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Phillip A. Fortune v. Gulf Coast Tree Care Inc./Florida Citrus etc., 13-5580 (2014)

Court: District Court of Appeal of Florida Number: 13-5580 Visitors: 9
Filed: Oct. 12, 2014
Latest Update: Mar. 02, 2020
Summary: IN THE DISTRICT COURT OF APPEAL FIRST DISTRICT, STATE OF FLORIDA PHILLIP A. FORTUNE, NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND Appellant, DISPOSITION THEREOF IF FILED v. CASE NO. 1D13-5580 GULF COAST TREE CARE INC./ FLORIDA CITRUS BUSINESS AND INDUSTRIES, Appellees. _/ Opinion filed October 13, 2014. An appeal from an order of the Judge of Compensation Claims. Ellen H. Lorenzen, Judge. Date of Accident: May 19, 2011. J. Craig Delesie, Jr., of Kadyk & Delesie, P.A., Riverview,
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                                         IN THE DISTRICT COURT OF APPEAL
                                         FIRST DISTRICT, STATE OF FLORIDA

PHILLIP A. FORTUNE,                      NOT FINAL UNTIL TIME EXPIRES TO
                                         FILE MOTION FOR REHEARING AND
      Appellant,                         DISPOSITION THEREOF IF FILED

v.                                       CASE NO. 1D13-5580

GULF COAST TREE CARE INC./
FLORIDA CITRUS BUSINESS
AND INDUSTRIES,

      Appellees.

_____________________________/

Opinion filed October 13, 2014.

An appeal from an order of the Judge of Compensation Claims.
Ellen H. Lorenzen, Judge.

Date of Accident: May 19, 2011.

J. Craig Delesie, Jr., of Kadyk & Delesie, P.A., Riverview, for Appellant.

Hinda Klein and Thomas G. Regnier of Conroy, Simberg, Ganon, Krevans, Abel,
Lurvey, Morrow & Schefer, P.A., Hollywood, for Appellees.




PER CURIAM.

      In this workers’ compensation case, Claimant argues that the Judge of

Compensation Claims (JCC) erred in denying his claim for reimbursement of

medical expenses, mileage, and co-payments incurred for treatment received
following his May 19, 2011, accident. We agree and reverse the JCC’s denial of

those reimbursements.

      The relevant facts are not in dispute. Claimant suffered a dislocated shoulder

after an assault by an angry bicyclist (a dentist), who rode up and punched Appellant

as he was sitting in his vehicle preparing to enter a gated community to deliver an

estimate to a customer. Claimant received emergency treatment the day of the

accident at Brandon Regional Hospital, where his shoulder was placed back into

proper alignment, and he was advised to seek follow-up care.           Even though

Claimant’s supervisor was immediately notified of the incident, came to the scene

of the incident, and followed Claimant to the hospital, a notice of injury was not

completed at that time.

      Thereafter, Claimant received follow-up care at a Veterans Administration

facility beginning approximately eleven days after the incident and culminating in

an attempted surgical repair about two months later. During this relevant time

period, Claimant and the Employer maintained their working relationship.

      The Carrier first received notice of the injury in September 2012, some sixteen

months after the incident. Upon receiving notice of the accident, the Carrier denied

compensability of the injuries.

      Following a merits hearing, the JCC found Claimant was an employee of Gulf

Coast Tree Care, Inc., and that he was in the course and scope of his employment at

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the time of the accident. The JCC required the Employer/Carrier (E/C) to reimburse

the emergency treatment provided to Claimant on the date of the accident and also

required the E/C to provide Claimant with future medical treatment. The JCC

denied, however, reimbursement for the follow-up treatment in the time period

immediately following the accident. The JCC did so because Claimant failed to

request this medical care, or any medical care, from either the Employer or the

Carrier.

      When the facts are not in dispute, the application of law to those facts is

reviewed de novo. See Airey v. Wal-Mart, 
24 So. 3d 1264
, 1265 (Fla. 1st DCA

2009) (noting that when “[t]he pertinent facts are undisputed . . . the issue is one

purely of law, subject to de novo review”). To the extent resolution of an issue

requires statutory interpretation, review is de novo. See Lombardi v. S. Wine &

Spirits, 
890 So. 2d 1128
, 1129 (Fla. 1st DCA 2004) (holding statutory interpretation

is subject to de novo review). In construing a statute, courts must first look to its

plain language. See Perez v. Rooms To Go, 
997 So. 2d 511
, 512 (Fla. 1st DCA

2008).     “A basic tenet of statutory interpretation is that a ‘statute should be

interpreted to give effect to every clause in it, and to accord meaning and harmony

to all of its parts.”’ Jones v. ETS of New Orleans, Inc., 
793 So. 2d 912
, 914-15 (Fla.

2001) (citing Acosta v. Richter, 
671 So. 2d 149
, 153-54 (Fla. 1996)). Here, the

relevant section is 440.13(2)(c), Florida Statutes (2010):

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      If the employer fails to provide initial treatment or care required by this
      section after request by the injured employee, the employee may obtain
      such initial treatment at the expense of the employer, if the initial
      treatment or care is compensable and medically necessary and is in
      accordance with established practice parameters and protocols of
      treatment as provided for in this chapter. There must be a specific
      request for the initial treatment or care, and the employer or carrier must
      be given a reasonable time period within which to provide the initial
      treatment or care. However, the employee is not entitled to recover any
      amount personally expended for the initial treatment or care unless he
      or she has requested the employer to furnish that initial treatment or
      service and the employer has failed, refused, or neglected to do so
      within a reasonable time or unless the nature of the injury requires such
      initial treatment, nursing, and services and the employer or his or her
      superintendent or foreman, having knowledge of the injury, has
      neglected to provide the initial treatment or care.

(Emphasis added.) The underlined portion of section 440.13(2)(c) is an exception

to the general rule, detailed earlier in the subsection, and the rule relied upon by the

JCC to deny reimbursement of the claimed expenses. There was no dispute that

Claimant’s supervisor was aware of Claimant’s injury, that the injury required

treatment including surgery, that Claimant was required to miss time from work, and

that Claimant was required to limit his activities. The JCC erred by failing to give

effect to the exception, where “the employer . . . neglected to provide the initial

treatment or care.”

      In adjudicating this claim, the JCC also failed to recognize that the Employer

did not notify the Carrier of the incident until September 2012, some sixteen months

after it occurred. Had the Employer notified the Carrier in a timely fashion, as

required by statute—“[w]ithin 7 days of actual knowledge of injury or death”
                                           4
§ 440.185(2), Fla. Stat. (2010)—then all of the statutorily-mandated notices and

information, including the statutorily-required informational brochure (see

§ 440.185(4), Fla. Stat. (2010)), would have been provided to Claimant.

       When the E/C acts in accordance with its obligations under chapter 440, it has

considerable control over the provision of medical care. It is only when the E/C fails

to fulfill those obligations that it loses that control. See Parodi v. Fla. Contracting

Co., 
16 So. 3d 958
, 961-62 (Fla. 1st DCA 2009) (“When an employer abandons its

obligation to provide appropriate care, however, it likewise surrenders to the injured

employee the right to select a physician and obtain treatment, provided the care is

‘compensable and medically necessary.’” (quoting § 440.13(2)(c), Fla. Stat.)). Even

though the E/C certainly had the right to deny compensability of the claim, doing so

was at its peril. If the basis for the denial is rejected by the JCC, it has lost its right

to control the past medical treatment.

       Because the JCC failed to apply the plain language of the statute to the

undisputed facts, the JCC erred in not awarding the requested benefits—

reimbursement for follow-up treatment, reimbursement for mileage, and

reimbursement for co-payments. Accordingly, this matter is REVERSED and

REMANDED for entry of an order consistent with this opinion.

LEWIS, C.J., THOMAS and MARSTILLER, JJ., CONCUR.




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Source:  CourtListener

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