CopyCited 54 times | Published | Supreme Court of Florida | 1974 Fla. LEXIS 4511
...The employer here concedes that "merger" can occur between a compensable injury and a pre-existing disability, but argues that "merger" can occur only if there is a showing of loss of wage earning capacity. The term "mergers" appears only in the disability fund statute, § 440.49....
CopyCited 31 times | Published | Supreme Court of Florida
...Stat., F.S.A.; and the claimant may, in the natural and normal course of events, acquire a wage-earning capacity, see Dennis v. Brown, Fla. 1957,
93 So.2d 584, or he may acquire a wage-earning capacity through the vocational rehabilitation procedures not only authorized but required by the statute, §
440.49, Fla....
CopyCited 16 times | Published | Florida 1st District Court of Appeal | 12 Fla. L. Weekly 56
...ent, or wage loss connotes a legislative intention to differentiate between each of these concepts as a basis for awarding benefits. Perhaps most illustrative of the conceptual differences between the terms "permanent impairment" and "disability" is section
440.49(2), relating to the limitation of liability of the Special Disability Trust Fund for subsequent injury. Subsection
440.49(2)(a) expresses the legislative intent: [T]o encourage the employment of the physically handicapped by protecting employers from excess liability for compensation and medical expense when an injury to a handicapped worker merges with his preexisting permanent physical impairment [7] to cause a greater disability, permanent impairment, or wage loss than would have resulted from the injury alone. (Emphasis added.) The term "merger" is defined in subsection
440.49(2)(b)2 b to mean: The permanent disability, permanent impairment, or wage loss resulting from the subsequent accident or occupational disease is materially and substantially greater than that which would have resulted had the permanent physical impairment not existed and the employer has been required to pay, and has paid, permanent total disability, permanent impairment, or wage-loss benefits for that materially and substantially greater disability. Subsection
440.49(2)(b)3 similarly provides: "Excess permanent compensation" means that compensation for permanent impairment, wage-loss benefits, or permanent total disability or death benefits for which the employer or carrier is *634 otherwise entitled to reimbursement from the Special Disability Trust Fund. (Emphasis added.) Finally, subsection
440.49(2)(c) explains in detail, in separate paragraphs, the impact of the limitations in this section on "permanent impairment," "wage loss," and "permanent total disability." Subsection
440.49(2)(c)1 provides that in the event an employee with a preexisting permanent physical impairment suffers a subsequent "permanent impairment" which merges with the preexisting condition so as to cause a "permanent impairment," the employer may be reimbursed for sixty percent of the benefits paid under subsection
440.15(3)(a), the section that provides for specified permanent impairment benefits. [8] Subsection
440.49(2)(c)2 makes similar provision for reimbursement of "wage loss benefits" paid pursuant to subsection
440.15(3)(b). [9] Subsection
440.49(2)(c)3 makes provision for reimbursement to the employer of "permanent total disability" benefits in excess of the first one hundred seventy-five weeks of permanent total disability compensation where a merger between a preexisting permanent physical impairment and permanent total disability occurs....
...nly acceleration of death reasonably attributable to the accident shall be compensable." [5] This term is not to be confused with the concept of "permanent physical impairment," defined for purposes of the Special Disability Trust Fund provisions in section 440.49(2)(b)1 (both before and after 1979) to mean "any permanent condition due to previous accident or disease or any congenital condition which is, or is likely to be, a hindrance or obstacle to employment, but not due to the natural aging...
...idered together, result in a permanent impairment rating which is greater than the sum of the two permanent impairment ratings when each impairment is considered individually. [7] The definition of this term is set forth in footnote 5, supra. [8] Subsection 440.49(2)(c)1 states: If an employee who has a preexisting permanent physical impairment incurs a subsequent permanent impairment from injury or occupational disease arising out of, and in the course of, his employment which merges with the p...
...m the Special Disability Trust Fund created by paragraph (h) for 60 percent of all impairment benefits which the employer has been required to provide pursuant to s.
440.15(3)(a) as a result of the subsequent accident or occupational disease. [9] Subsection
440.49(2)(c)2 states: If an employee who has a preexisting permanent physical impairment incurs a subsequent permanent impairment from injury or occupational disease arising out of, and in the course of, his employment which merges with the p...
...440.15(3)(b) during the first 5 years after the date of maximum medical improvement and for 75 percent of all compensation for wage loss which the employer has been required to provide after the 5-year period following the date of maximum medical improvement. [10] Subsection 440.49(2)(c)3 states: If any employee who has a preexisting permanent physical impairment incurs a subsequent permanent impairment from injury or occupational disease arising out of, and in the course of, his employment which merges with the...
CopyCited 12 times | Published | Florida 1st District Court of Appeal
...We conclude that the present case is controlled by the same considerations as those involved in Walt Disney World v. Morgan, supra, and that the modifications necessitated by the loss of claimant's left hand are "other apparatus" as that term is used in §
440.13(1). See §
440.49(1), Florida Statutes, for additional provisions governing claims for specific rehabilitation benefits; cf....
CopyCited 11 times | Published | Florida 1st District Court of Appeal
...We conclude that the deputy commissioner's treatment of the expense allowance comports with the statutory definition of "wages" found in Section
440.02(12), Florida Statutes (1979). Turning next to the rehabilitation issue, we observe initially that the E/C admit their responsibility under Section
440.49, Florida Statutes (1979), to provide rehabilitation, and to provide it quickly....
...We decline to adopt the E/C's views regarding rehabilitation, with exception of their acknowledgement of their obligation to provide it, because these views, as above outlined, are fundamentally at odds with the concept of "rehabilitation" as we think it is envisioned by Florida's workers' compensation law. The statute (Section 440.49(1)(a)), requires the E/C to provide rehabilitation in the form of "appropriate training and education," and it speaks further of "vocational education," and "vocational rehabilitation" of injured employees. Subsection (c) of Section 440.49(1) makes further reference to "appropriate training or education," and subsection (d) provides for "proper rehabilitation services" to be extended over a period of twenty-six to fifty-two weeks....
...Finding a job for an injured worker, however helpful and beneficial, cannot be equated with "training and education." Furthermore, finding a suitable job presupposses the existence, upon the claimant's part, of the ability to obtain and perform employment providing an income "equal to" his pre-injury earnings. Section 440.49(1)(a)....
CopyCited 8 times | Published | Supreme Court of Florida
...t. We therefore decide that the result of our decision in the Sharer case, as it interpreted the effect of Sec.
440.15(5) (c) and Sec.
440.15(5) (d) (2) and (5) is still a valid and correct interpretation of the effect of Sec.
440.15(5) (c) and Sec.
440.49(4) as they now exist....
...In the Sharer case we recognized that our ruling was contrary to the intent expressed by the 1959 Legislature in ch. 59-13, Laws of 1959, which became Sec.
440.15(5) (d) (5). We also recognize that our holding in this case is contrary to the intent of the 1963 Legislature as expressed in Sec.
440.49(4) (a) and as evidenced by the rearrangement of the sub-sections relating to the Special Disability Fund and the deletion from Sec....
...anent disability paid in excess of that allowed for such injury or occupational disease when considered by itself and not in conjunction with the previous permanent physical impairment." [Emphasis added.] In 1963 this section was moved becoming Sec. 440.49(4) (c)....
...Although the wording was slightly changed, the material portions, including the emphasized provisions, remain the same. The statement of legislative intent, which prior to the 1963 amendment appeared as Sec.
440.15(5) (d) (5), was changed only by being moved becoming Sec.
440.49(4) (a)....
...Despite the removal of the words of exception from Sec.
440.15(5) (c), and the rearrangement of the other subsections, we still have the same situation that we had in the Sharer case. The basic problem arises out of an apparent conflict between existing Sec.
440.49(4) (c) which authorizes reimbursement to employers for compensation that Sec.
440.15(5) (c) provides they will never pay to injured employees. The only way this conflict can be reconciled without rendering Sec.
440.49(4) inoperative is to hold as we did in the Sharer case....
...language. Sec.
440.15 (5) (c) provides that the successively injured employee shall not receive compensation "in excess of the compensation allowed for such injury when considered by itself and not in conjunction with the previous disability." Sec.
440.49(4) (c) authorizes reimbursement to the employer for all compensation paid "in excess of that allowed for such injury or occupational disease when considered by itself and not in conjunction with the previous permanent physical impairment." Wha...
...In other words, the two sections can only be applied as perfect alternatives. On the basis of the foregoing and under our statutory plan, our special disability fund provisions cannot accomplish the purpose of encouraging the hiring of handicapped workers, the legislative intent expressed in Sec. 440.49(4) (a)....
...dge that its practical effect is as petitioner asserts. We decided two things in the decision toward which these petitions for rehearing are directed: (1) that the apportionment provision of Sec.
440.15(5) (c) and the reimbursement provision of Sec.
440.49(4) (c) are perfect equivalents and can only be applied as alternatives; and (2) that the apportionment provision of Sec....
...y that they will inevitably arise later in this cause. As previously indicated, the Fund's first and principal contention is that our decision denies effect to those provisions of the statute that require the proceedings for reimbursement under Sec. 440.49 to be separate from the adjudication of the claim for compensation, that facts found in the latter proceeding are not res judicata in the proceeding for reimbursement, that the Fund shall be a party to the latter proceeding, and so forth....
...ury and, that, therefore, no apportionment is required. This language meets the test of Sharer v. Hotel Corp. of America,
144 So.2d 813 (Fla. 1962), which we held in our original opinion is still a valid and correct interpretation of the law, and of §
440.49(4) (c)....
...The petition of the commission which argues that responsibilities have been placed upon the fund without giving it a day in court should be denied for the simple reason that the fund, not being a party to this cause at this point, has not suffered any determination binding upon it. Section 440.49(4) (g) makes this clear....
CopyCited 8 times | Published | Florida 1st District Court of Appeal
...Construction Company,
358 So.2d 171 (Fla. 1978), although a primary purpose of the provision is to allow additional benefits during the period of adjustment via training in the use of artificial members or appliances and training or education under a rehabilitative program pursuant to Section
440.49, if provided....
...disability of 80 percent of his average weekly wage until such employee has completed his training in the use of artificial members or appliances as necessary and completed training or education under a rehabilitative program pursuant to subsections 440.49(1)(2), or (3), if provided.
CopyCited 8 times | Published | Florida 1st District Court of Appeal | 12 Fla. L. Weekly 32
...Appellants appeal a final order of the deputy commissioner which granted the request of appellee, Raymond Grady (claimant), *276 for rehabilitation benefits. Appellants (hereinafter alternatively "E/C") contend that the services provided by claimant's rehabilitation provider were not "rehabilitation" as defined by section 440.49, Florida Statutes (1985), and that the record below contained insufficient evidence of claimant's need for such benefits....
...provider, Statewide Rehabilitation, Inc., who under the deputy's order would be supervising claimant's IWRP. Appellants first assert on appeal that the services provided by Statewide Rehabilitation, Inc., are not "rehabilitation" as contemplated by section 440.49(1)(a), which requires rehabilitation benefits to provide "appropriate training and education for suitable gainful employment." Appellants *277 maintain that the testing and evaluation procedures undertaken on claimant's behalf by State...
...ment" within the meaning of the above-noted statute. In this regard, appellants assert the sole right to determine which rehabilitation provider they would fund. We find no merit in this contention. For one thing, contrary to appellants' assertions, section 440.49(1)(b)3 c., Florida Statutes (1983), specifically describes "vocational rehabilitation services" to include "vocational ......
...pon them duties with respect to the administration of justice beyond that required of the ordinary citizen. A more concrete basis for distinction is found, however, in the statute itself, which requires the employer or carrier, "at its own expense" (section 440.49, Florida Statutes) to provide rehabilitation....
CopyCited 7 times | Published | Florida 1st District Court of Appeal
...Petersburg, for appellant/cross-appellee. Robert P. Byelick, St. Petersburg, for appellees/cross-appellants. JOANOS, Judge. This workers' compensation appeal concerns the procedural and evidentiary requirements *1202 of a claim for rehabilitation benefits under the 1979 amendments to § 440.49(1), Florida Statutes. [1] After a hearing on the claim, the deputy denied rehabilitation benefits on the ground that the program in which the claimant was currently enrolled was not that envisioned by § 440.49(1)....
...e DVR counselor and a Division rehabilitation nurse. Although the rehabilitation nurse testified that she "would not disagree with" the DVR's choice of rehabilitation programs, the deputy found that the ward clerk program was "not that envisioned in section 440.49... ." In order to have reached this conclusion, the deputy could have determined that the requirements of § 440.49(1) were not met in that, (1) the injury did not preclude claimant from earning pre-accident wages, (2) the ward clerk program was not "necessary and appropriate to restore the employee to suitable gainful employment," or (3) the program should be rejected due to procedural deficiencies....
...To refuse rehabilitation benefits because of the availability of any employment, *1204 no matter how ill-suited to the particular individual, would be counter to the statutorily expressed goal of rehabilitation to return the individual to " suitable gainful employment." § 440.49(1)(a) (emphasis supplied)....
...The suitability of the employment is determined by considering the claimant's injury, age, education, and prior occupation. In light of the claimant's prior experience and education, the telephone solicitation job had nothing to recommend it. With regard to the procedural difficulties, in subsection (1)(a) of § 440.49, the statute sets forth the correct procedure under which an injured employee may obtain rehabilitation....
...tional education or rehabilitation. The ultimate responsibility, however, remains with the Division, which must oversee the effectiveness of each rehabilitation program. Unfortunately, the parties did not precisely follow the procedures set forth in § 440.49(1)(a) and the Division, in essence, abdicated its statutory responsibility to a fellow state agency, the Department of Vocational Rehabilitation....
...ning capacity. This evidence is sufficient to meet the statutory criteria without the necessity of a permanent impairment rating. REVERSED and REMANDED for further proceedings consistent with this opinion. ERVIN and WENTWORTH, JJ., concur. NOTES [1] Section 440.49(1)(a) provides: (1) Rehabilitation of injured employees....
CopyCited 6 times | Published | Florida 1st District Court of Appeal | 1993 WL 405165
...Carpenter to these facts, and because he made no findings as to claimant's entitlement to benefits if the defense were not to apply, we reverse and remand with directions to the JCC to determine all remaining issues ripe for consideration. REVERSED and REMANDED. JOANOS and WOLF, JJ., concur. NOTES [1] "Merger," under Section 440.49(2)(b)(2), Florida Statutes (1989), means that the subsequent accident would not have occurred but for the existence of the previous PI, or that the PI resulting from the second accident is materially and substantially greater than that...
CopyCited 6 times | Published | Florida 1st District Court of Appeal | 1989 WL 135525
...turning to heavy duty work. If the judge concluded that this indicated lack of good faith, we would remind him that the record reflects that claimant's former employer did not provide other employment to him, nor did it offer him any rehabilitation. Section 440.49(1)(a), Florida Statutes (1987), places the duty upon the employer/carrier to provide prompt rehabilitation services to *964 an employee when "it appears that the injury will preclude the employee from earning wages equal to wages earne...
CopyCited 6 times | Published | Florida 1st District Court of Appeal
...worker's compensation claimant. Specifically, is a request, either by the employee, employer, or the carrier, to the Division of Worker's Compensation, [1] for a referral for evaluation of the claimant's need, etc., for rehabilitation as provided by Section 440.49(1)(a), Florida Statutes (1979), a necessary condition precedent to the award of rehabilitation benefits by the deputy commissioner under the new (1979) Workers' Compensation Act? [2] The deputy commissioner answered this question in the negative, and awarded rehabilitation....
...pensation for referral "to a qualified physician or facility for the evaluation of the practicality of, the need for, and the kind of service, treatment, or training, necessary and appropriate to restore the employee to suitable gainful employment." Section 440.49(1)(a), Florida Statutes (1979)....
...1st DCA 1982), opinion filed March 15, 1982, affirming denial of rehabilitation benefits where the employee had not applied to the division for evaluation. Our determination of the jurisdictional issue calls for examination of the specific language of the 1979 rehabilitation statute, as well as its predecessor. Former Section 440.49, repealed effective July 1, 1979, [6] contained a provision limiting the authority of the deputy commissioner to award rehabilitation benefits. The repealed provision (Section 440.49(1), Florida Statutes (1978 Supp.)) provided in part: However, no judge of industrial claims shall assume jurisdiction to approve or disapprove rehabilitation under this provision until the Division has been given reasonable time to eva...
...e claimant. Hall v. Red Bishop Roofing,
393 So.2d 618 (Fla. 1st DCA 1981); Keith v. City of Altamonte Springs,
344 So.2d 555 (Fla. 1976). No such limitation upon the jurisdiction or authority of the deputy commissioner appears in the 1979 version of Section
440.49, which provides that rehabilitation must be provided by the employer or carrier, at its own expense....
...evaluation, the deputy commissioner "may" order the service or treatment recommended in the report, or, the deputy may order "such other rehabilitation treatment or service deemed necessary," to be provided at the expense of the employer or carrier. Section 440.49(1)(a). The new act's increased emphasis upon rehabilitation, and liberalization of the prerequisites for eligibility on the part of the claimant is evident. [7] The former statute, Section 440.49 (1978 Supp.), provided for rehabilitation in cases "in which it appears that disability probably will be permanent ...." The 1979 amendment eliminates the requirement of "permanent" disability, and provides for eligibility when "it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury... ." Section 440.49(1)(a), Florida Statutes (1979)....
...[10] A "do nothing" approach on the part of the employer and carrier is no longer a viable alternative. AFFIRMED. MILLS and SHAW, JJ., concur. NOTES [1] Florida Department of Labor and Employment Security. [2] Chapters 79-40, 79-312, Laws of Florida (1979). The 1979 revision of Section 440.49, subsections (1)-(7), inclusive, for the first time in Florida elevated rehabilitation services to the category of benefits to which the eligible injured worker "shall be entitled." It also mandated the provision of such services by th...
...uch services are not voluntarily offered or accepted, and imposed a mandatory reduction of benefits payable to the employee upon refusal to accept rehabilitation "as deemed necessary by the deputy commissioner." By contrast, the repealed revision of Section 440.49 merely authorized rehabilitative assistance by the Division, did not require the employer or carrier to provide rehabilitation, and made the reduction in benefits a matter within the discretion of the judge of industrial claims....
CopyCited 6 times | Published | Supreme Court of Florida
...There is another impressive and cogent reason for concluding that Section
440.15(5) (c) was not intended to apportion temporary disability and medical benefits. In Stephens v. Winn-Dixie Stores, Inc., supra, we held that the apportionment provision of Section
440.15(5) (c) and the reimbursement provision of Section
440.49(4) (c) are perfect equivalents and can only be applied as alternatives....
...ty Fund for reimbursement of the amount apportioned to represent the prior disability of impairment of a permanent nature only arises in situations where the employer took the "employee as he found him," i.e., with knowledge of his prior disability. Section 440.49(4) (b)....
CopyCited 6 times | Published | Florida 1st District Court of Appeal
...nt by the Fund to the employer/carrier (E/C) for vocational rehabilitation benefits paid by the E/C to the worker. [1] The Fund contends that vocational rehabilitation benefits are not among those benefits reimbursement of which may be ordered under Section 440.49(2), Florida Statutes (1979). We agree and reverse. Subject to certain statutory limitations not pertinent to this case, Section 440.49(2), Florida Statutes (1979), provides for a right of the employer to be reimbursed by the Special Disability Trust Fund for certain statutorily specified compensation benefits which the employer has paid in situations where the worker's injury has merged with a preexisting permanent physical impairment causing a greater disability, permanent impairment, or wage loss than would have resulted from the injury alone. The various classes of reimbursable benefits are enumerated in Section 440.49(2) and include permanent impairment, wage loss, permanent total disability, funeral expenses and death benefits....
...Such medical rehabilitation benefits are patently distinguishable from vocational rehabilitation which was not involved in Haga. See also Firestone Tire & Rubber Co. v. Vaughn,
381 So.2d 740 (Fla. 1st DCA 1980). As relied upon by the deputy in his order, the E/C also points to the fact that Section
440.49(1) was amended in 1979, Chapter 79-40, Section 37, Laws of Florida, so as to require the employer or carrier, at its own expense, to provide vocational training benefits when it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury....
...Instead, the Division of Workers Compensation was required to assist permanently disabled workers in obtaining training, education and employment and was authorized to expend monies for such purposes from the Workmen's Compensation Administration Trust Fund established by Section
440.50. See Section
440.49(1), Florida Statutes (1978 Supp.). However, simply because the legislature amended Section
440.49(1) to require the employer/carrier to provide such benefits does not mean that the reimbursement provisions of Section
440.49(2)(e) should be construed to provide for reimbursement to the employer/carrier for payment of vocational benefits where the language of the latter section was not amended but continued to read "remedial treatment, care, and attendance pursuant to s....
...440.13." The fact that certain kinds of benefits are statutorily required to be paid by the employer/carrier does not mean that the legislature necessarily intended that all such benefits should be reimbursed from the Special Disability Trust Fund. In fact, Section 440.49(2)(a), Florida Statutes (1979), suggests otherwise....
...State,
335 So.2d 815 (Fla. 1976); Ideal Farms Drainage Dist. v. Certain Lands,
154 Fla. 554,
19 So.2d 234 (1944), Rebich v. Burdine's, supra . The E/C also urges that the deputy's order, which was entered on March 29, 1983, is sustainable under an amendment of Section
440.49(2) enacted by the 1983 Legislature. Indeed, Chapter 83-305, Laws of Florida, did amend Section
440.49(2) so as to specifically include "costs for rehabilitation" among those compensation benefits for which the employer/carrier will be entitled to reimbursement from the Fund....
...Halligan,
344 So.2d 239 (Fla. 1977); Recon Paving, Inc. v. Cook,
439 So.2d 1019 (Fla. 1st DCA 1983); Rothermel v. Florida Parole and Probation Commission,
441 So.2d 663 (Fla. 1st DCA 1983). Nothing in Chapter 83-305 suggests any legislative intent that the amendment of Section
440.49(2) should operate in any other fashion than prospectively....
CopyCited 6 times | Published | Florida 1st District Court of Appeal
...Due to the nature of employment prior to the industrial accident and the nature of her injuries following the industrial accident, I find that it would have been fruitless for her to merely "test her employability" and therefore, find that she is 75% permanently and partially disabled. A merger occurs under § 440.49(2)(b) when the employee has a permanent physical impairment due to a previous accident or disease or congenital condition and subsequently suffers an accident arising out of and in the course of his employment from which he suffers permanen...
...-earning capacity). While we have found no opinion up to this point specifically dealing with loss of wage-earning capacity merger and using that terminology, it is obvious from the workers' compensation law that the legislature has provided for it. Section 440.49(4)(b)2 b, Florida Statutes (1977), provides: *999 "Merger" describes or means that: * * * * * * b....
CopyCited 6 times | Published | Florida 1st District Court of Appeal | 1993 WL 328477
...Moreover, we agree that the evidence supported the finding that after it received Dr. Lowell's report and the functional capacity evaluation, the E/C was reasonably pursuing efforts to determine whether claimant could be rehabilitated to suitable gainful employment, in accordance with the dictates of Section 440.49(1)(c), Florida Statutes (1989)....
CopyCited 6 times | Published | Florida 1st District Court of Appeal | 1989 WL 87555
...1987. Although there was no medical opinion at that time that claimant was able to perform light work uninterruptedly, claimant's own surgeon, who fixed the MMI date, believed that claimant was a candidate for rehabilitation. Considering that under Section 440.49(1)(c), Florida Statutes, a deputy is required to determine whether there is a reasonable probability that a claimant can be rehabilitated before adjudicating him permanently totally disabled, the E/C did have a reasonable basis for continuing to pay temporary benefits within the meaning of Belam Florida Corp....
CopyCited 5 times | Published | Florida 1st District Court of Appeal | 10 Fla. L. Weekly 2084
...likelihood, is unable to earn an equal wage in other employment without further training. Although not presented as an issue, we note that neither the employer nor its servicing agent has provided claimant any rehabilitation services as required by Section 440.49(1)(a), Florida Statutes....
...NG WHERE CLAIMANT SUFFERS A DISABILITY DUE TO OCCUPATIONAL DISEASE WHICH PERMANENTLY IMPAIRS CLAIMANT'S ABILITY TO WORK, RESULTING IN ECONOMIC LOSS, BUT DOES NOT AFFECT "THE ACTIVITIES OF DAILY LIVING?" WIGGINTON and BARFIELD, JJ., Concur. NOTES [1] Section 440.49(1)(a), Florida Statutes, provides, in pertinent part, as follows: (1) REHABILITATION OF INJURED EMPLOYEES....
CopyCited 5 times | Published | Supreme Court of Florida
...ived of their right to hire or not hire him with knowledge of the correct facts, and were deprived of their statutory opportunity to obtain reimbursement of their `excess' from the Special Disability Fund because they did not have knowledge as per F.S. 440.49(4)(b), and claimant's injury was magnified due to his undisclosed pre-existing condition." "......
CopyCited 5 times | Published | Florida 1st District Court of Appeal | 1984 Fla. App. LEXIS 13359
...aimant. The E/C correctly argue that they are not responsible to assume the cost of claimant's rehabilitation, and that the deputy erroneously relied on W.R. Grace & Co. v. Marshall,
405 So.2d 444 (Fla. 1st DCA 1981), in applying the 1979 version of section
440.49(1), Florida Statutes, in holding the E/C responsible for that cost. Claimant's compensable injury occurred on June 20, 1975. Consequently, the 1974 version of chapter 440 would apply where substantive rights are at stake. Sullivan v. Mayo,
121 So.2d 424, 428 (Fla. 1960). Section
440.49(1), Florida Statutes (Supp....
...1974), provides that the rehabilitation of the injured employee is the responsibility of the Division of Labor, which is authorized "to expend moneys from the special fund established by s.
440.50 ..." in order to carry out its responsibility. [2] However, section
440.49(1), as amended by chapter 79-40, Laws of Florida (1979), states that the employer or carrier, "at its own expense," (emphasis added) shall rehabilitate the injured employee. [3] In 1981, this Court issued an opinion in the case of W.R. Grace & Co. v. Marshall , holding that section
440.49(1)(c), enacted in 1979 as chapter 79-40, § 37, Laws of Florida, is "plainly procedural" and therefore "applicable to Marshall's case notwithstanding that the subject injury occurred in 1977."
405 So.2d at 445. [4] Relying on W.R. Grace, the deputy concluded that section
440.49(1)(a), enacted by the same chapter, was also procedural, and applicable to claimant's case. We disagree. First, W.R. Grace & Co. v. Marshall involves only subsection (1)(c) of section
440.49. It cannot be held as authority for concluding that the whole of section
440.49, Florida Statutes (1979), is procedural. Accordingly, the deputy's reliance on W.R. Grace was misplaced. *321 Second, and most significant, that part of the 1979 revision of section
440.49(1)(a), regarding on whom the responsibility to assume the cost of rehabilitation falls, clearly increases the potential liability of the E/C. For that reason, we hold that it is substantive in nature, and prospective only. Sullivan v. Mayo . Consequently, section
440.49(1), Florida Statutes (Supp....
...AFFIRMED in part, REVERSED in part, and REMANDED for further proceedings consistent with this opinion. MILLS and SHIVERS, JJ., concur. NOTES [1] Claimant suffered her compensable injury on June 20, 1975, and was pronounced as having reached MMI on December 23, 1980. [2] 440.49 Rehabilitation of injured employees; Special Disability Trust Fund....
...The division may, and it is authorized to, expend moneys from the special fund established by s.
440.50, for the purpose of assisting such injured employees to obtain appropriate training, education and employment in connection with their vocational rehabilitation. [3] Section
440.49(1)(a), Florida Statutes (1979), provides in pertinent part: When an employee has suffered an injury covered by this chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to prompt rehabilitation services....
...gainful employment and may cooperate with federal and state agencies for vocational education and with any public or private agency cooperating with such federal and state agencies in the vocational rehabilitation of such injured employees... . [4] 440.49(1)(c), Florida Statutes (1979), provides: Prior to adjudicating an injured employee to be permanently and totally disabled, the deputy commissioner shall determine whether there is a reasonable probability that, with appropriate training or ed...
CopyCited 5 times | Published | Florida 1st District Court of Appeal
...correction before the compensation order became final. This court cannot make that assumption on appeal. The issue of TPD was ripe and should have been decided by the deputy. The deputy did not err by denying rehabilitation services to the claimant. Section 440.49, Fla....
CopyCited 5 times | Published | Florida 1st District Court of Appeal
...The Special Disability Trust Fund (Fund) appeals from an order of the deputy commissioner determining that the employer/carrier's claim for reimbursement was timely filed because the "date of payment" of permanent impairment benefits, for purposes of Section 440.49(2)(g), Florida Statutes (1981), is the date the claimant negotiates the check....
...The claimant received and negotiated this check on June 6, 1983. On August 5, 1983, the employer/carrier filed a claim for reimbursement from the Fund. The Fund maintains that the employer or carrier is not entitled to reimbursement because the claim for reimbursement was not timely filed. Section 440.49(2)(g), Florida Statutes (1981), provides in pertinent part that: (g) Reimbursement of employer....
...* * * (emphasis added) The payment of permanent impairment benefits represents excess compensation since the employer or carrier was entitled to any claims reimbursement for sixty percent (60%) of the benefits which were attributable to diabetic complications resulting in amputation. Section 440.49(2)(b)3., Florida Statutes (1981) defines excess permanent compensation as "compensation for impairment ... for which the employer or carrier is otherwise entitled to reimbursement ..." Under Section 440.49(2)(g), Florida Statutes (1981), the right to reimbursement is barred unless the claim is filed prior to 60 days after the date of the first payment of excess compensation....
...namely, June 3, 1983, that this date was not within the 60 days preceding the filing of the August 5 claim, and thus the employer or carrier are not entitled to reimbursement. We agree with the Fund and hold that the date of payment, for purposes of Section 440.49(2)(g), is the date the check is mailed by the employer or carrier. While no case has specifically addressed the issue of what constitutes payment within the context of Section 440.49(2)(g), several cases have addressed the question of what constitutes payment in other contexts of workers' compensation law and are consistent with our holding....
...It was held that proof of a carrier's mailing of disability checks to a claimant constitutes proof of payment sufficient to start the running of the limitation period. See also Brown v. Giffen Industries, Inc.,
281 So.2d 897 (Fla. 1973). Our decision that the date of payment for purposes of Section
440.49(2)(g) is the date the check is mailed also comports with logic and reason....
...led actions of the third party. The claimant could wait as long as two years to negotiate the check. Such a result would tend to frustrate the statute's obvious intent to effect a 60-day limitation period. The employer and carrier argue that because Section 440.49(2)(g) is a remedial statute, the time limitation imposed by that statute should not be strictly construed. However, Section 440.49(2)(g) is a non-claim statute and clearly bars any right to reimbursement unless the claim is filed prior to 60 days from the date of the first payment....
CopyCited 5 times | Published | Florida 1st District Court of Appeal | 1989 WL 145749
...In September 1988, a hearing was held on Marvin's claim that, based on Winter Garden Citrus v. Parrish,
438 So.2d 472 (Fla. 1st DCA 1983), his supplemental benefits should have commenced on March 13, 1986, the date on which he reached MMI from the second accident. Citing Section
440.49(2)(c), Florida Statutes (1985), providing that a JCC cannot find an employee PTD without first finding that he cannot be rehabilitated, the JCC approved the employer/carrier's action in waiting until rehabilitation efforts had failed before commencing supplemental benefits....
CopyCited 5 times | Published | Florida 1st District Court of Appeal | 1993 WL 255549
...here was no evidence of any physical restrictions relating to her industrial injury which prevented her from returning to her prior employment. This *498 court explained in Cenvill Communities, Inc. v. Brown,
409 So.2d 1147 (Fla. 1st DCA 1982), that Section
440.49(1)(e), Florida Statutes (1987), provides that temporary disability benefits shall be paid for the period during which an employee is receiving rehabilitation training under subsection (1)(a)....
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 10 Fla. L. Weekly 2161
...We affirm in part, reverse in part, and remand. Claimant initially injured his back in a compensable accident on January 10, 1980. He received various benefits to which he was entitled as an injured employee, including rehabilitation services pursuant to section 440.49(1)(a), Florida Statutes....
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 1992 WL 98787
...ion program when they had already paid 52 weeks of rehabilitation benefits. We can find no error on this point because the order unambiguously indicates that the award of wage loss benefits is not an additional award of rehabilitation benefits under section
440.49, Florida Statutes (1985), payable before claimant is adjudged to have reached MMI, but is an award of wage loss benefits under section
440.15(3)(b), payable after claimant has reached MMI....
...th Florida (USF) to complete his degree in accounting. This rehabilitation program was approved by the previous compensation order as "appropriate under the circumstances," and claimant was awarded the maximum rehabilitation benefits allowable under section 440.49 while enrolled in program....
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 11 Fla. L. Weekly 652
...o evidence of any personal purpose for arriving early, a summary judgment finding her to be within the course and scope of her employment was proper. [6] The order of the trial court is therefore, AFFIRMED. SHIVERS and JOANOS, JJ., concur. NOTES [1] Section
440.49(1), Florida Statutes (1981), provides workers' compensation coverage "in respect of disability or death of an employee if the disability or death results from an injury arising out of and in the course of employment." Section
440.11(1)...
CopyCited 4 times | Published | Florida 1st District Court of Appeal
...ilitation. We reverse the admission into evidence, over objection, of the unauthenticated medical reports and hospital records, and the award of wage-loss benefits and rehabilitation. We affirm the change of physician. As to rehabilitative benefits, § 440.49(1), Florida Statutes (1979), provides that: If such services are not voluntarily offered or accepted, the Division of Workers' Compensation of the Department of Labor and Employment Security, upon application of the employee, employer or ca...
...Section 449.49(1) expressly requires "an opportunity to be heard" on this issue, and the award of rehabilitative services in the proceeding below was contrary to the statutory requirement. Claimant may reapply for such benefits by complying with the provisions of § 440.49(1)....
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 1990 WL 102727
...eason to treat pre-existing disability resulting from injury any differently from pre-existing disability resulting from disease or other congenital defect... . [T]he apportionment provision of Section
440.15(5)(c) and the reimbursement provision of Section
440.49(4)(c) are perfect equivalents and can only be applied as alternatives....
CopyCited 4 times | Published | Florida 1st District Court of Appeal
...prerequisite to recovery of rehabilitation benefits. Such procedure is established by statute to provide a resolution for dispute when rehabilitation services are not voluntarily offered by the employer or accepted by the employee. The provisions of Section 440.49, Florida Statutes (1981) are not indispensable, but are certainly the preferred procedure as they lend order and direction to a timely resolution of the issue of rehabilitation services and should normally be followed....
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 1990 WL 98476
...REVERSED and REMANDED with directions that the JCC enter an order requiring the E/C to allow claimant to attempt the offered employment. In doing so, we do not prejudice any entitlement claimant might have to wage loss and rehabilitation benefits. BOOTH and WOLF, JJ., concur. NOTES [1] Section 440.49(1)(a), Fla....
CopyCited 4 times | Published | Supreme Court of Florida
...we review herein, on petition for writ of certiorari, an order of the Industrial Relations Commission which reversed a recovery of excess compensation benefits from the Special Disability Trust Fund ordered by a Judge of Industrial Claims pursuant to Florida Statutes, Section 440.49(4), F.S.A....
...Yes." An employer's own personal definitions do not control the application of the Florida Workmen's Compensation Law. Also, it is not knowledge of a disability which is required for a reimbursement of excess compensation benefits, but knowledge of a "permanent physical impairment". Fla. Stat. § 440.49(4)(b), F.S.A., defines "permanent physical impairment" as: "......
...or efficiency; it simply has to be a pre-existing disease or condition which is permanent, which is known to the employer, and which would reasonably magnify the extent or result of a subsequent injury. For an employer to recover from the Fund under Section 440.49, we stated that, "It is not necessary that it be shown that the employer considered the disease or condition as a hindrance or obstacle, yet nevertheless hired the employee......
CopyCited 4 times | Published | Florida 1st District Court of Appeal | 1987 WL 3220
...Fox of Macfarlane, Ferguson, Allison & Kelly, Tampa, and H. Guy Smith, Lakeland, for appellee. ZEHMER, Judge. The employer and carrier appeal a workers' compensation order granting vocational rehabilitation benefits to claimant. The only significant issue raised on appeal is whether section 440.49(1)(a), Florida Statutes (1985), permits a claimant to receive vocational rehabilitation benefits when his employer has provided him with employment earning wages substantially close to his pre-injury wages which the deputy commissioner determined to be unsuitable employment....
...the plain language of the statute, precludes claimant from receiving rehabilitation benefits regardless of whether he continues in that job. We decline to approve this interpretation of the statute for the following reasons. The pertinent portion of section 440.49(1)(a) provides: When an employee has suffered an injury covered by this chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to prompt rehabilitation services....
...New Fern Restorium,
409 So.2d 1201, we stated that [t]o refuse rehabilitation benefits because of the availability of any employment, no matter how ill-suited to the particular individual, would be counter to the statutorily expressed goal of rehabilitation *363 to return the individual to `suitable gainful employment.' §
440.49(1)(a) (emphasis supplied)....
...As the deputy commissioner correctly recognized, should this employment be later terminated, claimant would be left in the position of having to seek employment as a guard in a market that pays substantially less than claimant's average weekly wage at the time of injury. Such a result is not consistent with the purpose of section 440.49. We hold, therefore, that section 440.49(1)(a) requires employers and carriers to provide rehabilitation benefits when it appears that a claimant's compensable injury precludes him from earning wages insuitable employment equal to his pre-injury wages, and that when the emplo...
CopyCited 3 times | Published | Florida 1st District Court of Appeal
...Instead of looking for work or alerting the employer or the Division of Workers' Compensation that he wanted or needed vocational training, Simpson, on the advice of his attorney, sought vocational rehabilitation outside the procedures contemplated by Section 440.49(1), Florida Statutes (1981)....
...f bills incurred by Simpson and a demand that the employer pay the same. This is not a case in which it can be said, as in Walker v. New Fern Restorium,
409 So.2d 1201, 1204 (Fla. 1st DCA 1982), that the claimant was in "substantial compliance" with Section
440.49(1)....
...The deputy commissioner further found that the program undertaken and approved by the Office of Vocational Rehabilitation, Florida Department of Health and Rehabilitative Services "... was eminently correct, proper and reasonable under the circumstances." The deputy commissioner concluded that under the 1979 amendment to Section 440.49(1)(a), Florida Statutes, the claimant was not obligated to request permission from the employer before undertaking a program of rehabilitation....
...However, the statute is mandatory with regard to the provision of rehabilitation, requiring that "[t]he employer or carrier, at its own expense, shall provide such injured employee with appropriate training and education for suitable gainful employment... ." Section 440.49(1)(a), Florida Statutes (1979), (e.s.)....
...Light duty is assigned to injured employees for their recovery period, after which they return to regular duty. It was not disputed in this case that once Simpson reached maximum medical improvement there would be no position available for him with the City Fire Department. [2] Section 440.49(1)(a), Florida Statutes (1981) provides: 440.49 Rehabilitation of injured employees; Special Disability Trust Fund....
CopyCited 3 times | Published | Florida 1st District Court of Appeal | 1989 WL 124600
...The Special Disability Trust Fund (the "Fund") appeals from the judge of compensation claim's order granting the employer/self insured's claim for reimbursement from the Fund. We reverse because the claim was barred by reason of the employer's failure to timely file the requisite notice of claim under Section 440.49(2)(g), Florida Statutes....
...permanent impairment than her impairment from the latter accident when considered alone. The judge further found that the employer had paid excess compensation in the form of wage loss benefits first paid in June 1985. Prior to the 1987 amendment of Section 440.49(2)(g), that Section provided that the employer/carrier's right to reimbursement from the Fund was barred unless written notice of the claim therefor was filed "prior to 60 days after the order awarding the excess permanent compensation ......
CopyCited 3 times | Published | Florida 1st District Court of Appeal
...Berzak of Akerman, Senterfitt & Eidson, Orlando, for appellants. Ernest M. Jones, Jr., of Jacobs, Valentine, Groseclose & Miller, P.A., Lakeland, for appellee. ROBERT P. SMITH, Jr., Chief Judge. The employer and carrier contest the deputy commissioner's interpretation and application of section 440.49(1)(c), Florida Statutes (1979), by an order that both found Marshall permanently and totally disabled, due to loss of wage earning capacity, and that Marshall should be evaluated for vocational rehabilitation....
...The deputy thus ordered payment of chapter 440 benefits for permanent total disability from the date of maximum medical improvement, some 13 months before the compensation order, and ordered Marshall referred to the Division of Labor for vocational rehabilitation evaluation. *445 Section 440.49(1)(c), enacted in 1979 as chapter 79-40, § 37, Fla....
CopyCited 3 times | Published | Supreme Court of Florida | 1973 Fla. LEXIS 4358
...We have jurisdiction pursuant to Fla. Const., art. V, § 3(b)(3), F.S.A. The sole issue before the Judge of Industrial Claims, the Industrial Relations Commission, and this Court is the proper method for applying the Special Disability Trust Fund pursuant to Fla. Stat. § 440.49(4), F.S.A....
...Winn-Dixie Stores, Inc., supra , is no longer controlling since the apportionment statute (Fla. Stat. § 440,15(5)(c), F.S.A.) has been substantially altered since the rendition of the Stephens ' opinion. With the inconsistency which required the result in Stephens corrected by statute, Fla. Stat. § 440.49(4), F.S.A., can now be applied as a simple reading of its terms dictates....
...The latter is the amount properly borne by the employer, and the difference between the former and the latter is the amount for which the employer can properly seek reimbursement from the Fund, if that amount exceeds the minimum requirement of $1,500. Fla. Stat. § 440.49(4)(f), F.S.A. Thus, for purposes of implementing Fla. Stat. § 440.49, F.S.A., the Judge of Industrial *33 Claims must make findings of fact as to the dollar amount of compensation and medical benefits actually paid by the employer, and as to the amount of compensation and medical benefits which would have be...
CopyCited 3 times | Published | Florida 1st District Court of Appeal
...Wheeler, of Smalbein, Eubank, Johnson, Rosier & Bussey, P.A., Orlando, for appellants. Mary E. Ingley, Tallahassee, for appellee. MILLS, Judge. The issue in this workers' compensation appeal is whether proceedings to contest denial of reimbursement requests made pursuant to section
440.49(2)(g), Florida Statutes (1985), must be commenced within the four-year limitations period of section
95.11(3)(f), Florida Statutes (1985)....
...The e/c contend the deputy erred in applying section
95.11(3)(f) to bar the proceeding to contest the Fund's denial of the 1985 reimbursement request. They assert that the only time limitation pertaining to reimbursement from the Fund is the limitation in section
440.49(2), Florida Statutes, barring an e/c from seeking reimbursement from the Fund unless the notice of claim for reimbursement is filed "prior to 60 days after the order awarding the excess permanent compensation with respect to which such...
...ount, the e/c argue, there is no time limitation on subsequent requests for reimbursement of specific amounts. We note initially that it is important to distinguish between a "notice of claim" and a "reimbursement request" as those terms are used in section 440.49(2)(g)....
...The filing of a notice of claim is intended to result in a determination by the Fund that the e/c are or are not entitled to reimbursement in some amount. The notice of claim must be filed within one of the 60-day periods specifically provided for in section 440.49(2)(g)....
...are entitled, generally, to reimbursement. These requests are the second step in the reimbursement process, and their purpose is to trigger reimbursement for specific amounts of compensation and medical benefits paid the injured employee by the e/c. Section 440.49(2)(g) places no time limitation on the filing of reimbursement requests....
...or carrier for which the employer or carrier is entitled to reimbursement, upon filing request therefor and submitting evidence of such payment in accordance with rules prescribed by the division." [1] (Emphasis supplied). Although we recognize that section 440.49(2)(g) does not limit the time for filing reimbursement requests, and we have found no other applicable limitations period in Chapter 440, we nevertheless decline to accept the e/c's assertion that reimbursement requests are not subject to any statute of limitations. In those cases where the Fund has an obligation to reimburse an e/c, that obligation is strictly a creature of section 440.49, Florida Statutes....
...n they are made after general entitlement to reimbursement has been established. The Fund would be forced to maintain its files and investigate the merits of reimbursement requests indefinitely. Second, the e/c's accrual theory ignores the fact that section 440.49(2)(g) requires the Fund to reimburse an e/c every six months upon the filing by the e/c of a reimbursement request....
...mbursement, they have, theoretically at least, suffered damage. The Fund suggest, and we agree, that a cause of action based on denial of a reimbursement request accrues at the end of each six-month interval of periodic reimbursement provided for in section 440.49(2)(g), Florida Statutes, as to benefits paid by the e/c in that six-month interval....
...sement requests and, if necessary, contest their denial. We therefore modify the order appealed to state that any proceeding to contest denial of a reimbursement request, based on benefits paid by the e/c during any six-month intervals designated in section
440.49(2)(g), that ended more than four years prior to the date the e/c requested the proceeding, is barred by section
95.11(3)(f), Florida Statutes....
CopyCited 3 times | Published | Florida 1st District Court of Appeal | 1992 WL 379421
...bly result from such injury," as provided in Chapter 17481, Section 2(5), Laws of Florida (1935), is identical to the definition of injury found in the current statute. See §
440.02(14), Fla. Stat. (1991). [16] §
440.02(1), Fla. Stat. (1987). [17] §
440.49(2), Fla....
CopyCited 3 times | Published | Florida 1st District Court of Appeal
...There is no evidence to the contrary other than the claimant's general opinion that she was unable to work. Furthermore, it appears that the award of temporary total disability benefits may have been made to penalize the employer/carrier for failure to voluntarily provide rehabilitation services. Section 440.49, Florida Statutes (1979), requires that an application for such services be made to the Division of Workers' Compensation for an evaluation before an award of such services can be sought from the deputy....
CopyCited 3 times | Published | Florida 1st District Court of Appeal | 2001 Fla. App. LEXIS 11251, 2001 WL 912926
...for reimbursement from the Special Disability Trust Fund (Fund). They argue that the judge of compensation claims (JCC) erred in ruling that because the employer had failed to file a proof of claim within one year after July 1, 1997, as required by section 440.49(7)(c), Florida Statutes (1997), the claim for reimbursement was statutorily barred. We affirm. The pertinent statute in effect at the time of the employee's injury in 1996 was section 440.49(7), Florida Statutes (Supp....
...whichever is later." On March 6, 1996, shortly after the occurrence of the employee's injury, the employer sent the following letter to the Fund: This is to inform you of our intent to file a claim against the Special Disability Trust Fund, in regard to the above captioned case in accordance with 440.49(2)....
...Additional evidence supporting our claim will be forthcoming at the proper time. Thank you for acknowledging our claim. The Fund thereafter responded to the employer's letter, saying: This is to acknowledge receipt of your Notice of Claim.... Please prepare and file your Proof of Claim. In 1997, the legislature amended section 440.49(7) by adding paragraph (c), among other provisions, to state in part: (c) A proof of claim must be filed on each notice of claim on file as of June 30, 1997, within 1 year after July 1, 1997, or the right to reimbursement of the claim shall be barred....
...tly and totally disabled and began paying indemnity benefits as of that date. The employer filed its proof of claim on February 3, 1999, but the Fund rejected it as untimely, because it was filed more than one year after July 1, 1997, as required by section 440.49(7)(c)....
...the letter not to constitute a valid notice, it would have attempted to file such notice before filing its proof of claim, but did not. *583 The employer next argues that if the notice is considered valid, the one-year limitation period provided in section 440.49(7)(c) for filing a proof of claim could not constitutionally have retroactive application to an accident that occurred before the effective date of the amendment, because it established a shorter limitation period than that which had earlier existed....
...Once its notice of claim matured on January 29, 1998, it could have timely filed its proof of claim by July 1, 1998, or it could have withdrawn its notice before July 1, 1998, and thereafter refiled it within the two-year limitation period provided in 440.49(7)(a), by January 29, 2000....
CopyCited 2 times | Published | Florida 1st District Court of Appeal | 11 Fla. L. Weekly 2395
...dealer, and that such work would be suitable for appellant's physical limitations. Appellant requested the e/c to approve the retraining program. The e/c did not reply to the request. On June 12, 1985 appellant filed a claim for rehabilitation under section 440.49, Florida Statutes, formally requesting the e/c to provide him with training through the dealer's school in Las Vegas....
CopyCited 2 times | Published | Florida 1st District Court of Appeal | 11 Fla. L. Weekly 2396
...See McCandless v. M.M. Parrish Construction,
449 So.2d 830, 833 (Fla. 1st DCA 1984). Further, the E/C argues that the D/C improperly awarded PTD benefits without first making a finding that Tidwell could not be rehabilitated, contrary to the *961 requirements of Section
440.49(1)(c), Florida Statutes (1979)....
CopyCited 2 times | Published | Florida 1st District Court of Appeal | 1990 WL 25952
...Salzman, of Hampp & Schneikart, P.A., St. Petersburg, for appellees. WIGGINTON, Judge. Appellant, Special Disability Trust Fund (Fund), appeals the judge of compensation claims' order finding employer/carrier entitled to reimbursement from the Fund in accordance with Section 440.49, Florida Statutes....
...On September 30, 1986, Coulombe and employer/carrier entered into a washout settlement in regard to his 1982 claim, in which they stipulated to a November 1, 1982 maximum medical improvement date. Employer/carrier filed its initial claim against the Fund on February 24, 1986, and filed a renewed claim on September 29, 1986. Section 440.49(2)(g) (1981) provides that an employer/carrier's right to reimbursement from the Fund is barred unless written notice of the claim therefor was filed prior to 60 days after the order awarding the excess permanent compensation ......
...Southern Bell Telephone and Telegraph Co.,
551 So.2d 575 (Fla. 1st DCA 1989), citing Special Disability Trust Fund v. Brevard County Board of Public Instruction, 9 FCR 164 (1975), cert. denied,
320 So.2d 392 (Fla. 1975): The clear intent, and effect [of the 60-day limitation in the pre-1987 Section
440.49(2)(g), Florida Statutes] is that the claim is barred ......
CopyCited 2 times | Published | Supreme Court of Florida
...The claim was made pursuant to Section
440.15(2)(b), Florida States (1975), which in relevant part provides that "Temporary total disability ... shall include such period as the employee may be receiving training or education under a rehabilitation program pursuant to subsections
440.49(1), (2) or (3), not to exceed 40 weeks." The Commission dismissed the claim, reversing an order of the judge of industrial claims which had granted rehabilitation benefits, on the ground that the judge lacked jurisdiction to award benefits without the participation of the Department of Commerce's division of labor....
...scribed rehabilitation program. A prerequisite to the receipt of temporary total disability benefits during the rehabilitation program under this scheme is the requirement that the training or education program be one which meets the requirements of Section 440.49(1)....
...ehabilitation. The fund referred to is the Workmen's Compensation Administration Trust Fund, [2] which was established in part to provide for the payment of all expenses *557 relating to the vocational rehabilitation of injured employees provided in Section 440.49. In 1975 the Florida Legislature added four sentences to subsection 440.49(1)....
...may propose if said rehabilitation program is to be funded out of the fund established by §
440.50. The division shall be a party to all hearings involving any claims made against the fund established by §
440.50." As we read the language added to Section
440.49(1) by the 1975 Legislature, it accomplishes several things. First, it creates rule-making authority and requires that the division's rules must be followed in granting training and education benefits. Second, it requires that all hearings under subsection
440.49(1) be conducted pursuant to Section
440.25, Florida Statutes (1975), which in general sets the procedure with respect to all claims for compensation....
...Since he lacked jurisdiction, the Commission was correct in concluding that the claim must be dismissed rather than remanded. Petition for Writ of Certiorari is granted and the Commission's order is affirmed. OVERTON, C.J., and SUNDBERG, HATCHETT and KARL, JJ., concur. NOTES [1] The provisions of Sections 440.49(2) and (3) have no relevance to this proceeding. [2] This trust fund is to be distinguished from the Special Disability Trust Fund which is created under § 440.49(4)(h)(1), Fla....
CopyCited 2 times | Published | Florida 1st District Court of Appeal
...Murphy of Stanley, Wines, Bennett, Murphy & Spanjers, P.A., Auburndale, for appellee. ROBERT P. SMITH, Jr., Chief Judge. In this workers' compensation appeal the employer and servicing agent contend that claimant is not entitled to vocational rehabilitation benefits under section 440.49(1)(a), Florida Statutes (1980), for the reason, among others, that he has not been assigned a permanent impairment rating under the AMA Guidelines. We disagree, for nothing in section 440.49(1)(a) makes such a rating a condition precedent to an award of rehabilitation benefits....
...While claimant has as yet no impairment rating under the AMA Guidelines, the record supporting the deputy's order shows that claimant "has suffered an injury covered by this chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior *1299 to the injury." Sec. 440.49(1)(a)....
CopyCited 2 times | Published | Florida 1st District Court of Appeal | 11 Fla. L. Weekly 226
...NOTES [1] The parties do not analyze the issues in terms of merger principles, and we leave such issues, if applicable, for consideration by the deputy on remand. The statute, however, classifies a claimant's mental retardation as a pre-existing condition for merger purposes under certain circumstances. § 440.49(2)(f)1.v, Florida Statutes (1981)....
CopyCited 2 times | Published | Florida 1st District Court of Appeal
...essary for the deputy to reach this issue to resolve the points noticed for hearing. Where rehabilitation is involved, the date of maximum medical improvement is artifically established by statute after the rehabilitation program has been completed. Section 440.49(1)(e), Florida Statutes (1979) provides that "the date of maximum medical improvement, for purposes of [determining appropriate wage-loss benefits], shall be no earlier than the last day for which such temporary disability benefits are...
...He was assigned to one counselor and referred to another who sought approval of a program by the carrier but was refused. Finally, a written program was approved by the carrier and implemented. We cannot agree with the carrier's position that the benefits should not be paid during this process. Section
440.49(1)(e) provides that: temporary disability benefits paid pursuant to §
440.15(2)(a) and (4) shall include such period as may be reasonably required for training in the use of artificial members and appliances, and shall include such pe...
CopyCited 2 times | Published | Florida 1st District Court of Appeal | 2000 WL 1880469
.../servicing agent) below, appeal a final order of the Judge of Compensation Claims (JCC) determining that the claim of the employer/servicing agent for reimbursement from the Special Disability Trust Fund (Fund), appellee, was time-barred pursuant to section 440.49(7), Florida Statutes (Supp....
...1994), because the notice of the reimbursement claim was not filed within two years of the first payment of impairment benefits by the employer/servicing agent. We hold that under the language of the statute, the payment of permanent impairment benefits does not commence the running of the non-claim statute, section 440.49(7), Florida Statutes (Supp.1994), and, thus, we reverse. Section 440.49(7), Florida Statutes (Supp.1994) provides in pertinent part: (7) REIMBURSEMENT OF EMPLOYER The right to reimbursement as provided in this section is barred unless written notice of claim of the right to such reimbursement is filed by...
...Because the notice was filed more than two years after January 2, 1996, the date of the first payment of impairment income benefits, the Fund defended the claim on the ground that it was time-barred. The JCC agreed and denied the claim. *878 The employer/servicing agent argue that the unambiguous language of section 440.49(7) does not mention the payment of impairment benefits as an event triggering the non-claim statute. Accordingly, the JCC's order conflicts with the express words of the statute. The Fund argues that, notwithstanding that the language of section 440.49(7) does not expressly provide that the payment of permanent impairment benefits trigger the non-claim provisions, the employer/servicing agent accepted an initial MMI date by its payment of permanent impairment benefits, and, as a result, started the two-year time period running for purposes of notice to the Fund....
...We agree with appellants that this is a case of first impression and that the language of Low Cost Transmission, which dealt with a different situation and workers' compensation statute, is not controlling. We hold that, because the plain, unambiguous language of section 440.49(7) does not mention the payment of impairment income benefits as a starting point for the two-year non-claim statute, the JCC erred in denying reimbursement. Non-claim statutes, such as section 440.49(7), are strictly construed, see, e.g., Special Disability Trust Fund v....
...Further, even though it is considered a permanent indemnity benefit, impairment income is payable irrespective of disability, and can be differentiated from permanent total disability benefits, wage loss or death benefits. The omission of impairment benefits from section 440.49(7) evidences a legislative intent to exclude the payment of such benefits from the reach of the nonclaim provisions. Accordingly, the employer/servicing agent's notice filed "within two years after the date of the first payment of compensation for permanent total disability," section 440.49(7), was timely....
CopyCited 2 times | Published | Florida 1st District Court of Appeal
...tremity accepted by the employer. The employer/carrier filed their notice of claim for reimbursement against the Fund on August 10, 1979. The Fund controverted the claim contending, among other things, that it was not timely filed in accordance with Section 440.49(4)(g), Florida Statutes (1975). [1] The Fund argues that the claim was not filed within 60 days after the first payment of excess compensation for permanent disability was made as is required by Section 440.49(4)(g)....
...t the issue of permanent partial disability was not ultimately decided until his order of June 29, 1979, and that the claim for reimbursement was filed well within sixty days from that date. We must respectfully disagree with the deputy's reasoning. Section 440.49(4)(g) is a statute of nonclaim and clearly bars any right to reimbursement unless the claim is filed prior to 60 days from the date of the first payment of excess compensation if such payment is made by the employer/carrier without an award. The purpose of the time limitation in Section 440.49(4)(g) is to protect the Fund against stale claims and to provide an opportunity for prompt investigation of the claim....
...ys before August 10, 1979, the date the employer/carrier's claim was filed, we find the claim to be untimely and reverse the deputy's order requiring the Fund to reimburse the employer/carrier. MILLS, ERVIN and LARRY G. SMITH, JJ., concur. NOTES [1] Section 440.49(4)(g), Florida Statutes (1975), provides in pertinent part: (g) Reimbursement of Employer....
...e the first payment of excess compensation for the permanent disability was made ... . (emphasis supplied) We are applying the 1975 statute which became effective October 1, 1974 rather than the 1973 statute in effect at the time of the injury since Section 440.49(4)(g) is a remedial statute....
...invoked for currently accruing liability arising out of earlier events or claims. Myers v. Carr Construction Company,
387 So.2d 417, 418 (Fla. 1st DCA 1980), and cases cited therein. [2] Of course, a finding of a "merger," as defined in the statute, Section
440.49, subsection (4)(b), paragraphs 2a and b, is essential to reimbursement by the employer/carrier....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1990 WL 141892
...Stone of Beggs & Lane, Pensacola, for appellants. Mary E. Ingley, Sp. Disability Trust Fund, Tallahassee, for appellee. ZEHMER, Judge. In this workers' compensation case, we review an order denying the employer and carrier reimbursement from the Special Disability Trust Fund under section 440.49(2), Florida Statutes (1987), for excess compensation the carrier claims to have paid for temporary total disability benefits, remedial medical care, and wage loss benefits. We reverse because the order is erroneous in two respects argued by the appellants: (1) there is no requirement under section 440.49(2), read as a whole, that an employer and carrier, having otherwise qualified under the statute to receive reimbursement for excess permanent total disability compensation, actually pay permanent total disability benefits for more than...
...sability benefits under section
440.15(1) retroactive to the date of maximum medical improvement. Regarding the Fund's crossappeal, there is competent substantial evidence in the record to support the judge's finding of merger as defined subsections
440.49(2)(b)2.a (the "but for" merger) and b (the increased disability merger), and accordingly we affirm that issue....
...[1] These PTD benefits were paid until the claimant's death on February 15, 1987, due to heart failure that had no relationship to the industrial accident of January 20, 1984. The Special Disability Trust Fund denied the carrier's claim pursuant to section 440.49(2) for reimbursement of the temporary disability benefits, wage loss benefits, and remedial medical care benefits previously paid, asserting as defenses that: (1) the claimant had no preexisting permanent impairment; (2) there was no i...
...He specifically noted that "wage-loss benefits paid were reclassified as compensation for PTD" and concluded that, "based on the facts and the retroactive acceptance [of claimant's PTD status] for the purposes of this claim, no wage loss benefits were paid which would permit reimbursement under F.S. 440.49(2)(c)2." He found that PTD benefits had not been paid for 175 weeks and thus no "excess" PTD benefits had been paid by the carrier. He further found that the claimant, both before and after the industrial accident, was mentally retarded within the meaning of subsection 440.49(2)(f)1.v and that the employer made an informed conclusion prior to the claimant's injury that his preexisting mental retardation was permanent and would be a hindrance or obstacle to his employment....
...The judge found that "but for" the claimant's preexisting mental retardation condition the claimant would have followed safety instructions and used the safety cage provided by the employer and consequently would not have been injured when the tire blew off the rim, so there was a merger within the meaning of subsection 440.49(2)(b)2.a....
...injury alone." [2] The order then recites: 12. In order to qualify for entitlement to reimbursement for temporary total disability and medical benefits paid, the e/c must also qualify for reimbursement from the Fund for permanent total disability. F.S. 440.49(2)(e)....
...Southland Corp. v. SDTF,
526 So.2d 1039 (Fla. 1st DCA 1988). It has already been noted that no excess PTD benefits have been paid in this case and that in retrospect no wage-loss benefits at all were paid. Except for some rather curious language contained in F.S.
440.49(2)(c)3, the case should be resolved in favor of the Fund and against the e/c on this point alone, i.e., no excess payment no entitlement to reimbursement. 13. F.S.
440.49(2)(c)3 requires the Fund to "......
...y to the fundamental principle that an excess must be paid before entitlement to reimbursement. 14. Needless to say the statutory requirement that the Fund "... immediately ..." reimburse excess TTD and medicals in PTD is, at best, puzzling. Under F.S. 440.49(2)(e), the first link in [the] chain of requirements needed to prove entitlement to reimbursement for TTD and remedial medicals is entitlement to reimbursement from the Fund for PTD....
...must be paid before the employer and carrier can become entitled to reimbursement for medical and temporary disability benefits in a PTD case such as this. In construing the statutory scheme, it is important to keep in mind the stated purpose of subsection 440.49(2) to encourage the employment of the physically handicapped by protecting employers from excess liability for compensation and medical expense when an injury to a handicapped worker merges with his preexisting permanent physical impai...
...cause a greater disability, permanent impairment, or wage loss than would have resulted from the injury alone. The division shall inform all employers of the existence and function of the fund and shall interpret eligibility requirements liberally. § 440.49(2)(a), Fla....
...oyer and carrier also demonstrate that a merger has occurred such that they would be entitled to reimbursement for excess PTD benefits at the end of the 175-week period. We arrive at this conclusion based on the following analysis of the statute. Subsection 440.49(2)(b)2 specifies that "`merger' describes or means" that: *486 a....
...o the combined effect of both permanent impairments. This statutory language does not refer to "excess" compensation and does not require that the employer or carrier must have paid excess permanent compensation, such as excess PTD benefits under subsection
440.49(2)(c)3 for more than 175 weeks. Subsection
440.49(2)(b)3 defines "excess permanent compensation" to mean "that compensation for permanent impairment, wage-loss benefits, or permanent total disability or death benefits for which the employer or carrier is otherwise entitled to reimbursement from the Special Disability Trust Fund." Subsection
440.49(2)(c) then sets forth the various benefits and criteria for entitlement to reimbursement by the Fund. Subsection
440.49(2)(c)1 authorizes reimbursement, subject to the limitations in
440.49(2)(f), for 60 percent of all permanent impairment benefits which the employer has been required to pay pursuant to section
440.15(3)(a), provided that the subsequent permanent impairment from the industrial accident has "merged," as statutorily defined, with the preexisting permanent physical impairment to cause permanent impairment. Under this section, the very first payment of permanent impairment benefits would necessarily include excess compensation. Subsection
440.49(2)(c)2 authorizes reimbursement, subject to the same limitations in paragraph (f), for 60 percent of all compensation for wage loss which the employer has been required to provide pursuant to s
440.15(3)(b) during the first 5 years aft...
...s subsequent permanent impairment caused by the industrial accident "merges with the preexisting permanent physical impairment to cause a wage loss." Again, the very first payment of wage loss benefits would include excess compensation as defined in section 440.49(2)(b)3. Subsection 440.49(2)(c)3 authorizes reimbursement, subject to the same limitations in paragraph (f), for "all compensation for permanent total disability which is in excess of the first 175 weeks of permanent total disability compensation, provided that...
...id by reason of the requisite merger must necessarily await the end of the 175-week period. "Entitlement to reimbursement" should not be confused with actual payment of excess permanent compensation. Each of the paragraphs numbered 1 through 3 in subsection 440.49(2)(c) requires that "the employer shall, in the first instance, pay all benefits provided by this chapter." [4] In addition, subparagraph 3 specifically provides: Upon a determination that a merger has caused permanent total disability...
...A plain reading of this language in context with the entire section demonstrates clear statutory intent to authorize reimbursement for the temporary and remedial benefits previously paid by an employer and carrier immediately upon the determination that a merger of permanent conditions as defined in subsection
440.49(2)(b)2 has occurred and caused permanent total disability, as provided in subsection
440.15(1)....
...d carrier can obtain "immediate" payment of the temporary and remedial benefits already paid once this merger and resulting permanency has been established and payment of PTD benefits (as distinguished from excess PTD compensation) has commenced. Subsection 440.49(2)(e), referred to in subsection 440.49(2)(c)3, defines the right to reimbursement for temporary disability and remedial care benefits in the following language: Subject to the limitation specified in paragraph (f), and when the preexisting permanent physical impairment has...
...or obstacle to employment." This subparagraph then sets forth a list of conditions that give rise to a conclusive presumption of the required hindrance or obstacle to employment, including "mental retardation" as found by the judge in this case. See § 440.49(2)(f)1.v....
...on paid: (1) a "merger" of the claimant's subsequent permanent impairment from the industrial accident with the claimant's preexisting permanent physical impairment in the statutorily-defined sense; (2) the conditions and limitations specified in subsection 440.49(2)(f) have been satisfied; (3) due to such merger, the employer and carrier have become entitled to reimbursement of excess permanent compensation; (4) the employer and carrier have in fact made payments of permanent impairment, perman...
...ent. The order also found, and there is competent substantial evidence to support the finding, that the subsequent permanent impairment due to the claimant's arm injury merged with his preexisting mental retardation within the meaning of subsections 440.49(2)(b)2.a and b....
...caused the need for temporary disability and remedial medical care benefits. In short, the findings made in the order and supported by competent substantial evidence are sufficient to establish the employer and carrier's right to reimbursement under section 440.49(2) for the excess temporary disability and remedial care benefits previously paid....
...This ruling was based on the invalid premise that excess PTD benefits in that sense had to be paid before the employer and carrier could qualify for reimbursement for any temporary benefits previously paid regardless of a demonstrated merger within the meaning of section *489 440.49(2)(b)2 entitling them ultimately to have reimbursement for excess PTD benefits, as well as excess wage loss benefits or excess permanent impairment benefits. This construction of the statute completely defeats the remedial purpose of this legislation. Not only does it amount to a restrictive interpretation of eligibility, contrary to the mandate in subsection 440.49(2)(a) to "interpret eligibility requirements liberally," it also would operate to cause employers to defer accepting injured employees as PTD since, as the appealed order recognizes, payment of permanent wage loss benefits pursuant to...
...d give rise to an immediate right of reimbursement for previously paid temporary benefits. Requiring an employer and carrier to wait until excess PTD benefits are actually paid, i.e., more than 175 weeks, before being entitled to reimbursement under section 440.49(2) for excess temporary and remedial benefits paid would deter, and reasonably so, all but the most saintly of employers and carriers from accepting a claimant as PTD rather than as PPD (permanent partial disability) simply because the latter classification would give rise to a right to immediate reimbursement. We do not find anything in the statutory scheme to indicate a legislative intent to accomplish the result urged by the Fund and accepted by the judge of compensation claims in this case. The philosophy underlying the reimbursement provisions in section 440.49(2) does not rest upon the notion that payment of excess PTD benefits must occur before an employer and carrier may become entitled to reimbursement for temporary and remedial benefits already paid....
...Rather, in Southland the sole issue was whether the payment of the claimant's funeral expenses constituted payment of death benefits, there being no surviving dependents of the claimant to claim the statutory death benefit, so as to trigger the employer's right of reimbursement under section 440.49(2). The court simply held, and correctly so, that payment of funeral expenses did not amount to payment of "death benefits" within the meaning of section 440.49(2)(d)....
...Whether the employer and carrier should have accepted claimant as PTD back in May 1985 when he reached MMI is a matter of conjecture, for the undisputed fact is that they did not and no claim was filed by the claimant objecting to this decision. We find nothing in chapter 440, and more specifically nothing in section
440.49(2), that requires the reclassification of wage loss benefits paid pursuant to section
440.15(3)(b) to PTD benefits under section
440.15(1) simply because the employer and carrier subsequently agreed to accept the claimant as PTD retroactively....
...er and carrier reimbursement for the permanent *490 wage loss benefits paid between May 1985 and December 1985. Addressing the Fund's cross-appeal, we find ample competent, substantial evidence in the record to support the finding of merger under subsection 440.49(2)(b)2.a on the grounds that "but for" the claimant's preexisting permanent mental retardation the industrial accident would not have occurred. We likewise disagree with the Fund that the order contains no specific finding of fact that supports a merger under subsection 440.49(2)(b)2.b by reason of a materially enhanced disability....
...n conformance with this opinion. REVERSED AND REMANDED. BOOTH and NIMMONS, JJ., concur. NOTES [1] The parties have not focused on the difference between this date and the date originally accepted as MMI. [2] This finding satisfies the criteria in subsection 440.49(2)(b)2.b. [3] Subsection 440.49(2)(d), although not implicated in this case, provides for reimbursement when a merger of the preexisting and subsequent conditions causes death within the specified periods of time....
...nly then seek reimbursement for excess compensation, because the Fund is not required to make any contemporaneous payments directly to the claimant. This meaning of the statutory scheme is made all the more clear by reference to the provisions in subsection 440.49(2)(a) specifying that this statute only creates a right to reimbursement in the employer and carrier who has already paid benefits and does not create or provide benefits for injured employees not otherwise provided by chapter 440.
CopyCited 1 times | Published | District Court of Appeal of Florida | 1996 Fla. App. LEXIS 10947, 1996 WL 600873
...om appellee, the Special Disability Trust Fund, for compensation benefits paid to claimant Mark Kirkpatrick. We affirm the order, because the E/C failed to establish that claimant’s obesity was a permanent physical impairment within the meaning of section 440.49, Florida Statutes (Supp.1990). Section 440.49(2) clearly requires the employer to prove the following elements before reimbursement from the Fund may be obtained: (1) a preexisting permanent impairment, (2) knowledge by the employer of the preexisting permanent condition, (3) a su...
...ment, (4) merger of the two permanent impairments, and (5) payment of compensation. Here, the judge of compensation claims (JCC) found that the E/C failed to satisfy the first element, that is, a preexisting permanent impairment, which is defined in section 440.49(2)(b)(l) as “any permanent condition due to previous accident or disease or any congenital condition which is, or is likely to be, a hindrance or obstacle to employment, but not due to the natural aging process.” The JCC’s determ...
...In fact, both claimant’s treating physicians testified that they knew of no medical reason for claimant’s obesity, and one doctor stated there was no reason why claimant could not lose weight. Thus, the evidence failed to establish a preexisting permanent impairment, as defined in section 440.49(2)(b). Prior to the enactment of the 1990 amendment to section 440.49(2)(f), there was no question that a claimant’s obesity, unrelated to any medical condition, was not considered a preexisting permanent impairment....
...24, 1979) (allowing reimbursement where preexisting condition was obesity, because evidence established medical cause, i.e., a psychoneurotic condition bringing on compulsive overeating), approved in part, quashed in part,
391 So.2d 212 (Fla.1980) (approving reimbursement portion of decision). In 1990, however, section
440.49(2)(f) was amended to add obesity to the list of medical conditions an employer is conclusively presumed to have considered a permanent impairment, under certain circumstances....
...In our judgment, this provision addresses only the element of employer knowledge. As we stated in Special Disability Trust Fund v. Siesta Lago Mobile Homes,
473 So.2d 8 (Fla. 1st DCA 1985), it is the employer’s burden to establish entitlement to reimbursement under section
440.49, and, pursuant to section
440.49(2)(f)(1), the employer is required to prove that it knew of the preexisting permanent physical impairment before the occurrence of the subsequent compensable injury....
...In reaching our conclusion, we acknowledge that the 1994 amended statute appears to have achieved the goal the E/C urges that the 1990 amendment accomplished. Although obesity continues to be a condition for which a presumption of knowledge by the employer arises under section 440.49(6)(a)(25), Florida Statutes (Supp.1994), the statute now defines “permanent physical impairment” as any of the conditions listed in section 440.49(6)(a). § 440.49(2)(a), Fla.Stat....
...uld be applied retroactively. Under the circumstances, we see no error in the JCC’s refusal to apply the 1994 statute to the case at bar. Because the E/C failed to prove that claimant’s obesity was a permanent physical impairment, as required by section 440.49, Florida Statues (Supp.1990), we affirm the JCC’s order denying the E/C’s claim for reimburse-mént from the Special Disability Trust Fund....
CopyCited 1 times | Published | Florida 1st District Court of Appeal
...ysically capable of engaging in, gainful employment, and the burden shall be upon the employee to establish that he is not able uninterruptedly to do even light work due to physical limitation." §
440.15(1)(b), Fla. Stat. Deputies are prohibited by §
440.49(1)(c), *33 Fla....
CopyCited 1 times | Published | Supreme Court of Florida
...The merged injury would then justify a disability award based upon a rating of the body as a whole. Sharer v. Hotel Corp. of America, supra ; Davis v. Okeelanta Sugar Refinery, Inc.,
147 So.2d 513 (Fla. 1962). (Both Sharer and Davis cite to F.S. §
440.15(5)(d). That statute has been renumbered and appears at §
440.49.) It is obvious that the only real difference between subsequent injuries and simultaneous injuries is the amount of time that transpires between the two injuries....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1996 WL 27886
...Rhett Smith of Kinsey, Troxel, Johnson & Walborsky, P.A., Pensacola, for Appellee. BARFIELD, Judge. The self-insured employer appeals from a workers' compensation order awarding temporary total disability (TTD) benefits during a period of training and education pursuant to section 440.49(1)(d), Florida Statutes (Supp.1990)....
...The employer argues that the Judge of Compensation Claims (JCC) erred as a matter of law in his interpretation of section
440.20(12)(a), Florida Statutes (Supp. 1990), as prohibiting settlement of TTD benefits during periods of training and education under section
440.49(1)(d), that his factual findings are not supported by competent substantial evidence, that he erred in failing to rule that the claimant was estopped from attacking the parties' settlement agreement, and that he departed from the essen...
...JCC, which was purportedly "made for the specific purpose of discharging the Employer/Carrier (Servicing Agent) for (sic) any further liability for future compensation but not for medical treatment and for rehabilitation benefits as defined under F.S.
440.49(1)(a)(1989) (sic) in exchange for the payment of a lump-sum of money to the Employee." The stipulation stated the employer ... will pay to the Employee $25,000.00 in full satisfaction of the obligation or liability to pay monetary compensation benefits on account of disability, death and impairment as set forth under Sections
440.15,
440.16 and
440.49 Florida Statutes, on account of the work related accident or occupational disease referenced herein....
...It stated that the employer would still be required to provide any future remedial or palliative medical care under section
440.13, and that the claimant would retain the right to apply to the Division of Workers' Compensation "for appropriate retraining and education under F.S.
440.49(1)(a)(1989) (sic)." Until 1989, when chapter 440 was extensively amended, section
440.49(1)(a), Florida Statutes, entitled an injured employee to "prompt rehabilitation services" and required the employer or the carrier to provide "appropriate training and education for suitable gainful employment." It also provided that the employer or carrier "may cooperate with federal and state agencies for vocational education and with any public or private agency cooperating with such federal and state agencies in the vocational rehabilitation of such injured employees." Section
440.49(1)(d) provided (in pertinent part): When it appears that rehabilitation is necessary and desirable to restore the injured employee to suitable gainful employment, the employee shall be entitled to reasonable and proper rehabilitation services for a period not to exceed 26 weeks, which period may be extended for an additional period not to exceed 26 additional weeks, if such extended period is determined to be necessary and proper by the deputy commissioner. Section
440.49(1)(e) provided (in pertinent part): *75 ......
...himself from the state. In no case may a lump-sum payment be allowed in exchange for the release of the employer's or carrier's liability for future medical expenses and training and education ... Section 24, chapter 89-289, Laws of Florida, amended section 440.49(1), which remained entitled "Rehabilitation of Injured Employees." Under amended subsection (a), an injured employee is entitled to "appropriate training and education" and the Division of Workers' Compensation is required to provide "...
...The subsection also provides that the Division "may cooperate with federal and state agencies for training and education and with any public or private agency cooperating with such federal and state agencies in the training and education of such injured employees." The above-quoted pre-amendment language in section 440.49(1)(e) was stricken and section 440.49(1)(d) was amended to provide: When it appears that training and education are necessary and desirable to restore the injured employee to suitable gainful employment, the employee shall be entitled to be paid by the employer additional...
...claims. Section 12, chapter 89-289, Laws of Florida, amended section
440.15(2) to add subsection (c), which provides that TTD benefits "... shall include such period as the employee may be receiving training and education under a program pursuant to s.
440.49(1)." Interpretation of the prohibition in the amended statute against lump sum payment for "training and education" requires a determination of what the legislature intended thereby, for which we must read the pertinent statutory provisions in pari materia....
...ping with the large body of jurisprudence which mandates that courts attribute meaning and purpose to the acts of the legislature. We therefore hold that the legislature intended to include temporary total disability compensation payable pursuant to section 440.49(1)(d), Florida Statutes (Supp.1990), within the obligation for "training and education" and intended that this part of the obligation remain the responsibility of the employer....
...ttlements not be allowed in exchange for release of the employer's liability for payment of "additional compensation for temporary total disability during such period as the employee [is] receiving training and education" under a program pursuant to section
440.49(1)(d). We note that the legislative intent of amended section
440.20(12)(a) would be entirely frustrated if the employer were allowed to contract with the claimant for release of its remaining liability under section
440.49(1)(d)....
...Having approved the JCC's interpretation of section
440.20(12)(a), we hold that he improperly rejected the employer's argument that the claimant is estopped by the plain language of the settlement agreement he signed from claiming the additional benefits he sought under section
440.49(1)(d). The claimant entered into a settlement agreement which paid him a substantial sum of money, in part for a release of any claim for compensation benefits pursuant to section
440.49 and for "rehabilitation temporary total benefits." Under the particular facts of this case, the claimant will not be permitted to claim additional compensation from the employer....
...ALLEN, J., concurs. SHIVERS, Senior Judge, dissents, with written opinion. SHIVERS, Senior Judge, dissenting. I respectfully dissent and would affirm the November 29, 1994, order awarding TTD benefits during a period of training and education pursuant to section 440.49(1)(d), Florida Statutes (Supp.1990)....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1996 WL 119495
...Fernyhough then performed lumbar fusions on February 2, 1992 and February 7, 1992. After the fusions, the employee was assigned an MMI date of January 5, 1993. Dr. Fernyhough stated the employee was totally disabled when he first saw him and when he last saw him. Section 440.49(2)(g), Florida Statutes (1987), provides in part: The right to reimbursement as provided in this subsection shall be barred unless written notice of claim of the right to such reimbursement is filed by the employer or *145 carrier enti...
...The JCC erred, however, in finding the claim was timely because it was filed within two years of the first payment of PTD. We conclude that the phrase "whichever is later" refers to the later of the date the claimant last reached MMI or the date of the first payment of permanent benefits. Section 440.49(2)(g) is a non-claim statute and clearly bars any right to reimbursement unless the claim is filed within the statutory period....
CopyCited 1 times | Published | Supreme Court of Florida
...lity than would have resulted from the second injury alone, the maximum compensation allowed would be that which would have been allowed for the second injury alone. In Stephens , we held that this provision was incompatible with those of Fla. Stat. §
440.49(4)(c), F.S.A., which provided for reimbursement of an employer from the special disability trust fund for all compensation awarded for a second injury in excess of that which would have been allowed for the injury when considered by itself and not in conjunction with a previous impairment. We resolved the incompatibility by holding that, since §
440.15(5)(c) did not permit the recovery by an employee of any excess in successive-injury situations, then §
440.49(4)(c) must be the source of the excess benefit despite an indication elsewhere in §
440.49 that this was not intended....
...ble for the second injury alone was changed to a minimum amount to be awarded. Clearly, then, §
440.15(5)(c) itself now allows an employee to recover excess benefits, for which the special disability fund will reimburse the employer, pursuant to §
440.49....
...ed. It is the amount by which the compensation ultimately awarded exceeds the minimum allowable. Our opinion in Special Disability Trust Fund v. Fleet Transport Company,
283 So.2d 31 (Fla. 1973), issued this date, outlines the procedure for applying §
440.49 to determine the amount to be reimbursed....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1997 WL 402111
...f Insured Services, ask us to reverse an order requiring them to pay temporary total disability benefits to Frederick Campbell, a former Ring Power employee, as a concomitant to his first twenty-six weeks in a rehabilitative training program. Citing section 440.491(6)(a), Florida Statutes (Supp.1994), the judge of compensation claims ordered the benefits, even though Mr....
...nd education which did not pay him wages. We affirm. In not revisiting a question the Legislature has now assigned to the Division of Workers' Compensation"approv[ing] training and education or other vocational services for [an injured] employee," § 440.491(6)(a), Fla. Stat. (Supp.1994)the judge of compensation claims recognized a jurisdictional change effected by section 440.491(6)(b), Florida Statutes (Supp.1994). Under prior law, the Division merely proposed training and education which the judge of compensation claims could approve (or not). § 440.49(1)(a), Fla. Stat. (1993). Since January 1, 1994, however, the Division itself is authorized to "approve training and education or other vocational services for the employee." § 440.491(6)(a), Fla....
...A comparison of the present statute with its predecessor dispels any illusion that the judge of compensation claims retains jurisdiction over the determination of an injured worker's eligibility for training and education or other vocational services. Until section 440.491 was enacted, § 44, ch. 93-415, at 178, Laws of Fla., the judge of compensation claims did have jurisdiction to decide whether an injured worker was entitled to training and education and for how long. § 440.49(1)(d), Fla....
...However, no judge of compensation claims shall assume jurisdiction to approve or disapprove training and education under this provision unless the division has advised all parties as to the training and education program it may propose if such program is to be funded out of the fund established by s.
440.50. §
440.49(1)(a), Fla....
...tates that the legislature intended to remove that portion of the statute from the law."). Statutory language governing the penalty a worker's compensation claimant suffers for refusing rehabilitative training and education also reflects the change. Section 440.49(1)(d), Florida Statutes (1993), provided: Refusal to accept training and education as deemed necessary by the judge of compensation claims shall result in a 50-percent reduction in weekly compensation, including wage-loss benefits ... for ... the period of refusal. (Emphasis supplied.) Under section 440.491(6)(b), Florida Statutes (Supp.1994), however, this reduction in benefits is mandated for claimants who refuse training and education "that is recommended by the vocational evaluator and considered necessary by the division." Despite the Division's approval of a program of training and education for Mr. *205 Campbell, appellants argue that the statute does not require them to pay temporary total disability benefits during "the initial 26 week period ... for training and education." But section 440.491(6)(b), Florida Statutes (Supp....
...less, if such extended period is determined to be necessary and proper by a judge of compensation claims. However, a carrier or employer is not precluded from voluntarily paying additional temporary total disability compensation beyond that period. § 440.491(6)(b), Fla....
...are sought by the injured employee and opposed by the employer does either have any right to a decision by the judge of compensation claims concerning "additional temporary total compensation while the employee receives ... training and education." § 440.491(6)(b), Fla....
...KAHN, J., dissents with written opinion. KAHN, Judge, dissenting. I am unable to find that the Florida Legislature intended to divest judges of compensation claims of the authority to decide entitlement to temporary total compensation when such is called for under section 440.491(6)(b), Florida Statutes (Supp.1994)....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 12 Fla. L. Weekly 245
...Although May, claimant's vocational rehabilitation counselor, testified that the claimant had some disability or limitations, May was not competent to testify as to claimant's medical condition and his testimony is contrary to the medical evidence that claimant had no permanent impairment. Section 440.49(1)(a), Fla....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 2015 WL 46515
...As an insurance carrier authorized to transact a workers’ compensation line
of business in Florida, Amerisure is subject to certain assessments: Amerisure is
required to pay quarterly assessments to the Special Disability Trust Fund (SDTF)
pursuant to section 440.49(9), Florida Statutes (2008), which provides in part:
(9) SPECIAL DISABILITY TRUST FUND.—
....
(b)1....
...which provides:
Casualty insurance premiums.—Notwithstanding
any statutory provision to the contrary, for the purposes
of calculating the annual assessments for the Special
Disability Trust Fund under s. 440.49 and expenses of
administration under s....
...payment obligations, full credit for all overpayments made by it to the WCATF.”
The Department took the position that to allow Amerisure to obtain in
addition the cash refunds Amerisure requested “would be inconsistent with the
provisions” of Sections
440.49(9)(b) and
440.51(1), Florida Statutes....
...1st DCA 2004).
Amerisure’s contention that a carryforward of a “credit” from a year in
which it paid no assessment is necessary in order for it to be made “whole”
overlooks the basic fact that the governing statutes levy an assessment on
carriers—not on policyholders. See §§ 440.49(9)(b)1., Fla....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1990 WL 212131
...was the circumstance which revived the limitations period. In a case where, as in Whiteman, medical services are rendered by a clearly authorized physician for an undisputed compensable condition, they might be deemed to have been "furnished" under section 440.49(1)(b) when received by the claimant, as a minimal administrative delay in effecting payment would not impact the employer/carrier's established acknowledgment of responsibility....
...e medical bill for this treatment. The record is likewise unclear as to the extent of any delay in effecting payment. In these circumstances the judge was entitled to conclude that employer/carrier had not "furnished" such care within the meaning of section 440.49(1)(b) until payment of the medical bill, and in accordance with Proctor and Iuen the claim was thus timely filed....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1987 WL 2665
...the employer's right to apportionment, the employer would nonetheless, if the increased-hazard approach were abandoned, have the right to reimbursement from the Special Disability Trust Fund upon compliance with the statutory requisites provided in section 440.49(2), Florida Statutes....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1991 WL 152028
...lees. WIGGINTON, Judge. The Special Disability Trust Fund appeals from the decision of the judge of compensation claims ordering the Fund to reimburse the employer/carrier for temporary disability, medical benefits and wage-loss benefits pursuant to section 440.49(2)(g), Florida Statutes (1983). Because we agree with the Fund that the claim for reimbursement was barred by lack of notice, we reverse. Section 440.49(2)(g) provides in relevant part: The right to reimbursement as provided in this subsection shall be barred unless written notice of claim of the right to such reimbursement is filed by the employer or carrier entitled to such reimburse...
...claimed becomes final or, if payment of such excess permanent compensation is made by the employer or carrier without an award, prior to 60 days after the date the first payment of excess compensation for the permanent disability was made. In turn, section 440.49(2)(b)3....
...filed within 60 days of the first payment of excess compensation, relying on the employer/carrier's earlier payment of wage-loss benefits. Alternatively, the Fund argued the claim was barred except for PTD benefits in excess of 175 weeks pursuant to section 440.49(2)(c)3. The JCC entered his order finding that section 440.49(2)(g) did not bar the claim for reimbursement....
...pting the 1985 date of MMI given by Dr. Zorn, the claim was timely. He reasoned that a claim for reimbursement is timely if it is filed prior to 60 days after excess permanent compensation is paid. Since "excess permanent compensation" is defined in section 440.49 as the compensation for PTD and other enumerated benefits, and since in the case of PTD, reimbursement is due for all benefits paid after the first 175 weeks of disability, the claim was timely even if the earliest possible MMI date was used....
...to notify the Fund of their right to reimbursement. The fact that a different MMI date was adopted by the judge, or that he alternatively treated this case as a PTD case from its inception did not revive the claim, as the clear intent and effect of section 440.49(2)(g) is that without timely notice, the claim is barred "and no further action by ANYONE can breath life into the right to claim reimbursement as to those benefits." Florida Power Corp....
...He therefore also erred when he deemed previously paid wage-loss benefits to be temporary total disability benefits and ordered the Fund to reimburse accordingly. As the Fund concedes, the only benefits which should be ordered reimbursed are PTD benefits in excess of the first 175 weeks beginning on April 26, 1988. See section 440.49(2)(c)3....
CopyCited 1 times | Published | Florida 1st District Court of Appeal | 1986 Fla. App. LEXIS 9482, 11 Fla. L. Weekly 1848
ERVIN, Judge. The employer/carrier (e/e) appeals an award by the deputy commissioner (dc) of rehabilitation benefits pursuant to Section 440.49, Florida Statutes....
...rs from the questions directed by the e/e during cross-examination of the witnesses that the e/e opposed the motion on the basis that claimant had not suffered any permanent impairment, and therefore was not entitled to rehabilitation benefits under Section 440.49, Florida Statutes (1983)....
CopyPublished | District Court of Appeal of Florida | 1990 Fla. App. LEXIS 6754, 1990 WL 129096
...y Dr. Bullock as remedial was in actuality palliative in nature since it would not serve to remedy the claimant’s back condition but would serve only to attempt to train him to cope with work. Further, in paragraph 7, the judge properly considered section 440.49(l)(c) and determined that, since vocational rehabilitation was not a reasonable probability, the statute was not triggered....
CopyPublished | Florida 1st District Court of Appeal | 2002 Fla. App. LEXIS 12682, 2002 WL 2001348
...In fact, the record shows that at the time of the work-related injury no doctor had given an impairment rating as a result of the non-work-related injury. The pertinent statutory section relating to the employer’s entitlement to reimbursement in this case is section 440.49(6)(a)24, Florida Statutes, which was substantially amended in 1994....
...93-415, § 43, Laws of Fla. The amended statute clearly specifies that to be entitled to reimbursement the employer must have prior knowledge of not only the existence of a previous injury, but must also specifically have known that the injury constituted a 20% impairment: 440.49(6) EMPLOYER KNOWLEDGE, EFFECT ON REIMBURSEMENT.— (a) Reimbursement is not allowed under this section unless it is established that the employer knew of the preexisting permanent physical impairment prior to the occurrence of the subsequent i...
...mpairment is one of the following: [[Image here]] 24. Any permanent physical condition which, prior to the industrial accident or occupational disease, constitutes a 20% impairment of a member or of the body as a whole. (Emphasis added.) The amended section 440.49(6)(a) was construed in Staff Leasing v....
...In that case, we upheld the JCC’s ruling that the employer was not entitled to reimbursement where the employer could not demonstrate that it had the specific prior knowledge required by the statute. In Staff Leasing , the employee had a preexisting back injury and the subsection at issue was 440.49(6)(a)21, which requires specific knowledge that the preexisting back injury had resulted in “disability over a total of 120 or more days, if substantiated by a doctor’s opinion .......
...[[Image here]] Because the record evidence does not show that, prior to the subject workplace accident, the employer had acquired sufficient information concerning [employee’s] preexisting back condition to know that it constituted a “preexisting permanent impairment,” as defined by subparagraph 21 of section *1038 440.49(6)(a), we agree that reimbursement from the Fund is not allowed....
CopyPublished | District Court of Appeal of Florida | 12 Fla. L. Weekly 2130, 1987 Fla. App. LEXIS 10123
ERVIN, Judge. The Special Disability Trust Fund (Fund) appeals an order of the deputy commissioner (deputy) directing it to reimburse the employer/carrier (e/c) pursuant to Section 440.49(2), Florida Statutes (1983), for benefits paid to the claimant since May 7, 1984. It contends that section 440.49(2), requires a finding that the claimant had a preexisting permanent physical impairment *1037 as a prerequisite for the e/c to receive reimbursement from the Fund....
...requires an anatomical rating, and, because the claimant did not receive an anatomical rating for his preexisting 1982 injury, there is no competent, substantial evidence which establishes a preexisting permanent physical impairment, as required by section 440.49(2)(a), prior to the May 7, 1984 accident; therefore the order should be reversed. Finding nothing in section 440.49(2)(a) requiring that a permanent impairment rating be given an employee in order to entitle the e/c reimbursement from the Fund, we affirm....
...ures in benefits paid to the claimant since his May 7, 1984 accident. The language creating the Special Disability Fund was added by Chapter 29778, Section 3, Laws of Florida (1955), creating Section
440.15(5)(d)l, Florida Statutes (1955) (currently Section
440.49(2) (b)l.), which, in defining permanent physical impairment, stated that the term meant “any permanent condition due to previous accident or disease or any congenital condition which is or is likely to be a hindrance or obstacle to e...
...condition which is permanent, which is known to the employer, and which would reasonably magnify the extent or result of a subsequent injury.”). Recently this court in Special Disability Trust Fund v. Lakeland Construction Co.,
478 So.2d 391, 393 (Fla. 1st DCA 1985), in addressing the definition now appearing in Section
440.49(2)(c)l, Florida Statutes, (1979), stated, “There is no requirement that the preexisting condition, by itself, would be compensable.” And, in Escambia County Council on Aging v. Goldsmith,
500 So.2d 626, 632, n. 5 (Fla. 1st DCA 1986), we explicitly observed that the term permanent physical impairment is not defined the same for purposes of Fund involvement under section
440.49, as opposed to the term’s general definition under Sectioh
440.02(21), Florida Statutes....
...rment, it is clear that the primary purpose behind the creation of a second injury fund would be frustrated — the hiring of handicapped workers. Accordingly, we follow established case law, as well as the legislative intent now expressly stated in section 440.49(2)(a) and extend a liberal interpretation to the employer’s eligiblity for reimbursement from the Fund....
CopyPublished | Supreme Court of Florida | 27 Fla. L. Weekly Supp. 795, 2002 Fla. LEXIS 1884, 2002 WL 31084673
...lude a request for a hearing. Adjudication shall be in the manner provided in rules 4.045, 4.075, and 4.085. (2) Claim for Reimbursement from Special Disability Trust Fund. A claim for reimbursement from the Special Disability Trust Fund filed under section 440.49(7), Florida Statutes, shall be made under the administrative rules promulgated by the division....
...are within a reasonable time. The injured employee seeks attendant care because. .. _Reimbursement of mileage to and from medical care providers in the amount of $_(see attached mileage statement). _Rehabilitative Temporary Total Compensation under Ssection 440.491(6)(b), Florida Statutes, from_to_at a rate of $-per week....
CopyPublished | Florida 1st District Court of Appeal
...BROWNING, J. Appellants (E/C) seek reimbursement from the Special Disability Trust Fund (SDTF) for workers' compensation benefits paid to a claimant, injured August 11, 1986, who is not a party to this action. The JCC ruled against E/C; we reverse. Section 440.49(7)(a), Florida Statutes, provides that employer/carriers may seek reimbursement from the SDTF if they file a written notice of the claim "within 2 years after the date the employee last reached maximum medical improvement, or within 2...
CopyPublished | Florida 2nd District Court of Appeal | 1981 Fla. App. LEXIS 21630
care and temporary benefits here in question. §
440.49(2)(e), Florida Statutes. The alternative finding
CopyPublished | District Court of Appeal of Florida | 12 Fla. L. Weekly 2099, 1987 Fla. App. LEXIS 10083
under a rehabilitative program pursuant to section
440.49, if provided. Amputation results in the permanent
CopyPublished | District Court of Appeal of Florida | 14 Fla. L. Weekly 2354, 1989 Fla. App. LEXIS 5519, 1989 WL 117149
...Claimant’s ability to bend and lift is now restricted because of his back injury, and he is incapable of heavy labor. The employer/carrier paid claimant a lump sum in compensation benefits under a settlement agreement and then sought reimbursement from the Special Disability Trust Fund. Section 440.49(2)(b)2.b....
CopyPublished | District Court of Appeal of Florida | 1992 Fla. App. LEXIS 10343, 1992 WL 260517
...The JCC based the award of temporary partial wage-loss benefits solely on the basis that the employer and carrier (E/C) “neither offered nor recommended any type of rehabilitation or retraining ... to assist [claimant] in finding work outside his experience.” Section 440.49(l)(a), Fla.Stat., (1989), 1 places the burden of providing rehabilitation benefits on the Division....
...We cannot determine that the JCC would have awarded wage-loss benefits without this erroneous finding. Accordingly, the order is reversed and remanded for a determination of whether claimant voluntarily limited his income by failing to search for jobs within his limitations. BOOTH, SMITH and BARFIELD, JJ., concur. . Section 440.49(l)(a), Florida Statutes (1989), states in pertinent part: When an employee has suffered an injury covered by this chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to appropriate training and education. Upon request by the employee or the employer, the division shall provide such injured employee with appropriate training and education.... [emphasis added] Section 440.49(l)(a), Florida Statutes (1989), became effective on October 1, 1989....
CopyPublished | Florida 1st District Court of Appeal | 2001 Fla. App. LEXIS 13878, 2001 WL 1168215
BARFIELD, J. The employer/self insurer appeal a workers’ compensation order denying their claim for reimbursement under section 440.49(2), Florida Statutes (1983)....
...sis as early as 1978, he erred in concluding that the appellants failed to establish the statutorily required employer knowledge of the preexisting permanent impairment. Nothing in the language of section 9, chapter 87-330, Laws of Florida, amending section 440.49(2)(g), clearly manifests a legislative intent that the amended statute be retroactively applied, and the 1987 amendment did not lengthen the period for filing the notice of claim for reimbursement for permanent total disability benefits. 1 We therefore find that the applicable version of section 440.49(2)(g) is the one which was in effect on the date the claimant was injured at work....
...of Labor & Employment Security, State of Florida v. F. Benson & Company,
626 So.2d 1078 (Fla. 1st DCA 1993). The order is REVERSED, and the case is REMANDED for further proceedings in light of this opinion, including a determination of whether the notice of claim was *1107 timely filed under section
440.49(2)(g), Florida Statutes (Supp.1983). BOOTH and MINER, JJ., concur. . The 1985 version of section
440.49(2)(g) in effect at the date of injury requires the claim be filed “prior to 60 days after the date the first payment of excess compensation for the permanent disability was made.” Section
440.49(2)(b)3....
...defines "excess permanent compensation” as "compensation for permanent impairment, wage-loss benefits, or permanent total disability or death benefits for which the employer or carrier is otherwise • entitled to reimbursement from the Special Disability Trust Fund.” Section 440.49(2)(c)3....
...provides that the employer is entitled to reimbursement "for all compensation for permanent total disability which is in excess of the first 175 weeks of permanent total disability compensation.” In 1987, section 9, chapter 87-330, Laws of Florida, amended section 440.49(2)(g) to require the claim be filed "within 2 years after the date the employee last reached maximum medical improvement, or within 2 years after the date of the first payment of compensation for permanent total disability, wage loss o...
CopyPublished | Florida 1st District Court of Appeal
...Disability Trust Fund, Tallahassee, for appellant. Janet Jaspers of Matusek, Ogden, McKnight & Hudson, P.A., St. Petersburg, for appellees. ZEHMER, Judge. The Special Disability Trust Fund (Fund) appeals the deputy commissioner's order directing it to reimburse the employer pursuant to section 440.49, Florida Statutes (1979), for excess permanent disability benefits and temporary total and medical benefits....
...Lakeland Construction Co. v. Flatt,
433 So.2d 1253 (Fla. 1st DCA 1983). Claimant's claim was subsequently settled by lump-sum payment. [1] Following payment of Flatt's claim, the employer sought reimbursement from the Fund pursuant to the formula contained in section
440.49, Florida Statutes (1979)....
...bar against any alcohol-related impairment forming the basis of merger; (2) the employer failed to establish merger; and (3) the employer *393 did not have knowledge of claimant's preexisting Korsakoff's Syndrome, as required for reimbursement under section 440.49(2)(f), Florida Statutes (1979)....
...arcotic drugs, shall be deemed not to be an injury by accident arising out of employment. [Emphasis added.] The Fund argues that this latter provision creates a bar against a preexisting alcohol-related impairment forming the basis of a merger under section 440.49. We decline to accept the Fund's statutory construction. The word "accident" in section 440.49(2)(b)(2) is preceded by the word "subsequent." This section is clearly meant to refer to the second or industrial injury, in this case the rupture of claimant's aneurysm....
...ly. That is not the case here. The purpose of the special disability trust fund statute is to encourage the employment of workers with permanent physical impairments by protecting employers from excess liability for compensation and medical expense. § 440.49(2)(a), Fla. Stat. (1979). The preexisting condition necessary to form the basis of merger is a "preexisting permanent physical impairment." § 440.49(2)(c)(1), Fla....
..."Permanent physical impairment" is defined as " any permanent condition due to previous accident or disease or any congenital condition which is, or is likely to be, a hindrance or obstacle to employment, but not due to the natural aging process." § 440.49(2)(b)(1), Fla....
...of Korsakoff's Syndrome, is therefore rejected. Finally, we reach the question of whether the employer's lack of knowledge of the fact that claimant suffered from Korsakoff's Syndrome, as distinguished from alcoholism, would preclude reimbursement. Section 440.49(2)(f)(1), Florida Statutes (1979), provides in relevant part: No reimbursement shall be allowed under this subsection unless it is established that the employer reached an informed conclusion prior to the occurrence of the subsequent i...
...Campbell stated that "Korsakoff's Syndrome is a classical vitamin deficiency syndrome brought about by excess use of alcohol" and that "[p]robably the second most common ill consequence of chronic alcoholism after a liver disease is organic brain syndrome." Section 440.49(2)(a) directs the Division to liberally interpret eligibility requirements for benefits under this section....
CopyPublished | Supreme Court of Florida
...award is made or, (2) was producing no disability at the time of the accident but through its normal progress is doing so at the time permanent disability is determined and an award is made [Emphasis added.]." [3] That is, without bringing into play Section 440.49(4), when a prior condition merges with a compensable injury to produce at the time of maximum medical improvement a greater disability than the injury alone would have produced, an employee is not compensated for that portion of his permanent disability attributable to the prior condition....
...But inasmuch as there was a manifestation of the prior disease at the time permanent disability was determined in the form of a greater disability than would have been produced by the injury alone, apportionment of claimant's benefits (except for operation of Section 440.49(4) would be proper, contrary to the Judge's two above-quoted statements. [3a] On the other hand Section 440.49(4), Florida Statutes, F.S.A....
...Even though there would otherwise be apportionment under Section
440.02(19) in either of the two circumstances discussed in the preceding paragraph, there is no apportionment or carving out of benefits due the employee, according to prior case law. [4] Section
440.49(4) in turn entitles the employer/carrier to apply for reimbursement for that portion of benefits paid attributable to the preexisting disease or condition....
...Since 1959, the Workmen's Compensation Act has provided that the employer/carrier shall proceed to make its claim against the Special Disability Fund through a separate proceeding arising only after claimant's case is settled either administratively or pursuant to an order. Section 440.49(4) (g), Florida Statutes, [5] F.S.A., expressly provides that right to reimbursement from the Fund must be initiated within sixty days after conclusion of the proceedings on the merits between claimant and employer/carrier. While perhaps the findings made in claimant's case on the merits may have considerable bearing or influence upon findings in the later and separate claim against the Special Disability Fund, Section 440.49(4) (g) expressly provides that "no findings of fact made with respect to the claim of the injured employee or his dependents for compensation shall be res judicata, * * *" [6] This prohibition is fully in accord with the statutory sche...
...* * In such proceeding on a claim for reimbursement no findings of fact made with respect to the claim of the injured employee or his dependents for compensation shall be res judicata, and the special disability trust fund shall be made the party respondent. * * *" Fla. Stat. § 440.49(4) (g) (1969), F.S.A....
CopyPublished | Florida 1st District Court of Appeal | 2001 Fla. App. LEXIS 15255, 2001 WL 1299122
PER CURIAM. In this appeal, Appellants seek reversal of an order denying reimbursement from the Special Disability Trust Fund for temporary disability and medical benefits pursuant to section 440.49, Florida Statutes (1995)....
CopyPublished | Florida 3rd District Court of Appeal | 1980 Fla. App. LEXIS 17797
Special Disability Trust Fund is liable pursuant to §
440.49, Florida Statutes, for reimbursement to the employer/carrier
CopyPublished | Florida 1st District Court of Appeal | 11 Fla. L. Weekly 2158, 1986 Fla. App. LEXIS 10132
average weekly earnings at the time of injury.” Section
440.49(l)(a), Florida Statutes. Cf Underwood v. Terminal-Frouge
CopyPublished | Supreme Court of Florida | 25 Fla. L. Weekly Supp. 866, 2000 Fla. LEXIS 2275, 2000 WL 1508551
...lude a request for a hearing. Adjudication shall be in the manner provided in rules 4.045, 4.075, and 4.085. (2) Claim for Reimbursement from Special Disability Trust Fund. A claim for reimbursement from the Special Disability Trust Fund filed under section 440.49(7), Florida Statutes, shall be made under the administrative rules promulgated by the division....
...mer *890 (4) The injured-employee seeks- (Type-or-nature of medically necessary attendant care-sought-)- (Justification for such-attendant care).- ^(K) Transportation and/or mileage costs $— = (L) Rehabilitative -temporary total compensation under section 440.491(6)(b), Florida Statutes, from tn .at a. rate of $ .. per week. In support thereof, the injured employee further states as-follows; = (I) The employee-ha-s-reached M-M-I- = (2) As-authorized under section-440.491(6)(a), -Florida Statutes, the division has approved the--injured employee for-training and education-to-obfaim suitable gainful employment and is receiving-suchrtraining and education-; = (3) (Optional) In addition-to-the temporary total-comp...
...The-injured-employee- seeks-(describe type or-nature ■ of medically necessary attendant-care-sought) ■_ JastiBcatio-n-for-such-attendant care. = (K) Transportation and/or-mileage, costs $ = 4L) Rehabilitative temporary-total- compensation under-seetion--440.491(6)(b), Florida Statutes, from . to at, a rate -of-$- per wreak — T-n support thereof, the injured employee-further states as follows: === (4) The employee has reaehed-M-ML = 42) As-authorized under section 440.491(6)(a-)¡-Florida-Statutes, the division has approved the injured empleyee-fer-training and-education to obtain-suitable gainful employment and ise?eeemng-such-training and education....
...are within a reasonable time. The injured employee seeks attendant care because _ Reimbursement of mileage to and from medical care providers in the amount of $_ (see attached mileage statement). ___ Rehabilitative Temporary Total Compensation under Section 440.491(6) (b), Florida Statutes, from_to_ at a rate of $_per week....
CopyPublished | District Court of Appeal of Florida | 12 Fla. L. Weekly 2393, 1987 Fla. App. LEXIS 12262
was entitled to the conclusive presumption in section
440.49(2)(f)l, Florida Statutes (1985), and to reimbursement
CopyPublished | Supreme Court of Florida | 1973 Fla. LEXIS 4316
...l impairment; that the employer/carrier having paid the sum of $7,723.61 in compensation benefits, they *383 are entitled to be reimbursed by the Special Disability Fund in the amount of $1,723.61, which represents the excess (as per Florida Statute 440.49(4) (d) F....
...ents. Subsequently, we issued our decision in Special Disability Trust Fund v. Fleet Transport Co., Fla.,
283 So.2d 31 filed June 6, 1973, in which we enunciated the necessary findings of fact and the proper test to be utilized in applying Fla.Stat. §
440.49(4) F.S.A. While in Fleet Transport, the accident merged with a pre-existing condition to create permanent disability rather than death, the controlling provision, Fla.Stat. §
440.49(4) (c) F.S.A., is nearly identical in pertinent language to that contained in the provision now under consideration— Fla.Stat. §
440.49(4) (d) F.S.A....
...Accordingly, we hold that the Fleet Transport decision is applicable to this case. In light of the fact that the Judge of Industrial Claims and the Industrial Relations Commission reached their decisions without the benefit of our pronouncement as to the appropriate application of Fla. Stat. § 440.49 (4) F.S.A., we reverse and remand the cause to the Industrial Relations Commission with directions to further reverse and remand to the Judge of Industrial Claims for further proceedings not inconsistent with Fleet Transport....
CopyPublished | Florida 1st District Court of Appeal | 2001 Fla. App. LEXIS 15633, 2001 WL 1355599
...e servicing agent for the first accident. The servicing agent for the second accident was allocated $500 in indemnity and $2,000 in medical benefits. Both the Fund and the appellant agreed that the employee’s injuries merged as defined in sections 440.49(2)(c)2, 3, Florida Statutes (1995)....
...cond accident did not exceed the $10,000 statutory deductible. After a hearing, the JCC also denied reimburse *353 ment, concluding that the payment for benefits for the employee’s second accident did not meet the $10,000 deductible. The JCC cited section 440.49(4)(a), Florida Statutes (1995), in its order denying reimbursement. Section 440.49(4)(a) provides for reimbursement of all impairment benefits paid as a result of a subsequent accident. The appellant argues on appeal that section 440.49(4)(b), Florida Statutes (1995), is the appropriate statutory authority as the employee filed a claim for and was paid permanent total disability benefits. Section 440.49(4)(b) provides for reimbursement of all compensation for permanent total disability....
...This section does not limit the reimbursement amount based on the subsequent accident. In this case, it appears from the record that the employee petitioned for permanent total disability benefits and the appellant paid those benefits in a washout settlement. Therefore, the JCC should have relied on section 440.49(4)(b), rather than section 440.49(4)(a), in making its determination. As section 440.49(4)(b) does not base reimbursement on the subsequent accident, the washout settlement payment should not have been allocated between the two accidents in determining reimbursement. Accordingly, we reverse and remand for the JCC to determine the amount of reimbursement based on section 440.49(4)(b)....
CopyPublished | Florida 1st District Court of Appeal | 9 Fla. L. Weekly 2314, 1984 Fla. App. LEXIS 16518
...ployer/carrier reimbursement from the Fund. The deputy commissioner found that the employer reached an informed conclusion that the claimant’s preexisting condition was permanent and was or was likely to be a hindrance to employment as required by Section 440.49, Florida Statutes (1979), and ordered the employer/carrier be reimbursed by the Fund....
CopyPublished | Florida 1st District Court of Appeal | 1998 Fla. App. LEXIS 14998, 1998 WL 827757
...The judge of compensation claims ruled that the second carrier was entitled under section
440.42(3), Flori-da Statutes (1987), to contributions of thirty percent from the first carrier and of twenty percent from the third carrier. The present proceeding began with the second carrier’s claim against the Fund under section
440.49(2), Florida Statutes (1987), for reimbursement of the fifty percent for which it remained responsible....
...stantially greater than the 1988 accident would have produced independently. *423 After an evidentiary hearing, the judge of compensation claims ruled that Mr. Smith’s permanent total disability was a result of a merger of the kind contemplated by section 440.49(2)(b)2.b., Florida Statutes (1987), and ordered the Fund to reimburse the second carrier — to the extent permitted by section 440.49(2), Florida Statutes (1987) — for benefits for which the second carrier remained liable after apportionment....
...sability benefits apportioned to the first and third carriers. The Fund argues for a blanket prohibition against reimbursement for a carrier who obtains any contribution from another carrier. But no statutory basis for such a prohibition exists, and section 440.49(2)(f)3., Florida Statutes (1987), may be read as contemplating reimbursement in just such circumstances....
...ry (possibly as aggravated in 1990) and would never have taken place simply because of the 1988 industrial accident. Mindful of the legislative directive that the Division “shall interpret eligibility [for reimbursement] requirements liberally,” § 440.49(2)(a), Fla.Stat....
CopyPublished | Supreme Court of Florida | 1974 Fla. LEXIS 4121
claim for reimbursement by the Fund pursuant to F. S.
440.49(4) (g), which in pertinent part provides': “[Section]
CopyPublished | District Court of Appeal of Florida | 1990 Fla. App. LEXIS 8904, 1990 WL 181564
...Employer/carrier appeal a workers’ compensation order by which claimant was awarded wage loss benefits and rehabilitation assistance. We find no error with regard to these awards, and we reject employer/ carrier’s argument that they should not be responsible for claimant’s rehabilitation since section 440.49, as amended in 1989, now makes the Division of Workers’ Compensation the entity responsible for providing rehabilitation services. The enactment which was effective on the date of claimant’s injury, section 440.49, Florida Statutes (1987), made employer/carrier the party responsible for providing rehabilitation....
CopyPublished | Supreme Court of Florida | 1974 Fla. LEXIS 4108
...A change in claimant’s condition would warrant a timely petition for modification. Additionally, we concur with the Judge on the basis of record that the employer and carrier had knowledge of claimant’s diabetes and back injury prior to the instant injury and are therefore precluded from apportionment by Section 440.49(4) (b), F.S....
CopyPublished | Florida 1st District Court of Appeal | 2002 Fla. App. LEXIS 17081, 2002 WL 31538797
...The Special Disability Trust Fund appeals an order of the Judge of Compensation Claims granting the employer/servicing agent’s claim for reimbursement from the Fund. The Fund contends that the JCC erred in finding that the employer/servicing agent’s claim was timely under section 440.49(7)(c), Florida Statutes. We agree and reverse. Section 440.49(7)(c), Florida Statutes (1997) states: A proof of claim must be filed on each notice of claim on file as of June 30, 1997, within 1 year after July 1, 1997, or the right to reimbursement of the claim shall be barred....
...This paragraph shall apply to all claims notwithstanding the provisions of subsection (12). In this case, the employer/servicing agent filed its notice of claim on June 25, 1997, but did not file its proof of claim until July 9, 1999. The employer/servicing agent’s actions failed to comply with the time limitations in section 440.49(7)(c)....
CopyPublished | District Court of Appeal of Florida | 1983 Fla. App. LEXIS 24085
PER CURIAM. This cause is before us on appeal from a final order of the deputy commissioner, allowing the injured employee travel costs to a rehabilitation program under Section 440.49(1), Florida Statutes (1981)....
...expenses to a rehabilitation program; that travel expenses are specifically allowed only for visits to the doctor’s office, Section 440.18, and for visits to a rehabilitation program when the claimant is required to live away from home to attend. Section 440.49(1)(d)....
...It is the finding of your undersigned that a part of the expense incident to a rehabilitation program is the expense incident to the employee-claimant transporting himself to and from his residence to the situs where the rehabilitation provider is affording the specific benefits as are outlined in section 440.49....
...ated rehabilitation plan and/or work evaluation and not have the funds with which to transport himself to and from that evaluation. The pre-1979 statute placed the entire burden of providing rehabilitation on the Division of Workers’ Compensation, Section 440.49, Florida Statutes (1978), while the 1979 amendments shifted this burden to the employer/carrier....
...grossly unjust result of financial inability to travel to the place of the service. Similarly, in Florida, an employee’s inability to travel to a rehabilitation program may result in a 50-percent reduction in the claimant’s weekly compensation. Section 440.49(1)(d), Florida Statutes....
CopyPublished | District Court of Appeal of Florida | 9 Fla. L. Weekly 2377, 1984 Fla. App. LEXIS 16589
...n of the order was mere dicta, and was not actually a finding at all. Since the question whether claimant was PTD was ripe and at issue, it should have been ruled upon. Washington Square Associates, Ltd. v. Bourne,
408 So.2d 809 (Fla. 1st DCA 1982). Section
440.49(l)(c), Fla....
CopyPublished | Supreme Court of Florida | 1975 Fla. LEXIS 4391
...d a compromise settlement, which was approved by order of the Judge of Industrial Claims on November 19, 1970. The amount of the lump sum settlement was $7,723.61. Southland then filed a claim against the Fund for reimbursement pursuant to Fla.Stat. 440.49(4) (d), contending that the deceased employee had died due to the combined effect of his pre-existing hypertension and the effects of the June 9, 1969, incident with the intoxicated customer....
...9, and is the obligation solely of the employer/carrier ; that the employer/carrier having paid the sum of $7,723.61 in compensation benefits, is entitled to be reimbursed by the Fund in the amount of $1,723.61, which represents the excess (as per F.S. 440.49(4) (d), F.S.A.)....
...The latter is the amount properly borne by the employer, and the difference between the former and the latter is the amount for which the employer can properly seek reimbursement from the Fund, if that amount exceeds the minimum requirement of $1500.00. Fla.Stat. § 440.49(4) (f), F.S.A. “Thus, for purposes of implementing Fla.Stat. § 440.49, F.S.A., the Judge of Industrial Claims must make findings of fact as to the dollar amount of compen *903 sation and medical benefits actually paid by the employer, and as to the amount of compensation and medical benefits which would have...
...Southland contends that pursuant to Fleet Transport it should be reimbursed 100% of the death benefits paid to the dependents of the deceased since the death would not have occurred in the absence of the pre-existing condition, a prerequisite to Fund reimbursement under F.S. 440.49 (4)(d). 1 The Fund protests that if such were the case it would have to reimburse 100% in all death cases, a result obviously not intended by the Legislature in adopting F.S. 440.49....
...subsequent injury, not death benefits, and it is this compensation, if any, that is to be deducted from the total compensation paid for death. Section
440.15(5) (d) (3) was amended in 1959, however, the effect of which requires re-examination. See F.S.
440.49(4) (d) supra, for the amended version....
...maximum death benefits determined to be owed the dependents, the ultimate result will obviously *907 differ from that reached by the Commission. The next question is whether funeral expenses paid by Southland are reimbursable by the Fund. Fla.Stat. § 440.49 (4) (d) provides that the employer shall pay the funeral expenses and death benefits provided in Chapter 440 but shall be reimbursed from the Fund for all excess “compensation for death” otherwise payable for acceleration of death....
...We find that the term “compensation for death” describes “death benefits”, excluding funeral expenses. The Florida Special Disability Fund provisions are modeled after the New York Workmen’s Compensation Law. 4 Article II, § 15(8)(d), New York Compensation Law is almost identical to § 440.49(4) (d), F.S.A....
...nses under Article II, § 15(8) (d) New York Workmen’s Compensation Law. Although the New York statute provides that the employer shall be reimbursed for all excess “death benefits”, we hold that the term “compensation for death” used in F.S. 440.49(4) (d) is the equivalent of the term “death benefits” used in the New York statute as well as in F.S. 440.49(4) (d)....
...It seems reasonably clear from a reading of the statute that the Legislature did not intend to include funeral expenses in the general term “death benefits”, or otherwise there would have been no point in the separation of the two items. We note that the Florida Legislature has recently amended § 440.49(4) (d), F.S., (1974), providing for reimbursement of 75'% of the amount paid as funeral expenses....
...rust Fund. The decision of the Industrial Relations Commission is quashed, with directions to remand for proceedings not inconsistent herewith. ROBERTS and OVERTON, JJ., and CHAPPELL, Circuit Judge, concur. ENGLAND, J., dissenting with an opinion. . 440.49(4) (d) provides, with emphasis supplied to the essential elements: “(d)When death results....
...attributable to the industrial accident remains valid for the determination of the amount of compensation attributable to the last accident’s acceleration of death considered by itself. . Unit Wall v. Speh,
133 So.2d 304 (Fla.1961). . See text of
440.49(4) (d) quoted at Note 1, supra.
CopyPublished | Supreme Court of Florida | 1968 Fla. LEXIS 2080
...I further find that the claimant’s preexisting physical impairment was, or was likely to be, a hindrance or obstacle to his employment which was known to his employer prior to the occurrence of the subsequent injury (accident of October 22, 1965). Therefore, under the Provisions of Florida Statute 440.49(4) (c) [F.S.A.], the employer at the time of the last injury, is required to pay all benefits provided by this Chapter, including the ‘excess compensation’ for claimant’s pre-existing condition (7i/¿% permanent partial disability) and t...
CopyPublished | District Court of Appeal of Florida | 1982 Fla. App. LEXIS 19940
PER CURIAM. Merklein, Inc. argues that the deputy commissioner erred in awarding claimant rehabilitation benefits pursuant to Sections
440.15(2)(b) and
440.49(1), Fla.Stat....
...The rehabilitation claim is governed by the statute in effect at that time, and is substantially different than the later amended 1979 statute. The parties do not argue the applicability of that statute; however, we note the distinction to prevent any possible confusion similar to that in the present record. Section 440.49(1) requires an evaluation or recommendation report from the division....
...He also had the right to consider, consistent with the physician’s recommendation, claimant’s desire to be trained as a computer programmer, an occupation whose duties are clearly within claimant’s physical limitations. Although we have observed that Section 440.49(1), Fla.Stat....
CopyPublished | Florida 1st District Court of Appeal | 2006 Fla. App. LEXIS 6698, 2006 WL 1168761
...ility Trust Fund (Fund). The Fund raises two issues on appeal: 1) whether the JCC erred when she did not apply the four-year statute of limitations contained in section
95.11(3), Florida Statutes, to ap-pellees’ claim for reimbursement pursuant to section
440.49, Florida Statutes; and 2) whether the JCC erred in finding that the Fund had waived the applicable statute of limitations....
...No response was received by the Fund until April 7, 2004, when counsel for the e/c filed a notice of appearance. On July 20, 2004, the e/c was informed by the Fund that the claim was barred. There is no dispute that the Fund claim at issue was timely filed within the *748 two-year limitations period specifically set forth in section 440.49(2)(g), Florida Statutes (1989)....
...The first step was described as follows: The notice of claim is the first step in obtaining reimbursement from the Fund. The filing of a notice of claim is intended to result in a determination by the Fund that the e/c are or are not entitled to reimbursement in some amount. Id. at 1306 . The court determined that section 440.49(2)(g), Florida Statutes (1985), the same provision at issue in the instant case, prescribed filing requirements for notice of claims....
...are entitled, generally, to reimbursement. These requests are the second step in the reimbursement process, and their purpose is to trigger reimbursement for specific amounts of compensation and medical benefits paid the injured employee by the e/c. Section 440.49(2)(g) places no time limitation on the filing of reimbursement requests....
CopyPublished | Florida 1st District Court of Appeal | 1994 Fla. App. LEXIS 4049, 1994 WL 159902
...Jenkins sought temporary total disability benefits from her employer and its insurance carrier. Her claim did not seek relief of any kind from the Division of Workers’ Compensation or the fund established under section
440.50, Florida Statutes, which the Division administers. Section
440.49(1), Florida Statutes (1991), which requires that “[t]he division shall be a party to all hearings involving any claims made against the fund established by s....
...1 Jenkins’ claim alleged, that she had accepted an offer voluntarily made on behalf of her employer and its insurance carrier that established an independent written rehabilitation plan under which she was to receive on-the-job training. Cf. Mid-State Uniform Rentals v. Vann,
512 So.2d 232 (Fla. 1st DCA 1987). Under section
440.49(l)(d), Florida Statutes (1991), implementation of the plan would have rendered her eligible for disability benefits during the weeks she received training, 2 up to a statutory maximum....
...oes not require fund expenditures for rehabilitation, or as to the fact that no plan has been recommended, ... [tjhere is absolutely no reason that the division need be made a party.” Keith v. City of Altamonte Springs,
344 So.2d 555 (Fla.1977). . Section
440.49(l)(d), Florida Statutes (1991), provides: (d) When it appears that training and education are necessary and desirable to restore the injured employee to suitable gainful employment, the employee shall be entitled to be paid by the empl...
CopyPublished | District Court of Appeal of Florida | 1984 Fla. App. LEXIS 13013
...r benefits prior to the June 4, 1979 hearing should be denied. However, we interpret Deputy Commissioner Hardee’s order as an acknowledgment of his lack of jurisdiction to determine entitlement to rehabilitation and accompanying TTD benefits under section 440.49(1), Florida Statutes (1977), and not a disposition of any claim on the merits....
CopyPublished | Florida 1st District Court of Appeal | 1996 Fla. App. LEXIS 5474, 1996 WL 280013
...ability Trust Fund was denied as untimely. We conclude that the claim was timely filed in accordance with Special Disability Trust v. F. Benson & Co.,
626 So.2d 1078 (Fla. 1st DCA 1993). As established in F. Benson, the extended filing period in section
440.49(2)(g), Florida Statutes (1987), applies to the employer/carrier’s reimbursement claim insofar as the claim remained viable when this statutory enactment became effective. The shorter filing period in section
440.49(2)(g), Florida Statutes (1985), which was in effect on the. date of accident, thus does not pertain in this case except as it confirms the viability of the reimbursement claim when section
440.49(2)(g), Florida Statutes (1987), took effect. Because the employer/carrier’s claim was then viable, and was thereafter filed within the period allowed under the non-claim provision in section
440.49(2)(g), Florida Statutes (1987), it should have been deemed timely. The ruling in F. Benson is not undermined by the later enactment of section
440.49(12), Florida Statutes (Supp.1994), which provides that the applicable law “for the purposes of determining entitlement to reimbursement” is the law in effect on the date of accident. This provision was enacted in connection with various statutory changes to the criteria for reimbursement. See ch. 93^415, § 43, Laws of Florida. We do not construe section
440.49(12), Florida Statutes (Supp.1994), as addressing the filing period within which such rights may be invoked. Indeed, such an application of section
440.49(12), Florida Statutes (Supp.1994), would be constitutionally impermissible in this case, as it would have the effect of extinguishing an existing claim....
CopyPublished | Supreme Court of Florida | 1968 Fla. LEXIS 2194
in excess of the minimum requirement of F.S. Section
440.49(4) (f), F.S.A., and the increase of 5 per cent
CopyPublished | Supreme Court of Florida | 1971 Fla. LEXIS 3712
...ion due to claimant as a result of a second injury which merged with the first injury? Our answer to the question is that we find the Judge of Industrial Claims erred. In Stephens v. Winn-Dixie Stores, Inc., Fla.,
201 So.2d 731 , we referred to F.S. Section
440.49(4) (c), F.S.A., and related it to our decision in Sharer v....
...mployers. The claimant’s last employer, whether only one or a second, during claimant’s successive injuries who has prior knowledge of claimant’s original disability may look to the Special Disability Fund for reimbursement as provided by F.S. Section 440.49, F.S.A....
CopyPublished | District Court of Appeal of Florida | 14 Fla. L. Weekly 1287, 1989 Fla. App. LEXIS 3034, 1989 WL 57840
...Finding that the pivotal issue raised in this appeal is controlled by Special Disability Trust Fund v. Brevard County Board of Public Instruction, 9 FCR 164, 166 (Feb. 2, 1975), cert. den.,
320 So.2d 392 (Fla.1975), and further that the employer/carrier did not file their claim for reimbursement within 60 days as required by section
440.49(2)(g), Florida Statutes (1983), we reverse....
CopyPublished | Florida 1st District Court of Appeal | 1984 Fla. App. LEXIS 13362
...Persinger,
416 So.2d 900 (Fla. 1st DCA 1982); Vida Appliances, Inc. v. Gates,
416 So.2d 1186 (Fla. 1st DCA 1982). We also affirm the rehabilitation benefits award, as the deputy has wide latitude to award treatment or services when they are deemed necessary. Section
440.49(1)(a), Florida Statutes (1979); Hurricane Fence Industries v....
CopyPublished | Supreme Court of Florida | 21 Fla. L. Weekly Supp. 223, 1996 Fla. LEXIS 827, 1996 WL 268079
...ude a reo[uest for a hearing. Adjudication shall be in the manner provided in rules 4.045, 4.075, and 4.085. (2) Claim for Reimbursement From Special Disability Trust Fund. A claim for reimbursement from the Special Disability Trust Fund filed under section 440.49(7), Florida Statutes, shall be made under the administrative rules promulgated by the division....
...easonable time. (1) The injured employee seeks. (Type or nature of medically necessary attendant care sought). (Justification for such attendant care). (K) Transportation and/or mileage costs $_. (L) Rehabilitative temporary total compensation under section 440.491(6)(b), Florida Statutes, from to at a rate of $ per week. In support thereof, the injured employee further states as follows: _ (1) The employee has reached MMI. _ (2) As authorized under section 440.491(6)(a), Florida Statutes, the division has approved the injured employee for training and education to obtain suitable gainful employment and is receiving such training and education....
...ble time. The injured employee seeks (describe type or nature of medically necessary attendant care sought) *688 Justification for such attendant care. (K) Transportation and/or mileage costs $_. (L) Rehabilitative temporary total compensation under section 440.491(6)(b), Florida Statutes, from to at a rate of $ per week. In support thereof, the injured employee further states as follows: _(1) The employee has reached MMI. _(2) As authorized under section 440.491(6)(a), Florida Statutes, the division has approved the injured employee for training and education to obtain suitable gainful employment and is receiving such training and education....
CopyPublished | Florida 1st District Court of Appeal | 1991 WL 75654
...The E/C originally controverted the employee's claim, but the parties ultimately agreed to a washout settlement pursuant to section
440.20(12)(b), Florida Statutes (1989). The E/C paid a lump sum of $144,000 in exchange for release of their liability. The E/C sought reimbursement from the Fund pursuant to section
440.49(2)(b)3., Florida Statutes (1989), alleging that a portion of the settlement constituted excess permanent disability compensation (compensation in excess of the first 175 weeks)....
.../C had paid no excess permanent compensation which was reimbursable by the Fund; (3) the evidence failed to establish that an employer reached an informed conclusion that the employee suffered from a preexisting permanent condition as required under section 440.49(2)(f)....
...He also stated that the potential attorney's fee liability would be between $54,000 and $62,070. After the hearing, the JCC held: 4. The Fund has no authority to reimburse totally controverted settlements for the following reasons: a. It is not an enumerated situation under Section 440.49(2)(c), (d) and (e) where Fund reimbursement is operative....
...wash-out settlement, the Employer/Carrier have failed to prove payment of any excess permanent compensation as required under the statutory provisions. The Fund is intended to protect employers from liability for excess compensation and medical expense as a result of merger. Section 440.49(2)(a)....
...In this particular totally controverted settlement it cannot be determined if any portion of the amount represents excess liability. The appellant argues that (1) the JCC erred in finding that none of the settlement amount represented excess permanent compensation; (2) section 440.49(2)(c)3....
...cess permanent compensation." The judge cites no authority as to why the dollars from the settlement should first be credited against other benefits prior to applying a portion to exposure for excess compensation. The Fund argues that the wording in section 440.49(2)(c)3., "the employer shall, in the first instance, pay all *266 benefits provided by this chapter," supports the JCC's method of calculation....
...sation; therefore, the JCC's determination that no portion of the settlement represented wage loss was in error. We are also unimpressed with the JCC's holding and the Fund's argument that a settlement does not represent a "required payment." First, section 440.49(2)(c)3., Florida Statutes, does not contain the "required payment" language which is contained in (c)1....
...This result was clearly not contemplated by this court. Cf. Special Disability Trust Fund v. Trail Tire Center,
453 So.2d 462 (Fla. 1st DCA 1984) (court held Fund had ability to challenge reasonableness of washout settlement). Finally, the Fund argues that section
440.49(2)(c), (d), and (e), Florida Statutes, specifically states the circumstances when the Fund is authorized to reimburse a carrier, and because a washout settlement is not one of the enumerated situations, the Fund cannot reimburse the E/C....
...I concur in the certification of the question presented by this case and in the majority opinion, but with serious reservations. The settlement in this case can be effected only because the employer denies a compensable accident or injury occurred. The legislature expressed its intent in section 440.49(2)(a) that the disability trust fund protect employers from excess liability for compensation and medical expense....
...By legislative transformation, we have a compensation mirage appearing in an employment desert barren of compensability. Since we are remanding this case to the Judge of Compensation Claims to determine the appropriate allocation reimbursable under section 440.49, I suggest that the judge consider what portion of the settlement should be allocated to the attorney fees for the claimant when considering the other aspects of the options under the formula suggested by the majority....
CopyPublished | District Court of Appeal of Florida | 1983 Fla. App. LEXIS 19350
...Such a finding effectively ignores claimant and his disability for purposes of compensation during the period from April 25, 1980, through January 6, 1982. Whether he was thereafter temporarily totally disabled for purposes of rehabilitation services under Section 440.49, Florida Statutes, is irrelevant to his status preceding that date....
CopyPublished | Florida 1st District Court of Appeal | 1982 Fla. App. LEXIS 19976
...The award of rehabilitation benefits is affirmed on authority of Hurricane Fence Industries v. Bozeman,
413 So.2d 822 (Fla. 1st DCA, opinion released 6 May 1982), Case No. AD-488, and because the Division of Workers’ Compensation did not comply with Section
440.49(1), Florida Statutes (1981)....
CopyPublished | Florida 1st District Court of Appeal | 2001 Fla. App. LEXIS 5965, 2001 WL 434882
...Effective May 30, 1997, the Legislature enacted the following provision: “A proof of claim must be filed on each notice of claim on file as of June 30, 1997, within 1 year after July 1, 1997, or the right to reimbursement of the claim shall be barred.” Ch. 97-262, § 1, at 4720, Laws of Fla. (codified at § 440.49(7)(c), Fla....
...By the time the City wrote the Fund a letter on December 7, 1998, the statutory amendment requiring that the City file any Proof of Claim by July 1, 1998 (because the City’s Notice of Claim was on file as of June 30, 1997) had already taken effect. See § 440.49(7)(c), Fla....
...Although it does not define “proof of-claim,” the statute, provides that “[i]n addition to the definitions contained in this subsection, the division may by rule prescribe definitions that are necessary for the effective administration of this section.” § 440.49(2), Fla....
CopyPublished | District Court of Appeal of Florida | 1958 Fla. App. LEXIS 2860
...ity as found by the deputy commissioner, but reversed the deputy’s order and directed that as a preliminary to an adjudication of the permanency of such disability the claimant should be subjected to rehabilitation procedures as provided for under section
440.49, Fla.Stat., F.S.A. The question of the correctness of the commission’s order is controlled by our decision rendered in Case No. 58-120, entitled Stewart v. Board of Public Instruction, Fla.App.1958,
102 So.2d 821 , in which we held that under section
440.49, Fla....
CopyPublished | District Court of Appeal of Florida | 11 Fla. L. Weekly 547, 1986 Fla. App. LEXIS 6769
...o, at what wage level. At the conclusion of this evidence, the deputy found as follows: I find that the issue of rehabilitation and rehabilitation temporary total disability benefits is premature at this time as the claimant is presently unemployed. Section 440.49(1)(a), Florida Statutes (1981) provides: When an employee has suffered an injury covered by this Chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to prompt rehabilitation services_ The purpose of rehabilitation is to provide the claimant with “suitable gainful employment,” which is defined in Section 440.49(1)(a) as: *66 [ejmployment which is reasonably attainable in light of the individual’s age, education, previous occupation and injury, and which offers an opportunity to restore the individual as soon as practicable and as nearly as possible to his average weekly earnings at the time of the injury....
CopyPublished | Supreme Court of Florida | 1971 Fla. LEXIS 3964
...s a whole and that the employer knew of his pre-existing back condition. An apportionment request was denied. The Full Commission affirmed. The carrier and employer then filed this claim for reimbursement from the Special Disability Fund pursuant to Section 440.49, Florida Statutes, F.S.A....
CopyPublished | District Court of Appeal of Florida | 1983 Fla. App. LEXIS 18943
encourages the rehabilitation of injured employees. Section
440.49, Florida Statutes (1977) provided that in cases
CopyPublished | Florida 1st District Court of Appeal | 2006 Fla. App. LEXIS 4295, 2006 WL 756228
...We affirm on the appeal, but reverse on the cross-appeal. The dispute turns, in two different respects, on the manner of calculating assessments levied on workers’ compensation carriers. Applicable statutes provided simply that assessments be based on “net premiums written,” § 440.49(9)(b)(3), Fla....
...s over a period of many years. In Florida Depart *1254 ment of Financial Services v. RISCORP Insurance Co.,
871 So.2d 261 (Fla. 1st DCA 2004), we recounted history that is also pertinent to the present case: In 1975, the Legislature amended sections
440.49 and
440.51, which had both used the term “gross premiums collected,” to prescribe that assessments would be based on “net premiums collected.” See Ch. 75-209, §§ 24-25, at 475-79, Laws of Fla. In 1993, the Legislature amended section
440.49, changing “net premiums collected” to “net premiums written.” See Ch....
...In 1997, the Legislature enacted a law authorizing the deduction of “any amount paid or credited as dividends or premium refunds ... by the insurer to its policyholders” from “net premiums written” and “net premiums collected,” as contained in sections
440.49 and
440.51....
...BARFIELD and WEBSTER, JJ., CONCUR. . Workers' compensation carriers are still required by statute to pay assessments into two trust funds, the Special Disability Trust Fund (SDTF) and the Workers' Compensation Administration Trust Fund (WCATF), pursuant to sections
440.49 and
440.51, Florida Statutes. See §
440.49(9)(b)(l.), Fla....
...(2005); § 440.5l(l)(b), Fla. Stat. (2005). Insurance companies are assessed for contributions to the SDTF based on the amount of "net premiums written,” and companies are assessed for contributions to the WCATF on the amount of "net premiums collected.” § 440.49(9)(b)(2.)-(3.), Fla....
...We held in Florida Department of Financial Services v. RISCORP Insurance Co.,
871 So.2d 261, 262 (Fla. 1st DCA 2004), "that the term 'net premiums collected,’ as contained in section
440.51, Florida Statutes, and the term 'net premiums written,’ as contained in section
440.49, Florida Statutes, include ceded reinsurance premiums,” and that no deduction for ceded reinsurance premiums was allowable....
CopyPublished | Florida 1st District Court of Appeal | 1992 Fla. App. LEXIS 3850, 1992 WL 59248
PER CURIAM. The employer/carrier’s claim against the Special Disability Trust Fund, filed some 15 months after the first payment of excess permanent compensation (in the form of wage loss benefits), is barred by section 440.49(2)(g), Florida Statutes (1985)....
CopyPublished | Florida 4th District Court of Appeal | 11 Fla. L. Weekly 740, 1986 Fla. App. LEXIS 7012
provide rehabilitative services pursuant to section
440.49(l)(a), Florida Statutes (1983). Appellants
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 16309
...Claimant’s age was not disabling at the time of her injury, and we find no basis for application of any doctrine of merger between her compensable disability and subsequent physical or economic disability from advancing age. Poston Bridge & Iron v. Newcombe, IRC Order 2-3363 (Feb. 22, 1978). See also § 440.49(5)(b)l, Florida Statutes....
CopyPublished | Florida 1st District Court of Appeal | 1992 Fla. App. LEXIS 3542, 1992 WL 59219
...n the appealed order. Special Disability Trust Fund v. Stephens, et al.,
595 So.2d 206 (Fla. 1st DCA 1992). As we did in Stephens, we certify the following question as one of great public importance: Is the Special Disability Trust Fund, pursuant to section
440.49(2)(c), Florida Statutes, required to reimburse employers for supplemental permanent total disability benefits paid pursuant to section 440.-15(l)(e)l, Florida Statutes? The appealed order is reversed....
CopyPublished | Florida 1st District Court of Appeal | 1993 WL 77419
...Florida Employers Insurance Service Corporation (FEISCO) seeks review of a declaratory statement [1] issued by the Division of Workers' Compensation, Florida Department of Labor and Employment Security (Division). By petition, FEISCO sought to obtain the agency's interpretation of section 440.49(2)(f)2, Florida Statutes (1991), which provides as follows: The Special Disability Trust Fund shall not be liable for any costs, interest, penalties, or attorney's fees....
...laimant and his attorney. (d) Petitioner has issued one check in the amount of $8,250.00 payable to Claimant's attorney and a second check in the amount of $41,750.00 payable to the Claimant. 5. Petitioner is in doubt as to whether the provisions of Section 440.49(2)(f)2, Florida Statutes prohibit the Special Disability Trust Fund from reimbursing 60% of the sum of $8,250.00 as set forth in the above situation....
...WHEREFORE, Petitioner, in accordance with Chapter
120.565, Florida Statutes, does hereby request the DIVISION OF WORKERS' COMPENSATION, DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY, STATE OF FLORIDA, to issue its Declaratory Statement regarding the following question: Under Chapter
440.49(2)(f)2, Florida Statutes, are all amounts paid by Petitioner under the settlement agreement properly denoted as compensation and, as such, eligible for 60% reimbursement by the Special Disability Trust Fund? The Division, in its declaratory st...
...tecting employers from excess liability for compensation and medical expense when an injury to a handicapped worker merges with a preexisting permanent physical impairment to cause a greater disability than would have resulted from the injury alone. § 440.49(2)(a), Fla....
...pecified statutory provision or of any rule or order of the agency as it applies to the petitioner in his particular set of circumstances only... . Agency disposition of petitions shall be final agency action." §
120.565, Fla. Stat. (1991). [2] See §
440.49(2)(c)2, Fla....
CopyPublished | Supreme Court of Florida
...A Judge of Industrial Claims ordered Grady's employer to provide permanent disability compensation. Later Grady, his employer, and the employer's insurance carrier petitioned the judge for an order approving and requiring a lump sum settlement. In separate proceedings, pursuant to Section 440.49(4), Florida Statutes (1975), the employer and its carrier sought reimbursement from the Special Disability Trust Fund (Fund) for the portion of benefits paid which was attributable to the pre-existing physical impairment caused by the 1967 injury....
...ement benefits in a later, independent proceeding, and (2) that the settlement figure does not conclusively establish the Fund's liability. See Special Disability Trust Fund v. Fleet Transport Co.,
283 So.2d 31 (Fla. 1973). As the Fund demonstrates, Section
440.49(4)(g) has an extremely limited effect on this proceeding and does not bar Fund joinder....
CopyPublished | Florida 1st District Court of Appeal | 2004 Fla. App. LEXIS 3239, 2004 WL 502901
...und (“SDTF”) and Workers’ Compensation Administration Trust Fund (“WCATF”). 1 Concluding that the term “net premiums collected,” as contained in section
440.51, Florida Statutes, and the term “net premiums written,” as contained in section
440.49, Florida Statutes, include ceded reinsurance premiums, we reverse the final judgments to the extent that appellees’ refunds are attributable to reinsurance premiums....
...lly disabled by reducing an employer’s insurance premium for reemploying an injured worker, to decrease litigation between carriers on apportionment issues, and to protect employers from excess liability for compensation and medical expense ....”§ 440.49(1), Fla. Stat. (1999). The SDTF is maintained by annual assessments upon the insurance companies writing compensation insurance in Florida, commercial self-insurers, assessable mutuals, and self-insurers. § 440.49(9)(b)l., Fla. Stat. (1999). Pursuant to section 440.49(9)(b)3., Florida Statutes (1999), “The net premiums written by the companies for workers’ compensation in this state and the net premium written applicable to the self-insurers in this state *263 are the basis for computing the amount to be assessed as a percentage of net premiums.” (emphasis added). The annual amount necessary to fund the SDTF is to be “prorated among the insurance companies writing compensation insurance in the state and the self-insurers.” § 440.49(9)(b)2., Fla....
...“The net premiums collected by the companies and the amount of premiums a self-insurer would have to pay if insured are the basis for computing the amount to be assessed.” Id. (emphasis added). HISTORY OF THE STATUTES In 1975, the Legislature amended sections
440.49 and
440.51, which had both used the term “gross premiums collected,” to prescribe that assessments would be based on “net premiums collected.” See Ch. 75-209, §§ 24-25, at 475-79, Laws of Fla. In 1993, the Legislature amended section
440.49, changing “net premiums collected” to “net premiums written.” See Ch....
...In 1997, the Legislature enacted a law authorizing the deduction of “any amount paid or credited as dividends or premium refunds ... by the insurer to its policyholders” from “net premiums written” and “net premiums collected,” as contained in sections
440.49 and
440.51....
...its net premiums written and its net premiums collected from 1995 to 1997, it overpaid its assessments by not deducting ceded reinsurance premiums. RISCORP sought a declaratory judgment that the *264 term “net premiums written,” as contained in section
440.49, and the term “net premiums collected,” as contained in section
440.51, do not include reinsurance premiums....
...ssessment reporting. DLES’s Assessment Coordinator, Evelyn Vlasak, also explained, via affidavit, that, in 1995, only 13.6% of the carriers reporting to DLES had an underreporting discrepancy in excess of $100 with respect to their liability under section 440.49 and the SDTF....
...See State v. J.M.,
824 So.2d 105, 110 (Fla.2002) (citation omitted). Legislative intent is determined primarily from the language of a statute. State v. Rife,
789 So.2d 288, 292 (Fla.2001) (citations omitted). In looking at the plain language of sections
440.49(9)(b)3....
...inary meaning of a word can be ascertained by reference to a dictionary). The annual amounts necessary to fund the SDTF and the WCATF are to be prorated among the insurance companies writing compensation insurance in Florida and the self-insurers. §§
440.49(9)(b)2.,
440.51(l)(b), Fla....
...iums, would unreasonably permit a carrier who chooses to purchase reinsurance to reduce its assessment base while a carrier who chooses not to purchase reinsurance would be unable to do so. Such an outcome would be contrary to the intent of sections
440.49 and
440.51....
CopyPublished | District Court of Appeal of Florida | 1984 Fla. App. LEXIS 12243
payments to an employee in accordance with Section
440.49, Florida Statutes (1975). The deputy commissioner
CopyPublished | Florida 1st District Court of Appeal | 1997 Fla. App. LEXIS 2353, 1997 WL 108944
...Therefore, we affirm in part, reverse the award of reimbursement and remand to the JCC to make appropriate findings as to whether a contract for reimbursement was formed between the Fund and the e/c. The JCC correctly determined that the claim was timely filed under section 440.49(2), Florida Statutes (1987)....
CopyPublished | Supreme Court of Florida | 1967 Fla. LEXIS 4088
...e of his employment, found the claimant “has a 90% permanent partial disability of the body as a whole based on a loss of wage-earning capacity,” and awarded compensation, attorneys’ fees and other benefits. In considering the applicability of Section 440.49(4) (c), Florida Statutes, F.S.A., the deputy made the following specific findings : “ * * * Claimant now has an additional disability in that he cannot do any work whereby his hands would be exposed to wet products, grease, detergent...
CopyPublished | Supreme Court of Florida | 1971 Fla. LEXIS 3629
ERVIN, Justice. In these consolidated cases two workmen’s compensation insurance carriers, *674 Hartford Accident and Indemnity Company and Aetna Casualty and Surety Company, seek reimbursement from the Special Disability Fund (see F.S. Sections
440.49 and
440.50, F.S.A.) of a portion of the compensation benefits they paid an employee, one Fred Hunt....
...The Stephens case and subsequent cases such as Cypress Gardens Citrus Products, Inc. v. Murchison, süpra, do not require initial apportionment in cases between claimants and employer-carriers where the employer has prior knowledge of claimant’s pre-existing permanent physical impairment as prescribed in F.S. Section 440.49(4) (b), F.S.A....
...In Fund cases, apportionment of employer-carrier’s “excess liability * * * when an injury to a handicapped worker merges with his pre-existing permanent physical impairment to cause a greater disability than would have resulted from the injury alone” (F.S. § 440.49(4) (a), F.S....
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 16855
The.issue in this appeal is the construction of §
440.49(4)(e), Florida Statutes (1975), which reads: Subject
CopyPublished | Florida 1st District Court of Appeal | 1993 Fla. App. LEXIS 6762, 1993 WL 225640
...the need for the evaluation. See Strawter v. Atlas Steel Fence, Inc.,
578 So.2d 455 (Fla. 1st DCA 1991); Dimirra Dev., Inc. v. Mills,
501 So.2d 63 (Fla. 1st DCA 1987). 1 In light of our holding, it is unnecessary for us to address the application of section
440.49(l)(a), Florida Statutes (1990), 2 to accidents which occurred prior to October 1, 1989, or the statute’s application to mandated evaluations versus mandated vocational rehabilitation....
CopyPublished | District Court of Appeal of Florida | 1997 Fla. App. LEXIS 7242, 1997 WL 352734
...resulting in a need for more treatment and a prolongation of her disability. The JCC concluded that Lane’s preexisting HPD had merged with her RSD to create a greater overall impairment, rendering her permanently and totally disabled. We disagree. Section 440.49(2), Florida Statutes (1991), authorizes reimbursement of certain benefits to the employer when it is shown, among other things, that a claimant’s job-related permanent impairment has merged with a “preexisting permanent physical impairment” to cause permanent total disability. The definition of “permanent physical impairment” in section 440.49(2)(b)(l) is central to this case: “Permanent physical impairment” means any permanent condition due to previous accident or disease or any congenital condition which is, or is likely to be, a hindrance or obstacle to employment, but not due to the natural aging process....
CopyPublished | Florida 4th District Court of Appeal | 1982 Fla. App. LEXIS 20159
deputy’s failure to bar the claim pursuant to Section
440.49(5)(g), Florida Statutes (Supp.1978). We affirm
CopyPublished | District Court of Appeal of Florida | 11 Fla. L. Weekly 1503, 1986 Fla. App. LEXIS 8754
...the deciding factor in his denial of compensation benefits for the program undertaken by this claimant. We are further persuaded to this view because the deputy commissioner approved the claimant’s request for additional rehabilitation pursuant to Section 440.49(l)(d) and (e), Florida Statutes....
CopyPublished | District Court of Appeal of Florida | 13 Fla. L. Weekly 1588, 1988 Fla. App. LEXIS 2950, 1988 WL 70566
...On November 23, 1987, the DC entered an order granting claimant’s request for rehabilitation benefits as follows: I find that the claimant’s injury and resulting disability have substantially impaired his capacity to earn pre-injury wages and that he is entitled to rehabilitation benefits as requested with Jerry Adato. Section 440.49(l)(a), Florida Statutes (1986) states as follows: When an employee has suffered an injury covered by this chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to prompt rehabilitation services....
CopyPublished | Florida 1st District Court of Appeal | 2010 Fla. App. LEXIS 9878, 2010 WL 2671801
...he workplace "by reducing an employer's insurance premium for reemploying an injured worker, to decrease litigation between carriers on apportionment issues, and to protect employers from excess liability for compensation and medical expense. . . ." § 440.49(1), Fla. Stat. The SDTF is maintained by annual assessments upon insurance companies writing compensation, assessable mutuals, and self-insurers. § 440.49(9)(b)1., Fla. Stat. The SDTF was designed to allow these entities to seek reimbursement for the costs arising from subsequent injuries to disabled employees. § 440.49(7), Fla. Stat. In 1997, the Legislature amended section 440.49 by limiting the claims eligible for reimbursement....
...Pursuant to the amendment, the SDTF does not reimburse employers or carriers for "any case in which the accident causing the subsequent injury or death or the disablement or death from a subsequent occupational disease occurred on or after January 1, 1998." § 440.49(11), Fla....
...claims for reimbursement from the SDTF by assuming the obligations of another entity that has qualifying claims against the fund. He did not reach Appellant's constitutional challenge but recommended that Appellant's applications be denied based on section 440.49....
...aying field and resolve a competitive or financial advantage. Id. at 1148-49. We find no merit in Appellant's argument that Coy and Hameroff are not applicable in this case because the funds held in the SDTF do not constitute state funds pursuant to section 440.49(9)....
...Even if Appellant has not directly benefitted from the SDTF, pre-1998 claims continue to be reimbursed as a result of post-1998 assessments, and the legislative intent behind the SDTF continues to be carried out with respect to those claims. The Legislature's intent of ensuring the SDTF's solvency by amending section 440.49 is also being furthered by Appellant's annual payment into the fund....
CopyPublished | Florida 1st District Court of Appeal | 1982 Fla. App. LEXIS 20624
...bursement was not timely filed.” In a tortuous approach to this issue, the Fund has argued, and the deputy has agreed, that proof of timeliness in this case depended upon the county proving the date of its first payment of excess compensation. See § 440.49(4)(g), Fla.Stat....
...er permanent partial disability ratings. Bordo Citrus Products, et al. v. Varnadore,
395 So.2d 260 (Fla. 1st DCA 1981). Without a merger, there can be no “excess compensation” paid within the meaning of the Special Disability Trust Fund act. See §
440.49(2)(a)....
CopyPublished | Supreme Court of Florida | 1967 Fla. LEXIS 3802
...ve the combined total effect of creating a greater degree of disability to the body as a whole and a claimant’s wage-earning capacity than would have resulted from the last injury considered by itself and not in conjunction with a previous injury. Section 440.49(4) (c) reads: “(c) Permanent disability after other permanent physical impairment....
...e way to an earlier injury that would otherwise have been apportioned out of the award under Sec.
440.15(5) (c) Finally, we point out that in our original opinion in Stephens, supra, we reiterated that “[t]he language ‘physical impairment’ [in §
440.49(4) (c) ] was obviously made sufficiently broad to encompass the subject matter of both apportionment provisions, i.e., pre-existing disability from disease as well as from injury.” (emphasis added) We have considered the cross-petition....
CopyPublished | District Court of Appeal of Florida | 1993 Fla. App. LEXIS 7067, 1993 WL 242666
PER CURIAM. The Breakers Hotel and Executive Risk Consultants appeal a workers’ compensation order requiring the Special Disability Trust Fund, pursuant to section 440.49, Florida Statutes, to reimburse the appropriate amount of a lump-sum settlement paid to the claimant pursuant to a settlement agreement, less the sum the claimant agreed to pay his attorneys for their services and costs....
...emanded with directions that Breakers and Executive Risk Consultants be reimbursed for the appropriate percentage of the total settlement amount. Florida Employers Ins. Serv. Corp. v. Special Disability Trust Fund,
615 So.2d 859 (Fla. 1st DCA 1993); §
440.49, Fla.Stat....
CopyPublished | Florida 1st District Court of Appeal | 10 Fla. L. Weekly 1707
...Criss, Tallahassee, for appellant. Robert A. Donahue of Cooper, Rissman & Weisberg, Orlando, for appellees. NIMMONS, Judge. The Special Disability Trust Fund (the Fund) appeals an order granting the employer/carrier's claim for reimbursement pursuant to Section 440.49, Florida Statutes (1979)....
...The employer/carrier seek to establish entitlement to reimbursement by imputing knowledge from the former owner to the current owner of Siesta Lago Mobile Homes. It is the employer's burden to establish entitlement to reimbursement under the statute. Pursuant to 440.49(2)(f)1., the employer was required to establish that he knew of the pre-existing permanent physical impairment of the claimant prior to the 1980 accident....
CopyPublished | District Court of Appeal of Florida | 1984 Fla. App. LEXIS 14264
...he Fund. We find that this language merely states the legal status of the Fund and the employer/carrier’s requirement as to notice as mandated by case and statutory law. See Special Disability Trust Fund v. Tropicana, Etc.,
358 So.2d 1 (Fla.1978); section
440.49(2)(i), Florida Statutes (1979)....
...onable from the standpoints of the employer/carrier and the claimant. Our approval of this finding would nullify the provisions of Florida Statutes section 440.-49 and
440.20(12) and (13), which latter subsections should be read in pari materia with section
440.49....
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 15744
PER CURIAM. The Special Disability Trust Fund seeks review of the order of the judge of industrial claims wherein the judge granted the carrier’s claim for reimbursement under Section 440.49, Florida Statutes (1977)....
CopyPublished | Florida 4th District Court of Appeal | 1980 Fla. App. LEXIS 16278
attorney’s fees, is granted on authority of Section 440.-49(4)(f)2, Florida Statutes (1977), and the order
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 15752
res judicata.” This provision was added to Section
440.49(4)(g) by Chapter 74-197, § 21, Laws of Florida
CopyPublished | District Court of Appeal of Florida | 1996 Fla. App. LEXIS 138, 1996 WL 12614
...e “as much or more” in her chosen field of retraining. Ultimately, the view expressed by the judge in her final order, and by the Employer/Carrier’s argument on appeal, is “fundamentally at odds” with the concept of “rehabilitation” in section 440.49, Florida Statutes (1987), as interpreted by this court in Viking Sprinkler Company v....
...ects a substantial departure from its rationale. The repeated references to Lowry’s transferrable skills indicate that emphasis in the order was on “specialized job placement” rather than on “suitable gainful employment” contemplated by subsection 440.49(l)(a). Under the dictates of Viking Sprinkler, the mere prospect of job placement does not alone negate the necessity and desirability of restoring the claimant to suitable gainful employment through rehabilitation. See § 440.49(l)(d)....
...In the present case, the necessity for rehabilitation is supported by evidence establishing that Lowry conducted an unsuccessful job search, that her compensable injuries precluded her from “earning wages equal to wages earned prior to the injury,” subsection 440.49(l)(a), and that the medical assistant program was suited to her needs and abilities....
...graduation, with a potentially higher entry-level salary than would those enrolled in the medical secretary program. . This does not mean, however, that Lowry is automatically entitled to temporary total disability benefits for this same period. Subsection
440.49(l)(e), Florida Statutes (1987), provides that the claimant shall receive "temporary” disability benefits pursuant to subsections
440.15(2)(a) and (4)....
CopyPublished | District Court of Appeal of Florida | 1995 Fla. App. LEXIS 76, 1995 WL 6373
...On April 5, 1983, claimant Michael Bubel, a truck driver for the employer, injured his back when he fell from his truck. The E/SA accepted claimant’s 1983 accident as compensable and began paying him benefits. The E/SA subsequently requested reimbursement from the Special Disability Trust Fund, which was denied. Section 440.49(2)(g), Florida Statutes (1981), 1 provides, in pertinent part: The right to reimbursement as provided in this subsection shall be barred unless written notice of claim of the right to such reimbursement is filed by the employer or carr...
...cess permanent compensation is made by the employer or carrier without an award, pri- or to 60 days after the date the first payment of excess compensation for the permanent disability was made. “Excess permanent compensation” is then defined in 440.49(2)(b)3 as “that compensation for permanent impairment, wage-loss benefits, or permanent total disability or death benefits for which the employer or *832 carrier is otherwise entitled to reimbursement from the Special Disability Trust Fund....
...MMI date, except that here the E/SA attempted to convert the wage loss paid in 1984 into TPD benefits by filing a BCL-4 form with the Division requesting such a conversion. The claim should not have been revived “as the clear intent and effect of section
440.49(2)(g) is that without timely notice, the claim is barred and no further action by ANYONE can breathe life into the right to claim reimbursement as to those benefits.”
584 So.2d at 621 ....
CopyPublished | Florida 1st District Court of Appeal | 1984 Fla. App. LEXIS 11678
MILLS, Judge. In this appeal, we are asked to determine whether a claim for reimbursement of temporary total disability (TTD) and medical benefits is barred by Section 440.49(2)(g), Florida Statutes (1981). Hall, the claimant, suffered a compensa-ble injury on 9 April 1981 that entitled the employer and carrier (E/C) to file for reimbursement from the Special Disability Trust Fund under Section 440.49, Florida Statutes (1981)....
...On 7 January 1983, the E/C filed a claim against the Special Disability Trust Fund for reimbursement of all benefits paid to the claimant. The deputy commissioner awarded reimbursement of all TTD and medical benefits paid and of all wage-loss benefits paid after 7 November 1982. Section
440.49(2)(g), Florida Statutes (1981), bars any right to reimbursement from the Special Disability Trust Fund unless the claim is filed prior to sixty days from the date of the first payment of excess compensation if such payment is made by the E/C without an award. Special Disability Trust Fund v. Jimmy Hart Masonry,
424 So.2d 884 (Fla. 1st DCA 1982). In Section
440.49(2)(b)3, Florida Statutes (1981), “excess permanent compensation” is defined as “that compensation for permanent impairment, wage-loss benefits, or permanent total disability or death benefits for which the employer or carrier is...
CopyPublished | Supreme Court of Florida | 1978 Fla. LEXIS 4681
or under a rehabilitative program pursuant to F.S.
440.49(1), (2), or (3),” concluding that the provisions
CopyPublished | District Court of Appeal of Florida | 1990 Fla. App. LEXIS 1155, 1990 WL 10880
...Travelers has not paid the bills for claimant’s schooling which claimant has had to discontinue. On May 4, 1988, the JCC issued an order denying the claim for reimbursement of rehabilitation expenses, finding that rehabilitation was not authorized and that the procedures for obtaining rehabilitation set up by Section 440.49, Florida Statutes were not complied with....
...Her delay in raising the issue is further indication that the agency argument was conceived after the JCC’s order. In any case, this court is not the place to begin the proof process. When an e/c refuse or ignore a request for rehabilitation, claimant’s recourse is in Section 440.49(1), Florida Statutes....
CopyPublished | District Court of Appeal of Florida | 1996 Fla. App. LEXIS 1592, 1996 WL 82769
...on over the Fund in this case. We agree and reverse the order on appeal. The JCC erred in ordering that the Special Disability Trust Fund pay $90,288.83 directly to claimant. The JCC has no authority to order the Fund to pay a claimant directly. See § 440.49(2)(a), Fla.Stat....
...shall be considered only in determining whether an employer or carrier who has paid compensation under this chapter is entitled to reimbursement from the Special Disability Trust Fund”). The Fund was designed to reimburse employer/carriers who meet the requirements of section 440.49....
...They’re still not going to pay it. The Fund also correctly argues that the JCC did not have jurisdiction to enter the appealed order. The Fund was not joined as a party, nor was it ever notified of the hearing on claimant’s request to approve a lump sum settlement. See § 440.49(2)(g), Fla.Stat....
CopyPublished | District Court of Appeal of Florida | 1992 Fla. App. LEXIS 1857
...l, Florida Statutes (Supp.1984). Because each of the claimants suffered from a permanent physical impairment which preexisted the 1984 accidents, the employer/carriers made a claim for reimbursement from the Special Disability Trust Fund pursuant to section 440.49(2), Florida Statutes (1983)....
...ests for reimbursement of supplemental permanent total disability benefits paid pursuant to section
440.15(l)(e)l. The only issue to be decided is whether the employer/carriers’ entitlement to reimbursement for permanent total benefits pursuant to section
440.49(2)(c) includes reimbursement for the additional supplemental permanent total disability benefits required to be paid under section 440.-15(l)(e)l....
...s’ Compensation Administration Trust Fund when the injury occurred subsequent to June 30, 1955, and before July 1, 1984. These supplemental benefits shall be paid by the employer when the injury occurred on or after July 1, 1984. (Emphasis added). Section 440.49(2), Florida Statutes (1983), provides in pertinent part: (2) LIMITATION OF LIABILITY FOR SUBSEQUENT INJURY THROUGH SPECIAL DISABILITY TRUST FUND.— (a) Legislative intent....
...The Fund argues that it has the authority to reimburse only in those situations specifically identified by the legislature. The Fund contends that supplemental permanent total disability benefits are separate and distinct benefits and there is no reference to supplemental permanent total disability benefits in section 440.49(2)(c)....
...The Fund cites Special Disability Trust Fund v. Motor and Compressor Company,
446 So.2d 224 (Fla.1st DCA 1984), for the proposition that merely because the legislature amends a provision to require the employer/carrier to provide a benefit does not mean that the provisions of section
440.49(2) should be construed to provide for reimbursement to the employer/carrier....
...The Fund’s arguments are not persuasive. The Fund’s reliance upon Motor and Compressor Company is misplaced. In that case, the Fund argued that vocational rehabilitation benefits were not among those benefits for which reimbursement could be ordered under section 440.49(2)....
...to s.
440.13.” Section
440.13 required the employer to furnish remedial treatment, care, and attendance under the direction and supervision of a qualified physician or surgeon. The decision recognized that “simply because the legislature amended section
440.49(1) to require the employer/carrier to provide such benefits does not mean that the reimbursement provisions of section
440.49(2)(e) should be construed to provide for reimbursement to the employer/carrier for payment of vocational benefits where the language of the latter section was not amended but continued to read ‘remedial treatment, care, and attend- *209 anee pursuant to s.
440.13/ ” In contrast to the present situation, the employer’s new burden of paying for vocational rehabilitation was clearly not included as one of the benefits for which the employer could be reimbursed. Section
440.49(2)(c)3 provides that the employer of an employee who has a preexisting permanent physical impairment “shall be reimbursed from the Special Disability Trust Fund created by paragraph (h) for all compensation for permanent total disabi...
...itled “PERMANENT TOTAL DISABILITY” demonstrates a clear and unambiguous legislative intent that additional or supplemental benefits are meant to be compensation for permanent total disability and as such, are reimbursable by the Fund pursuant to Section 440.49(2)(c)3. Regardless of whether supplemental permanent total disability benefits are separate and distinct from “basic” permanent total disability benefits, such supplemental benefits clearly constitute compensation. Because section 440.49(2)(e)3 provides for reimbursement for all compensation for permanent total disability, the fact that this section does not specifically mention supplemental permanent total disability benefits is irrelevant. 1 *210 Pursuant to Rule 9.030(a)(2)(A)(v), Florida Rules of Appellate Procedure, we certify the following question as one of great public importance: Is the Special Disability Trust Fund, pursuant to section 440.49(2)(c), Florida Statutes, required to reimburse employers for supplemental permanent total disability benefits paid pursuant to section 440.-15(l)(e)l, Florida Statutes? The orders appealed are affirmed....
...or injuries occurring subsequent to June 30, 1984, supplemental permanent total disability benefits shall be paid by the employer. Chapter 84-267 was titled, in part, an act "making employers responsible for supplemental permanent total benefits.” Section 440.49(2), Florida Statutes, the Special Disability Trust Fund reimbursement provision, was not amended....
CopyPublished | Florida 1st District Court of Appeal | 2011 Fla. App. LEXIS 2212, 2011 WL 589688
...s not barred by the statute of limitations. We agree the JCC misapplied prior case law and thus reverse the awarded reimbursement. The facts are not in dispute. The E/C timely filed a notice of claim, the first step in the reimbursement process. See § 440.49(2)(g), Fla....
CopyPublished | District Court of Appeal of Florida | 1996 Fla. App. LEXIS 1480, 1996 WL 71127
...)(c), Florida Statutes (1991) clearly and expressly provides that [temporary total disability benefits paid pursuant to this subsection ... shall include such period as the employee may be receiving training and education under a program pursuant to s. 440.49(1)....
...440.02(8), the date of maximum medical improvement for purposes of paragraph (3)(b) shall be no earlier than the last day for which such temporary disability benefits are paid. There is no dispute that the claimant is “receiving training and education under a program pursuant to s.
440.49(1).” Indeed, the employer/carrier is paying temporary total disability benefits in conformity with §
440.15(2)(c), Fla.Stat....
...n training and thereby would not have reached MMI for purposes of eligibility for permanent impairment wage loss benefits. Therefore, we interpret section
440.15(2)(e) to provide that one who enrolls in vocational rehabilitation training pursuant to section
440.49(1) is entitled to receive temporary disability benefits despite having reached MMI from a medical standpoint, and need not use any of his or her eligibility for wage loss benefits dining the training period....
CopyPublished | District Court of Appeal of Florida | 1997 Fla. App. LEXIS 1381, 1997 WL 67974
...st was reimbursable. According to the JCC, the Fund never actually denied the request until 1994 and then only on statute of limitations grounds. On appeal the Fund argues that a cause of action for reimbursement accrues every six months pursuant to section
440.49(2)(g), Florida Statutes (1981), and it is not necessary for the Fund to expressly deny each reimbursement request. In Associated Coca Cola, this court decided that reimbursement requests made pursuant to section
440.49(2)(g) must be commenced within the four-year statute of limitations period of section
95.11(3)(f), Florida Statutes (1985)....
...properly requested reimbursement, they have, theoretically at least, suffered damage.” Id. 2) “[A] cause of action based on denial of a reimbursement request accrues at the end of each six-month interval of periodic reimbursement provided for in section 440.49(2)(g), Florida Statutes, as to benefits paid by the e/e in that six-month interval.” Id Accordingly, the court held that any request for hearing to contest denial of a reimbursement request, based on benefits paid by the employer dur...
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 16035
ROBERT P. SMITH, Jr., Judge. Special Disability Trust Fund appeals from an order finding that the employer/carrier’s claim against the Fund, filed August 13, 1974, satisfied the requirement of Section 440.49(4)(g), Florida Statutes (1973), that any claim for reimbursement by the Fund be filed ....
...den.,
320 So.2d 392 (Fla.1975). The claim was not revived by the legislature’s amendment to the statute by Chapter 74-197; Section 21, which now runs the sixty-day claim period from the date “excess compensation for the permanent disability [is] made.” Section
440.49(2)(g), Florida Statutes (1979)....
CopyPublished | District Court of Appeal of Florida | 1982 Fla. App. LEXIS 19235
...ger of the preexisting condition and the accident because the employer had no knowledge of the preexisting condition. Claimant’s receipt of compensation is not controlled by the availability of Fund reimbursement to the employer. Florida Statutes, Section 440.49(5)(a) (1978 Supp.)....
...condition existing prior to the industrial accident should be deducted or apportioned out of the award to claimant in this case, is whether the employer had knowledge of the preexisting condition or disease prior to the accident. . Florida Statutes, Section 440.49(5)(a) (1978 Supp.): ......
CopyPublished | District Court of Appeal of Florida | 12 Fla. L. Weekly 542, 1987 Fla. App. LEXIS 6764
Compensation Practice, section 7.7 (3d ed. 1986); section 440.-49(2)(b)2.b., Florida Statutes. Since there is
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 15963
...Further, it challenges the propriety of the Fund’s concern for the fairness of this procedure to Blue Cross-Blue Shield since, it asserts, to its knowledge Blue Cross-Blue Shield is not a workers’ compensation carrier. We reject the contentions of the employer/carrier. While we recognize that under Section 440.49(4)(a), Florida Statutes, findings of fact with respect to the claim for compensation shall not be res judicata in a proceeding for reimbursement, this Court refuses to condone and to perpetrate the sharp practices that are exemplified...
CopyPublished | District Court of Appeal of Florida | 1992 Fla. App. LEXIS 1355, 1992 WL 25783
...Thereafter, appellee’s claim for reimbursement of alleged excess benefits paid due to merger of the 1983 and 1986 back injuries was denied by the Fund. On December 14, 1990, the judge of compensation claims (JCC) found that the E/SI had satisfied the requirements of proving the existence of medical merger pursuant to Section 440.49(2)(b)2, Florida Statutes....
...Babcock testified that the claimant had some degree of a permanent back injury as a result of the 1983 accident which combined with the [ejffect of the instant accident to result in a greater disability that had the claimant suffered [in] the instant accident alone. Section 440.49(2)(b), Fla.Stat., states in pertinent part: 2....
CopyPublished | District Court of Appeal of Florida | 1981 Fla. App. LEXIS 19446
...ved program. Appellant cites that finding as error since the Judge of Industrial Claims had previously stated that he would reserve ruling on that question until a later date, and, therefore, appellant did not present further evidence on that point. Section 440.49(1), Florida Statutes (Supp.1978), provides for injured claimants to receive rehabilitation benefits....
CopyPublished | District Court of Appeal of Florida | 1993 Fla. App. LEXIS 12133, 1993 WL 502608
...knowledge, prior to the industrial accident, that its employee had a permanent preexisting physical condition that would likely be a hindrance to employment; and (2) personality traits could not constitute a “permanent physical impairment” under section 440.49(2)(b)l., Florida Statutes (1985), so as to permit Fund reimbursement....
CopyPublished | Florida 1st District Court of Appeal | 2006 Fla. App. LEXIS 20312, 2006 WL 3497260
...erval of periodic reimbursement. See §
95.11(3)(f), Fla. Stat. (1999); Associated Coca Cola v. Special Disability Trust Fund,
508 So.2d 1305 (Fla. 1st DCA 1987). The interval of periodic reimbursement applicable in the instant case is one year. See §
440.49(7)(f), Fla....
CopyPublished | Florida 1st District Court of Appeal | 11 Fla. L. Weekly 74, 1985 Fla. App. LEXIS 6042
...The Fund’s argument here concedes that the classification issue is factual, but the fund was not a party to the settlement and was therefore properly permitted in this proceeding, to dispute the factual predicate for the classification of future benefits in the settlement order. § 440.49(2)(g), Florida Statutes....
CopyPublished | District Court of Appeal of Florida | 1990 Fla. App. LEXIS 9047, 1990 WL 188968
...In awarding the requested benefits, the Judge of Compensation Claims exceeded the scope of the rehabilitation provision. To be eligible for rehabilitation benefits, a claimant must offer competent substantial evidence that her compensable injury prevents her from earning wages equal to those earned prior to the injury. See § 440.49(1)(a), Fla.Stat....
CopyPublished | District Court of Appeal of Florida | 1989 Fla. App. LEXIS 7455, 1989 WL 155598
...t to make a down payment on the dump truck and meet certain initial operating expenses. After a hearing on the claim, the judge of compensation claims determined that the requested payment is beyond the ambit of rehabilitation expenses authorized by section 440.49, Florida Statutes, stating that chapter 440 “does not provide for payment of capital expenditures designed to establish claimant in his own business.... ” Section 440.49(l)(a), Florida Statutes, provides for the rehabilitation of injured employees, and addresses the circumstances in which an employer/carrier is required to furnish “appropriate training and education for suitable gainful employ-ment_...
...ons have acknowledged that the choice of a post-injury occupation remains with the injured employee. See Viking Sprinkler Co. v. Thomas,
413 So.2d 816 (Fla. 1st DCA 1982). However, it has also been emphasized that the legislative intent expressed in section
440.49(1) is to provide for the rehabilitation of injured workers through structured counseling, training, and educational programs. See Viking Sprinkler, supra; Cenvill Communities Inc. v. Brown,
409 So.2d 1147 (Fla. 1st DCA 1982). Section
440.49(1)(a) directly addresses these concerns, providing in certain circumstances for evaluation as to the “kind of service, treatment, or training, necessary and appropriate to restore the employee to suitable gainful employment.” Rule 38F-8.024, F.A.C., also addresses the available rehabilitation services....
...e situations. See Rule 38F-8.024(l)(k), F.A.C. Rule 38F-8.024 further refers to counseling, vocational testing and evaluation, training plans and placement services, and various related activities. The rule is in accord with the recognized intent of section 440.49(1) for the provision of counseling, training, and educational services....
...While these eases have sometimes been decided upon a determination that the intended business enterprise was not suffi: ciently shown to be an appropriate endeav- or, in Clintsman the court emphasized that the pertinent rehabilitation statute contemplated the retraining of injured employees, rather than capital acquisition. Section 440.49(l)(a), Florida Statutes, likewise contemplates training, counseling, and educational activities, rather than directly providing business capital. In the present case the judge properly denied the claim upon a determination that the claim for capital for the establishment of a business enterprise is not an authorized rehabilitation benefit under section 440.49, Florida Statutes....
CopyPublished | Florida 3rd District Court of Appeal | 1981 Fla. App. LEXIS 22109
employer/carrier partial reimbursement under Section
440.49(4)(e) for temporary total disability and permanent
CopyPublished | Florida 3rd District Court of Appeal | 1983 Fla. App. LEXIS 25314
laboratory assistant for a period of 26 weeks. Section
440.49(l)(a), Florida Statutes (1981), entitles an
CopyPublished | District Court of Appeal of Florida | 11 Fla. L. Weekly 34, 1985 Fla. App. LEXIS 16894
...amount of $240.06 and the later $9,250.00 lump sum amount. The Fund objected on the following alternative grounds: (1) If Frey was permanently and totally disabled, he was not paid 175 weeks; therefore no excess compensation was paid as required by Section 440.49(2)(c)3, Florida Statutes; or, (2) if Frey was not permanently and totally disabled, the lump sum payment was a gratuity, as no wage-loss benefits were due him under Section 440.-15(3)(b)4, Florida Statutes (1981), in effect at the time...
CopyPublished | District Court of Appeal of Florida | 13 Fla. L. Weekly 43, 1987 Fla. App. LEXIS 11744, 1987 WL 3192
...Kenneth Richards, a thoracic and vascular surgeon, found left Evans with a 75 percent PI strictly from the vascular problems. Dr. Richards opined Evans would be unable to return to his previous employment. *86 The deputy ordered the Fund to reimburse the E/SA under section 440.49(2) for benefits paid subsequent to the December, 1982 accident except for medical bills related solely to the treatment of the vascular condition....
...of the back condition and injuries alone would have rendered Evans permanently totally disabled. The employer/servicing agent was found to have been required to pay excess permanent compensation benefits resulting from the merger of these injuries. Section 440.49(2) provides for reimbursement to an employer/carrier by the Special Disability Trust Fund for benefits paid to an employee who has a preexisting permanent impairment and who then incurs a subsequent compensable permanent impairment which merges with the preexisting permanent impairment. Merger is defined under section 440.49(2)(b)2.b....
...Armellini Express Lines, Inc. v. Special Disability Trust Fund,
512 So.2d 253 (Fla. 1st DCA 1987), petition for review denied, No. 71,331 (Fla.Sup.Ct. Feb. 17, 1988). The employer/carrier bears the burden of establishing entitlement to reimbursement under section
440.49(2)....
...The deputy, who was affirmed by this court, found that the E/C did not have to pay any greater permanent disability benefits because of the employee’s preexisting condition. The second injury, the spinal fracture, left the employee PTD without regard to the preexisting PI. Thus, there was no merger under section 440.49(2)(b)2.b....
CopyPublished | Florida 1st District Court of Appeal | 2000 Fla. App. LEXIS 16334, 2000 WL 1838924
PER CURIAM. Suntrust Banks and Crawford and Company appeal an order of the Judge of Compensation Claims (JCC) which denied appellants’ reimbursement from the Special Disability Trust Fund pursuant to section 440.49(2), Florida Statutes (1991)....
CopyPublished | Florida 1st District Court of Appeal | 1996 WL 710776
...Lockheed Space Operations and Aetna Life and Casualty Company (employer and carrier respectively, hereinafter e/c), appeal an order of the Judge of Compensation Claims (JCC) denying their motion to compel claimant Bettie Langworthy to participate in a reemployment assessment [1] pursuant to section 440.491(4)(Supp.1994)....
...She reached maximum medical improvement (MMI) in 1993. Since that time she has been employed part-time and receiving wage loss benefits. The e/c believe Ms. Langworthy is underemployed, and sent her a letter requesting her participation in a reemployment assessment pursuant to section 440.491(4), Florida Statutes (Supp.1994). Ms. Langworthy refused to attend, and the e/c moved to compel her participation. The JCC denied the motion to compel, ruling that section 440.491(4) cannot be applied retroactively to this claimant. As the basis for his ruling, the JCC reasoned that section 440.491(4) shifts the cost of providing rehabilitation back to the employer/carrier, and is therefore substantive. The issue in this case is whether section 440.491(4) is substantive or procedural. We conclude that section 440.491(4)(Supp.1994) is procedural and, accordingly, we reverse....
...1st DCA 1981) this court held that the legislature's enactment of an evaluatory tool was procedural and not substantive. There, this court addressed the question whether a JCC erred in concluding that a claimant was PTD and contemporaneously ordering an evaluation for vocational rehabilitation. This court held that section 440.49(1)(c)(1979), under which, prior to adjudicating a claimant PTD, the deputy commissioner was required to determine whether there was a reasonable probability that the claimant could be vocationally rehabilitated, was "plainly procedural...
...that the statute alters the rights, obligations and duties of the e/c because it shifts the cost of rehabilitation back to the carrier from the Division. But at the time of the claimant's accident the cost of rehabilitation was borne by the e/c. See § 440.49(1)(a), Fla. Stat. (1987). The legislature altered that obligation in the 1989 statutes, see section 440.49(1)(a), Florida Statutes (1989)....
...If that was the determining factor, the JCC would have erred in concluding that the rights of the e/c had been substantively altered by returning to the law as it existed at the time of the claimant's injury. However, this case does not involve the question of shifting the cost of rehabilitation. Subsection 440.491(4)(a) provides, in pertinent part: "The carrier may require the employee to receive a reemployment assessment as it considers appropriate...." The provision at issue in this case is merely an assessment, an evaluative tool made available to the e/c at their own cost but also at their own option....
...al diagnosis, treatment, and prognosis; includes conferences with the employer, physician, and claimant; and recommends a cost-effective physical and vocational rehabilitation plan to assist the employee in returning to suitable gainful employment." § 440.491(1)(d), Fla....
CopyPublished | District Court of Appeal of Florida | 1979 Fla. App. LEXIS 16185
...rrier was required to pay, and has paid, permanent disability *DCCCXCVII benefits for that greater disability. Special Disability Trust Fund v. Fleet Transport Company,
283 So.2d 31 (Fla.1973), makes clear that for purposes of implementing Fla.Stat. §
440.49, F.S.A., the deputy commissioner must make findings of fact as to the dollar amount of compensation and medical benefits actually paid by the employer....
CopyPublished | District Court of Appeal of Florida | 1980 Fla. App. LEXIS 18233
obstacle to his employment within the dictates of Section 440.-49(2)(f)(l), Florida Statutes. AFFIRMED. WENTWORTH
CopyPublished | District Court of Appeal of Florida | 1999 Fla. App. LEXIS 10436, 1999 WL 560241
...anent and [wa]s, or [wa]s likely to be, a hindrance or obstacle to [his] employment,” we reverse. The Special Disability Trust Fund was established by the legislature with the intent “to encourage the employment of the physically handicapped.” § 440.49(2)(a), Fla....
...icapped worker merges with his preexisting permanent physical impairment to cause a greater disability, permanent impairment, or wage loss than would have resulted from the injury alone.” Id. For purposes of this appeal, the pertinent provision is section 440.49(2)(f)1, Florida Statutes (Supp.1990)....
...As such, that stipulation offers nothing of evidentiary value for purposes of the relevant issue. The employer and carrier point out, correctly, that the Division of Workers’ Compensation is obliged to interpret eligibility for reimbursement liberally. § 440.49(2)(a), Fla....
CopyPublished | Florida 4th District Court of Appeal | 12 Fla. L. Weekly 2031, 1987 Fla. App. LEXIS 9948
alternative definitions of merger provided in section 440.-49(2)(b)2, Florida Statutes (1983): a. Had the
CopyPublished | Supreme Court of Florida | 1988 Fla. LEXIS 1479, 1988 WL 135851
...RULE 4.058. PETITION FOR MODIFICATION; CLAIM FOR REIMBURSEMENT FROM SPECIAL DISABILITY TRUST FUND Petitions for modification pursuant to Section
440.28, Florida Statutes, and petitions for reimbursement from the Special Disability Trust Fund pursuant to Section
440.49(2), Florida Statutes, shall be made substantially in the form of a claim....
CopyPublished | Florida 1st District Court of Appeal | 1982 Fla. App. LEXIS 20888
legislature’s intent in creating the Fund is stated in Section
440.49(2)(a), Florida Statutes (1981). Although not
CopyPublished | District Court of Appeal of Florida | 1982 Fla. App. LEXIS 20863
...In this workers’ compensation case, the Special Disability Trust Fund of the State Department of Labor and Employment Security (Fund) appeals the deputy commissioner’s finding that the Fund is equitably estopped from contesting the employer/carrier’s claim for reimbursement under Section 440.49(5)(f), Florida Statutes (1978 Supp.)....
...In January 1981, appellee’s attorney discussed the case on the telephone with an attorney for appellant and asked if the appellee could obtain reimbursement from the Fund if it paid a total of $3,000 to settle the claim, in view of the provision of Section 440.49(5)(f)l that reimbursement would not be allowed unless “the total amount otherwise reimbursable to the employer with respect to any case is $3,000 or more ....
CopyPublished | District Court of Appeal of Florida | 1997 Fla. App. LEXIS 3514, 1997 WL 162736
...mployee. The judge of compensation claims (JCC) found that the injured employee reached maximum medical improvement (MMI) on September 5, 1990, and denied the claim because the E/SA filed its claim more than two years after the MMI date, contrary to section 440.49(2)(g), Florida Statutes (1987)....
...he JCC’s finding that MMI was reached on September 5, 1990, when the E/SA commenced paying PTD benefits. Although the E/SA’s argument is not unreasonable, we do not believe that it was within the contemplation of the legislature, when it enacted section 440.49(2)(g), to authorize an E/SA to file a claim for reimbursement of PTD payments nearly three and one-half years following its commencement of such payments....
...The E/SA’s argument either ignores or overlooks the fact that the voluntary payment of PTD benefits is, in effect, an implied concession of MMI. In reaching our conclusion, we are strongly influenced by case law that interpreted the pre-1987 version of section 440.49(2)(g), which provided that a reimbursement claim would be barred unless it was filed prior to 60 days after the order awarding the excess permanent compensation [i.e., wage loss or permanent partial or total disability benefits] ... becomes final or, if payment of such excess permanent compensation is made by the employer or carrier without an award, prior to 60 days after the date the first payment of excess compensation for the permanent disability was made. § 440.49(2)(g), Fla.Stat....
...Florida Power Corp.,
558 So.2d 130 (Fla. 1st DCA 1990) (new MMI date does not revive reimbursement claim time). We recognize that the language of the two statutes is different in that the former links reimbursement to payment of permanent benefits, while section
440.49(2)(g) currently connects the claim to either MMI or the payment of permanent impairment benefits....
...with another position *61 which was asserted at the same or a previous time to the prejudice of another. United Contractors, Inc. v. United Constr. Corp.,
187 So.2d 695 (Fla. 2d DCA1966). AFFIRMED. BARFIELD, C.J., and ERVIN and DAVIS, JJ., concur. . Section
440.49(2)(g) provides as follows: The right to reimbursement as provided in this subsection shall be barred unless written notice of claim of the right to such reimbursement is filed by the employer or carrier entitled to such reimbursement w...
CopyPublished | District Court of Appeal of Florida | 1994 Fla. App. LEXIS 3214, 1994 WL 113638
...st determining whether there is a reasonable probability that the claimant could be rehabilitated through training and education to the point of achieving suitable gainful employment. In so ruling, the E/C contend, the JCC disregarded the mandate of section 440.49(l)(c), Florida Statutes, as amended by Chapter 89-289, Laws of Florida (1989), effective October 1, 1989. As amended, section 440.49(l)(c) provides: Prior to entering an order adjudicating an injured employee to be permanently and totally disabled, the judge of compensation claims shall first determine whether there is a reasonable probability that, with appropriate...
...the 1989 amendments as permitting, under the facts presented, a final order awarding PTD and at the same time ordering that the claimant be evaluated for vocational rehabilitation. For comparison, we think it is pertinent to consider the language of section 440.49(l)(c) in effect when W.R. Grace was decided. Section 440.49(l)(c), enacted in 1979 as Chapter 79-40, § 37, Laws of Florida, provided: Prior to adjudicating an injured employee to be permanently and totally disabled, the *804 Deputy Commissioner shall determine whether there is a reasonable pro...
...consistent with the harmonious administration of Chapter 440. The E/C insist that the 1989 amendments to the statutes were designed specifically to overrule the holding in W.R. Grace . According to the E/C’s argument, under the amended version of 440.49(l)(c), the entry of an order adjudicating a claimant to be permanently and totally disabled is prohibited unless, as a condition precedent, the JCC has determined whether or not there is a reasonable prospect of rehabilitation. We find the E/C’s argument as to the presumed effect of the statutory changes to be deceptively simple. We agree, as argued by the appellee, that the changes in the wording of section 440.49(l)(c) did little, if anything, to alter the clear meaning and import of the prior statute....
...Grace , the JCC awarded PTD and ordered rehabilitative services, in the same order. This court, affirming, held that the order sufficiently complied with the statute since the JCC did make a finding that a period of rehabilitation would be beneficial to the claimant. The E/C argues that under the amended version of section 440.49(l)(c), if the JCC finds that a period of rehabilitation would be beneficial to the claimant and orders rehabilitation, then the award of PTD must be postponed until the completion of the course of rehabilitation....
...prehensive vocational evaluation and rehabilitation would be successful in returning the claimant to the work force. This court, in at least two cases decided subsequent to W.R. Grace , has squarely held that the absence of findings by the JCC under section 440.49(l)(c), Florida Statutes (1979), does not operate to postpone the award of PTD where no evidence is presented that rehabilitative services could produce results sufficient to defer permanent total disability determination....
...red to complete or even begin the rehabilitation process before he is entitled to an award of PTD benefits). *805 In the case before us, in recognition of the absence of a factual basis for the JCC to order rehabilitative training or education under section 440.49, the E/C argue that the proper course in this case would be to remand the case back to the JCC for a second hearing devoted exclusively to the presentation of evidence concerning the prospects of rehabilitation for the claimant. We do not agree that a two-stage hearing process is mandated by section 440.49(l)(c)....
...d job placement. It would be unfair to the Claimant to delay his receipt of permanent total disability benefits in the face of the Employer/Carrier’s inaction in this regard in the past.” 1 Despite the E/C’s insistence that the 1989 changes to section 440.49(l)(c) established a new condition precedent to the award of PTD, we must respectfully disagree....
...Nothing in the amended statute affects this holding. 3 Therefore, the present case simply represents an instance in which the claimant established his PTD status in accordance with the controlling substantive law, and the procedural requirement of section
440.49(l)(c), was either waived by the E/C or had no operative effect in the proceeding below because of the absence of any evidence that the claimant could be restored to em-ployability through training or education. As a practical matter, we would point out that the 1989 amendments appear to have little or no application to this claimant. In Clay Hyder Trucking Lines v. Atherton,
450 So.2d 318 (Fla. 1st DCA 1984), we noted that while subsection (l)(c) of section
440.49 is procedural, as held in W.R. Grace , the same does not hold true for all of section
440.49. Accordingly, the court held, the 1979 revision of section
440.49(l)(a), which placed the responsibility and cost of rehabilitation on the E/C, rather than the Department of Labor and Employment Security (Department), was substantive in nature, and operated only prospectively. The same analysis compels us to hold that in this case, the 1989 amendments to section
440.49 which transferred the responsibility and cost of rehabilitation from the E/C to the Department of Labor and Employment Security are substantive in nature, and applies only prospectively....
...le for all cost and expense of *806 attempting to rehabilitate this claimant, if indeed the E/C wishes to further pursue such efforts. 4 Thus, much of the E/C’s argument concerning the JCC’s failure to order an evaluation by the Department under section
440.49(l)(a), and under the specific authority conferred upon the JCC by section
440.33(3) to order such evaluation, is misplaced....
...f Labor and Employment Security, particularly, Rule 38F-8.063, providing for notice by the carrier to an "eligible injured employee” of the availability of the vocational evaluation training and education benefits available from the Division under section 440.49(1), F.S., and Rule 38F-8.062(3), which defines “eligible injured employee” as "an employee injured on or after October 1, 1989 and who appears to have a permanent diminution of wages as a result of the injury.”
CopyPublished | Supreme Court of Florida | 1971 Fla. LEXIS 3763
...Murchison, Fla.,
240 So.2d 803 . The case is reversed and remanded for reconsideration in light of this opinion. Consideration should be given to the matter of apportionment as a predicate to possible Special Disability Fund disposition of the case. See F.S. Section
440.49, F.S.A., and subsection 4(b) in particular....
CopyPublished | Supreme Court of Florida | 1980 Fla. LEXIS 4189
October 1,1974 effective date of amendments to §
440.49(4), (b), Fla.Stat., knowledge is in our opinion
CopyPublished | District Court of Appeal of Florida | 1958 Fla. App. LEXIS 2859
...The Deputy Commissioner on remand should solicit the assistance of our Rehabilitation Department in this connection. By the same token, the claimant must make an honest endeavor to cooperate with the personnel of our Rehabilitation Department. “The Deputy Commissioner’s attention ia invited to Section 440.49(3), Florida Statutes [F.S.A.], which states in part as follows : “ ‘ * * * if the injured employee without reasonable cause refuses to undertake the training or educational program determined by the Commission to be suitable for hi...
...have been “adjudged” to be permanently disabled. A gloss is placed on this meaning of the statute by the provision in subsection 3 for determination as to rehabilitation to be made “within two years after a disability has been so adjudged.” Section 440.49, Fla.Stat., F.S.A., reads as follows: “440.49....
CopyPublished | District Court of Appeal of Florida | 1995 Fla. App. LEXIS 4360, 1995 WL 236971
...The judge of compensation claims’s order denying Betty Ruch’s claim for permanent total disability benefits is affirmed. This af-firmance, however, does not preclude Mrs. Rueh from applying for and receiving rehabilitation and retraining under section 440.49, Florida Statutes (Supp.1990), if such retraining is found to be appropriate by the judge of compensation claims....
CopyPublished | District Court of Appeal of Florida | 1997 Fla. App. LEXIS 4186, 1997 WL 196371
KAHN, Judge. In this appeal brought by the Special Disability Trust Fund (Fund), we have occasion *261 to construe section 440.49, Florida Statutes (Supp.1994). This statute, amended in 1993 1 , controls the determination of statutory reimbursement from the Fund. As pertinent to this case, section 440.49 provides: (1) LEGISLATIVE INTENT....
...jj,049(l)(b)2., the employer shall provide all benefits provided by this chapter, but, subject to the limitations specified in subsection (7), the employer shall be reimbursed by the Special Disability Trust Fund created by subsection (8) for fifty percent of its payments for temporary, medical, and attendant care benefits. § 440.49, Fla. Stat. (Supp.l994)(emphasis supplied). This case comes with an unusual twist. The emphasized part of section 440.49(4)(c) refers to “s. 440.49(1)(b)2”, a subsection that does not exist. The parties agree that the reference to a nonexistent statute creates an ambiguity in the meaning of merger, for purposes of section 440.49(4)(c). The 1994 provision which defines “merger” is actually section 440.49(2)(c), Florida Statutes (Supp.1994); the 1993 “merger” provision was section 440.49(2)(b)2, Florida Statutes (1993) 2 . The single issue tried before the Judge of Compensation Claims (JCC) was what the employer/carrier must now prove for reimbursement of medical and temporary benefits. The JCC found “the mistaken reference to section 440.49(l)(b)2 (should be interpreted) as a reference to the only available merger definition section, section 440.49(2)(e)_” He therefore rejected the Fund’s argument that the Legislature could only have intended to include a limited category of mergers in the reimbursement provision of (4)(c). We affirm. In our view, the mention of section 440.49(1) (b)2, though typographically flawed, must have been meant by the drafters to refer to section 440.49(2) (b)2, which was in fact the merger provision in the old statute....
...Apparently, after adding the temporary compensation and medical benefits reimbursement provision in (4)(c), the drafters rewrote and renumbered the merger definition, now found at (2)(e). Unfortunately, no one corrected the reference to the old merger statute. The Fund argues that use of the merger definition in 440.49(2)(e) eliminates the need for the “aggravation or acceleration” language in (4)(c)....
...imbursement. Nevertheless, because judges are empowered to construe, but not to rewrite, we must leave further preventive maintenance to the Florida Legislature. AFFIRMED. BARFIELD, C.J., and DAVIS, J., concur. . Ch.93-415, § 43, Laws of Florida. . Section 440.49(2)(b)2, Florida Statutes (1993) provided: 2....
CopyPublished | District Court of Appeal of Florida | 1991 Fla. App. LEXIS 3839, 1991 WL 59997
...l Florida area. Based on his finding that claimant had demonstrated his suitability for the SCVC program by having successfully completed nine months of the prescribed curriculum, the judge concluded that the two-year program was suitable, but under section 440.49, the employer could be required to pay for no more than fifty-two weeks of the program....
...rd for the period at issue, based on deemed earnings of $6.00 per hour. The issue on cross-appeal concerns the award of fifty-two weeks of rehabilitative services, together with fifty-two weeks of TTD benefits. The statute applicable in this case is section 440.49(1), Florida Statutes (1983), which provides in part: (d) When it appears that rehabilitation is necessary and desirable to restore the injured employee to suitable gainful employment, the employee shall be entitled to reasonable and pr...
...As employer/carrier assert, the critical inquiry on this point is whether the remedial mathematics and English courses provided at the expense of employer/carrier at St. Petersburg Junior College constituted the “rehabilitation services” contemplated by section 440.49, Florida Statutes (1983)....
...1st DCA 1982), this court determined that specialized job placement does not constitute rehabilitation under the statute. In Bammac, Inc. v. Grady,
500 So.2d 274 (Fla. 1st DCA 1986), the court noted that testing and evaluation procedures constitute rehabilitation services within the meaning of the statute. The section
440.49(l)(a) rehabilitation services to which an injured employee is entitled are such services as will return the employee to suitable gainful employment....
...irtually every vocational training program, it appears that education in these skills should be considered a rehabilitative service which offers “an opportunity to restore the individual ... to his average weekly earnings at the time of injury.” § 440.49(l)(a), Fla.Stat....
...(1983). We conclude that the remedial English and mathematics courses undertaken by claimant at the recommendation of vocational counselors and at the expense of employer/carrier fall within the purview of the rehabilitation services contemplated by section 440.49(l)(a)....
CopyPublished | District Court of Appeal of Florida | 1991 Fla. App. LEXIS 3627, 1991 WL 60014
...’s) motion to provide rehabilitation and appointed a vocational rehabilitation provider. We grant the petition and quash the order. Because we believe the JCC erroneously granted the E/C’s motion, we do not decide whether an amended provision of Section 440.49(l)(a), Florida Statutes (1990), 1 which took effect October 1, 1989, 2 applies retroactively to Strawter’s accident of May 15, 1989....
...McMillan, in which the physician merely stated that he supported plans to have vocational consultants evaluate Strawter. This does not constitute record support for ordering rehabilitation services, absent any proof that Strawter’s injury is preventing him from earning pre-injury wages, as is required by Section 440.49(l)(a), Florida Statutes (1987)....
...submit to such services. In Viking Sprinkler Co. v. Thomas,
413 So.2d 816 (Fla. 1st DCA 1982), this court specifically stated that a specialized job placement service is not equivalent to nor subsumed under the concept of rehabilitation pursuant to section
440.49....
...UASHED. JO ANOS and MINER, JJ., concur. . The amended provision provides, "Neither the employer, carrier, or injured employee is required to furnish or accept voluntary vocational rehabilitation services.” . Ch. 89-289, §§ 24, 45, Laws of Fla. . Section 440.49(l)(a), Florida Statutes (1987), begins by providing, "[w]hen an employee has suffered an injury covered by this chapter and it appears that the injury will preclude the employee from earning wages equal to wages earned prior to the inj...
CopyPublished | Supreme Court of Florida | 1970 Fla. LEXIS 2778
Special Disability Fund provisions of the Act, Section
440.49 (4) (c), Fla.Stat, F.S.A., come into play;
CopyPublished | Supreme Court of Florida | 1970 Fla. LEXIS 2789
...The evidence before the trial judge was complex but one fact was clearly obvious. Respondent was totally disabled after the accident and the kick in the stomach was the incident which triggered conditions within her body that crystalized her infirmities to cause total disability. Under Florida Statutes § 440.49(4), F.S.A., if an employer knows of the physical infirmities of an employee, the employer may seek reimbursement from the Special Disability Fund for a portion of the compensation benefits....
CopyPublished | District Court of Appeal of Florida | 1981 Fla. App. LEXIS 19259
hearing within the time required. We reverse. Section
440.49(2)(g), Florida Statutes, provides, in pertinent
CopyPublished | Supreme Court of Florida | 1960 Fla. LEXIS 2433
...on report * * * they will enter an order with regard to the disability rating of the claimant.” The “rehabilitation report” apparently had reference to a report to be obtained as a result of a rehabilitation investigation conducted pursuant to Section 440.49, Florida Statutes, F.S.A....
...iewing the witnesses and cross-examining them under oath. This privilege is really an aspect of due process. We are inclined to agree with the Court of Appeal, Third District, which has announced the rule that rehabilitation proceedings under former Section
440.49, Florida Statutes, F.S.A., should follow rather than precede the adjudication of disability. Stewart v. Board of Public Instruction, Dade County, Fla.App.,
102 So.2d 821 ; Vaughn v. International Co., Fla. App.,
102 So.2d 825 . Certainly even under Section
440.49, as amended by Chapter 59— 101, Laws of Florida, 1959, if the aspect of possible rehabilitation is to be taken into consideration in fixing the degree or extent of disability it should be submitted before the deputy while the origina...
CopyPublished | Florida 1st District Court of Appeal | 2001 Fla. App. LEXIS 4798, 2001 WL 360830
VAN NORTWICK, J. In this workers’ compensation appeal, Staff Leasing and Liberty Mutual, the employer and carrier, appeal a final order of the Judge of Compensation Claims denying, pursuant to section 440.49(6)(a), Florida Statutes (1994), appellants’ claim for reimbursement from the Special Disability Trust Fund (the Fund), appellee, for benefits paid to claimant Terry Wright as a result of a June 1994 workplace accident. Because the employer failed to show that it had sufficient knowledge, prior to the accident, of the employee’s preexisting *513 permanent physical impairment as defined in the statute, we affirm the denial of reimbursement. In section 440.49, Florida Statutes (1994), the legislature has provided for reimbursement of an employer’s excess liability for benefits paid when an employee’s workplace injury merges with, aggravates or accelerates a preexisting permanent impairment causing an increase in compensation or medical benefits than would have resulted for the injury alone. See § 440.49(1), Fla. Stat. (1994). The express intent of the statute is to facilitate the reemployment of the physically disabled by reducing an employer’s insurance premium for re-employing previously injured workers. Id. Under section 440.49(6)(a), to be entitled to reimbursement from the Fund, the employer must show that it knew of the employee’s preexisting permanent physical impairment prior to the employee’s injury arising out of his work with the employer. Under section 440 .49(2)(a), conditions constituting a “permanent physical impairment” are limited to those impairments listed in section 440.49(6)(a)....
...Appellants argue that, notwithstanding the specific requirements of subparagraph 21, the legislature intended that to obtain reimbursement an employer must have knowledge only that the claimant previously'suffered a back injury which caused the claimant to miss an indeterminate amount of work. We cannot agree. In section 440.49(6)(a)23, the legislature provided that mental retardation constituted a preexisting permanent impairment for which reimbursement may be sought, but only when the employee’s intelligence quotient is within the lowest 2 percentile of the general population....
...Because the record evidence does not show that, prior to the subject workplace accident, the employer had acquired sufficient information concerning Mr. Wright’s preexisting back condition to know that it constituted a “preexisting permanent impairment,” as defined by subparagraph 21 of section 440.49(6)(a), we agree that reimbursement from the Fund is not allowed....