JANICE COOPER, APPELLANT,
v.
BUDDY FREDDY'S RESTAURANT AND TRAVELERS INSURANCE COMPANY, APPELLEES
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A Florida workers' compensation court denied a claimant's petition for impairment benefits because she had not reached maximum medical improvement (MMI) for her psychiatric condition and had received only 36 weeks of temporary disability benefits, not the required 98 weeks. The appellate court affirmed, holding that impairment benefit claims are premature absent either MMI or 98 weeks of temporary benefits.
A claimant is not entitled to impairment or permanent disability benefits unless and until she has either reached maximum medical improvement or received 98 weeks of temporary benefits. Impairment benefit claims made before satisfaction of either condition are premature.
[1] Entitlement to impairment income benefits begins the day after the employee reaches maximum medical improvement or the expiration of temporary benefits.
[2] An impairment rating must be assigned when a claimant has reached maximum medical improvement or six weeks before the expiration of temporary benefits, whichever occurs e…
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Join FLexlaw to unlock all legal intelligence“An "employee's entitlement to impairment income benefits begins the day after the employee reaches maximum medical improvement or the expiration of temporary benefits."”
Establishes the statutory condition precedent to impairment benefit entitlement under Florida law.
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Join FLexlaw to unlock all legal intelligenceClaimant Janice Cooper filed a workers' compensation claim for a psychiatric condition. The Judge of Compensation Claims (JCC) denied her petition for…
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[*126] KAHN, J.
In this case,, the Judge of Compensation Claims (JCC) denied claimant’s petition for impairment benefits under section 440.15(3)(a), Florida Statutes (1999), because claimant had not yet reached maximum medical improvement (MMI) for her psychiatric condition and had received only 36 weeks of temporary disability benefits. Contrary to claimant’s arguments on appeal, the JCC’s order follows both the workers’ compensation statutes and our previous decisions.
Section 440.15(3)(a)3., Florida Statutes (1999), states that an “employee’s entitlement to impairment income benefits begins the day after the employee reaches maximum medical improvement or the expiration of temporary benefits.” Section 440.15(3)(a)4. requires assignment of an impairment rating when a claimant has “reached maximum medical improvement or 6 weeks before the expiration of temporary benefits, whichever occurs earlier.” Accordingly, we have consistently held that a claim for impairment or permanent disability benefits made before, a claimant has reached MMI or received 98 weeks of temporary benefits is premature. See, e.g., G. Pierce Woods Mem’l Hosp. v. Lewis, 879 So. 2d 643, 644 (Fla. 1st DCA 2004) (finding claim for PTD premature absent a showing of MMI or applicable “exception to the MMI requirement”); Metro. Title & Guar. Co. v. Muniz, 806 So. 2d 637, 637 (Fla. 1st DCA 2002) (“Until an impairment rating is assigned, based on the claimant’s present or expected date of maximum medical improvement, he is not entitled to permanent disability benefits.”); Okeechobee Health Care v. Collins, 726 So. 2d 775, 777 n. (Fla. 1st DCA 1998) (“Until maximum medical improvement or until the expiration of all temporary benefits is imminent, assigning [an impairment] rating serves no purpose under the statute.”).
Here, the claimant has neither reached psychiatric MMI nor received 98 weeks of temporary benefits.
Contrary to claimant’s assumption] the JCC’s order does not foreclose the possibility she will ever receive 104 weeks of temporary disability benefits. The JCC wrote: “[T]he claimant in the case at bar has not received 104 weeks of indemnity benefits, and pursuant to the Order herein, will not receive 104 weeks of temporary indemnity benefits so as to qualify her for [indemnity benefits].” We do not read this langhage to say that claimant may not seek temporary disability benefits in the future. As we read it, the JCC’s order simply states that impairment benefits could not be awarded because claimant had not reached MMI and had not received 104 weeks of temporary benefits. The JCC’s statement that claimant “will not receive 104 weeks of temporary indemnity benefits” refers to the JCC’s denial of temporary benefits earlier in the order, a matter not otherwise relevant on this appeal. Claimant’s 104 weeks of eligibility is measured in terms of cumulative payments received rather than consecutive weeks from the date of her accident. See Wright v. City of Rockledge, 813 So. 2d 283, 284 (Fla. 1st DCA 2002).
Thus, the JCC’s order does not impair claimant’s right to seek temporary disability for any period following the final hearing in this case.
We AFFIRM the order denying impairment benefits to claimant.
WEBSTER and POLSTON, JJ., concur.
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Olmo v. Rehabcare Starmed/SRS, 930 So. 2d 789 (Fla. 1st DCA 2006)…6 So. 2d 775, 777 n. [4] (Fla. 1st DCA 1998) (“Until maximum medical improvement or until the expiration of all temporary benefits is imminent, assigning [an impairment] rating serves no purpose under the statute.”). Cooper v. Buddy Freddy’s Rest., 889 So. 2d 125, 126 (Fla. 1st DCA 2004). Here, Ms. Olmo sought authorization for back surgery by filing a petition after her entitlement to temporary disability benefits had expired. Because she did not simultaneously request and litigate entitlement to permanent…
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Auman v. Leverock's Seafood House, 997 So. 2d 476 (Fla. 1st DCA 2008)…o temporary disability compensation benefits for, as to each, up to a total of 104 weeks. We have already rejected the “calendar” interpretation of the 104-week statutory cap in favor of the “bank” interpretation. See Cooper v. Buddy Freddy’s Rest., 889 So. 2d 125, 126 (Fla. 1st DCA 2004) (“Claimant’s 104 weeks of eligibility is measured in terms of cumulative payments received rather than consecutive weeks from the date of her accident.”). A temporarily disabled claimant who has been able to return to work b…
Authorities Cited
- Okeechobee Health Care & Associated Indus. Ins. Co., Inc. v. Collins, 726 So. 2d 775 (Fla. 1st DCA 1998)
- Metro. Title & Guar. Co. v. Estevan M. Muniz, 806 So. 2d 637 (Fla. 1st DCA 2002)
- Wright v. City OF Rockledge & Fla. League of Cities, Inc., 813 So. 2d 283 (Fla. 1st DCA 2002)
- Wood v. State, 879 So. 2d 643 (Fla. 5th DCA 2004)
- G. Pierce Woods Mem'l Hosp. & State of Fla. v. Cornelia Lewis, 879 So. 2d 643 (Fla. 1st DCA 2004)