First DCA Rejects Constitutional Challenge to "Horizontal Immunity"

The First District Court of Appeal made quick work of a Jacksonville construction worker's constitutional challenge to the so-called "horizontal immunity" provision of the Florida Workers' Compensation Law which I discussed here.  Just three days after hearing oral argument, the court "PCA'd" , i.e., affirmed without written opinion, the lower court's judgment.  Note:  because the First District affirmed the lower court's ruling without a written opinion, the decision is not binding as precedent. 

Injured Worker Challenges Constitutionality of "Horizontal Immunity" Provision

Last December, The Florida Times-Union carried this story about Gregory Aikens, a Jacksonville construction worker employed by subcontractor Dee Shoring Co., Inc., who was injured on the job due to the negligence of Miller Electric, another subcontractor on the same job. Aikens sued Miller Electric to recover for his injuries, and although the jury agreed that Miller Electric was indeed negligent, they specifically found that the company was not "grossly" negligent.  Therefore, judgment was entered for Miller Electric because of a 2003 amendment to §440.10, which raised the standard for recovery in suits by an employee of one subcontractor against another subcontractor from simple to gross negligence.  The amendment took effect just five days before his accident occurred.

 

Aikens has appealed the judgment to the First District Court of Appeal, contending, among other things, that the amendment is unconstitutional under Art. I, §21 ("access to courts") and Art. I, §2 ("equal protection"), Fla. Const. (Aikens v. Miller Electric, Case No. 1D07-6314).  Oral argument is set for July 15, but unfortunately, because the argument is set to take place in Jacksonville instead of Tallahassee, we'll be unable to watch.

Employee's "Exposure" Claim Deficient Where No Evidence of Specific Chemical Involved or Level of Exposure

In 2003, the legislature redefined "accident" to make it more difficult to prove that workplace exposures to allegedly harmful substances are compensable under the Florida Workers' Compensation Law.  Specifically, §440.02(1) now provides that "[a]n injury or disease caused by exposure to a toxic substance. . . is not an injury by accident arising out of the employment unless there is clear and convincing evidence establishing that exposure to the specific substance involved, at the levels to which the employee was exposed, can cause the injury or disease sustained by the employee" (emphasis added).

 

In Matrix Employee Leasing v. Pierce, decided on 6/18/2008, the First DCA reversed the order of the JCC which had found that the claimant had sustained a compensable exposure.  An IME physician, upon whose testimony the JCC relied, said that the claimant's respiratory problems were caused by her exposure to one of two chemicals.  He did not know, however, to which specific chemical the claimant was actually exposed, nor did he know the levels of any such exposure.  Therefore, the court concluded that there was "no competent substantial evidence" to support the JCC's finding that compensability of the respiratory problems had been established by "clear and convincing evidence."

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Liability for Workplace Bullies?

The 2008 Florida Legislature enacted Ch. 2008-123, the "Jeffrey Johnston Stand Up for All Students Act" which directs all school boards in Florida to develop and adopt policies to prohibit "bullying or harassment" of students or employees.  Does this law create an exception to the "exclusive remedy" provision for employees of a school board if the board fails to take sufficient steps to prevent bullying?  I admit I don't know, but this started me wondering whether laws specifically prohibiting "bullying" in the workplace in general could be far behind.

 

As it turns out, there have already been attempts around the country to enact such legislation.  See this list compiled by the Workplace Bullying Institute. These bills would explicitly create a private, non-workers' compensation cause of action in favor of an employee against an employer for allowing an "abusive work environment" to exist.  So far, no state has enacted legislation like this, but efforts are continuing.

Employer Immune From Tort Liability for Employee's On-The-Job Sexual Assault by Co-Employee

In Doe v. Footstar Corp., the Second DCA affirmed the trial court's judgment on the pleadings in favor of the employer and concluded that the employee's civil action against it was barred by the "exclusive remedy" provision of §440.11.  The employee (a minor, who brought the action through her parents) alleged in her complaint that Cooper, a co-employee, had assaulted and sexually battered her in the course of his employment with Footstar and that Footstar had negligently hired, retained, supervised, and trained Cooper.

 

The court had strongly hinted that it would reach this result when it considered this same case earlier.  In this opinion from 2006, the court concluded that it lacked jurisdiction to consider Footstar's appeal at that time under Fla.R.App.P. 9.130(a)(3)(C)(v).  That rule provides appellate courts jurisdiction over orders determining that, "as a matter of law, a party is not entitled to workers' compensation immunity."  The court concluded that the trial court had merely denied Footstar's motion for summary judgment, that the order did not state, as a matter of law, that Footstar was not entitled to workers' compensation immunity, and that it did not enter judgment against Footstar on the issue of workers' compensation immunity.

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Second DCA: Employer Not Estopped from Asserting "Exclusive Remedy" Defense

In Tractor Supply Co. v. Kent, which I discussed here, the Fifth DCA held that an employer was not estopped from asserting workers' compensation immunity as a defense to a civil action by its injured employee merely because it contended that the employee's ongoing medical condition is no longer attributable to the on-the-job accident, but to a pre-existing condition.

 

Now the Second DCA has followed suit in Coca-Cola Enterprises, Inc. v. Monteil et al., decided on 5/14/2008. Monteil was injured in a compensable workers' compensation accident while working for Coca-Cola.  They paid him benefits after the accident for approximately twelve weeks, but then concluded that his ongoing medical condition was no longer related to his work injury, but to a pre-existing degenerative condition, and therefore controverted further benefits at that point.  Rather than filing a petition for benefits, Monteil sued Coca-Cola for negligence in allegedly causing his accident.  Coca-Cola moved for summary judgment, contending that the "exclusive remedy" provision of §440.11 barred the action, but Monteil successfully opposed the motion by contending that Coca-Cola, by controverting further benefits, was estopped from asserting the exclusive remedy defense.  The Second DCA disagreed and reversed.  Quoting Kent with approval, the court said:

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"Dual Persona" Doctrine Does Not Permit Third Party's Contribution Claim Against Employer

The "dual persona" doctrine, discussed only sparingly in Florida judicial decisions, is an exception to the "exclusive remedy" provision which bars most tort claims by an employee against his employer.  The doctrine permits an employee to pursue a tort claim against his employer where the corporate employer merges with a corporate third-party tortfeasor after the accident which caused the employee's injuries.  For example, in Percy v. Falcon Fabricators, Inc., 584 So.2d 17 (Fla. 3d DCA 1991), one of the few Florida decisions to address the doctrine, an employee was allowed to sue her employer when, after the manufacture of the defective product which injured the employee, the employer merged with the manufacturer of the product. 

 

In Griffin, Inc. v. Loomis, Fargo & Co., however, decided on 4/23/2008, the Second DCA refused to apply the doctrine to permit a claim for contribution by a third-party tortfeasor against the employer's successor corporation.  The facts of the case are a little complicated, but here goes:

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Supreme Court Denies Review in Liberty Mutual v. Steadman

In Liberty Mutual Insurance Company v. Steadman, a case which I originally discussed here, the Second District Court of Appeal held that the allegations of Steadman's complaint, if true, would be sufficient to sustain an award of damages for intentional infliction of emotional distress by Liberty Mutual and its claims adjuster.  Previously, in Aguilera v. Inservices, Inc.,  the Florida Supreme Court had held that such claims are not barred by the "exclusive remedy" provision of §440.11, Fla. Stat.

 

Liberty Mutual had sought review of the Second District's decision in the Florida Supreme Court.  But in this 3/26/2008 order, the supreme court has now declined review.  Therefore, the case will now be returned to the circuit court for further proceedings.

Supreme Court Denies Review in Estoppel Case

By a vote of 4-3, the Florida Supreme Court in this 3/20/2008 order has denied review of the Fifth District Court of Appeal's decision in Tractor Supply Company v. Kent, a case from last August which I discussed here and here.

 

The claimant in that case filed a tort claim against his employer after the workers' compensation carrier denied his workers' compensation claim on the grounds that his medical problems all stemmed from a pre-existing condition.  The Fifth DCA had held that this denial did not estop the employer from asserting workers' compensation immunity as a defense in the subsequent tort action.

No WC Liability = No WC Immunity

Although we can't tell the facts of the case from the Third DCA's brief opinion in City of Miami v. Gutierrez, decided on 3/12/2008, because of the First DCA cases and the statute cited in the opinion we can surmise that the case involved the estate of an employee suing his employer in tort for injuries sustained while the employee was engaged in some type of "recreational and social activity" connected with his employment.  The Third DCA held that since the employee was not in the course of his employment at the time of his accident, the employer was not entitled to immunity from tort liability. 

Proposed Legislation Would Affect Employee Leasing Companies

Though Florida's annual legislative session is set to begin on March 4, so far only two bills have been filed which would meaningfully affect the area of workers' compensation. Those identical bills, SB 454 and HB 239, concern employee leasing companies. Under these proposed bills:

 

(1) the contract between the leasing company and the client company must provide that the leasing company will give notice to all leased employees as to whether their workers’ compensation coverage is being provided by the leasing company or by the client company;

(2) when the leasing company terminates its contractual relationship with the client company, the leasing company must give written notice of that fact, including the date of contract termination, to each leased employee at the employee's last known address;

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Supreme Court Declines Review in Spoliation Case

In Perez v. La Dove, Inc., a case which I wrote about here and here, the Third DCA held that an injured worker must specifically request his employer to preserve evidence critical to his third-party liability claim before liability for spoliation of evidence will arise against the employer.

 

The Florida Supreme Court has now declined to review that case in this 2/1/2008 order.

Parties File Jurisdictional Briefs in Estoppel Case

The claimant/plaintiff in Tractor Supply Company v. Kent, a case which I wrote about here, has filed a notice to invoke the discretionary jurisdiction of the Florida Supreme Court.  In that case, the Fifth District Court of Appeal held that just because a workers' compensation carrier has previously denied an employee's workers' compensation claim, the employer is not necessarily estopped from asserting workers' compensation immunity as an affirmative defense to the employee's subsequent liability claim against the employer. 

 

Kent argues that the Fifth District's decision "expressly and directly conflicts" with three previous decisions from the First District Court of Appeal.  (I had suggested in my initial post that the Fifth District's decision in Kent was actually inconsistent with its own previous decision in Byerly v. Citrus Publishing, Inc., 725 So.2d 1230 (Fla. 5th DCA 1999).  Even if true, however, intra-district conflict is insufficient to permit Supreme Court review.  There must be inter-district conflict in order for the supreme court to have jurisdiction under Art V, §3(b)(3), Fla. Const.).  You can read his jurisdictional brief here.

 

The employer/defendant, of course, suggests there is no conflict.  You can read the employer's jurisdictional brief here.

Steadman Files Her Jurisdictional Answer Brief

The plaintiff/claimant has filed her jurisdictional answer brief in the Florida Supreme Court in the case of Liberty Mutual Insurance Company v. Steadman (For previous posts about this case, see here, here, and here).  The brief, which you can read here, says that the allegations of her complaint against Liberty Mutual and its claims adjuster are sufficient to state a claim for intentional infliction of emotional distress because those allegations go far beyond alleging a "mere delay" in providing medical benefits or a "minor delay" in the claims process. 

Liberty Mutual Files Jurisdictional Brief in Steadman Case

In Liberty Mutual Ins. Co. v. Steadman, a case which I wrote about here and here, the Second District Court of Appeal held that Steadman's complaint, which alleged that Liberty Mutual had refused to authorize treatment for her life-threatening medical condition even after the JCC ordered them to do so, stated a valid claim for intentional infliction of emotional stress.

 

In seeking review of this decision by the Florida Supreme Court, Liberty Mutual contends that the Second District's decision conflicts with the supreme court's decision in Aguilera v. Inservices, Inc.  In Aguilera, says the insurer, the supreme court expressly held that a "mere delay in payments" is insufficient to avoid the "exclusive remedy" provision.  You can read the brief by clicking here.

Third DCA: Malicious Prosecution Claim Against Employer not Subject to Arbitration

Although it's difficult to tell all of the facts from the Court's brief opinion, it would appear that the employee had an employment contract with his employer in which he agreed to arbitrate rather than litigate any employment-related claims under the "Employment Retirement Income Security Act, Title VII of the Civil Rights Act of 1964, the Equal Pay Act, the Americans with Disabilities Act, the Older Workers' Benefits Protection Act, as well as all other federal, state, and local employment-related laws, regulations, rules or theories."  The contract specifically excluded from arbitration, however, those claims brought under "the workers' compensation laws." 

 

 

The employee here brought suit against the employer for malicious prosecution.  The Third DCA held that "the instant claim stems directly from [the employer's] actions during the workers' compensation case," and therefore "it is not arbitrable under the parties' agreement."  Although the opinion doesn't say so, I suspect that this must stem from some allegedly false accusation of workers' compensation fraud.  Cross v. Braman Motors, Inc

'Horizontal Immunity' Protects Subcontractor from Tort Liability

One of the many changes wrought by the 2003 amendments to the Florida Workers' Compensation Law was a change regarding immunity from tort liability for subcontractors on construction jobs.  Specifically, the 2003 amendment to §440.10 now provides so-called "horizontal immunity" from tort liability for injuries to employees of other subcontractors provided that: (1) the defendant subcontractor has secured workers' compensation insurance coverage for its own employees; and (2) the defendant subcontractor's own "gross negligence" was not the "major contributing cause" of the injuries.  Here's an article from the 12/4/2007 edition of the Florida Times-Union which illustrates the effect of this amendment in one case.

 

One of the attorneys quoted in the article questions the constitutionality of this amendment.  I'm not sure what the courts would say about this.  On the one hand, the Florida Supreme Court held that a 1971 amendment to §440.11 was an unconstitutional denial of "access to courts"  [see Art. I, §21, Fla. Const.] insofar as it purported to abolish a cause of action for indemnity against an employer by a third-party tortfeasor.  See Sunspan Engineering & Const. Co. v. Spring-Lock Scaffolding Co., 310 So.2d 4 (Fla. 1975).  On the other hand, that court later held that a 1978 amendment to §440.11 which raised the standard for bringing a liability claim against a co-worker of the same employer from simple negligence to "gross negligence" did not deny the injured worker access to courts.  See Iglesia v. Floran, 394 So.2d 994 (Fla. 1981).

Liberty Mutual Seeks Supreme Court Review in Steadman Case

On 11/30/2007, Liberty Mutual filed a Notice to Invoke the Discretionary Jurisdiction of the Florida Supreme Court in the case of Liberty Mutual v. Steadman, a Second DCA decision which I discussed here.  The Second DCA held in that case that Steadman's complaint, which alleged that Liberty Mutual had engaged in a number of "outrageous" acts in the handling of Steadman's workers' compensation claim, stated a valid cause of action for intentional infliction of emotional distress.

 

Because no conflict or question of great public importance was certified by the district court of appeal, I assume that Liberty Mutual will contend that Supreme Court jurisdiction exists on the grounds that the decision "expressly and directly conflicts" with a previous decision of the Supreme Court or with that of another district court of appeal.

Supreme Court Declines Review in Two Intentional Tort Cases; Quashes DCA Decision in Another

The Florida Supreme Court recently declined review in two cases and accepted review in another where the employees had alleged that their employers were guilty of committing an intentional tort against them.

 

In Pendergrass v. R.D. Michaels, Inc., the Fourth DCA held that the estate of a worker killed in a construction accident had no cause of action in tort against his corporate employer under the "criminal acts" exception to §440.11 because that exception applies only to individuals.  The Court also held that even though OSHA had cited the employer for a "wilful violation" of an OSHA regulation, that fact was insufficient to show a "substantial certainty" that the violation of that regulation would result in injury or death.

 

In Bourassa v. Busch Entertainment Corp., the Second DCA held that the employer was not liable in tort where an animal trainer lost her arm in an accident while working with a lion.  Although the employer knew the lion was extremely dangerous, it had a comprehensive training program for employees working with the lion and there had been no previous incidents involving the animal.

 

You can read the orders declining to grant review here and here.

 

But in Casas v. Siemens Energy and Automation, Inc., the Supreme Court quashed the 2006 decision of the Third DCA and remanded the case to the court for reconsideration in light of its recent decision in Bakerman v. The Bombay Co., Inc.  In the decision below, the Third DCA held that the employee's tort claim against his employer was barred because there was no proof that the employer had deliberately concealed the risk of injury from the employee.  But in Bakerman, the Supreme Court held that an employee need not present such proof in order to avoid the exclusive remedy provision of §440.11.

 

NoteCasas, like Bakerman, involved an accident that occurred prior to the 2003 amendment to §440.11.  Under that amendment, proof of intentional concealment of the risk of injury by the employer is a necessary element of proof if the employee is to escape the exclusive remedy provision.

Employee Seeks Supreme Court Review in Spoliation Case

The plaintiff in Perez v. La Dove, Inc., a decision from the Third DCA which I wrote about here, has filed a notice to invoke the discretionary jurisdiction of the Florida Supreme Court.  The basis alleged for Supreme Court jurisdiction is that the Third DCA's decision "expressly and directly" conflicts with the Fourth DCA's decision in Builder's Square v. Shaw, 755 So.2d 721 (Fla. 4th DCA 1999). 

 

The issue is whether an employee has a viable claim for "spoliation of evidence" against his employer for failure to preserve evidence relevant to his third-party liability claim if he never actually requested the employer to preserve such evidence.  In Shaw, the Fourth DCA held that the employer's duty to preserve relevant evidence arises even in the absence of an express request by the employee to do so under circumstances where the employer reasonably should know that such litigation is likely to occur.  You can read Perez's brief on jurisdiction here.

 

La Dove, Inc., has filed a brief disputing that the Supreme Court has jurisdiction.  According to their jurisdictional brief, the Fourth  DCA has actually receded from its Shaw decision in Royal & Sunalliance v. Lauderdale Marine Center, 877 So.2d 843 (Fla. 4th DCA 2004). Therefore, says the employer, there is no inter-district conflict. You can read their brief here.

Florida Supreme Court Limits "Impact Rule" for Psychological Injuries: What "Impact" for Florida Workers' Compensation?

In Willis v. Gami Golden Glades, LLC. and Florida Department of Corrections v. Abril, both decided by  4-3 majorities on 10/18/2007, the Florida Supreme Court limited the circumstances under which a plaintiff's recovery for psychological injuries in a personal injury case can be barred by the "impact rule."  Although neither of these decisions is a workers' compensation case, I think they could have an "impact" on an employee's ability to recover from his employer for workplace injuries due to "fright or excitement only" in some cases.

 

So what is the "impact rule?"  It's the court-made rule which says that a personal injury plaintiff may recover against a negligent tortfeasor for psychological injuries only if those injuries are accompanied by some physical "impact." [The impact rule doesn't apply to intentional tort cases like defamation, intentional infliction of emotional distress, breach of fiduciary duty, etc.].  Just how much of an "impact" is required in order to permit the award of damages for mental injuries in these cases?   That's what was at issue in Willis.

 

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Third DCA Rejects Employee's Spoliation of Evidence Claim Against Employer

"Spoliation of evidence" refers to the destruction of or failure to preserve evidence that is relevant to a lawsuit.  In Martino v. Wal-Mart Stores, Inc., 908 So.2d 342 (Fla. 2005), the Florida Supreme Court recognized that there are two different kinds of spoliation claims - "first-party" claims where "the defendant who allegedly lost, misplaced or destroyed the evidence was also a tortfeasor in causing the plaintiff's injuries or damages," and "third-party" claims where "a person or entity, though not a party to the underlying action causing the plaintiff's injuries or damages, lost misplaced, or destroyed evidence critical to that action."  In Martino, the supreme court held that Florida does not recognize an independent cause of action for "first party" spoliation.  Rather, the plaintiff in such cases is entitled to a presumption that the defendant's conduct was negligent.

 

Third-party spoliation claims can arise in the workers' compensation context  because in Florida an injured worker retains his right to pursue an action against  a "third-party" tortfeasor who may have been responsible for his on-the-job accident. (In this instance, "third party" refers to parties other than the employer and the claimant's co-employees, who in most instances are immune from tort liability).  Under §440.39(7), Fla. Stat., the employer has a "duty to cooperate" with the employee in pursuing any such claim.  Thus, questions can arise whether the employer, by its actions or inactions, may have impeded the claimant in pursuing his third-party liability claim.  That's what happened in Perez v. La Dove, Inc., decided by the Third District Court of Appeal on 9/12/2007.

 

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Fifth DCA finds Employer not Estopped from Asserting WC Immunity in Tort Claim

In what appears to be a significant retreat from an earlier decision, the Fifth District Court of Appeal has held that just because a workers' compensation carrier has previously denied an employee's workers' compensation claim, the employer is not estopped from asserting workers' compensation immunity as an affirmative defense in that employee's subsequent tort suit against it.

 

In Tractor Supply Company v. Kent, decided on 8/31/2007, the employee (Kent) claimed he was injured during the course of his employment with Tractor Supply Company when he was exposed to hydrated lime dust, allegedly causing an aggravation of a pre-existing pulmonary condition.  Kent filed a petition for benefits with the JCC, but the workers' compensation carrier filed a denial, stating "Entire claim denied, as the condition complained of is the result of a pre-existing medical condition that is not the result of employment with Tractor Supply."  Upon receiving the denial, Kent voluntarily dismissed his petition and filed a tort suit against the employer in circuit court.  Tractor Supply Company filed an answer in that suit in which it asserted that it was entitled to workers' compensation immunity.  The trial court granted partial summary judgment to Kent, holding that the employer was estopped as  matter of law from raising workers' compensation immunity as an affirmative defense because of the carrier's earlier denial of Kent's petition for benefits in the workers' compensation forum.

 

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Second DCA finds WC Carrier's Alleged Conduct "Outrageous"

Perhaps one of the more significant workers' compensation decisions that have been issued in the last few years is the Florida Supreme Court's decision in Aguilera v. Inservices, Inc., 905 So.2d 84 (Fla. 2005).  In Aguilera, the Court held that a workers' compensation insurance carrier is not immune from tort liability to the claimant when it commits an intentional tort during the claims-handling process. 

 

In the wake of Aguilera, the district courts of appeal have issued several decisions concerning whether a carrier's conduct was or was not sufficiently egregious to amount to an intentional wrongdoing.  The latest is the Second Disctrict Court of Appeal's 8/29/2007 decision in Liberty Mutual Insurance Company v. Steadman.

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Police Lieutenant Immune from Liability for Falsely Accusing Subordinate of WC Fraud

Falsely accusing someone of being a criminal is usually considered defamatory.  In this case, a jury found that a police lieutenant had defamed one of his subordinates by falsely accusing him of committing workers' compensation fraud. They awarded him $50,000 in damages. 

 

On appeal, however, the Fourth District Court of Appeal reversed the award with directions that judgment be entered in favor of the lieutenant.  Relying upon earlier precedent, the Court concluded  that the lieutenant, a "public official" whose statements were made in the course of his duties as police officer, was immune from liability for those statements.  In Florida, said the Court, "public officials who make statements within the scope of their duties are absolutely immune from suit for defamation."

 

 

 

Plaintiff's Settlement of his WC Claim Was Not an "Election of Remedies"

Can a plaintiff file a workers' compensation claim and collect a $350,000 settlement - ostensibly on the theory that he was an "employee" injured in the course of his employment on the date of his accident - and then later sue his "employer" in tort on the theory that he wasn't an "employee" after all?  Yes, said the Second District Court of Appeal in this case involving the doctrine of "election of remedies."  Here's what happened.

 

Father ("Arnulfo Sanchez Hernandez"), who was an employee of Sorrells Brothers Packing Company ("Packing Company"), was working in a citrus grove while his 17-year-od son ("Sanchez Vasquez"), who was not an employee of Packing Company, was also present.  (It is not clear from the opinion why the son was on the jobsite).  Sanchez Vasquez was seriously injured when he was struck by a vehicle known as a "goat" - owned by Sorrells Grove Care, Inc. ("Grove Care") and operated by another Packing Company employee ("Ramos").  Evidently not knowing that Sanchez Vasquez was in fact not an employee of Packing Company, his attorney filed a workers' compensation claim for him against Packing Company.  (You can see the petition for benefits here).  Packing Company and its workers' compensation carrier ("Clarendon") denied the claim on the grounds that Sanchez Vasquez was not its "employee."  (You can read the denial here.) 

 

Rebuffed in his attempt to claim workers' compensation benefits, Sanchez Vasquez therefore filed a tort claim against Packing Co., also naming Grove Care and Ramos in the complaint.  In its answer - contrary to the position it had taken in the workers' compensation proceedings - Packing Company alleged that it was entitled to workers' compensation immunity because Sanchez Vasquez was its employee.  Thereafter, at Packing Company's request, the trial court stayed the tort claim proceedings until the workers' compensation claim was resolved.  (Actually, Sanchez Vasquez filed a motion to stay the workers' compensation proceedings until the tort claim could be resolved.  That motion was denied by the JCC, whose order you can read here).

 

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Is a Fraudulent Denial of Workers' Compensation Benefits Grounds for a RICO Suit?

Here's an interesting case from the Sixth Circuit U.S. Court of Appeals, decided on 7/10/2007.  The plaintiffs there were injured workers who alleged that, in order to deprive them of benefits under the Michigan Workers' Disability Compensation Act,  their self-insured employer, its workers' compensation servicing agent, and the authorized treating physician had sent fraudulent communications among themselves and to the plaintiffs by mail and by wire in violation of federal law, and that these violations constituted the  "predicate acts" necessary to state a civil cause of action against them for violation of the federal Racketeer Influenced and Corrupt Organizations Act ("RICO").

 

In a 2-1 decision, the Sixth Circuit affimed the federal district court's dismissal of the complaint for failure to state a cause of action - but not because the plaintiffs' allegations of mail and wire fraud were insufficient.  Under the law prevailing in the Sixth Circuit (covering Kentucky, Michigan, Ohio, and Tennessee), a plaintiff alleging a RICO violation must allege and prove that he relied upon the defendants' alleged fraudulent acts.  [RICO provides a private right of action and treble damages for "any person injured in his business or property by reason of a violation" of the act].  Because allegations of detrimental reliance were absent from the plaintiffs' complaint, the appellate court agreed that the complaint failed to state a cause of action.  Nevertheless, two of the three judges argued that the issue should be considered by the entire Court sitting en banc

 

Thanks to How Appealing for the heads up on this case.

What is an Intentional Tort?

As in most other states, a Florida employer enjoys immunity from tort liability to its employees for almost all workplace injuries.  Instead, the benefits provided by the Florida Workers' Compensation Act provide the "exclusive remedy" for such injuries.  One exception to that rule of exclusivity, however, applies when the employer has intentionally harmed its employee.  In such cases, the employee is entitled to recover from the employer not just a percentage of his lost wages and his medical bills, but also non-economic damages such as "pain and suffering," "mental anguish," "loss of consortium," and the like.  But what kind of proof is necessary to demonstrate such employer intent?  That issue was the subject of the Florida Supreme Court's 6/21/2007 decision in Bakerman v. The Bombay Company, Inc.

 

The Court had previously held that where the employer engaged in conduct which was "substantially certain" to cause harm to the employee, then the employer is subject to tort liability for the employee's resulting injuries.  In Bakerman, the Court held 4-3 that in establishing "substantial certainty," the employee need not prove that the employer deliberately concealed a known danger to the employee.

 

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Bank Teller's Tort Claim Against Her Employer Fails

If workers' compensation cases in the Florida Supreme Court are rare, they might be even rarer in the federal courts.  But in Locke v. SunTrust Bank, the Eleventh Circuit Court of Appeals in Atlanta has recently weighed in on a question of workers' compensation immunity under the Florida Workers' Compensation Act. 

 

The plaintiff here was shot during a robbery of the SunTrust bank branch in Winter Haven where she worked.  Rather than claiming workers' compensation benefits, she elected to file a tort suit against her employer.  In order to get around the "exclusive remedy" provisions of s.440.11, Fla. Stat., she alleged in her complaint that SunTrust's actions - or in this case inactions - were so reckless and outrageous that an injury to her was "substantially certain" to have occurred. 

 

Specifically, she alleged that her branch had been robbed before, during which another teller had been pistol-whipped.  Although SunTrust had allegedly thereafter hired a security guard, the guard wasn't on duty on the day of the robbery here because SunTrust had decided to eliminate the security guard's position "for economic reasons."  SunTrust also allegedly failed to take a variety of other actions which would have protected the plaintiff from harm.  The federal district court dismissed her complaint, but she appealed to the Eleventh Circuit.

 

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