Race v. Orange County Fire Rescue

• Citation: 852 So.2d 924
• Decision Date: 21 August 2003
• Docket Number: No. 1D02-3622.,1D02-3622.
• Parties: Jonathan RACE, Appellant, v. ORANGE COUNTY FIRE RESCUE and Crawford & Company, Appellees.
• Court: Court of Appeal of Florida (US)

852 So.2d 924

Jonathan RACE, Appellant, v. ORANGE COUNTY FIRE RESCUE and Crawford & Company, Appellees.

No. 1D02-3622.

District Court of Appeal of Florida, First District.

August 21, 2003.

Geoffrey Bichler, Winter Park and Bill McCabe, Longwood, for Appellant.

Karen J. Cullen and Sarah P. Reiner of Broussard, Cullen, Pearson-Wise & Simms, Orlando, for Appellees.

BROWNING, J.

Appellant challenges a final order denying attorney's fees under section 440.34(3)(a), Florida Statutes. We reverse.

Appellant was injured at work on February 8, 1999, filed a request for assistance on February 9, 1999, and, on March 23, 1999, filed a petition for benefits; both documents requested treatment with a cardiologist and a determination of Appellant's average weekly wage and compensation rate (AWW/CR). Appellee, in response to the request for benefits, filed a pay and investigate letter pursuant to section 440.20(4), Florida Statutes. However, Appellee did not provide the medical benefits requested until 14 days after the filing of the petition for benefits, and Appellant did not actually see a cardiologist under Appellee's managed care plan until May 19, 1999. At the time Appellant filed his petition for benefits he had not filed, and was not entitled to file, a claim for disability, permanent impairment, wage loss or death benefits arising out of the same accident. See § 440.34(3)(a), Fla. Stat. (2000). On these facts Appellee argues for affirmance on the grounds that Appellant's joining of the AWW/CR issue with a claim for medical benefits violated section 440.34(3), Florida Statutes. We disagree.

Section 440.34(3) provides in part that a successful claim for "medical benefits only" entitles a claimant to receive attorney's fees and costs from the employer "if the claimant has not filed or is not entitled to file at such time a claim for disability, permanent impairment, wage-loss, or death benefits, arising out of the same accident." § 440.34(3), Fla. Stat. (2000). A claimant may collect attorney's fees under this provision if benefits are not furnished within a reasonable time after being specifically requested, the claim is for medical benefits only, and the claimant has not filed or is not entitled to file the listed indemnity claims. See Allen v. Tyrone Square 6 AMC Theaters, 731 So.2d 699, 702

(Fla. 1st DCA 1999). These conditions precedent are met in the instant case.

The above dates demonstrate that the provision of benefits was unreasonably delayed in such a way as to defeat the self-executing nature of the workers' compensation scheme by necessitating the filing of a petition for benefits. See id. at 700.

Appellant's claim was for medical benefits only, despite his request for a determination of AWW/CR. This Court has previously explained that "the employer/carrier is responsible for attorneys fees when there is no matter in controversy when the claim is filed other than medical benefits." Gunn's Quality Glass & Mirrors, Inc. v. Strode, 425 So.2d 73, 76 (Fla. 1st DCA 1982). Appellant's request for a determination of AWW/CR did not place a "matter in controversy" because such a determination did not affect his eligibility for indemnity benefits.

Appellant did not request indemnity benefits and, at the time of his filings, he was not entitled to indemnity benefits. His request for a determination of AWW/CR did not...