevic
Insurer Type		Street Address of Practice
Licensed		1411 N. Flagler Drive, # 8300
City		State	Zip Code	County
West palm Beach		FL	33401	Palm Beach
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
01180881150000		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65570		Emergency Medicine - Including Major Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Palm Beach
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
COLUMBIA HOSPITAL		100234
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
11/6/1998		4/18/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
End stages of Lupus and TTP.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
A Quinton catheter was placed for plasma exchange.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient was oversedated and died.
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
5/3/2000			CL 00 4265 AO
County Suit Filed in			Date of Final Disposition
Palm Beach			9/7/2006
Other Defendants Involved in this Claim
Milbauer, David Ahr, David H Larsen, Wilhelm Petersen, Laurie Millian, Gary Joshua, Baskaran Colombia Hospital Trauma Critical Care Surgeons
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
10/17/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$200,000

Loss Adjust Expense Paid to Defense Counsel

$269,016

All Other Loss Adjustment Expense Paid

$31,857

Injured Person's Total Non-Economic Loss

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

This is a risk management issue and theinsured does not purchase these servuces.

Updates

No updates found.

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Court Case # 562010CA004949

Indemnity Paid: $50,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201470763
Claim Number :	34105
Date Submitted :	6/6/2014

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Slobodan			Jazarevic
Insurer Type		Street Address of Practice
Licensed		2401 Frist Blvd., Ste. 6
City		State	Zip Code	County
Fort Pierce		FL	34950	St. Lucie
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1602189 03		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65570		Surgery - Vascular

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	St. Lucie
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
LAWNWOOD REG. MED. CTR		100246
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
9/29/2008		5/26/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Large ventral hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to monitor and respond to respiratory distress following surgery
Principal Injury Giving Rise To The Claim
Hypoxic brain injury
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/16/2010			562010CA004949
County Suit Filed in			Date of Final Disposition
St. Lucie			5/28/2014
Other Defendants Involved in this Claim
Trauma & Specialty Surgery Institute Marjieh, MD, Ziad Lawnwood Regional Medical Center
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
4/21/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$50,000

Loss Adjust Expense Paid to Defense Counsel

$318,202

All Other Loss Adjustment Expense Paid

$207,826

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$151,959	$5,000,000
Wage Loss	$45,178	$358,000
Other Expenses	$30,380	$226,006

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

Risk management has counseled insured

Updates

Date of Change:

6/6/2014 12:38:39 PM

Reason for Change:

Report updated to reflect Court Document final disposition date of 5/28/14

Field Changed	Former Value	New Value
Date of Final Disposition	21-APR-14	28-MAY-14

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Court Case #

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201886930
Claim Number :	HPT 1500
Date Submitted :	11/6/2018

Insurer Information

Insurer Name				Coverage Type
Jazarevic, Slobodan				Primary
Insurer FEIN		Professional License Number
27-2552009		ME65570
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Carol			Wiseheart
Street Address
747 S Ridgewood Ave.
City				State	Zip
Daytona Beach				FL	32114
Phone	Ext	Fax	E-Mail Address
(386) 310 - 7969	7969	(386) 310 - 7973	cwiseheart@halifaxins.org

Insured Information

Type	First Name		MI	Last Name
Individual	Slobodan			Jazarevic
Insurer Type		Street Address of Practice
Self-Insurer		126 SE Mira Lavella
City		State	Zip Code	County
St. Lucie		FL	34984	St. Lucie
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
02-293		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65570		Physicians or Surgeons - major surgery. NOC classification.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
HALIFAX MEDICAL CENTER		100017
Location of Institutional Injury		Other Location of Institutional Injury
Critical Care Unit
Date of Occurrence		Date Reported to Insurer
12/2/2016		5/31/2018

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Injuries following auto accident.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Abdominal wall contusion.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Perforated bowel due to peritonitis.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			10/3/2018
Other Defendants Involved in this Claim
Halifax Hospital Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
Dropped before Action Filed
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$10,500

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

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

Ongoing Risk Management

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Frequently Asked Questions

Does Dr. SLOBODAN JAZAREVIC, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SLOBODAN JAZAREVIC, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases