IMC AGRICO MP, INC. AND ITS WORKERS' COMPENSATION CARRIER, CONSTITUTION STATE SERVICE COMPANY, APPELLANTS,
v.
LARRY M. FAULK, APPELLEE
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IMC Agrico and its workers' compensation insurer appealed a judge of compensation claims' denial of an offset against indemnity benefits owed to injured employee Faulk. The court affirmed, holding that under Florida law, a judicial determination by a circuit court is required before a compensation judge can order an offset based on a third-party tort recovery.
An offset against indemnity benefits cannot be ordered by a judge of compensation claims absent a circuit court determination of the employer/carrier's pro rata share of the third-party recovery, as required by Florida Statutes section 440.39(3)(a). The decision is affirmed without prejudice to any future circuit court proceeding that might establish an appropriate basis for ordering an offset.
[1] A judge of compensation claims cannot order an offset against indemnity benefits based on a claimant's recovery from a third-party tortfeasor without a prior circuit cour…
[2] The determination of an employer's or carrier's recovery from a third-party tortfeasor, for purposes of offsetting workers' compensation benefits, requires a judicial det…
Previewing 2 of 5 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“No question of IMC's entitlement to benefit from the settlement proceeds in any amount has ever been presented to a circuit court as contemplated by section 440.39(3)(a) or (when settlement is reached before suit is brought) (b), Florida Statutes (1991).”
Establishes that the threshold requirement for an offset is a circuit court determination of entitlement and amount, which was absent here.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceFaulk was injured in a work-related automobile accident on February 22, 1993, caused by a CTL truck driver. IMC executed a release against the tortfea…
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BENTON, J.
IMC-Agrico MP, Inc. (IMC) and its workers’ compensation insurance carrier, Construction State Service Co. (CSS), appeal the final order of a judge of compensation claims. They assert entitlement to an offset against indemnity benefits awarded to Larry M. Faulk, a former IMC employee. On this record, we affirm.
Mr. Faulk was injured in an automobile accident that occurred in the course and scope of his employment with IMC on or about February 22, 1993. William R. Wa-terson, III, the driver of a truck owned by CTL Distribution, Inc. (CTL) was at fault, at least in part. On April 15, 1993, IMC executed a release of “all claims” against Mr. Waterson and CTL in exchange for a sum of money.
Thereafter, Mr. Faulk brought suit against Mr. Waterson and CTL (and another driver) in circuit court, and IMC filed a notice of claim of lien for payment of workers’ compensation benefits in the circuit court proceeding. Faulk v. Water-son, No. GC-G-94-2651 (Fla. 10th Cir. 1994). On October 17, 1996, judgment was entered in favor of Mr. Faulk and against all three defendants in the amount of $703,259.90. IMC did not file a notice of payment and did not otherwise pursue further in circuit court any rights it may have had under its notice of lien.
Mr. Faulk also sought workers’ compensation benefits by filing the petition for benefits against IMC and CSS that initiated the proceedings below. To date, IMC and CSS have not actually paid Mr. Faulk any workers’ compensation benefits. On April 7, 2000, however, IMC and CSS were ordered to pay temporary total disability benefits, permanent total disability benefits, permanent total supplemental benefits, interest, attorney’s fees and costs.
On the present appeal from this order, IMC’s only contention is that the judge of compensation claims should have allowed an offset against indemnity benefits. No question of IMC’s entitlement to benefit from the settlement proceeds in any amount has ever been presented to a circuit court as contemplated by section 440.39(3)(a) or (when settlement is reached before suit is brought) (b), Florida Statutes (1991). The judge of compensation claims ruled:
I have considered the Employer/Carrier’s allegation of entitlement to an offset for the civil judgment received by the Claimant as a result of the February 22, 1993 accident. However, while I find that the Employer/Carrier may be entitled to assert a lien [once they pay workers’ compensation benefits], the value of which to be determined by the appropriate circuit court, I find that the Florida Workers’ Compensation Law does not provide any entitlement to an offset for the Employer/Carrier against this recovery [in the absence of a circuit court order].
The record does not reveal whether Mr. Faulk’s civil judgment was ever satisfied, even in part (or, if so, by whom.) We affirm the denial of an offset in the absence of an order of a circuit court that determines
the extent ... [of IMC’s] pro rata share [if any] for compensation and medical benefits paid or to be paid under the provisions of this law, less their pro rata share of all court costs expended by the plaintiff in the prosecution of the suit including reasonable attorney’s fees for the plaintiffs attorney.
§ 440.39(3)(a), Fla. Stat. (1991). But we affirm without prejudice to any proceeding in circuit court which might afford the judge of compensation claims an appropriate predicate for ordering an offset in proceedings subsequently initiated under section 440.28, Florida Statutes.
Absent a stipulation both as to entitlement to an offset and as to its amount, section 440.39, Florida Statutes (1991), contemplates a judicial determination of the net amount of any recovery against a third-party tortfeasor and then of the ratio of the net recovery to the amount of damages a workers’ compensation claimant actually suffered, before a judge of compensation claims enters an order authorizing an offset. See Rockhaulers, Inc. v. Davis, 554 So. 2d 654, 656-57 (Fla. 1st DCA 1989); see generally City of Hollywood v. Lombardi, 770 So. 2d 1196, 1198-1200 & n. 5 (Fla.2000) (reinstating compensation order that relied on judicially determined ratio to fix the amount of an offset). The situation in Rockhaulers closely resembles the situation here:
The second issue concerns the right of a compensation carrier to set off the recovery obtained by an injured employee from a third party tortfeasor against compensation benefits due the injured employee. See § 440.39(1), Fla.Stat. (1987). The section 440.39 provisions limit the amount of the compensation carrier’s set-off to its pro rata share of the compensation and medical benefits paid or to be paid, less its pro-rata share of all court costs and reasonable attorney fees expended by the claimant in prosecution of the claim against the third party tortfeasor. See Nikula v. Michigan Mutual Insurance, 531 So. 2d 330 (Fla.1988); Williams Heating & Air Conditioning Co. v. Williams, 551 So. 2d 559 (Fla. 5th DCA 1989); Employer’s Casualty Insurance Co. v. Manfredo, 542 So. 2d 1365 (Fla. 3d DCA 1989).
The record in this ease reflects that the deceased employee’s wife obtained a net recovery of $10,000 from the driver of the truck that hit claimant as he was attempting to aid the other accident victims. However, there is nothing in the record to indicate the date of settlement with the third party tortfeasor, and whether such settlement occurred before or after the claim for workers’ compensation death benefits was filed.
Rockhaulers, 554 So. 2d at 656-57 (applying version of statute that has not been substantially changed except to codify the holding in Nikula). In Rockhaulers, as in the present case, neither the employer nor its insurance carrier had actually paid benefits at the time the appeal was decided. (In the present case, a petition for benefits was filed before judgment was entered against the third party tortfeasors.) Because the parties in Rockhaulers stipulated that the carrier was entitled to a setoff, the only thing “to be determined by the trial court in accordance with the provisions of section 440.39(3)(a),” 554 So. 2d at 657, was the amount of the setoff. Section 3(a) provides that the “determination of the amount of the employer’s or carrier’s recovery shall be made by the judge of the trial court upon application therefor and notice to the adverse party.” § 440.39(3)(a), Fla. Stat. (1991).
In the present case, however, Mr. Faulk does contest IMC’s entitlement to an offset. For one thing, Mr. Faulk contends that IMC slept on its rights by failing to perfect its lien in Faulk v. Waterson, No. GC-G-94-2651 (Fla. 10th Cir.1994), before final judgment was entered, a question on which we express no opinion. We are also apprised that the effect of the release IMC gave CTL may be litigated in any circuit court proceeding IMC might initiate pursuant to section 440.39(3), Florida Statutes (1991). The existence of these issues makes the present case even stronger than much of the considerable precedent that supports the proposition that a judicial determination is necessary before the judge of compensation claims orders an offset based on a claimant’s recovery in a tort suit.
At least initially, as one commentator flatly states, “application of F.S. [§ ]40.39 and all determinations under it are for the courts, not judges of compensation claims.” Paula F. Kelley, Florida Workers’ Compensation Practice, s 8.43, at 8-36 (5th Ed.1996) citing Cushman Baking Co. v. Hoberman, 74 So. 2d 69, 70 (Fla.1954) (holding that the “Circuit Judge is vested with the sole jurisdiction of making such an order [disallowing altogether setoff employer sought based on employee’s recovery from third-party tortfeasor] and there is no appeal provided for to the Deputy Commissioner or to the Full Commission”); Murray v. Harborside Hosp., 634 So. 2d 1129, 1130 (Fla. 1st DCA 1994) (construing § 440.39(3)(b), Fla. Stat.); University of Cent. Fla. v. Cleaves, 586 So. 2d 458, 459 (Fla. 1st DCA 1991) (same).
Affirmed.
VAN NORTWICK and LEWIS, JJ., concur.
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Orlando Reg'l Healthcare Sys. v. Tiznado, 804 So. 2d 1267 (Fla. 5th DCA 2002)…rt erred in setting the insurer’s lien value at zero dollars because, in doing so, the court did not determine the insurer’s pro rata share of the recovery in order to offset any workers’ compensation benefits paid. See IMC Agrico MP, Inc. v. Faulk, 783 So. 2d 321 (Fla. 1st DCA 2001).3 Like the claimant in Faulk, Tiznado petitioned for workers’ compensation benefits prior to filing her complaint against the third-party tortfeasor and the insurer filed a notice of lien in the third-party action. Also, like in…
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Andres Santovenia (deceased) v. Dispatch Servs. & Helmsman Mgmt. Servs., Inc., 842 So. 2d 222 (Fla. 1st DCA 2003)…Compensation Claims dismissing the petition for lack of jurisdiction is affirmed without prejudice to appellant to first proceed to the appropriate circuit court to resolve the parties’ dispute over the lien agreement. IMC Agrico MP, Inc. v. Faulk, 783 So. 2d 321 (Fla. 1st DCA 2001). AFFIRMED. VAN NORTWICK and POLSTON, JJ„ and SMITH, LARRY G„ Senior Judge, concur.…
Authorities Cited
- City OF Hollywood v. Lombardi, 770 So. 2d 1196 (Fla. 2000)
- Nikula v. Mich. Mut. Ins., 531 So. 2d 330 (Fla. 1988)
- Rockhaulers, Inc. v. Davis, 554 So. 2d 654 (Fla. 1st DCA 1989)
- Emp'r's Cas. Ins. Co. v. Manfredo, 542 So. 2d 1365 (Fla. 3d DCA 1989)
- Williams Heating & AIR Conditioning Co. v. Williams, 551 So. 2d 559 (Fla. 5th DCA 1989)
- Cushman Baking Co. v. Hoberman, 74 So. 2d 69 (Fla. 1954)
- Univ. OF Cent. Florida/State OF Fla. & Crawford & Co. v. Marvene Gleaves, 586 So. 2d 458 (Fla. 1st DCA 1991)
- Murray v. Harborside Hosp., Inc., 634 So. 2d 1129 (Fla. 1st DCA 1994)