PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783063
Claim Number : 70800-A
Date Submitted : 9/14/2017
 
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 South 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 Orlando G Florete
Insurer Type Street Address of Practice
Licensed 1325 San Marco Blvd., Ste 4
City State Zip Code County
Jacksonville FL 32207 Duval
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL707237 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME58430 Anesthesiology - Pain Management  

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 Duval
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
7/3/2014 10/5/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medical management.
Diagnostic Code : 09
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
3/3/2017 2017-CA-1316
County Suit Filed in Date of Final Disposition
Duval 9/5/2017
Other Defendants Involved in this Claim
Institute of Pain Management, PA
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
9/6/2017
 
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 $96,940
All Other Loss Adjustment Expense Paid $0
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
None.
 
Updates
 
No updates found.

 

 

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