Leon FL Lawyers | Augustus Davis Aikens -- eLawyers

97-001357 LAWRENCE E. ELLIS vs DIVISION OF RETIREMENT (1997)

Division of Administrative Hearings, Florida Filed: Mar. 14, 1997

At issue in this proceeding is whether Petitioner's rights and benefits under the Florida Retirement System are subject to forfeiture.Sheriff's federal felony convictions dictate forfeiture of state retirement benefits.

97-001353 CYNTHIA HYLTON vs DIVISION OF RETIREMENT (1997)

Division of Administrative Hearings, Florida Filed: Mar. 13, 1997

Whether Petitioner is entitled to "in-the-line-of-duty" death benefits as the surviving spouse of a member of the Florida Retirement System, pursuant to the provisions of Section 121.091(7)(d)1., Florida Statutes.Deceased spouse was not in actual performance of duties when killed in collision on way to work and, therefore, surviving spouse is not entitled to in-line-of-duty benefits.

96-005806 JOYCE GRIFFITH vs DIVISION OF RETIREMENT (1996)

Division of Administrative Hearings, Florida Filed: Dec. 11, 1996

Whether Petitioner is entitled to the retirement benefits of her late husband, Frederick Griffith.Wife of deceased member is not entitled to pension benefits of late husband where member's former wife was designated primary beneficiary.

95-002790 SUSIE SIMONE BROWN vs DIVISION OF STATE EMPLOYEES INSURANCE (1995)

Division of Administrative Hearings, Florida Filed: May 31, 1995

The issue is whether Petitioner's request for an upgrade in her insurance coverage from individual to family status should be granted with a retro-active effective date of October 13, 1994; the date of birth of Respondent's son.Petitioner denied medical coverage for expenses incurred by prematurely born child prior to effective date of family coverage.

95-001487 JOHN M. COMPTON vs DIVISION OF STATE EMPLOYEES INSURANCE (1995)

Division of Administrative Hearings, Florida Filed: Mar. 29, 1995

Whether the medical services prescribed for the Petitioner are experimental or investigative under terms of the state insurance contract, and excluded from coverage.Cancer Petitioner's bone marrow trans therapy excluded because procedure was ""investigative"" under plan's definitions.

93-006939 PHILIP S. BENNETT vs DIVISION OF STATE EMPLOYEES INSURANCE (1993)

Division of Administrative Hearings, Florida Filed: Dec. 08, 1993

The issues to be resolved in this proceeding concern whether the Petitioner, Philip S. Bennett, Sr., is entitled to reimbursement from the State of Florida Group Health Self Insurance Plan for services rendered him by John S. Dozier, D.M.D., in connection with treatment received by the Petitioner for a "localized mucogingival defect" (abscess and infection) occurring around the first upper molar tooth on the left side of the patient's mouth.Surgical graft on petitoner's gum was not dental work and therefore qualified for coverage on state health insurance plan.

93-003728 FLORETTA ALLEN vs DIVISION OF STATE EMPLOYEES INSURANCE (1993)

Division of Administrative Hearings, Florida Filed: Jul. 01, 1993

Whether the Petitioner, Floretta Allen, is entitled to payment for medical services by the State of Florida Employees' Group Health Self Insurance Plan?Department proved petitioner's medical services were experimental and therefore excluded from insurance plan coverage.

93-006940 LURETHA F. LUCKY vs DIVISION OF STATE EMPLOYEES INSURANCE (1993)

Division of Administrative Hearings, Florida Filed: Dec. 08, 1993

Whether Petitioner's September 29, 1993, claim (Claim No. 34092993) for reimbursement of expenses for medical services rendered in 1992 should be denied on the ground that said claim was not timely filed with Department of Management Services, Division of State Employees' Insurance (hereinafter referred to as the "Department")?Equitable tolling doctrine should be applied where medical reimbursement claimant led to believe by agency rep she could file claim after deadline.

93-005971 DELLA G. SPHALER AND WILLIAM SPHALER vs DIVISION OF STATE EMPLOYEES INSURANCE (1993)

Division of Administrative Hearings, Florida Filed: Oct. 20, 1993

The issue presented is whether Petitioners are entitled to additional benefits pursuant to the State of Florida Employees Group Health Self Insurance Plan.Denial of claim for additional insurance benefits in excess of those provided for in state group health self insurance plan and benefit document.

93-005571 GREGORY E. WEAVER vs DIVISION OF STATE EMPLOYEES INSURANCE (1993)

Division of Administrative Hearings, Florida Filed: Sep. 29, 1993

Whether Petitioner made a timely election to participate in the Florida Flexible Benefits Plan (Plan) in accordance with Rule 60P-8.0041(2), Florida Administrative Code and if not, should his participation in the Florida Flexible Benefits Plan (the Plan) for the Plan Year of December 1, 1991, through December 31, 1992, be denied. Whether Petitioner would be entitled to reimbursement from the Plan for medical expenses incurred prior to November 12, 1992, provided it is determined that Petitioner made a timely election to participate in the Plan in accordance with Rule 60P-8.0041(2), Florida Administrative Code.Form FB-2 must be received by the Division within 31 days of occurence to election to participate and date of receipt is effective date of plan.

Augustus Davis Aikens