PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M200432465
Claim Number : A01-24963-00
Date Submitted : 8/17/2004
 
Insurer Information
 
Insurer Name Coverage Type
VERDE INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
59-6614702  
Insurer Contact Information
Type First Name MI Last Name
Individual Cheri M Montague
Street Address
1000 Riverside Drive, Suite 800
City State Zip
Jacksonville FL 32204
Phone Ext Fax E-Mail Address
(800) 741 - 3742 3043 (904) 358 - 6728 montague@fpic.com
 
Insured Information
 
Type First Name MI Last Name
Individual Debra A Jones, M.D.
Insurer Type Street Address of Practice
Licensed 1515 N. Flagler Drive, Suite 700
City State Zip Code County
West Palm Beach FL 33401 Palm Beach
Policy Number Per Claim Policy Limits Aggregate Policy Limits
28068 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
64730 Surgery - Obstetrics - Gynecology 80153

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
  M Palm Beach
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SAINT MARY'S HOSPITAL 100010
Location of Institutional Injury Other Location of Institutional Injury
Labor and Delivery Room  
Date of Occurrence Date Reported to Insurer
9/25/2000 10/24/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Birth of twins.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in delivery.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death of one twin.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
2/26/2002 CA-02-01954AJ
County Suit Filed in Date of Final Disposition
Palm Beach 8/10/2004
Other Defendants Involved in this Claim
Ignace-Morel, M.D., Marie
Kanter, M.D., David
Cordoba, M.D., Enoch
Bankston, M.D., John
St. Mary's Hospital
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? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $41,204
All Other Loss Adjustment Expense Paid $46,284
Injured Person's Total Non-Economic Loss $0
Deductible $0
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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