LAKESIDE BAPTIST CHURCH AND PREFERRED RISK GROUP, APPELLANTS,
v.
ELLEN JONES, APPELLEE

Fla. 1st DCA | 1998-08-03
No. 97-3724
BOOTH and BENTON, concur.
714 So. 2d 1188 Florida District Court of Appeal, First District (1998) Positive Treatment
Cited by 12 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

The Florida District Court of Appeal reversed a workers' compensation judge's award of benefits for neurological evaluation and pain management treatment because the employer and carrier lacked notice that these issues would be decided at the final hearing, violating fundamental procedural due process requirements in workers' compensation cases.


Holding

The court reversed the award of neurological and pain management benefits because the employer and carrier did not receive reasonable notice that these issues would be resolved at the final hearing, violating statutory requirements and fundamental procedural due process principles. The court affirmed all other benefits that were properly claimed and addressed.


Headnotes

[1] Parties in a workers' compensation proceeding have a right to reasonable notice of the issues to be adjudicated.

[2] A petition for workers' compensation benefits must itemize or identify the type and justification for treatment sought and explain any other disputed issue.

Previewing 2 of 6 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

Key Quotes

“the parties have a right to reasonable notice of the issues to be adjudicated”

Establishes the fundamental procedural principle underlying the court's decision to reverse benefits awarded without notice

Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.

Join FLexlaw to unlock all legal intelligence

Facts & Procedural History

Ellen Jones, employed as a food service manager by Lakeside Baptist Church, injured her back on February 10, 1995, while lifting heavy food trays from…

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.


Opinion of the Court
PADOVANO, Judge.

PADOVANO, Judge.

We reverse the final order in this case to the extent that it awards the claimant workers’ compensation benefits for evaluation and treatment by a neurologist and a pain management specialist because the employer and carrier did not have notice that these issues would be resolved in the final hearing on the merits. In all other respects, the order is affirmed.

The claimant, Ellen Jones, was employed by the Lakeside Baptist Church as a food service manager and hostess. She injured her back' on February 10, 1995, while attempting to lift heavy food trays from a commercial oven, and the injury led her to file a petition for workers’ compensation benefits. The employer agreed to provide the claimant an independent medical examination by a neurologist but disputed other claims identified in the pretrial stipulation between the parties. Following a hearing-on the merits, the judge of compensation claims entered a final order resolving the disputed claims. ‘Additionally, the judge awarded the claimant benefits for “palliative care” in the form of an evaluation and treatment by a neurologist and a pain management specialist. These benefits were not claimed in the petition or addressed in the pretrial stipulation. Nor were they discussed during the hearing on the merits.

Section 440.192(2), Florida Statutes (Supp.1994), states in material part that a petition for workers’ compensation benefits shall itemize or identify “[t]he type or nature of treatment care or attendance sought and the justification for such treatment” and provide a “[sjpecific explanation of any other disputed issue that a judge of compensation claims will be called to rule upon.” Likewise, if payment is denied, the carrier must list “all benefits requested but not paid and explain its justification for nonpayment” in a formal notice of denial. See § 440.192(8) Fla. Stat. (Supp.1994). These statutes incorporate a fundamental principle of law in the procedure for adjudicating workers’ compensation claims; that is, the parties have a right to reasonable notice of the issues to be adjudicated. See, e.g., Regal Marine Industries v. Cappucci, 523 So. 2d 766 (Fla. 1st DCA 1988); R. Carr Plumbing v. Bogue, 572 So. 2d 565 (Fla. 1st DCA 1991) (applying the principle in earlier versions of the Workers’ Compensation Law).

Notice of a claim or defense is required by the Florida Rules of Workers’ Compensation Procedure, as well. Rule 4.085(b) provides that the order setting the final hearing on the merits “shall state clearly the questions at issue or in dispute that the judge will hear.” Often the order incorporates the issues listed in the pretrial stipulation. We recognize that a claim listed in the parties’ stipulation can be considered even if it was not identified in the petition for benefits. See, Sabal Transport v. Brooks, 666 So. 2d 1032 (Fla. 1st DCA 1996); McCabe v. Bechtel Power Corp., 645 So. 2d 1065 (Fla. 1st DCA 1994). However, the pretrial stipulation in this case does not cure the omissions in the petition for benefits, because it likewise fails to identify the disputed claims.

The claimant argues that the issues regarding neurological treatment and palliative care were adjudicated by consent. We disagree. It is true that an issue in a workers’ compensation case can be tried by the consent of the parties even if the issue, is not identified in the pleadings. See Herb’s Exxon v. Whatmough, 487 So. 2d 1169 (Fla. 1st DCA 1986). This rule presumes, however, that the parties have agreed expressly or by their conduct to litigate an issue not otherwise framed by the pleadings. No such agreement appears in the record in this case. During a deposition, one of the doctors mentioned that the claimant might need neurological treatment, but this does not amount to fair notice that the claim would be raised in the final hearing on the merits. Treatment for pain management was not even discussed.

For these reasons, we must reverse the award of benefits for neurological treatment and pain management care. The remaining benefits, which are not in dispute here, were properly awarded and to that extent the final order is affirmed.

Affirmed in part and reversed in part.

BOOTH and BENTON, concur.


Cases With Similar Vibessemantic neighbors from the corpus


Citator

Cited By

  • …id not specifically request this class of benefits, and the matter was not otherwise clearly placed at issue, we reverse the award.” Florida Power Corp. v. Hamilton, 617 So. 2d 333, 333 (Fla. 1st DCA 1993). See also Lakeside Baptist Church v. Jones, 714 So. 2d 1188 (Fla. 1st DCA 1998). An order that is not in accord with the understanding with which the workers’ compensation hearing was undertaken and participated in is a denial of due process and must be reversed. Munroe Memorial Hospital v. Thompson, 388 So…
  • Dollar Gen. Corp. & Dollar Gen. Risk Mgmt. v. MacDONALD, 928 So. 2d 464 (Fla. 1st DCA 2006)
    …ed by consent the issue of Claimant’s August injury. An issue in a workers’ compensation case may be tried by consent of the parties even if the issue was not listed in the claimant’s original petition for benefits. Lakeside Baptist Church v. Jones, 714 So. 2d 1188, 1190 (Fla. 1st DCA 1998). However, we find that Claimant and E/C did not try by consent the issue of Claimant’s August injury. Claimant and E/C jointly stipulated that Claimant’s accident occurred on March 1, 2003, and E/C specifically defended tha…
  • Specialty Risk Servs. & Albertson's v. Fleming, 875 So. 2d 742 (Fla. 1st DCA 2004)
    …ruling on matters which have not been placed at issue, as the parties are entitled to notice in order to fairly present their case. See Commercial Carrier Corp. v. LaPointe, 723 So. 2d 912, 915 (Fla. 1st DCA 1999); Lakeside Baptist Church v. Jones, 714 So. 2d 1188, 1190 (Fla. 1st DCA 1998). If the Judge of Compensation Claims awards benefits that are not requested or otherwise clearly placed at issue, the award must be reversed. LaPointe, 723 So. 2d at 915. In the present case, massage therapy and prescript…

Previewing 3 of 6 citing cases — full citator treatment, depth of discussion, and citing context are member features.

Join FLexlaw to unlock all legal intelligence

Authorities Cited

Full citator, related cases, and AI research tools

Open in FLexlaw