MARILYN POLSTON, APPELLANT,
v.
HURRICANE ISLAND OUTWARD BOUND AND ZENITH INSURANCE COMPANY, APPELLEES

Fla. 1st DCA | 2006-02-13
No. 1D04-5457
BARFIELD, WOLF, and BROWNING, JJ., concur.
920 So. 2d 766 Florida District Court of Appeal, First District (2006) Positive Treatment
Cited by 4 cases

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Synopsis

Marilyn Polston appeals a Judge of Compensation Claims' order finding she violated Florida's workers' compensation fraud statute by making false statements to secure benefits. The court reversed, holding that the JCC lacked jurisdiction to rule on the misrepresentation defense once Polston's underlying petition for benefits was dismissed.


Holding

The JCC lacked jurisdiction to rule on the misrepresentation defense in the absence of a pending petition for benefits filed by Polston. The order is reversed and the JCC should dismiss the employer/carrier's petition for lack of jurisdiction on remand.


Headnotes

[1] A Judge of Compensation Claims lacks jurisdiction to rule on a misrepresentation defense under section 440.105(4)(b) when there is no pending petition for benefits before…

[2] A voluntary dismissal of a petition for benefits divests the Judge of Compensation Claims of jurisdiction to rule on affirmative defenses raised by the employer/carrier.

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Key Quotes

“Having found that he lacked jurisdiction to rule on the request for surgery, he should have simply dismissed the petition without ruling on whether Simpson actually committed a misrepresentation.”

Establishes the principle that a JCC cannot rule on an affirmative defense when lacking jurisdiction over the underlying claim

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Facts & Procedural History

Polston filed a petition for benefits but subsequently voluntarily dismissed it. The employer/carrier refused to accept the dismissal and sought a det…

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Opinion of the Court
PER CURIAM.

PER CURIAM.

Marilyn Polston challenges an order entered by the Judge of Compensation Claims (JCC) finding that she violated section 440.105(4)(b)(2), Florida Statutes. We reverse and remand.

Polston filed a petition for benefits, but subsequently voluntarily dismissed the petition for benefits. The employer/carrier (E/C) filed a response asserting that they did not agree to a dismissal and they requested the JCC to determine whether Polston knowingly made false, fraudulent or misleading statements for the purpose of securing workers’ compensation benefits in violation of section 440.105. The JCC determined she had no jurisdiction once Polston voluntarily dismissed the petition for benefits.

The E/C then filed a petition for benefits, requesting “a determination pursuant to Fla. Stat. 440.09(4) whether the Employee/Claimant has knowingly made false, fraudulent or misleading oral or written statements for the purposes of securing workers’ compensation benefits in violation of Fla. Stat. 440.105(4)(b).” Polston filed a motion to dismiss the petition, in which she argued the JCC had no jurisdiction. This motion was denied. After a final hearing, the JCC issued an order finding Polston had violated section 440.105(4)(b)(2), and was not entitled to compensation or benefits pursuant to section 440.09(4).

In Simpson v. American Custom Interiors, 911 So. 2d 794 (Fla. 1st DCA 2004), Simpson filed a petition for benefits seeking indemnity benefits and authorization for surgery. The employer/carrier had previously accepted the injury as compensable, but refused to authorize surgery. Shortly before the hearing on his petition began, Simpson withdrew the claim for indemnity benefits, leaving only the request for surgery to be decided. The JCC found he lacked jurisdiction to consider the issue of authorization for surgery because Simpson had not exhausted the managed care grievance procedures. The JCC went on, however, to rule on the E/C’s affirmative defense of misrepresentation under section 440.105(4)(b). The JCC found Simpson had made misrepresentations for the purpose of securing benefits and ruled Simpson was not entitled to any future workers’ compensation benefits. On appeal, this Court concluded the JCC exceeded his jurisdiction by ruling on the misrepresentation defense:

Having found that he lacked jurisdiction to rule on the request for surgery, he should have simply dismissed the petition without ruling on whether Simpson actually committed a misrepresentation. Although the judge would have had jurisdiction over the indemnity issue, Simpson had withdrawn that claim, so it was no longer before the judge. The employer and carrier may raise the misrepresentation defense again if Simpson files another petition for benefits in the future, after exhausting the managed care grievance procedures. But for now, with no jurisdiction over the only claim before him, the judge lacked jurisdiction to rule on the defense to that claim.

Id. at 795-796.

The JCC in the present case also lacked jurisdiction to rule on the defense in the absence of a pending petition for benefits filed by Polston. We reverse the order on appeal. On remand, the JCC should dismiss the E/C’s petition for lack of jurisdiction.

BARFIELD, WOLF, and BROWNING, JJ., concur.


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Cited By

  • …of their authority and if want of jurisdiction appears at any state of the proceedings, original or appellate, the court should notice the defect and enter an appropriate order’ ” (citations omitted)). In Polston v. Hurricane Island Outward Bound, 920 So. 2d 766 (Fla. 1st DCA 2006), this court reversed the JCC’s finding she had jurisdiction to entertain the E/C’s petition for benefits which requested “a determination pursuant to Fla. Stat. 440.09(4) whether the Employee/Claimant had knowingly made false, fr…
  • Hamm v. PMI Emp. Leasing & Comprehensive Ins. Solutions, 134 So. 3d 1150 (Fla. 1st DCA 2014)
    …nt. See Fla. Dep’t of Transp. v. Rippy, 67 So. 3d 1122, 1123 (Fla. 1st DCA 2011) (holding jurisdiction of JCC is invoked with filing of PFB and employer/carrier has no statutory right to file PFB); see also Polston v. Hurricane Island Outward Bound, 920 So. 2d 766, 767 (Fla. 1st DCA 2006); Simpson v. Am. Custom Interiors, 911 So. 2d 794 (Fla. 1st DCA 2004). Similarly, the JCC here lacked jurisdiction to address death benefit entitlement on the E/C’s motion where no individual had filed a claim requesting the…

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