SPENCO INDUSTRIES AND FLORIDA INSURANCE GUARANTY ASSOCIATION, APPELLANTS/CROSS-APPELLEES,
v.
INES MOLANO, APPELLEE/CROSS-APPELLANT
AI-generated. These summaries, headnotes, and key points are machine-generated and may contain errors or omissions. Always verify against the full opinion text below. Not legal advice.
In this workers' compensation appeal, the Florida First District Court of Appeal affirmed findings that an injured seamstress's carpal tunnel syndrome was related to her work injury and that she was entitled to medical costs, temporary total disability, and wage-loss benefits. The court reversed the award of temporary total disability for a period already stipulated as paid and remanded for the trial court to award bad-faith penalties and prejudgment interest against the employer after the carrier became insolvent.
The court affirmed the first three issues on the merits. The court reversed the award of temporary total disability benefits for the period stipulated as already paid. The court reversed and remanded for the trial court to award bad-faith penalties and prejudgment interest against the employer, finding that although the Florida Insurance Guaranty Association is exempt from such payments, the employer cannot use the carrier's exemption as a shield to avoid its own liability.
[1] A deputy commissioner errs in awarding benefits for a period that the parties have stipulated benefits have already been paid.
[2] An employer may not use a carrier's exemption from paying prejudgment interest and penalties as a shield to avoid its own liability for such amounts.
Previewing 2 of 5 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“An award of interest on the amount of benefits that should have been paid is automatic if the employer/carrier unsuccessfully controvert a claim.”
Establishes the automatic nature of interest awards when benefits are wrongfully withheld by employer/carrier action.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceInes Molano, a seamstress, suffered a work-related injury to her back, shoulders, neck, and collarbone on September 24, 1984, while employed by Spen-c…
The full statement of facts, procedural history, and disposition for this case are member content.
Join FLexlaw to unlock all legal intelligence© FLexlaw, Inc. — AI-generated enrichments are proprietary. All rights reserved.
Explore caselaw by topic → Browse Florida Insurance Guaranty Association (Figa) cases and more on FLexlaw
PER CURIAM.
This cause is before us on appeal and cross appeal from orders of the deputy commissioner granting medical costs, temporary total disability benefits, and wage-loss benefits.
Claimant Ines Molano, a seamstress, injured her back, shoulders, neck, and collarbone while working for the employer, Spen-co Industries, on September 24, 1984. Subsequently, employer’s carrier went bankrupt. Without explanation, the employer/carrier stopped paying compensation benefits on or about September 20, 1985.
On May 5, 1986, claimant filed a claim for benefits. A hearing held on her claim was continued with the court’s instruction to the parties to work out their differences. No settlement was made. Subsequently, claimant was treated for carpal tunnel syndrome, an injury to the hands which develops over years. At a second hearing based on claimant’s May 11,1986 claim, the deputy found claimant’s injuries, including her carpal tunnel syndrome, were related to the industrial injury of September 24,1984. In her order of December 22,1987, the deputy required the employer/carrier to pay outstanding medical costs, temporary total disability benefits, wage-loss benefits, and legal fees.
The employer/carrier appeals on four issues: (1) whether competent, substantial evidence supports the deputy’s finding that claimant’s symptoms were directly related to the accident; (2) whether claimant’s work search constituted competent, substantial evidence sufficient to support an award of wage-loss benefits; (3) whether the deputy erred in finding the 1987 amendment to Section 440.02(21), Florida Statutes, is substantive in nature and cannot be applied retroactively; and (4) whether the deputy erred in awarding temporary total disability benefits for a period which the parties had stipulated the benefits had already been paid. Claimant cross-appeals, contending the deputy erred in failing to award bad-faith penalties and interest to claimant. We affirm in part and reverse in part.
We affirm the first three issues and find only the fourth issue and cross appeal merit discussion. Where the parties have stipulated as to a time period in which benefits have been paid, the deputy erred in awarding benefits for that period. The order in the present case awarded temporary total disability benefits for a period which the parties stipulated benefits had been paid. We accordingly reverse and remand the order for correction consistent with the stipulation agreement.
We find claimant’s cross appeal raises valid arguments justifying an award of bad-faith penalties and interest. Claimant filed a claim for bad faith at the initial hearing; however, the deputy did not address her claim as required by Section 440.-20(7), Florida Statutes (1984).
Claimant contends she is entitled to interest and penalties pursuant to Sections 440.20(7) and 440.20(9).
An award of interest on the amount of benefits that should have been paid is automatic if the employer/carrier unsuccessfully controvert a claim. Poole & Kent Company v. Asbell, 394 So. 2d 1112 (Fla. 1st DCA 1981); see also King v. Lord Colony Enterprises, 400 So. 2d 856 (Fla. 1st DCA 1981).
Although the Florida Insurance Guaranty Association (FIGA) is ex empt from payment of prejudgment interest and penalties, the employer may not use the carrier’s exemption as a shield to avoid its own liability.
Section 440.20(7) allows penalties to be brought against the employer or carrier depending on fault. Any interest which FIGA, as the successor of a workers’ compensation carrier at risk which has gone into liquidation, is not required to pay must be born by the employer. Carballo v. Warren Manufacturing Company, 407 So. 2d 603 (Fla. 1st DCA 1981). In Section 440.20(9), Florida Statutes, likewise, the statute provides that “if any installment for compensation is not paid when it becomes due, the employer, carrier, or servicing agent shall pay interest.”
In the present case, the employer unsuccessfully controverted a claim for benefits and is at fault for causing the delay in payment of those benefits. The employer never reassumed legal responsibility for payment of compensation when its carrier went bankrupt. It never gave a reason for the termination of compensation payments nor instructed FIGA to continue payments or to settle amicably after the court so instructed the parties. The employer/carrier bear the burden of proving that penalties are not due. All American Vending v. Kunzelman, 482 So. 2d 609 (Fla. 1st DCA 1986). The employer failed to meet this burden and is liable for penalties in which it is at fault and for prejudgment interest which FIGA is not required to pay. Id.
Accordingly, we reverse and remand for proceedings consistent herewith.
BOOTH, SHIVERS and THOMPSON, JJ., concur.
On motion for rehearing appellants point out the provisions of Section 440.20(7), Florida Statutes, that penalties may not be awarded if a notice to controvert is¡' filed pursuant to Section 440.20(6), Florida Statutes (1984). The initial opinion in this cause is, therefore, clarified to award bad faith penalties under Section 440.20(7) only on those claims not specifically controverted.
Accordingly, the opinion of November 18, 1988, is clarified, and the petition for rehearing, addressed to the opinion as clarified, is denied.
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Cited By
-
Fla. Cmty. Health Ctr. & Fla. Ins. Guar. Ass'n v. Ross, 590 So. 2d 1037 (Fla. 1st DCA 1991)…l)(b) prohibits the award of prejudgment interest and penalties on the adjustment of AWW against FIGA, which took over management of this claim in 1987 after the employer’s workers’ compensation carrier became insolvent. Spenco Industries v. Molano, 537 So. 2d 1016 (Fla. 1st DCA 1988); and Carballo v. Warren Manufacturing Co., 407 So. 2d 603 (Fla. 1st DCA 1981). Claimant argues that while section 631.57(l)(b) provides that FIGA is not subject to penalties and interest, this statute can be construed as meaning…
-
Scudder v. Rainbow Video & Liberty Mut. Ins. Co., 591 So. 2d 298 (Fla. 1st DCA 1991)…An award of interest on the amount of benefits which should be paid is automatic where the employer/carrier unsuccessfully controverts a claim.” Winn-Dixie Stores v. Morgan, 533 So. 2d 783, 784 (Fla. 1st DCA 1988); see also, Spenco Indus. v. Molano, 537 So. 2d 1016 (Fla. 1st DCA 1988). We therefore reverse and remand with directions to (1) rule on the issue of whether Scudder conducted an adequate job search and is therefore entitled to wage loss benefits from March 6, 1990, and continuing, (2) order payment…
Authorities Cited
- Windhover Ass'n, Inc. v. Gulf OIL Realty Co., 407 So. 2d 603 (Fla. 5th DCA 1981)
- Poole & Kent Co. & Reliance Ins. Co. v. Asbell, 394 So. 2d 1112 (Fla. 1st DCA 1981)
- King v. Lord Colony Enters. & Liberty Mut. Ins. Co., 400 So. 2d 856 (Fla. 1st DCA 1981)
- ALL Am. Vending & Claims Ctr. v. Kunzelman, 482 So. 2d 609 (Fla. 1st DCA 1986)