House Bill 4781

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    Florida House of Representatives - 1998                HB 4781

        By the Committee on Financial Services and Representatives
    Safley, Bainter and Flanagan





  1                      A bill to be entitled

  2         An act relating to workers' compensation;

  3         amending s. 440.15, F.S.; providing an

  4         exception to certain benefit repayment

  5         requirements for employees; providing a

  6         definition; providing application; providing a

  7         method for determining workers' compensation

  8         benefits when in combination with certain other

  9         benefits; providing for the exclusion of

10         certain supplemental payments; providing an

11         effective date.

12

13  Be It Enacted by the Legislature of the State of Florida:

14

15         Section 1.  Paragraph (f) of subsection (1) and

16  subsection (13) of section 440.15, Florida Statutes, are

17  amended, and subsection (14) is added to said section, to

18  read:

19         440.15  Compensation for disability.--Compensation for

20  disability shall be paid to the employee, subject to the

21  limits provided in s. 440.12(2), as follows:

22         (1)  PERMANENT TOTAL DISABILITY.--

23         (f)1.  If permanent total disability results from

24  injuries that occurred subsequent to June 30, 1955, and for

25  which the liability of the employer for compensation has not

26  been discharged under s. 440.20(12), the injured employee

27  shall receive additional weekly compensation benefits equal to

28  5 percent of her or his weekly compensation rate, as

29  established pursuant to the law in effect on the date of her

30  or his injury, multiplied by the number of calendar years

31  since the date of injury. The weekly compensation payable and

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    Florida House of Representatives - 1998                HB 4781

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  1  the additional benefits payable under this paragraph, when

  2  combined, may not exceed the maximum weekly compensation rate

  3  in effect at the time of payment as determined pursuant to s.

  4  440.12(2). Entitlement to these supplemental payments shall

  5  cease at age 62 if the employee is eligible for social

  6  security benefits under 42 U.S.C. s. ss. 402 or s. and 423,

  7  whether or not the employee has applied for such benefits.

  8  These supplemental benefits shall be paid by the division out

  9  of the Workers' Compensation Administration Trust Fund when

10  the injury occurred subsequent to June 30, 1955, and before

11  July 1, 1984. These supplemental benefits shall be paid by the

12  employer when the injury occurred on or after July 1, 1984.

13  Supplemental benefits are not payable for any period prior to

14  October 1, 1974.

15         2.a.  The division shall provide by rule for the

16  periodic reporting to the division of all earnings of any

17  nature and social security income by the injured employee

18  entitled to or claiming additional compensation under

19  subparagraph 1. Neither the division nor the employer or

20  carrier shall make any payment of those additional benefits

21  provided by subparagraph 1. for any period during which the

22  employee willfully fails or refuses to report upon request by

23  the division in the manner prescribed by such rules.

24         b.  The division shall provide by rule for the periodic

25  reporting to the employer or carrier of all earnings of any

26  nature and social security income by the injured employee

27  entitled to or claiming benefits for permanent total

28  disability. The employer or carrier is not required to make

29  any payment of benefits for permanent total disability for any

30  period during which the employee willfully fails or refuses to

31  report upon request by the employer or carrier in the manner

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    Florida House of Representatives - 1998                HB 4781

    614-129A-98






  1  prescribed by such rules or if any employee who is receiving

  2  permanent total disability benefits refuses to apply for or

  3  cooperate with the employer or carrier in applying for social

  4  security benefits.

  5         3.  When an injured employee receives a full or partial

  6  lump-sum advance of the employee's permanent total disability

  7  compensation benefits, the employee's benefits under this

  8  paragraph shall be computed on the employee's weekly

  9  compensation rate as reduced by the lump-sum advance.

10         (13)  REPAYMENT.--

11         (a)  If an employee has received a sum as an indemnity

12  benefit under any classification or category of benefit under

13  this chapter to which she or he is not entitled, the employee

14  is liable to repay that sum to the employer or the carrier or

15  to have that sum deducted from future benefits, regardless of

16  the classification of benefits, payable to the employee under

17  this chapter; however, a partial payment of the total

18  repayment may not exceed 20 percent of the amount of the

19  biweekly payment.

20         (b)1.  With respect to workers' compensation benefits

21  payable before October 1, 1998, to the extent liability for

22  repayment under this subsection is based on the combination of

23  workers' compensation benefits and other benefits exceeding

24  100 percent of the employee's average weekly wage at the time

25  of the injury, the employee is not required to repay the

26  difference to the employer or carrier unless otherwise

27  required by a contract that was in force at the time of the

28  injury.

29         2.  As used in this paragraph, "other benefits" means

30  social security benefits under 42 U.S.C. s. 402 or s. 423 and

31  employer-funded benefits, including, but not limited to,

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    Florida House of Representatives - 1998                HB 4781

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  1  nondisability retirement or pension benefits as described in

  2  subsection (14).

  3         3.  Nothing in this paragraph limits the applicability

  4  of subsection (10).

  5         (14)  COORDINATION OF BENEFITS.--Unless otherwise

  6  specifically provided by contract, workers' compensation

  7  benefits that are otherwise payable under this chapter must be

  8  reduced to the extent the combination of workers' compensation

  9  benefits and social security benefits under 42 U.S.C. s. 402

10  or s. 423, and employer-funded benefits other than

11  nondisability retirement or pension benefits, provided to the

12  employee and his or her dependents exceeds 100 percent of the

13  employee's average weekly wage at the time of injury.  A

14  benefit shall be considered employer funded when the employer

15  has contributed more than 50 percent of the cost of the

16  benefit.  "Workers' compensation benefits" excludes

17  supplemental payments for permanent total disability pursuant

18  to paragraph (1)(f).

19         Section 2.  This act shall take effect October 1 of the

20  year in which enacted.

21

22            *****************************************

23                          HOUSE SUMMARY

24
      With respect to workers' compensation benefits payable
25    before October 1 1998, exempts an employee from being
      required to repay to an employer or carrier the amount by
26    which the total of any benefits exceeds 100 percent of
      the employee's average weekly wage when injured unless
27    provided otherwise by contract. Provides for reducing the
      total amount of benefits receivable from workers'
28    compensation, social security, and employer-funded
      benefits to no more than 100 percent of an employee's
29    average weekly wage when injured. See bill for details.

30

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