Articles Posted in Workers' Compensation

Jeffrey P. Gale, P.A. // Two-Tiered Analysis Required Under F.S. 112.18(1) a/k/a the “Firefighter’s Presumption” or the “Heart-Lung” Statute When Disabling Condition Results From a Combination of an Underlying Condition With a “Triggering Event.”
Jeffrey P. Gale, P.A.

In City of Jacksonville v. Ratliff, 217 So. 3d 183 (Fla. 1st DCE 2017), a firefighter with a pre-existing history of diabetes, high cholesterol, prior history of smoking, and a family history of early onset CAD – blocked arteries (CAD – coronary artery disease) caused by the build-up of plaque – among other pre-existing factors,…

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Jeffrey P. Gale, P.A. // Personal Injuries Sustained in Subsequent Accident May Be Compensable
Jeffrey P. Gale, P.A.

We currently represent an elderly woman who was knocked down in the hallway of her condominium building by a large, unleashed dog. She fell and struck her head on the ground. In the days following the event, she had headaches and was lightheaded. While taking a shower, she fainted. As a result of this event,…

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Jeffrey P. Gale, P.A. // Florida Statute Creates Presumption Entitling Firefighters and Law Enforcement or Correctional Officers to Workers’ Compensation Benefits
Jeffrey P. Gale, P.A.

Unless you are a firefighter or any law enforcement officer, correctional officer, or correctional probation officer, in order to receive workers’ compensation benefits under Chapter 440 of the Florida Statutes for any condition or impairment of health caused by tuberculosis, heart disease, or hypertension, the burden will be on you to establish to a reasonable…

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Jeffrey P. Gale, P.A. // Dealing With Medical Payments Made by the Wrong Entity During a Pending Florida Workers’ Compensation Case
Jeffrey P. Gale, P.A.

It is not unusual for entities other than the workers’ compensation insurance carrier to pay medical expenses following a work-related accident. The most common payors are health insurance carriers, Medicare, and Medicaid. (PIP (a/k/a “No Fault”) insurance also pays if the accident involves motor vehicles, but since their rights are different than those of the…

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Jeffrey P. Gale, P.A. // Florida Workers’ Compensation SSD Offset and Attorney’s Fees
Jeffrey P. Gale, P.A.

Florida workers injured in the course and scope of their employment may end up receiving simultaneously both workers’ compensation indemnity (money) benefits under Florida Statute 440.15 and Social Security Disability benefits under 42 U.S.C. s. 423. When this happens, Federal law and Florida law provide that the combined benefits shall not exceed 80 percent of…

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Jeffrey P. Gale, P.A. // Florida Workers’ Compensation: Establishing Medical Necessity by Operation of Law (Statutes 440.13(3)(d) and (i)
Jeffrey P. Gale, P.A.

Workers’ compensation employers and carriers (“E/C”) “shall furnish to the employee … medically necessary remedial treatment, care and attendance….” See s. 440.13(2)(a), Florida Statutes. 440.13(1)(k) defines “medically necessary” as follows: “Medically necessary” or “medical necessity” means any medical service or medical supply which is used to identify or treat an illness or injury, is appropriate…

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Jeffrey P. Gale, P.A. // Florida’s Republican Legislature Loses Key Talking Point to Reduce Workers’ Compensation Rights
Jeffrey P. Gale, P.A.

The Florida Legislature meets yearly in Tallahassee, the State’s Capitol, to craft new legislation during a two month session. In an annual tradition, Republican legislators set its sights on reducing the quantity and quality of workers’ compensation benefits available to injured workers. Since 2016, those legislators have been unable to argue that workers’ compensation insurance…

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Jeffrey P. Gale, P.A. // Trial Memo on Florida’s Workers’ Compensation “120-Day Rule”
Jeffrey P. Gale, P.A.

This memo was written by me for an upcoming workers’ compensation trial. The key issue in the case is whether Florida’s “120-Day Rule” (F.S. 440.20(4)) will preclude the Employer/Carrier from denying the compensability of a number of claimant’s injuries and medical conditions. If the answer is Yes, the Claimant should be awarded Temporary Partial Disability…

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Jeffrey P. Gale, P.A. // Florida Workers’ Compensation: Creating Compensability of Injuries by Operation of Law (The “120-Day Rule”)
Jeffrey P. Gale, P.A.

Few parts of Chapter 440 of the Florida Statutes demand as much attention from the workers’ compensation insurance carrier as section 440.20(4), Florida Statutes. It provides: If the carrier is uncertain of its obligation to provide all benefits or compensation, the carrier shall immediately and in good faith commence investigation of the employee’s entitlement to…

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Jeffrey P. Gale, P.A. // Election of Remedy Key to Pursuing Civil Action for Personal Injuries Against Employers and Subcontractors
Jeffrey P. Gale, P.A.

Florida statute 440.11 precludes workers injured on the job from recovering damages from the employer at law or in admiralty on account of such injury or death. Damages at law or in admiralty include non-economic damages such as pain and suffering. It is a common law remedy. Damages for pain and suffering are not available…

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