Grice v. Escambia County Sheriff's Department

658 So. 2d 1208, 1995 Fla. App. LEXIS 8557, 1995 WL 478263
CourtDistrict Court of Appeal of Florida
DecidedAugust 15, 1995
DocketNo. 94-1950
StatusPublished
Cited by3 cases

This text of 658 So. 2d 1208 (Grice v. Escambia County Sheriff's Department) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grice v. Escambia County Sheriff's Department, 658 So. 2d 1208, 1995 Fla. App. LEXIS 8557, 1995 WL 478263 (Fla. Ct. App. 1995).

Opinion

SMITH, Senior Judge.

The claimant, Thomas Grice, appeals a workers’ compensation order in which the [1209]*1209judge of compensation claims (JCC) ruled that the employer, Escambia County Sheriffs Department, appellee, was entitled to offset the claimant’s workers’ compensation benefits by the amount the claimant’s combined social security, workers’ compensation and state disability retirement benefits exceeded the claimant’s average weekly wage. We reverse.

The claimant, a disabled deputy sheriff, was injured on January 28, 1985 while employed by the Escambia County Sheriffs Department, a self-insured and self-administered employer for workers’ compensation purposes. The claimant was accepted as permanently totally disabled thereafter and began receiving permanent total disability (PTD) benefits. In addition, the claimant received social security disability benefits, and state disability retirement benefits under the Florida Retirement System. Claimant’s average weekly wage was determined to be $583.88, yielding a compensation rate of $392 per week. His social security benefit payment amounted to $163.85, and he received state disability retirement benefits in the amount of $208.75 per week.

On June 14, 1993, the county notified the claimant that it was offsetting his PTD benefits based upon the amount that his combined workers’ compensation, state pension, and social security benefits exceeded his average weekly wage. The claimant filed a claim disputing the county’s right to take the offset and sought repayment of the benefits withheld plus his fees, costs, interest and penalties.

After a hearing, the JCC issued an order denying the claim and allowing the county to “continue workers’ compensation offsets to the extent that both social security benefits and pension benefits combined to exceed claimant’s pre-injury average weekly wage.” In his order the JCC noted that under established case law it was clear that the combination of claimant’s workers’ compensation benefits and his employer-funded pension benefits could not exceed claimant’s average weekly wage; and that it was equally clear that a statutory offset with respect to social security benefits was provided by Section 440.15(9)(a), Florida Statutes. The JCC acknowledged, however, that there was no statutory or case law for guidance on the issue of whether the employer could combine all three benefits so as to compute an offset based upon the claimant’s average weekly wage. Finally concluding that such combining or “stacking” was permissible, the JCC’s order stated:

There are no cases on point dealing with a three-way combination of benefits. In this particular case, if either of the two benefits, i.e., social security or pension, were involved and those benefits were more generous, the employer would clearly be allowed to take an offset against compensation based on one or the other. For this reason, it appears that the employer should be allowed to “stack” both benefits to take an offset, provided it does not exceed the claimant’s pre-injury AWW. Had the pension benefits been substantially funded by the employee, one is compelled to conclude there would be a different result.

We begin our discussion by observing that Section 440.21, Florida Statutes, precludes any offset for sick leave, group insurance disability, pension or other like benefits, whether paid or furnished in whole or in part by the employer, or contributed to by the employee, so long as the combination of such benefits and the workers’ compensation benefits payable does not exceed the employee’s average weekly wage. Barragan v. City of Miami, 545 So.2d 252 (Fla.1989) (city pension); Brown v. S.S. Kresge Co., Inc., 305 So.2d 191 (Fla.1974) (sick leave insurance paid by employer); Domutz v. Southern Bell Telephone & Telegraph Co., 339 So.2d 636 (Fla.1976) (pension); City of Miami v. Smith, 602 So.2d 542 (Fla. 1st DCA 1991) (city pension); K-Mart v. Young, 526 So.2d 965 (Fla. 1st DCA 1988) (disability insurance furnished by employer).

All parties substantially agree to the foregoing. They disagree, however, on the em[1210]*1210ployer’s right to an offset when the combination of benefits does exceed the employee’s average weekly wage.

The claimant argues that although the court in Barragan, supra, allowed the City to reduce disability pension benefits to the extent such benefits combined with the employees’s workers’ compensation benefits exceeded the employee’s average weekly wage, the court did so because of a pension provision created by ordinance of the City which specifically provided for an offset. By contrast, appellant urges, the Florida State Retirement System pension plan contains no offset provision. The claimant also argues that this ease is similar to City of Pensacola v. Winchester, 560 So.2d 1273 (Fla. 1st DCA 1990), in which this court held that an employee was entitled to both in-line-of-duty disability benefits and workers’ compensation benefits. We find these arguments to be unavailing.

As for the claimant’s interpretation of the Barragan decision, we do not agree that the existence of the offset provision was the basis for the court’s allowance of an offset of the amount by which the combined pension and workers’ compensation benefits exceeded the average weekly wage.1 The Brown case, cited by the Barragan court, allowed an offset for amounts exceeding average weekly wage in the case of an employee receiving sick leave through group insurance paid by the employer, in the absence of any offset provision in the policy. This court, in K-Mart v. Young, 526 So.2d 965 (Fla. 1st DCA 1988), allowed an offset, in the absence of any contraetual provision calling for it, where the workers’ compensation benefits combined with benefits from a disability insurance policy paid for by the employer exceeded the employee’s average weekly wage. Thus, as indicated by these and other decisions, the critical factor is not the existence of a contractual provision for offset, but whether the combination of benefits famished by the employer, together with workers’ compensation benefits, exceeded the employee’s average weekly wage.

As for the claimant’s contention that this case is similar to City of Pensacola, supra, again we disagree. That case is unique in that, unlike the case before us, the City’s pension plan expressly provided that the employee was entitled to full pension benefits in addition to any workers’ compensation benefits payable to him. Id. at 1274.

Appellant does, however, make additional arguments which we find more persuasive. As appellant points out, Section 440.15(9), Florida Statutes, allows an offset for social security benefits to the extent that the employee’s combined social security and workers’ compensation payments exceed 80% of the employee’s average weekly wage. However, as appellant urges, this offset is controlled by federal law which provides that the offset shall not exceed that which the Social Security Administration would be entitled to take under 42 U.S.C. § 42(a). The E/SA have cited no federal statutes authorizing any offset of workers’ compensation based upon an employee’s receipt of Florida state disability retirement benefits.2 Fur[1211]

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HRS DIST. II v. Pickard
778 So. 2d 299 (District Court of Appeal of Florida, 1999)
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668 So. 2d 219 (District Court of Appeal of Florida, 1996)

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Bluebook (online)
658 So. 2d 1208, 1995 Fla. App. LEXIS 8557, 1995 WL 478263, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grice-v-escambia-county-sheriffs-department-fladistctapp-1995.