OSCEOLA COUNTY SCHOOL BD. v. Arace, 1D03-3177.

Citation884 So.2d 1003
Decision Date01 October 2004
Docket NumberNo. 1D03-3177.,1D03-3177.
PartiesOSCEOLA COUNTY SCHOOL BOARD and Florida School Board Insurance Trust, Appellants, v. Dawn ARACE, Appellee.
CourtCourt of Appeal of Florida (US)

Danni Lynn Germano, and Sarah P. Reiner of Broussard, Cullen & Degailler, P.A., Orlando, for Appellants.

Dennis J. Hunter of the Law Office of Dennis J. Hunter, Orlando, for Appellee.

BROWNING, J.

This workers' compensation appeal presents a question of first impression: the definition of the phrase "initial provision of benefits" in section 440.20(4), Florida Statutes (2000). From the plain meaning of the wording, we conclude that the phrase refers to the first examination or treatment by an authorized treatment provider.

Appellants seek review of an order of the Judge of Compensation Claims (JCC) finding compensability and awarding evaluation of Appellee/Claimant by an allergist. Appellants raise two arguments on appeal: that their denial of compensation was timely under section 440.20(4), Florida Statutes (2000); and that the record does not contain competent, substantial evidence to support the trial court's finding that the industrial accident is the major contributing cause of Claimant's injury. Because the second argument was not preserved for appeal by argument below, we address only the first argument. Because we disagree with the trial court that Appellants' denial of compensability was untimely, we reverse.

Section 440.20(4) provides that if a workers' compensation carrier is uncertain of compensability, it can

admit or deny compensability within 120 days after the initial provision of compensation or benefits.... A carrier that fails to deny compensability within 120 days after the initial provision of benefits or payment of compensation waives the right to deny compensability, unless the carrier can establish material facts relevant to the issue of compensability that it could not have discovered through reasonable investigation within the 120-day period.

§ 440.20(4), Fla. Stat. (2000). The phrase "initial provision of benefits" is not explicitly defined in this version of the statutes.1 However, the meaning of the statute can be determined by examination of the plain meaning of the wording. See Holly v. Auld, 450 So.2d 217 (Fla.1984)

.

The use of the disjunctive "or" makes clear that the words "compensation" and "benefits" refer to two distinct entities. It is clear that payment of compensation refers to the payment of temporary or permanent, partial or total, disability benefits because section 440.20(1)(a) states that "the carrier shall pay compensation directly to the employee as required by ss. 440.14, 440.15, and 440.16 ...," and those statutes refer to the payment of disability or death benefits as calculated from the average weekly wage. Accordingly, the term "benefits" as used in section...

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5 cases
  • City of Bartow v. Flores
    • United States
    • Court of Appeal of Florida (US)
    • May 29, 2020
    ...the distinction between "authorization" and "provision" in other statutory sections of Chapter 440. In Osceola County School Board v. Arace , 884 So. 2d 1003, 1006 (Fla. 1st DCA 2004), the plain meaning of "initial provision of benefits" in section 440.20(4), Florida Statutes, the "120-day ......
  • Begley's Cleaning Service v. Costa
    • United States
    • United States State Supreme Court of Florida
    • November 10, 2005
    ...2005) ("[T]he benefit that triggers the 120-day period must actually be provided, not merely authorized."); Osceola County Sch. Bd. v. Arace, 884 So.2d 1003, 1006 (Fla. 1st DCA 2004) ("[T]he first authorized doctor's visit by a claimant is the `initial provision of benefits,' beginning the ......
  • Mathis v. Broward Cnty. Sch. Bd. & the Sch. Bd. of Broward Cnty.
    • United States
    • Court of Appeal of Florida (US)
    • August 14, 2017
    ...752, 754 (Fla. 1st DCA 2000). A claimant's first authorized visit to a physician begins the 120–day period. Osceola Cty. Sch. Bd. v. Arace, 884 So.2d 1003, 1005 (Fla. 1st DCA 2004). To accept or deny a claim, the E/C must "advise the employee of claim acceptance or denial." City of Ocoee v.......
  • Tomaskovich v. Lapointe, 1D04-3318.
    • United States
    • Court of Appeal of Florida (US)
    • May 27, 2005
    ...However, the benefit that triggers the 120-day period must actually be provided, not merely authorized. See Osceola County Sch. Bd. v. Arace, 884 So.2d 1003 (Fla. 1st DCA 2004). Here, the record unequivocally indicates Dr. Wolff performed an IME. Dr. Wolff's report is labeled, "Independent ......
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