PERKINS RESTAURANT AND WAUSAU INSURANCE CO., APPELLANTS,
v.
MARGARET CRUZ, APPELLEE

Fla. 1st DCA | 1989-03-31
No. 88-2066
BOOTH and MINER, JJ., concur.
541 So. 2d 1279 Florida District Court of Appeal, First District (1989) Positive Treatment
Cited by 6 cases

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.

Synopsis

In this workers' compensation appeal, the Florida First District Court of Appeal affirmed an award of average weekly wage benefits but remanded for clarification regarding penalties and interest. The issue centered on whether the carrier's letter rejecting a wage adjustment based on unreported tips constituted a sufficient notice to controvert to bar penalties.


Holding

The court affirmed the award of average weekly wage benefits and held that penalties were properly claimed by the unrepresented claimant when the deputy explained their availability during the hearing. However, the court remanded because the notice to controvert on file addressed only unreported tips, not uniforms, creating ambiguity about whether it constituted a sufficient controvert of the complete wage determination underlying the compensation owed.


Headnotes

[1] A claimant may waive the right to claim penalties for delayed compensation if the delay is due to conditions over which the employer or carrier had no control and the cla…

[2] A deputy commissioner may, on their own motion, raise the question of whether a penalty should be awarded or excused.

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Key Quotes

“If any installment of compensation for ... disability, ... or wage loss payable without an award is not paid within 14 days after it becomes due, ... there shall be added to such installment a punitive penalty of an amount equal to the greater of 10 percent of the unpaid installment or $5, which shall be paid at the same time as, but in addition to such installment of compensation, unless notice [to controvert] is filed under subsection (6) or unless such nonpayment results from conditions over which the employer or carrier had no control.”

This statute establishes the general rule that penalties are improper if a notice to controvert is filed or if nonpayment results from conditions beyond the employer/carrier's control.

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Facts & Procedural History

Claimant Perkins Restaurant waitress Cruz suffered a compensable injury on April 8, 1987. After receiving temporary total disability and wage loss ben…

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Opinion of the Court
JOANOS, Judge.

JOANOS, Judge.

The employer/carrier appeal a workers’ compensation order determining average weekly wage, and awarding past due compensation, penalties, and interest, presenting four issues for our consideration. We have found no reversible error as to the first three issues and affirm without further comment. However, in regard to the fourth issue in which the employer/carrier challenge the award of penalties and interest, we remand for clarification.

The facts pertinent to the penalties issue reveal that claimant suffered a compensable injury on April 8, 1987, while employed as a waitress for Perkins Restaurant (employer). Following a period of receipt of temporary total disability benefits and wage loss benefits, claimant made numerous telephone calls requesting an adjustment in her average weekly wage. On March 28, 1988, the claimant received a letter from the carrier, advising that the carrier would not adjust her average weekly wage to reflect tips that had not been recorded on her time cards. The letter contained no reference to an average weekly wage adjustment based on fringe benefits, such as uniforms. On April 5, 1988, the claimant filed a claim for correction of her average weekly wage, requesting that earned tips and the value of uniforms provided by the employer be included in the computation.

The claimant was not represented by counsel at any of the proceedings before the deputy commissioner. Pursuant to the May 31,1988, pretrial conference and stipulations, the employer/carrier were directed to provide the claimant with a complete wage statement. Thereafter, at the first hearing held on this matter, the deputy noted that the claimant had not made a claim for penalties. The deputy then explained to the claimant that the carrier’s letter of March 28, 1988, constituted a notice to controvert, and would preclude her from recovering penalties which she might otherwise have been entitled to receive. In addition, the deputy found that the value of uniforms supplied by the employer had not been included in the wage statement furnished by the employer/carrier, and that this non-compliance resulted in the need for a second hearing on the claim.

At the second hearing, the deputy stated that claimant was at that time requesting an award of penalties and interest. Thereafter, on July 22, 1988, the deputy entered an order which included penalties and interest, predicated on findings that a notice to controvert had not been filed, and that the failure to pay compensation on the basis of the correct average weekly wage did not result from conditions over which the employer/carrier had no control. See Plymouth Citrus Products v. Jackson, 417 So. 2d 294 (Fla. 1st DCA 1982).

Section 440.20(7), Florida Statutes (1987), provides in part:

If any installment of compensation for ... disability, ... or wage loss payable without an award is not paid within 14 days after it becomes due, ... there shall be added to such installment a punitive penalty of an amount equal to the greater of 10 percent of the unpaid installment or $5, which shall be paid at the same time as, but in addition to such installment of compensation, unless notice [to controvert] is filed under subsection (6) or unless such nonpayment results from conditions over which the employer or carrier had no control. When any installment of compensation payable without an award has not been paid within 14 days after it became due and the claimant concludes the prosecution of the claim before a deputy commissioner without having specifically claimed additional compensation in the nature of a penalty under this section, he will be deemed to have acknowledged that, owing to conditions over which the employer or carrier had no control, such installment could not be paid within the period prescribed for payment and to have waived his right to claim such penalty. However, during the course of a hearing, the deputy com missioner shall on his own motion raise the question of whether such penalty should be awarded or excused. The division may assess without a hearing the above-mentioned 10-percent additional payment against either the employer or the insurance carrier, depending upon who was at fault in causing the delay....

Under the clear language of section 440.20(7), an award of penalties is inappropriate unless specifically claimed prior to the conclusion of the prosecution of the claim before the deputy. The statute also provides that the deputy may, on his own motion, raise the question of the propriety of an award of penalties. Pantry Pride v. Carter, 413 So. 2d 865 (Fla. 1st DCA 1982). See also La Croix Construction Company v. Bush, 471 So. 2d 134 (Fla. 1st DCA 1985), holding that penalties may not be awarded unless claimed.

The facts in this case establish that the unrepresented claimant did not learn of her possible entitlement to penalties until the first hearing, when the deputy explained the significance of the carrier’s letter refusing to adjust her average weekly wage. At the second hearing, the deputy stated that claimant had claimed a penalty. The record reflects, therefore, that employer/carrier were sufficiently apprised of their potential liability for penalties, and were afforded sufficient opportunity to be heard on the question. See, generally, Parker Lumber Company v. Hart, 497 So. 2d 948 (Fla. 1st DCA 1986); Pantry Pride v. Carter, supra.

Having determined that penalties were properly claimed in this case, next we must consider the effect of the carrier’s March 28, 1988, letter rejecting claimant’s telephone requests for correction of her average weekly wage. An award of penalties is improper when a timely notice to controvert has been filed. Spartan Electronics v. Russell, 513 So. 2d 153 (Fla. 1st DCA 1987); Bud Mayer Construction Co., Inc. v. Torres, 485 So. 2d 888 (Fla. 1st DCA 1986). On the other hand, it is the employer/carrier’s burden to show that a claim has been sufficiently controverted. Four Quarters Habitat, Inc. v. Miller, 405 So. 2d 475, 479 (Fla. 1st DCA 1981).

Contrary to the deputy’s finding, the record in this case indicates that a notice to controvert was filed in this case, and indeed the deputy explained as much to the claimant at the first hearing. However, the controvert notice related only to rejection of an increase on the basis of unreported tips, while the ultimate determination of average weekly wage was based both on the unreported tips together with the value of uniforms furnished by the employer. A second notice to controvert was not filed.

Since there is conflict between the deputy’s express finding that a notice to controvert was not filed and the existence of contrary evidence in the record, we are unable to discern the reason for the deputy’s decision to assess penalties in this case. Therefore, we remand this matter for entry of an order specifying the deficiencies of the notice to controvert, and clarifying the basis of the award of penalties. See Hunley v. A.D. Weiss Lithograph, 489 So. 2d 1206, 1208 (Fla. 1st DCA 1986); Hurlbert v. Avis Rent-A-Car Systems, 469 So. 2d 235, 236-237 (Fla. 1st DCA 1985); Carruth v. Allied Products Co., 452 So. 2d 634, 638 (Fla. 1st DCA 1984). In all other respects, the order is affirmed.

BOOTH and MINER, JJ., concur.


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Citator

Cited By

  • Carroll Steel Erectors & the Claims Ctr. v. Alderman, 599 So. 2d 181 (Fla. 1st DCA 1992)
    …led within the 21-day period prescribed by section 440.20(6), Florida Statutes. Since there is a conflict between the JCC’s order and the record, we reverse and remand for further consideration of this ruling as we did in Perkins Restaurant v. Cruz, 541 So. 2d 1279 (Fla. 1st DCA 1989). The order awarding death benefits is AFFIRMED; the order assessing penalties is REVERSED and REMANDED for further consideration. ALLEN and KAHN, JJ., concur. . Mr. Alderman testified he had been employed as a crane operator s…
  • City OF N. Miami v. Marcy, 630 So. 2d 601 (Fla. 1st DCA 1993)
    …essly or impliedly relied on § 440.20(7), Fla.Stat., in holding that an award of penalties was inappropriate “unless specifically claimed prior to the conclusion of the prosecution of the claim” before the JCC. See, e.g., Perkins Restaurant v. Cruz, 541 So. 2d 1279, 1281 (Fla. 1st DCA 1989); La Croix Constr. Co. v. Bush, 471 So. 2d 134, 137 (Fla. 1st DCA 1985); Pantry Pride v. Carter, 413 So. 2d 865 (Fla. 1st DCA 1982) (reversing order assessing penalties against e/c, where claimant had waived entitlement by f…
  • …taurant v. Cubillos, 608 So. 2d 895 (Fla. 1st DCA 1992), we reversed and remanded for further clarification of an award of penalties where it was not clear whether the E/C had timely filed a notice to controvert. See also Perkins Restaurant v. Cruz, 541 So. 2d 1279 (Fla. 1st DCA 1989) (confusion about whether notice to controvert was filed required remand for a clarification of the basis for award of penalties). Accordingly, we reverse the portion of the compensation order awarding penalties, and remand to t…

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