From Casetext: Smarter Legal Research

Sarasota County Sch. Bd. v. Castagna

District Court of Appeal of Florida, First District
Apr 30, 1991
577 So. 2d 635 (Fla. Dist. Ct. App. 1991)

Opinion

No. 90-1597.

March 26, 1991. Rehearing Denied April 30, 1991.

Appeal from the Judge of Compensation Claims (JCC) Patrick J. Murphy.

Randall C. Dunkle and Claire L. Hamner of Dickinson, O'Riorden, Gibbons Shields, P.A., Sarasota, for appellants/cross-appellees.

Brian O. Sutter of Wilkins, Frohlich, Jones, Hevia Russell, P.A., Port Charlotte and Bill McCabe of Shepherd, McCabe Cooley, Longwood, for appellee/cross-appellant.


The employer/servicing agent (ESA) appeal a workers' compensation order finding that appellee claimant was injured in a compensable automobile accident. Claimant cross-appeals the ruling of the Judge of Compensation Claims (JCC) that the ESA "will pay the unpaid medical bills adjusted to the Medical and Surgical Fee Schedules claimed and will be responsible for the provision of medical care which may be warranted by the claimant's condition in the future." We affirm the finding of compensability, but reverse that aspect of the order which limits the ESA's responsibility only to claimant's "unpaid" medical bills.

The evidence adduced established that the ESA denied claimant's accident was compensable and accordingly provided no medical benefits. Some portion of claimant's hospital bills were paid by her husband's insurance coverage, which is unrelated to claimant's workers' compensation coverage. Although the JCC is without jurisdiction to order the ESA to reimburse a third party insurer who is not before the JCC, the JCC should award to claimant all the medical benefits due, subject to a lien in favor of her insurers against the payments due claimant, and she shall insure that those entities are properly reimbursed. Popovich v. Overland Transport, 543 So.2d 302 (Fla. 1st DCA 1989); Travelers Ins. Co. v. Sitko, 496 So.2d 920 (Fla. 1st DCA 1986); Greynolds Park Manor v. George, 417 So.2d 990, appeal after remand, 423 So.2d 485 (Fla. 1st DCA 1982). Claimant is also entitled to seek reimbursement for any amounts personally expended. § 440.13(2)(b), Fla. Stat. Therefore, the finding of compensability is affirmed, but the award of only "unpaid" medical benefits is reversed and the matter is remanded for further proceedings consistent herewith.

AFFIRMED in part, REVERSED and REMANDED in part.

NIMMONS and ALLEN, JJ., concur.


Summaries of

Sarasota County Sch. Bd. v. Castagna

District Court of Appeal of Florida, First District
Apr 30, 1991
577 So. 2d 635 (Fla. Dist. Ct. App. 1991)
Case details for

Sarasota County Sch. Bd. v. Castagna

Case Details

Full title:SARASOTA COUNTY SCHOOL BOARD AND GALLAGHER BASSETT…

Court:District Court of Appeal of Florida, First District

Date published: Apr 30, 1991

Citations

577 So. 2d 635 (Fla. Dist. Ct. App. 1991)

Citing Cases

NOVA v. MAJNERICH

It means that the treatment and care are to be paid for by employer/carrier and collateral disputes as to…

Alvarez v. Kendall Associates

Because there was a valid workers' compensation order in full force and effect which had established the…