MERLIN HOUCK, APPELLANT,
v.
LEE COUNTY BOARD OF COUNTY COMMISSIONERS AND GALLAGHER BASSETT SERVICES, INC., APPELLEES

Fla. 1st DCA | 2008-11-26
No. 1D08-0728
LEWIS, J., and LAWRENCE, JR., L. ARTHUR, Senior Judge, concur.
995 So. 2d 1102 Florida District Court of Appeal, First District (2008) Positive Treatment
Cited by 7 cases

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Synopsis

A workers' compensation claimant challenged the denial of permanent total disability benefits based on his voluntary retirement prior to reaching maximum medical improvement. The court held that the JCC applied an incorrect legal standard by considering the claimant's prior retirement decision, and that under the catastrophic injury framework, the employer must prove substantial earning capacity after maximum medical improvement.


Holding

The court reversed the JCC's denial of permanent total disability benefits, holding that the claimant's voluntary retirement prior to maximum medical improvement is not a bar to benefits. Once a catastrophic injury is established, the burden shifts to the employer/carrier to prove substantial earning capacity; absent such conclusive proof, permanent total disability benefits must be awarded.


Headnotes

[1] A claimant's entitlement to permanent total disability benefits is governed by the law in effect on the date of the accident.

[2] A catastrophic injury, as defined by statute, may constitute permanent total disability in the absence of conclusive proof of a substantial earning capacity.

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Key Quotes

“Only a catastrophic injury as defined in s. 440.02 shall, in the absence of conclusive proof of a substantial earning capacity, constitute permanent total disability.”

Establishes the legal test for permanent total disability benefits under Florida workers' compensation law

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Facts & Procedural History

Claimant suffered a left knee injury on April 21, 1995, while employed by Lee County. He underwent four surgical procedures, including a total knee re…

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Opinion of the Court
THOMAS, J.

THOMAS, J.

Claimant challenges the order of the Judge of Compensation Claims (JCC) denying permanent total disability benefits on the basis that his voluntary retirement from the work force prior to the date of maximum medical improvement prevented an award of such benefits. Because the JCC applied an incorrect legal standard in determining the appropriateness of the award, we reverse.

Claimant injured his left knee on April 21, 1995, in the course and scope of his employment with Lee County. As a result of this knee injury, Claimant underwent four surgical procedures, the last of which was a total knee replacement on August 3, 2005. Claimant’s authorized treating physician placed him at maximum medical improvement on November 14, 2005, with a 10% impairment rating and permanent work restrictions of sedentary duty. These restrictions were greater than any imposed on Claimant following his three prior surgeries, and prevented Claimant from performing his pre-injury job.

Claimant filed a claim requesting permanent total disability benefits from November 14, 2005, and continuing. In the order on appeal, the JCC found that Claimant established that his workplace injury was “catastrophic” as that term is defined in section 440.02(34), Florida Statutes (1995). In finding that Claimant retired “at least by 1998,” however, the JCC concluded that it would be inconsistent with the purpose and policy of Florida’s Workers’ Compensation Law that “compensation would now be payable to replace something, to wit: the ability to earn wages, that [Claimant] himself long ago surrendered when he retired.”1 The JCC found that Claimant did not meet his burden of proof, and denied permanent total disability benefits.

The law which governs Claimant’s entitlement to permanent total disability benefits is the law in effect on the date of accident. See Royal & Sunalliance v. Chavez, 920 So. 2d 69 (Fla. 1st DCA 2006). Section 440.15(l)(b), Florida Statutes (1995), provides that “[o]nly a catastrophic injury as defined in s. 440.02 shall, in the absence of conclusive proof of a substantial earning capacity, constitute permanent total disability. Only claimants with catastrophic injuries are eligible for [permanent total disability] benefits. In no other case may [permanent total disability] be awarded.”

Here, the JCC found Claimant’s workplace injuries met the “catastrophic” definition found in section 440.02(34)(f), Florida Statutes (1995). Under the “catastrophic injury” test, once a claimant has established that his workplace injury is catastrophic, the burden shifts to the employer/carrier to offer conclusive proof of a substantial earning capacity. See Home Depot v. Turner, 820 So. 2d 1075 (Fla. 1st DCA 2002). If there is no conclusive proof of a substantial earning capacity, then permanent total disability benefits should be awarded.

Because the JCC applied an incorrect legal standard, we reverse the denial of permanent total disability benefits. On remand, the JCC shall make a factual determination as to whether there is conclusive proof that Claimant has a substantial earning capacity following the November 14, 2005, date of maximum medical improvement. If there is no such proof, Claimant is entitled to permanent total disability benefits, along with any other benefits or costs due and owing as a result of such award.

REVERSED and REMANDED for proceedings consistent with this opinion.

LEWIS, J., and LAWRENCE, JR., L. ARTHUR, Senior Judge, concur. . The public policy concerns which govern the JCC's ruling were addressed by the Florida Legislature in section 440.15(l)(b), Florida Statutes (2003), a statute which is inapplicable to Claimant for his April 21, 1995, date of accident.


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Citator

Cited By

  • Blake v. Merck & Co., 43 So. 3d 882 (Fla. 1st DCA 2010)
    …least sedentary employment when combined with vocational factors. Where it is not clear the JCC employed the correct legal standard in denying PTD benefits, reversal is required. Garcia, 16 So. 3d at 202; Houck v. Lee County Bd. of County Comm'rs, 995 So. 2d 1102, 1103 (Fla. 1st DCA 2008). Accordingly, we reverse and remand with directions that the JCC determine whether Claimant is entitled to PTD benefits based [*884] on evidence of permanent work-related physical restrictions that, while not alone totally…
  • Tonya Banks v. Allegiant Security/ Zurich Am. Ins. Co., 122 So. 3d 983 (Fla. 1st DCA 2013)
    …al Constitution. Our review of an erroneous application of the law is de novo. Canakaris v. Canakaris, 382 So. 2d 1197 (Fla.1980). Application of an incorrect rule of law is reversible error. Id. See also, Houck v. Lee County Bd. of County Comm’rs, 995 So. 2d 1102, 1103 (Fla. 1st DCA 2008) (holding reversal and remand to be appropriate where JCC applied incorrect standard to permanent total disability claim); Cromartie v. City of St. Petersburg, 840 So. 2d 372, 373 (holding failure to apply correct legal prin…
  • Garcia v. Fence Masters, Inc., 16 So. 3d 200 (Fla. 1st DCA 2009)
    …employed the correct legal standard in analyzing Claimant’s entitlement to PTD benefits. Where it is not clear the JCC employed the correct legal standard in denying PTD benefits, reversal is required. See Houck v. Lee County Bd. of County Comm’rs, 995 So. 2d 1102, 1103 (Fla. 1st DCA 2008). By this decision we emphasize that we feel constrained to reverse because of the absence of clear, ultimate findings of fact on the essential issues presented for resolution. Because the JCC did not reject Claimant’s voca…

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