SILVIA C. GONZALEZ, APPELLANT,
v.
VISA AND TRAVELERS, APPELLEES
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The court held that the 104-week cap on temporary partial disability benefits is unconstitutional as applied, and the claimant is entitled to benefits if she had not reached maximum medical improvement.
[1] The 104-week limitation on temporary total disability benefits is an unconstitutional deprivation of access to the courts.
[2] The reasoning in Westphal v. …
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Join FLexlaw to unlock all legal intelligenceClaimant sought temporary total and temporary partial disability benefits beyond the statutory 104-week cap. The Judge of Compensation Claims denied t…
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In this workers’ compensation case, Claimant challenges an order of the Judge of Compensation Claims (JCC) that denied her claim for additional temporary total disability (TTD) and temporary partial disability (TPD) benefits beyond the 104-week cap imposed by subsections 440.15(2) and (4), Florida Statutes (2011), and also denied associated penalties, interest, costs, and attorney’s fees (PICA). We affirm the denial of TTD and accompanying PICA because no party challenged the JCC’s finding of fact that no medical evidence supports that claim. We reverse the denial of TPD benefits and accompanying PICA for the reasons that follow.
The Florida Supreme Court has held, in Westphal v. City of St. Petersburg, 194 *988So.3d 311 (Fla. 2016), that the 104-week limitation set forth in subsection 440.15(2), as applied to a TTD recipient, is an unconstitutional deprivation of access to the courts. Westphal’s reasoning was recently extended to subsection 440.15(4), which applies to TPD recipients, by this Court in Jones v. Food Lion, Inc., 41 Fla. L. Weekly D2490 (Fla. 1st DCA Nov. 9, 2016). Claimant here seeks TPD benefits from September 24, 2014, through August 24, 2015. The JCC in the instant case denied Claimant’s claim because Claimant had already received 104 weeks of temporary indemnity; under the current state of the law, this was error.
The JCC made the additional finding of fact, unchallenged by any party, that Claimant “was partially disabled through July 9, 2015,” and “reached actual MMI [maximum medical improvement] shortly after ... July 9.” Accordingly, on remand, the JCC is instructed to determine whether Claimant reached MMI before August 24, 2015, and if so, when, and to award TPD benefits and associated PICA for any weeks between September 24, 2014, and August 24, 2015, that are prior to Claimant’s attainment of MMI, on authority of Westphal and Jones.
AFFIRMED in part, REVERSED in part, and REMANDED with instructions.
RAY, WINOKUR, and JAY, JJ., CONCUR.
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Citator
Cited By
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Kneer v. Lincare & Travelers Ins., 267 So. 3d 1077 (Fla. 1st DCA 2019)…on the entitlement to temporary total disability benefits as set out in section 440.15(2). This result was extended by this Court to the entitlement of temporary partial disability benefits payable under section 440.15(4). See Gonzalez v. Visa, 204 So. 3d 987, 987-88 (Fla. 1st DCA 2016); Jones v. Food Lion, Inc., 202 So. 3d 964, 965-66 (Fla. 1st DCA 2016). 4 In Claimant’s case, TPD benefits were not available based on his psychiatric injury because it arose more than a year after he reached p…
Authorities Cited
- Westphal v. City OF ST. Petersburg, 194 So. 3d 311 (Fla. 2016)
- Jones v. Food Lion, Inc., 202 So. 3d 964 (Fla. 1st DCA 2016)