Workers Comp

Shernett Morrell v. University of Miami Hospital and Gallagher Bassett Services, Inc.

In Shernett Morrell v. University of Miami Hospital and Gallagher Bassett Services, Inc. the E/C’s motion to appoint expert medical advisor was unopposed and was supported by a disagreement among the health care providers. The JCC GRANTED the motion and appointed Dr. Orestes Rosabal, orthopedic surgeon, as the EMA in this matter.

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Damian Canul Canche v. H Valley Company, LLC. and Gallagher Bassett Services, Inc.

In Damian Canul Canche v. H Valley Company, LLC. And Gallagher Bassett Services, Inc. finding the parties had entered a written stipulation providing the provision of a physician, temporary indemnity and attorney fees and costs, the JCC GRANTED claimant’s motion to enforce and APPROVED the agreement.

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Nickie Sullivan v. Sassa Enterprise, LLC/Zippy’s Restaurant and None

In Nickie Sullivan v. Sassa Enterprise, LLC/Zippy’s Restaurant and None Employer was uninsured and unrepresented. The Claimant filed a verified petition for attorneys fees. The employer made no appearance at the final hearing. The JCC considered the Lee Engineering factors and concluded that 27.2 hours at $300 per hour were reasonable for claimant’s counsel’s efforts.

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Angela Balestra v. Vitas Healthcare Corp. and Sentry Casualty Company

In Angela Balestra v. Vitas Healthcare Corp. and Sentry Casualty Company after review of claimant’s notice of conflict, the JCC accepted E/C’s position that one of the physicians had not yet been deposed and the opinions in his report constituted inadmissible hearsay. Accordingly, the JCC DENIED the EMA request as premature.

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Melissa Bojanowski v. 1409 Physicians Regional Health System and Gallagher Bassett Services, Inc.

In Melissa Bojanowski v. 1409 Physicians Regional Health System and Gallagher Bassett Services, Inc. Claimant requested a $2,000 advance. The JCC found the claimant met the entitlement and eligibility requirements and GRANTED claimant’s motion for advance. The JCC also rejected the E/C suggestion that an alleged overpayment was equivalent to an advance.

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Lucianie Jean Baptiste v. Sunrise Community, Inc. and Sedgwick CMS

In Lucianie Jean Baptiste v. Sunrise Community Inc. and Sedgwick CMS the JCC entered this order on remand from the First DCA, altering the appealed order to reflect the denial of the $900 as the 50 percent of the IME cancellation fee and reducing the total costs ASSESSED against claimant to the sum of $11,050.70.

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JCC – Compensation Orders Fernada Hurst v. L.R.G. Transportation & Storage, Inc., America’s Back Office, Inc., Amergo Enterprises, Inc. and Service American Indemnity Company OJCC# 21-025694, Tampa District, JCC Anthony Claimant Counsel: Yuli Kotler; E/C Counsel: Steven Hovsepian Primary Issue: Notice D/A: 08-12-2021 Decision Date: 08-05-2022 Summary: The JCC observed many discrepancies in the deposition and final hearing testimonies of claimant, but the E/C had not raised a misrepresentation defense. Instead, the E/C asserted a lack of timely notice and that claimant was an independent contractor. Judging claimant’s credibility, the JCC did not accept the representation that claimant reported his injuries and as such failed to meet the notice requirements in F.S. Sec. 440.185. Concluding the claims were not compensable due to lack of timely notice, the JCC found it unnecessary to address the employer-employee dispute. All petitions DENIED and DISMISSED. Alfredo Morono Perez v. Florida Service Painting, Inc. and Sedgwick CMS OJCC# 20-024051, Sarasota District, JCC Grindal Claimant Counsel: Eric M. Christiansen; E/C Counsel: David Hamilton Roos Primary Issues: Surgery, Major Contributing Cause, Rehearing D/A: 08-28-2020 Decision Date: 08-05-2022 Summary: Amended Order (On E/C motion for rehearing. No change in decree.) – Cervical surgery was denied by the E/C on the assertion that the industrial accident was not the MCC of the need for the procedure. The authorized treating physician testified claimant had asymptomatic degenerative changes which were aggravated by the accident. The doctor testified as to apportionment percentages, but admitted the same were arbitrary and not scientifically supported. Accepting the MCC opinion favorable to claimant, the JCC determined the surgery was compensable. However, apportionment was rejected. In any case, the JCC found the E/C had failed to timely respond to the doctor’s written request for authorization of the procedure. Authorization of surgery GRANTED. Almon J. Potter v. City of St. Petersburg and Commercial Risk Management, Inc., City of St. Petersburg – W/C Office OJCC# 05-000429, Panama City Beach District, JCC Moneyham Claimant Counsel: John Sharpless; E/C Counsel: Kimberly Diane Proano Primary Issues: Temporary Partial Disability, Voluntary Limitation of Income D/A: 07-23-2004 Decision Date: 08-05-2022 Summary: In 2009, claimant was terminated by the employer. He testified he had not been offered any employment by the employer since that time and remained retired, receiving social security and retirement benefits from the employer. On the evidence presented, the JCC found claimant had been terminated from his position due to his inability to perform the job. He remained on light duty restrictions and had not yet reached MMI following a 2021 surgery. Accordingly, the JCC concluded claimant established a prima facie case of TPD entitlement. Here, there was no proof that claimant had been offered a light duty position since the surgery or even since the termination. As such, the E/C voluntary limitation of income defense was DENIED and TPD benefits were GRANTED, together with penalties and interest. Bryon William Hunter v. Autozone, Inc. and Gallagher Bassett Services, Inc.

In Bryon William Hunter v. Autozone, Inc, and Gallagher Bassett Services, Inc. Counsel for claimant submitted a One time change request to the adjuster but named his client as “Hunter B. William” instead of “Bryon William Hunter”. No petitions were pending and the adjuster never received the request due to the name discrepancy. A petition

JCC – Compensation Orders Fernada Hurst v. L.R.G. Transportation & Storage, Inc., America’s Back Office, Inc., Amergo Enterprises, Inc. and Service American Indemnity Company OJCC# 21-025694, Tampa District, JCC Anthony Claimant Counsel: Yuli Kotler; E/C Counsel: Steven Hovsepian Primary Issue: Notice D/A: 08-12-2021 Decision Date: 08-05-2022 Summary: The JCC observed many discrepancies in the deposition and final hearing testimonies of claimant, but the E/C had not raised a misrepresentation defense. Instead, the E/C asserted a lack of timely notice and that claimant was an independent contractor. Judging claimant’s credibility, the JCC did not accept the representation that claimant reported his injuries and as such failed to meet the notice requirements in F.S. Sec. 440.185. Concluding the claims were not compensable due to lack of timely notice, the JCC found it unnecessary to address the employer-employee dispute. All petitions DENIED and DISMISSED. Alfredo Morono Perez v. Florida Service Painting, Inc. and Sedgwick CMS OJCC# 20-024051, Sarasota District, JCC Grindal Claimant Counsel: Eric M. Christiansen; E/C Counsel: David Hamilton Roos Primary Issues: Surgery, Major Contributing Cause, Rehearing D/A: 08-28-2020 Decision Date: 08-05-2022 Summary: Amended Order (On E/C motion for rehearing. No change in decree.) – Cervical surgery was denied by the E/C on the assertion that the industrial accident was not the MCC of the need for the procedure. The authorized treating physician testified claimant had asymptomatic degenerative changes which were aggravated by the accident. The doctor testified as to apportionment percentages, but admitted the same were arbitrary and not scientifically supported. Accepting the MCC opinion favorable to claimant, the JCC determined the surgery was compensable. However, apportionment was rejected. In any case, the JCC found the E/C had failed to timely respond to the doctor’s written request for authorization of the procedure. Authorization of surgery GRANTED. Almon J. Potter v. City of St. Petersburg and Commercial Risk Management, Inc., City of St. Petersburg – W/C Office OJCC# 05-000429, Panama City Beach District, JCC Moneyham Claimant Counsel: John Sharpless; E/C Counsel: Kimberly Diane Proano Primary Issues: Temporary Partial Disability, Voluntary Limitation of Income D/A: 07-23-2004 Decision Date: 08-05-2022 Summary: In 2009, claimant was terminated by the employer. He testified he had not been offered any employment by the employer since that time and remained retired, receiving social security and retirement benefits from the employer. On the evidence presented, the JCC found claimant had been terminated from his position due to his inability to perform the job. He remained on light duty restrictions and had not yet reached MMI following a 2021 surgery. Accordingly, the JCC concluded claimant established a prima facie case of TPD entitlement. Here, there was no proof that claimant had been offered a light duty position since the surgery or even since the termination. As such, the E/C voluntary limitation of income defense was DENIED and TPD benefits were GRANTED, together with penalties and interest. Bryon William Hunter v. Autozone, Inc. and Gallagher Bassett Services, Inc. Read More »

Dominic S. Yacovella Sr. v. Enterprise Holdings and Sedgwick CMS

In Dominic S. Yacovella Sr. v. Enterprise Holdings and Sedgwick CMS E/C filed a motion to tax costs, Claimant objected to two $250 doctor conference fees. The JCC found the pre-IME conference was appropriate to the defense of the matter while the post-IME conference was not and was merely duplicative. Taxable costs ASSESSED against claimant

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Diana Rollo v. Consulate Health Care, Consulate Health Care d/b/a Lavie Care Centers d/b/a Consulate Health Care of and Gallagher Bassett Services, Inc., American Zurich Insurance Company

In Diana Rollo v. Consulate Health Care, Consulate Health Care d/b/a Lavie Care Centers d/b/a Consulate Health Care of and Gallagher Bassett Services, Inc., American Zurich Insurance Company the JCC found that Claimant met the entitlement and eligibility requirements for an advance, and GRANTED claimant’s more for advance, but limited the amount to $1,834.00 based

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