BRENDA SPENCE, APPELLANT,
v.
TRADER PUBLISHING COMPANY AND CIGNA INSURANCE COMPANY, APPELLEES
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Brenda Spence appealed a workers' compensation decision denying her stroke claim after her employer failed to file a timely notice of denial in response to her 1994 petition for benefits. The court held that under Florida Statute § 440.192(8), the employer's failure to deny compensation within 14 days of the petition resulted in a deemed admission of compensability, reversing the lower court's judgment.
The court held that the employer's failure to timely file a notice of denial to the 1994 petitions for benefits resulted in a deemed admission of compensability under section 440.192(8). A denial filed in response to the 1993 notice of injury does not carry over as a defense against the 1994 petitions for benefits.
[1] Failure to file a notice of denial within fourteen days after receipt of a petition for benefits deems the compensability of the claim admitted.
[2] A denial of a notice of injury does not satisfy the requirement to file a notice of denial to a subsequent petition for benefits.
Previewing 2 of 3 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“a earner that neither pays nor timely denies compensation 'is deemed to have accepted the employee's injuries as compensable' under subsection 440.192(8)”
Establishes the core statutory rule that failure to timely deny results in automatic acceptance of compensability
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Join FLexlaw to unlock all legal intelligenceSpence suffered an employment-related injury on April 18, 1993, and filed a report of injury. The employer filed a notice of denial claiming the strok…
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KAHN, Judge.
After her employment-related injury on April 18, 1993, appellant Brenda Spence completed a report of injury. In response to the report of injury, the employer filed a notice of denial which denied any and all benefit “for stress which caused a stroke.” The employer and carrier took the position that the stroke suffered by claimant was not compensable.* Spence filed a petition for benefits in July 1994 and an amended petition on August 18, 1994. Appellees did not file a notice of denial to either of these petitions.
Spence now argues that under section 440.192(8), Florida Statutes (Supp.1994), compensability of her accident is deemed admitted because of the employer’s failure to file a notice of denial within fourteen (14) days after receipt of a petition for benefits. The JCC ruled that although section 440.192(8) is procedural, appellant was not prejudiced by the employer’s failure to file a notice of denial to the 1994 petitions because appellant knew early on in the case that the employer controverted the entire claim.
In Waffle House v. Hutchinson, 673 So. 2d 883 (Fla. 1st DCA 1996), we considered and rejected an argument that section 440.192(8) is a substantive enactment. We relied upon City of Crestview v. Howard, 657 So. 2d 73 (Fla. 1st DCA 1995), and noted that “a earner that neither pays nor timely denies compensation ‘is deemed to have accepted the employee’s injuries as compensable’ ” under subsection 440.192(8). In Waffle House, as in this ease, the employer and carrier filed a denial to a 1993 notice of injury but did not file a notice of denial after the claimant filed a petition for benefits in 1994. Implicit in our decision in Waffle House was the conclusion that the denial filed to the 1993 notice of injury will not stand over as against the 1994 petitions for benefits. (Kahn, J., Concurring). 673 So. 2d at 885,
Under the authority of Waffle House v. Hutchinson, we REVERSE and REMAND with directions that Brenda Spence’s claim be deemed compensable by operation of section 440.192(8), Florida Statutes (Supp.1994).
BARFIELD and ALLEN, JJ., concur. *
On the notice of denial, form DWC-12, the employer stated its reasons for denying compensability:
There is no accident arising out of or in the course and scope of employment. Stress is not an accident or a compensable injury under Florida Statute 440. The claimant suffers from a pre-existing condition of mitral valve prolapse and has a history of previous transient ischemic attack.
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Spence v. Trader Publ'g Co. & Cigna Ins. Co., 688 So. 2d 4 (Fla. 1st DCA 1997)…PER CURIAM. This court has previously issued an opinion reversing the order of the Judge of Compensation Claims in this case. Spence v. Trader Publishing Co., 675 So. 2d 974 (Fla. 1st DCA), review denied 686 So. 2d 583 (Fla., Dec. 4, 1996). On the motion of appellee, however, this court has, by unpublished order, withdrawn its mandate in this case. We now quash the earlier opinion and order allowing attorneys’ fees. The…
Authorities Cited
- Waffle House & O'Steen Adjusting Servs. v. Lecia Hutchinson, 673 So. 2d 883 (Fla. 1st DCA 1996)
- City OF Crestview & Ins. Servicing Adjusting Co. v. Howard, 657 So. 2d 73 (Fla. 1st DCA 1995)