Articles Posted in Workers' Compensation

Jeffrey P. Gale, P.A. // “Reasonable Person” Standard in Florida Workers’ Compensation Notice Cases
Jeffrey P. Gale, P.A.

Florida’s workers’ compensation system has two distinct time bars for filing petitions to seek benefits. Most people are at least vaguely aware of one of the concepts, known as the statute of limitations (SOL). Florida’s workers’ compensation SOL is enunciated in section 440.19, Florida Statutes. The other time bar is laid out in Florida Statute…

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Jeffrey P. Gale, P.A. // Florida Workers’ Compensation Medicare Set-Aside Issues
Jeffrey P. Gale, P.A.

Individuals receiving Florida workers’ compensation benefits for serious medical conditions must give deep thought and consideration to the role of Medicare in their future medical plans. This is especially so for those who are eligible or soon to be eligible for Medicare. Because workers’ compensation has primary responsibility [for covering medical care associated with work-related…

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Jeffrey P. Gale, P.A. // Social Security Disability Offset After Florida Workers’ Compensation Settlement
Jeffrey P. Gale, P.A.

This previous blog — Florida Workers’ Compensation Permanent Total Disability (PTD) and the Social Security Disability (SSD) Offset — explains how workers’ compensation benefits and Social Security Disability benefits can offset each other. Today’s blog explains what happens when the workers’ compensation case settles. Federal law (42 U.S.C sec. 424a) and Florida law allow workers’…

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Jeffrey P. Gale, P.A. // Tampa Bay Times — Florida Workers’ Compensation Editorial
Jeffrey P. Gale, P.A.

The following editorial was published on January 16, 2018, in the Tampa Bay Times newspaper. It is fair and balanced. ***************************** Editorial: Balancing the playing field for workers’ compensation For the longest time, injured workers in Florida were basically at the mercy of the whims of employers to treat them fairly. A 2003 law aimed…

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Jeffrey P. Gale, P.A. // Florida Workers’ Compensation 440.15(4)(e) Termination for Misconduct Law Not Well Understood
Jeffrey P. Gale, P.A.

Section 440.15(4)(e) of the Florida Statutes provides as follows: “If the employee is terminated from postinjury employment based on the employee’s misconduct, temporary partial disability benefits are not payable as provided for in this section.” Simple enough, right? Not necessarily. For starters, 440.15(4)(e) is qualified by section 440.02(18), which provides in pertinent part as follows:…

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Jeffrey P. Gale, P.A. // Florida Workers’ Compensation Compensability by Operation of Law
Jeffrey P. Gale, P.A.

Workers’ compensation claimants have the burden of showing that the workplace accident is the major contributing cause of an injury. Section 440.09(1), Florida Statutes (2017). Major contributing cause, or MCC, means the cause which is more than 50 percent responsible for the injury as compared to all other causes combined for which treatment or benefits…

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Jeffrey P. Gale, P.A. // Travel Distance for Florida Workers’ Compensation Doctors
Jeffrey P. Gale, P.A.

Florida law grants workers’ compensation insurance companies the exclusive authority to control the selection of the injured worker’s treating medical providers. Section 440.13(2), Florida Statutes (2017). This leads to carriers repeatedly selecting providers with a track record of siding with them. Thankfully, the authority is not unbridled. One of the main restrictions concerns the proximity…

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Jeffrey P. Gale, P.A. // Beware of Insurance Industry Lobbyists
Jeffrey P. Gale, P.A.

Florida’s experience with crafting workers’ compensation legislation is a case study in the danger of accepting without challenge the statements of insurance industry lobbyists. One after the other during Florida’s last legislative session (March – May, 2017), insurance industry lobbyists stood before committees of elected officials and made baseless comments for the simple purpose of…

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Jeffrey P. Gale, P.A. // Functional Capacity Evaluations (FCE) in Florida Workers’ Compensation Cases
Jeffrey P. Gale, P.A.

Wikipedia defines a functional capacity evaluation (FCE) as “a set of tests, practices and observations that are combined to determine the ability of the evaluated person to function in a variety of circumstances, most often employment, in an objective manner. Physicians change diagnoses based on FCEs.” I, for one, consider FCEs junk science. At the…

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Jeffrey P. Gale, P.A. // Navigating Florida’s Tricky Workers’ Compensation Statute of Limitations (SOL)
Jeffrey P. Gale, P.A.

Florida’s workers’ compensation statute of limitations is outlined in section 440.19, Florida Statues (2017). The statute is particular with regard to the requirements workers’ compensation insurance carriers must satisfy to prevail on the SOL defense. This blog points out an approach not addressed in the statute which is used by carriers to bar claims through…

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