NWCDN Members regularly post articles and summary judgements in workers’ compensations law in your state.
Select a state from the dropdown menu below to scroll through the state specific archives for updates and opinions on various workers’ compensation laws in your state.
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In a recent
case, Steak ‘N Shake, Inc. v. Spears, Florida’s Fifth District Court of
Appeal affirmed that employees who sustain alleged injuries in the workplace
cannot bypass the workers compensation system to bring a tort claim against
their employer. In this case, the injured worker suffered severe emotional
distress after a robbery in the workplace where she was held at gunpoint,
forced into a backroom, and had her life repeatedly threatened by the gunman.
Importantly, although the gunman grabbed the injured worker by her neck and
shoulder, she admitted she did not sustain any physical injuries. Florida
workers compensation law contains an express limitation on benefits available
for mental and nervous injuries. Specifically, Section 440.093(1), Florida
Statutes, states:
A mental or nervous injury due to stress,
fright, or excitement only is not an injury by accident arising out of the
employment. Nothing in this section shall be construed to allow for the payment
of benefits under this chapter for mental or nervous injuries without an
accompanying physical injury requiring medical treatment. A physical injury
resulting from mental or nervous injuries unaccompanied by physical trauma
requiring medical treatment shall not be compensable under this chapter.
The employee chose not to file a
workers compensation claim and instead filed a civil tort suit directly against
her employer for emotional distress suffered as a result of the robbery. In
response, Steak ‘N Shake claimed entitlement to workers compensation immunity,
arguing that because the employee failed to request workers compensation
benefits, she had not taken the first step to determine whether she sustained
compensable injuries during the robbery. At the trial court level, the court
sided with the employee and ruled that the tort claim was outside the scope of
Florida workers compensation law, as the employee had not sustained any
physical injuries, meaning she was “never entitled to workers compensation
benefits.”
On appeal, the Fifth DCA
reversed the trial court's decision and held that an employee may not pursue a
tort claim against their employer in circuit court without first seeking a
determination as to whether they sustained a compensable injury and are
entitled to workers compensation benefits. The Fifth DCA highlighted Section
440.13(1)(d), Florida Statutes, which defines “compensable” to mean “a
determination by a carrier or judge of compensation claims that a
condition suffered by an employee results from an injury arising out of and in
the course of employment.” In other words, only insurance carriers and workers
compensation judges—not circuit court judges or injured employees themselves—have
the authority to determine compensability. Because the injured worker chose to
file in circuit court rather than file a workers compensation claim, no carrier
or judge of compensation claims had made a determination as to whether her
injuries were compensable. Neither the injured worker herself nor the trial
court judge had the authority to make this determination, and the trial court
order allowing the tort case to proceed against the employer was vacated and
remanded.
What this means for Florida
employers is that employees must first seek workers’ compensation benefits
before filing a civil tort suit against their employer. They cannot make a
compensability determination on their own or seek to have a circuit court judge
do it for them. This is true even in cases of purely emotional or mental
injuries, which generally are not compensable under Florida law. In Spears,
or in a similar case where the facts would play to jurors’ emotions and could
result in an excessive jury verdict, this gives employers options for deciding
how to handle these difficult claims.