HB 1837 2003
   
1 A bill to be entitled
2          An act relating to workers' compensation; amending s.
3    440.02, F.S.; revising and repealing definitions; amending
4    s. 440.05, F.S.; revising requirements relating to
5    submitting notice of election of exemption; providing that
6    an officer of a corporation who elects exemption may not
7    recover benefits and is not considered an employee for
8    purposes of determining premiums; amending s. 440.06,
9    F.S.; revising provisions relating to failure to secure
10    compensation; amending s. 440.077, F.S.; providing that a
11    corporate officer electing to be exempt may not receive
12    benefits under ch. 440, F.S.; amending s. 440.09, F.S.;
13    clarifying provisions relating to compensation for
14    subsequent injuries; providing definitions; revising
15    provisions relating to drug testing; amending s. 440.10,
16    F.S.; revising provisions relating to contractors and
17    subcontractors with regard to liability for compensation;
18    requiring subcontractors to provide evidence of workers'
19    compensation coverage or proof of exemption to a
20    contractor; deleting provisions relating to independent
21    contractors; amending s. 440.1025, F.S.; revising
22    requirements relating to workplace safety programs;
23    amending s. 440.105, F.S.; increasing criminal penalties
24    for certain violations of workers’ compensation compliance
25    requirements; amending s. 440.1051, F.S.; increasing
26    criminal penalty for false reports; amending s. 440.107,
27    F.S.; providing additional powers to the Department of
28    Insurance relating to compliance and enforcement;
29    providing penalties; amending s. 440.11, F.S.; revising
30    employer and safety consultant immunity from liability
31    provisions; amending s. 440.13, F.S.; requiring the Agency
32    for Health Care Administration to ensure establishment of
33    practice parameters for physician medical services;
34    revising provisions that provide for reimbursement
35    allowances; requiring revision of specified reimbursement
36    schedules; providing timetable for revision of schedules
37    of maximum reimbursement allowances; revising certain
38    reimbursement allowances; revising procedure for
39    determination of fee-for-service and hospital per-diem
40    schedules; amending s. 440.134, F.S.; revising provisions
41    relating to managed care arrangements; revising a
42    definition; amending s. 440.14, F.S.; revising provisions
43    relating to calculation of average weekly wage for injured
44    employees; amending s. 440.15, F.S.; providing additional
45    limitations on compensation for permanent total
46    disability; increasing payment schedule for impairment
47    benefits and providing for partial reduction under certain
48    circumstances; amending s. 440.16, F.S.; increasing the
49    limits on the amount of certain benefits paid as
50    compensation for death; amending s. 440.192, F.S.;
51    requiring a petition for benefits to include all claims
52    which are ripe, due, and owing; amending s. 440.25, F.S.;
53    revising procedures for mediation and hearings; amending
54    s. 440.34, F.S.; revising provisions relating to the award
55    of attorney's fees; amending s. 440.38, F.S.; providing
56    requirement for employers with coverage provided by
57    insurers from outside the state; amending s. 440.381,
58    F.S.; providing criminal penalty for unlawful
59    applications; amending s. 627.311, F.S.; providing for an
60    additional subplan within the joint underwriting plan for
61    workers’ compensation insurance; providing for rates,
62    surcharges, and assessments; limiting assessment powers;
63    amending s. 921.0022, F.S.; revising the offense severity
64    ranking chart to reflect changes in penalties under the
65    act; requiring a report to the Legislature from the
66    Department of Financial Services regarding provisions of
67    law relating to enforcement; providing effective dates.
68         
69          Be It Enacted by the Legislature of the State of Florida:
70         
71          Section 1. Subsections (15), (41, and (42) of section
72    440.02, Florida Statutes, are amended to read:
73          440.02 Definitions.--When used in this chapter, unless the
74    context clearly requires otherwise, the following terms shall
75    have the following meanings:
76          (15)(a) "Employee" means any person engaged in any
77    employment under any appointment or contract of hire or
78    apprenticeship, express or implied, oral or written, whether
79    lawfully or unlawfully employed, and includes, but is not
80    limited to, aliens and minors.
81          (b) "Employee" includes any person who is an officer of a
82    corporation and who performs services for remuneration for such
83    corporation within this state, whether or not such services are
84    continuous.
85          1. Any officer of a corporation may elect to be exempt
86    from this chapter by filing written notice of the election with
87    the department as provided in s. 440.05.
88          2. As to officers of a corporation who are actively
89    engaged in the construction industry, no more than three
90    officers may elect to be exempt from this chapter by filing
91    written notice of the election with the department as provided
92    in s. 440.05. However, any exemption obtained by a corporate
93    officer of a corporation actively engaged in the construction
94    industry is not applicable with respect to any commercial
95    building project estimated to be valued at $250,000 or greater.
96          3. An officer of a corporation who elects to be exempt
97    from this chapter by filing a written notice of the election
98    with the department as provided in s. 440.05 is not an employee.
99         
100          Services are presumed to have been rendered to the corporation
101    if the officer is compensated by other than dividends upon
102    shares of stock of the corporation which the officer owns.
103          (c)1."Employee" includes a sole proprietor or a partner
104    who devotes full time to the proprietorship or partnership and,
105    except as provided in this paragraph, elects to be included in
106    the definition of employee by filing notice thereof as provided
107    in s. 440.05. Partners or sole proprietors actively engaged in
108    the construction industry are considered employees unless they
109    elect to be excluded from the definition of employee by filing
110    written notice of the election with the department as provided
111    in s. 440.05. However, no more than three partners in a
112    partnership that is actively engaged in the construction
113    industry may elect to be excluded. A sole proprietor or partner
114    who is actively engaged in the construction industry and who
115    elects to be exempt from this chapter by filing a written notice
116    of the election with the department as provided in s. 440.05 is
117    not an employee. For purposes of this chapter, an independent
118    contractor is an employee unless he or she meets all of the
119    conditions set forth in subparagraph (d)1.
120          2. Notwithstanding the provisions of subparagraph 1., the
121    term "employee" includes a sole proprietor or partner actively
122    engaged in the construction industry with respect to any
123    commercial building project estimated to be valued at $250,000
124    or greater. Any exemption obtained is not applicable, with
125    respect to work performed at such a commercial building project.
126          (d) "Employee" does not include:
127          1. An independent contractor, if:
128          a. The independent contractor maintains a separate
129    business with his or her own work facility, truck, equipment,
130    materials, or similar accommodations;
131          b. The independent contractor holds or has applied for a
132    federal employer identification number, unless the independent
133    contractor is a sole proprietor who is not required to obtain a
134    federal employer identification number under state or federal
135    requirements;
136          c. The independent contractor performs or agrees to
137    perform specific services or work for specific amounts of money
138    and controls the means of performing the services or work;
139          d. The independent contractor incurs the principal
140    expenses related to the service or work that he or she performs
141    or agrees to perform;
142          e. The independent contractor is responsible for the
143    satisfactory completion of work or services that he or she
144    performs or agrees to perform and is or could be held liable for
145    a failure to complete the work or services;
146          f. The independent contractor receives compensation for
147    work or services performed for a commission or on a per-job or
148    competitive-bid basis and not on any other basis;
149          g. The independent contractor may realize a profit or
150    suffer a loss in connection with performing work or services;
151          h. The independent contractor has continuing or recurring
152    business liabilities or obligations; and
153          i. The success or failure of the independent contractor's
154    business depends on the relationship of business receipts to
155    expenditures.
156         
157          However, the determination as to whether an individual included
158    in the Standard Industrial Classification Manual of 1987,
159    Industry Numbers 0711, 0721, 0722, 0751, 0761, 0762, 0781, 0782,
160    0783, 0811, 0831, 0851, 2411, 2421, 2435, 2436, 2448, or 2449,
161    or a newspaper delivery person, is an independent contractor is
162    governed not by the criteria in this paragraph but by common-law
163    principles, giving due consideration to the business activity of
164    the individual. Notwithstanding the provisions of this paragraph
165    or any other provision of this chapter, with respect to any
166    commercial building project estimated to be valued at $250,000
167    or greater, a person who is actively engaged in the construction
168    industry is not an independent contractor and is either an
169    employer or an employee who may not be exempt from the coverage
170    requirements of this chapter.
171          2. A real estate salesperson or agent, if that person
172    agrees, in writing, to perform for remuneration solely by way of
173    commission.
174          3. Bands, orchestras, and musical and theatrical
175    performers, including disk jockeys, performing in licensed
176    premises as defined in chapter 562, if a written contract
177    evidencing an independent contractor relationship is entered
178    into before the commencement of such entertainment.
179          4. An owner-operator of a motor vehicle who transports
180    property under a written contract with a motor carrier which
181    evidences a relationship by which the owner-operator assumes the
182    responsibility of an employer for the performance of the
183    contract, if the owner-operator is required to furnish the
184    necessary motor vehicle equipment and all costs incidental to
185    the performance of the contract, including, but not limited to,
186    fuel, taxes, licenses, repairs, and hired help; and the owner-
187    operator is paid a commission for transportation service and is
188    not paid by the hour or on some other time-measured basis.
189          5. A person whose employment is both casual and not in the
190    course of the trade, business, profession, or occupation of the
191    employer.
192          6. A volunteer, except a volunteer worker for the state or
193    a county, municipality, or other governmental entity. A person
194    who does not receive monetary remuneration for services is
195    presumed to be a volunteer unless there is substantial evidence
196    that a valuable consideration was intended by both employer and
197    employee. For purposes of this chapter, the term "volunteer"
198    includes, but is not limited to:
199          a. Persons who serve in private nonprofit agencies and who
200    receive no compensation other than expenses in an amount less
201    than or equivalent to the standard mileage and per-diem expenses
202    provided to salaried employees in the same agency or, if such
203    agency does not have salaried employees who receive mileage and
204    per diem, then such volunteers who receive no compensation other
205    than expenses in an amount less than or equivalent to the
206    customary mileage and per diem paid to salaried workers in the
207    community as determined by the department; and
208          b. Volunteers participating in federal programs
209    established under Pub. L. No. 93-113.
210          7. Any officer of a corporation who elects to be exempt
211    from this chapter.
212          8. A sole proprietor or officer of a corporation who
213    actively engages in the construction industry, and a partner in
214    a partnership that is actively engaged in the construction
215    industry, who elects to be exempt from the provisions of this
216    chapter. Such sole proprietor, officer, or partner is not an
217    employee for any reason until the notice of revocation of
218    election filed pursuant to s. 440.05 is effective.
219          9. An exercise rider who does not work for a single horse
220    farm or breeder, and who is compensated for riding on a case-by-
221    case basis, provided a written contract is entered into prior to
222    the commencement of such activity which evidences that an
223    employee/employer relationship does not exist.
224          10. A taxicab, limousine, or other passenger vehicle-for-
225    hire driver who operates said vehicles pursuant to a written
226    agreement with a company which provides any dispatch, marketing,
227    insurance, communications, or other services under which the
228    driver and any fees or charges paid by the driver to the company
229    for such services are not conditioned upon, or expressed as a
230    proportion of, fare revenues.
231          11. A person who performs services as a sports official
232    for an entity sponsoring an interscholastic sports event or for
233    a public entity or private, nonprofit organization that sponsors
234    an amateur sports event. For purposes of this subparagraph, such
235    a person is an independent contractor. For purposes of this
236    subparagraph, the term "sports official" means any person who is
237    a neutral participant in a sports event, including, but not
238    limited to, umpires, referees, judges, linespersons,
239    scorekeepers, or timekeepers. This subparagraph does not apply
240    to any person employed by a district school board who serves as
241    a sports official as required by the employing school board or
242    who serves as a sports official as part of his or her
243    responsibilities during normal school hours.
244          (41) "Commercial building" means any building or structure
245    intended for commercial or industrial use, or any building or
246    structure intended for multifamily use of more than four
247    dwelling units, as well as any accessory use structures
248    constructed in conjunction with the principal structure. The
249    term, "commercial building," does not include the conversion of
250    any existing residential building to a commercial building.
251          (42) "Residential building" means any building or
252    structure intended for residential use containing four or fewer
253    dwelling units and any structures intended as an accessory use
254    to the residential structure.
255          Section 2. Effective January 1, 2004, subsections (8),
256    (15), (16), and (38) of section 440.02, Florida Statutes, as
257    amended by this act, are amended to read:
258          440.02 Definitions.--When used in this chapter, unless the
259    context clearly requires otherwise, the following terms shall
260    have the following meanings:
261          (8) "Construction industry" means for-profit activities
262    involving the carrying out ofany building, clearing, filling,
263    excavation, or substantial improvement in the size or use of any
264    structure or the appearance of any land. When appropriate to the
265    context, "construction" refers to the act of construction or the
266    result of construction. However, "construction" doesshallnot
267    mean a homeowner'slandowner'sact of construction or the result
268    of a construction upon his or her own premises, provided such
269    premises are not intended to be sold,or resold, or leased by
270    the owner within 1 year after the commencement of construction.
271    The division may, by rule, establish standard industrial
272    classification codes and definitions thereof which meet the
273    criteria of the term “construction industry” as set forth in
274    this section.
275          (15)(a) "Employee" means any person who receives
276    remuneration from an employer for the performance of any work or
277    service, whether byengaged in any employment under any
278    appointment or contract forofhire or apprenticeship, express
279    or implied, oral or written, whether lawfully or unlawfully
280    employed, and includes, but is not limited to, aliens and
281    minors.
282          (b) "Employee" includes any person who is an officer of a
283    corporation and who performs services for remuneration for such
284    corporation within this state, whether or not such services are
285    continuous.
286          1. Any officer of a corporation may elect to be exempt
287    from this chapter by filing written notice of the election with
288    the department as provided in s. 440.05.
289          2. As to officers of a corporation who are actively
290    engaged in the construction industry, no more than three
291    officers of a corporation or of any group of affiliated
292    corporationsmay elect to be exempt from this chapter by filing
293    written notice of the election with the department as provided
294    in s. 440.05. Officers must be shareholders, each owning at
295    least 10 percent of the stock of such corporation and listed as
296    an officer of such corporation with the Division of Corporations
297    of the Department of State, in order to elect exemptions under
298    this chapter. For purposes of this subparagraph, the term
299    “affiliated” means and includes one or more corporations or
300    entities, any one of which is a corporation engaged in the
301    construction industry, under the same or substantially the same
302    control of a group of business entities which are connected or
303    associated so that one entity controls or has the power to
304    control each of the other business entities. The term
305    “affiliated” includes the officers, directors, executives,
306    shareholders active in management, employees, and agents of the
307    affiliated corporation. The ownership by one business entity of
308    a controlling interest in another business entity or a pooling
309    of equipment or income among business entities shall be prima
310    facie evidence that one business is affiliated with the other.
311          3. An officer of a corporation who elects to be exempt
312    from this chapter by filing a written notice of the election
313    with the department as provided in s. 440.05 is not an employee.
314         
315          Services are presumed to have been rendered to the corporation
316    if the officer is compensated by other than dividends upon
317    shares of stock of the corporation which the officer owns.
318          (c) "Employee" includes:
319          1. A sole proprietor or a partner who is not engaged in
320    the construction industry,devotes full time to the
321    proprietorship or partnership, and, except as provided in this
322    paragraph,elects to be included in the definition of employee
323    by filing notice thereof as provided in s. 440.05. Partners or
324    sole proprietors actively engaged in the construction industry
325    are considered employees unless they elect to be excluded from
326    the definition of employee by filing written notice of the
327    election with the department as provided in s. 440.05. However,
328    no more than three partners in a partnership that is actively
329    engaged in the construction industry may elect to be excluded. A
330    sole proprietor or partner who is actively engaged in the
331    construction industry and who elects to be exempt from this
332    chapter by filing a written notice of the election with the
333    department as provided in s. 440.05 is not an employee. For
334    purposes of this chapter, an independent contractor is an
335    employee unless he or she meets all of the conditions set forth
336    in subparagraph (d)1.
337          2. All persons who are being paid by a construction
338    contractor as a subcontractor, unless the subcontractor has
339    validly elected an exemption as permitted by this chapter, or
340    has otherwise secured the payment of compensation coverage as a
341    subcontractor, consistent with s. 440.10, for work performed by
342    or as a subcontractor.
343          3. An independent contractor working or performing
344    services in the construction industry.
345          4. A sole proprietor who engages in the construction
346    industry and a partner or partnership that is engaged in the
347    construction industry.
348          (d) "Employee" does not include:
349          1. An independent contractor who is not engaged in the
350    construction industry., if:
351          a. In order to meet the definition of independent
352    contractor, at least four of the following criteria must be met:
353    (I) The independent contractor maintains a separate
354    business with his or her own work facility, truck, equipment,
355    materials, or similar accommodations;
356          (II) The independent contractor holds or has applied for a
357    federal employer identification number, unless the independent
358    contractor is a sole proprietor who is not required to obtain a
359    federal employer identification number under state or federal
360    regulations;
361          (III) The independent contractor receives compensation for
362    services rendered or work performed and such compensation is
363    paid to a business rather than to an individual;
364          (IV) The independent contractor holds one or more bank
365    accounts in the name of the business entity for purposes of
366    paying business expenses or other expenses related to services
367    rendered or work performed for compensation;
368          (V) The independent contractor performs work or is able to
369    perform work for any entity in addition to or besides the
370    employer at his or her own election without the necessity of
371    completing an employment application or process; or
372          (VI) The independent contractor receives compensation for
373    work or services rendered on a competitive-bid basis or
374    completion of a task or a set of tasks as defined by a
375    contractual agreement, unless such contractual agreement
376    expressly states that an employment relationship exists.The
377    independent contractor maintains a separate business with his or
378    her own work facility, truck, equipment, materials, or similar
379    accommodations;
380          b. If four of the above criteria do not exist, an
381    individual may still be presumed to be an independent contractor
382    and not an employee based on full consideration of the nature of
383    the individual situation with regard to satisfying any of the
384    following conditions:
385          (I) The independent contractor performs or agrees to
386    perform specific services or work for a specific amount of money
387    and controls the means of performing the services or work;
388          (II) The independent contractor incurs the principal
389    expenses related to the service or work that he or she performs
390    or agrees to perform;
391          (III) The independent contractor is responsible for the
392    satisfactory completion of the work or services that he or she
393    performs or agrees to perform;
394          (IV) The independent contractor receives compensation for
395    work or services performed for a commission or on a per-job
396    basis and not on any other basis;
397          (V) The independent contractor may realize a profit or
398    suffer a loss in connection with performing work or services;
399          (VI) The independent contractor has continuing or
400    recurring business liabilities or obligations; and
401          (VII) The success or failure of the independent
402    contractor’s business depends on the relationship of business
403    receipts to expenditures.The independent contractor holds or
404    has applied for a federal employer identification number, unless
405    the independent contractor is a sole proprietor who is not
406    required to obtain a federal employer identification number
407    under state or federal requirements;
408          c. Notwithstanding anything to the contrary in this
409    subparagraph, an individual claiming to be an independent
410    contractor has the burden of proving that he or she is an
411    independent contractor for purposes of this act.The independent
412    contractor performs or agrees to perform specific services or
413    work for specific amounts of money and controls the means of
414    performing the services or work;
415          d. The independent contractor incurs the principal
416    expenses related to the service or work that he or she performs
417    or agrees to perform;
418          e. The independent contractor is responsible for the
419    satisfactory completion of work or services that he or she
420    performs or agrees to perform and is or could be held liable for
421    a failure to complete the work or services;
422          f. The independent contractor receives compensation for
423    work or services performed for a commission or on a per-job or
424    competitive-bid basis and not on any other basis;
425          g. The independent contractor may realize a profit or
426    suffer a loss in connection with performing work or services;
427          h. The independent contractor has continuing or recurring
428    business liabilities or obligations; and
429          i. The success or failure of the independent contractor's
430    business depends on the relationship of business receipts to
431    expenditures.
432         
433          However, the determination as to whether an individual included
434    in the Standard Industrial Classification Manual of 1987,
435    Industry Numbers 0711, 0721, 0722, 0751, 0761, 0762, 0781, 0782,
436    0783, 0811, 0831, 0851, 2411, 2421, 2435, 2436, 2448, or 2449,
437    or a newspaper delivery person, is an independent contractor is
438    governed not by the criteria in this paragraph but by common-law
439    principles, giving due consideration to the business activity of
440    the individual.
441          2. A real estate salesperson or agent, if that person
442    agrees, in writing, to perform for remuneration solely by way of
443    commission.
444          3. Bands, orchestras, and musical and theatrical
445    performers, including disk jockeys, performing in licensed
446    premises as defined in chapter 562, if a written contract
447    evidencing an independent contractor relationship is entered
448    into before the commencement of such entertainment.
449          4. An owner-operator of a motor vehicle who transports
450    property under a written contract with a motor carrier which
451    evidences a relationship by which the owner-operator assumes the
452    responsibility of an employer for the performance of the
453    contract, if the owner-operator is required to furnish the
454    necessary motor vehicle equipment and all costs incidental to
455    the performance of the contract, including, but not limited to,
456    fuel, taxes, licenses, repairs, and hired help; and the owner-
457    operator is paid a commission for transportation service and is
458    not paid by the hour or on some other time-measured basis.
459          5. A person whose employment is both casual and not in the
460    course of the trade, business, profession, or occupation of the
461    employer.
462          6. A volunteer, except a volunteer worker for the state or
463    a county, municipality, or other governmental entity. A person
464    who does not receive monetary remuneration for services is
465    presumed to be a volunteer unless there is substantial evidence
466    that a valuable consideration was intended by both employer and
467    employee. For purposes of this chapter, the term "volunteer"
468    includes, but is not limited to:
469          a. Persons who serve in private nonprofit agencies and who
470    receive no compensation other than expenses in an amount less
471    than or equivalent to the standard mileage and per diem expenses
472    provided to salaried employees in the same agency or, if such
473    agency does not have salaried employees who receive mileage and
474    per diem, then such volunteers who receive no compensation other
475    than expenses in an amount less than or equivalent to the
476    customary mileage and per diem paid to salaried workers in the
477    community as determined by the department; and
478          b. Volunteers participating in federal programs
479    established under Pub. L. No. 93-113.
480          7. Unless otherwise prohibited by this chapter,any
481    officer of a corporation who elects to be exempt from this
482    chapter.
483          8. Ana sole proprietor or officer of a corporation who
484    actively engages in the construction industry, and a partner in
485    a partnership that is activelyengaged in the construction
486    industry,who elects to be exempt from the provisions of this
487    chapter, as otherwise permitted by this chapter. Such sole
488    proprietor, officer, or partneris not an employee for any
489    reason until the notice of revocation of election filed pursuant
490    to s. 440.05 is effective.
491          9. An exercise rider who does not work for a single horse
492    farm or breeder, and who is compensated for riding on a case-by-
493    case basis, provided a written contract is entered into prior to
494    the commencement of such activity which evidences that an
495    employee/employer relationship does not exist.
496          10. A taxicab, limousine, or other passenger vehicle-for-
497    hire driver who operates said vehicles pursuant to a written
498    agreement with a company which provides any dispatch, marketing,
499    insurance, communications, or other services under which the
500    driver and any fees or charges paid by the driver to the company
501    for such services are not conditioned upon, or expressed as a
502    proportion of, fare revenues.
503          11. A person who performs services as a sports official
504    for an entity sponsoring an interscholastic sports event or for
505    a public entity or private, nonprofit organization that sponsors
506    an amateur sports event. For purposes of this subparagraph, such
507    a person is an independent contractor. For purposes of this
508    subparagraph, the term "sports official" means any person who is
509    a neutral participant in a sports event, including, but not
510    limited to, umpires, referees, judges, linespersons,
511    scorekeepers, or timekeepers. This subparagraph does not apply
512    to any person employed by a district school board who serves as
513    a sports official as required by the employing school board or
514    who serves as a sports official as part of his or her
515    responsibilities during normal school hours.
516          12. Medicaid-enrolled clients under chapter 393 who are
517    excluded from the definition of employment under s.
518    443.036(21)(d)5. and served by Adult Day Training Services under
519    the Home and Community-Based Medicaid Waiver program in a
520    sheltered workshop setting licensed by the United States
521    Department of Labor for the purpose of training and earning less
522    than the federal hourly minimum wage.
523          (16)(a)"Employer" means the state and all political
524    subdivisions thereof, all public and quasi-public corporations
525    therein, every person carrying on any employment, and the legal
526    representative of a deceased person or the receiver or trustees
527    of any person. If the employer is a corporation, parties in
528    actual control of the corporation, including, but not limited
529    to, the president, officers who exercise broad corporate powers,
530    directors, and all shareholders who directly or indirectly own a
531    controlling interest in the corporation, are considered the
532    employer for the purposes of ss. 440.105 and 440.106.
533          (b) A landowner shall not be considered the employer of
534    persons hired by the homeowner to carry out construction on the
535    homeowner’s own premises if those premises are not intended for
536    immediate sale or resale.
537          (c) Facilities serving individuals under subparagraph
538    (15)(d)12. shall be considered agents of the Agency for Health
539    Care Administration as it relates to providing Adult Day
540    Training Services under the Home and Community-Based Medicaid
541    Waiver program and not employers or third parties for the
542    purpose of limiting or denying Medicaid benefits.
543          (38) "Catastrophic injury" means a permanent impairment
544    constituted by:
545          (a) Spinal cord injury involving severe paralysis of an
546    arm, a leg, or the trunk;
547          (b) Amputation of an arm, a hand, a foot, or a leg
548    involving the effective loss of use of that appendage;
549          (c) Severe brain or closed-head injury as evidenced by:
550          1. Severe sensory or motor disturbances;
551          2. Severe communication disturbances;
552          3. Severe complex integrated disturbances of cerebral
553    function;
554          4. Severe episodic neurological disorders; or
555          5. Other severe brain and closed-head injury conditions at
556    least as severe in nature as any condition provided in
557    subparagraphs 1.-4.;
558          (d) Second-degree or third-degree burns of 25 percent or
559    more of the total body surface or third-degree burns of 5
560    percent or more to the face and hands; or
561          (e) Total or industrial blindness; or
562          (f) Any other injury that would otherwise qualify under
563    this chapter of a nature and severity that would qualify an
564    employee to receive disability income benefits under Title II or
565    supplemental security income benefits under Title XVI of the
566    federal Social Security Act as the Social Security Act existed
567    on July 1, 1992, without regard to any time limitations provided
568    under that act.
569          Section 3. Effective January 1, 2004, subsections (3),
570    (6), (10), and (13) of section 440.05, Florida Statutes, are
571    amended, and subsection (14) is added to said section, to read:
572          440.05 Election of exemption; revocation of election;
573    notice; certification.--
574          (3) Each sole proprietor, partner, orofficer of a
575    corporation who is activelyengaged in the construction industry
576    and who elects an exemption from this chapter or who, after
577    electing such exemption, revokes that exemption, must mail a
578    written notice to such effect to the department on a form
579    prescribed by the department. The notice of election to be
580    exempt from the provisions of this chapter must be notarized and
581    under oath. The notice of election to be exempt which is
582    submitted to the department by the sole proprietor, partner, or
583    officer of a corporation who is allowed to claim an exemption as
584    provided by this chaptermust list the name, federal tax
585    identification number, social security number, all certified or
586    registered licenses issued pursuant to chapter 489 held by the
587    person seeking the exemption, a copy of relevant documentation
588    as to employment status filed with the Internal Revenue Service
589    as specified by the department, a copy of the relevant
590    occupational license in the primary jurisdiction of the
591    business, and, for corporate officers and partners,the
592    registration number of the corporation or partnershipfiled with
593    the Division of Corporations of the Department of State along
594    with a copy of the stock certificate evidencing the required
595    ownership under this chapter. The notice of election to be
596    exempt must identify each sole proprietorship, partnership, or
597    corporation that employs the person electing the exemption and
598    must list the social security number or federal tax
599    identification number of each such employer and the additional
600    documentation required by this section. In addition, the notice
601    of election to be exempt must provide that the sole proprietor,
602    partner, orofficer electing an exemption is not entitled to
603    benefits under this chapter, must provide that the election does
604    not exceed exemption limits for officers and partnerships
605    provided in s. 440.02, and must certify that any employees of
606    the corporation whosesole proprietor, partner, or officer
607    electselectingan exemption are covered by workers'
608    compensation insurance. Upon receipt of the notice of the
609    election to be exempt, receipt of all application fees, and a
610    determination by the department that the notice meets the
611    requirements of this subsection, the department shall issue a
612    certification of the election to the sole proprietor, partner,
613    orofficer, unless the department determines that the
614    information contained in the notice is invalid. The department
615    shall revoke a certificate of election to be exempt from
616    coverage upon a determination by the department that the person
617    does not meet the requirements for exemption or that the
618    information contained in the notice of election to be exempt is
619    invalid. The certificate of election must list the namenamesof
620    the sole proprietorship, partnership, orcorporation listed in
621    the request for exemption. A new certificate of election must be
622    obtained each time the person is employed by a new sole
623    proprietorship, partnership, or differentcorporation that is
624    not listed on the certificate of election. A copy of the
625    certificate of election must be sent to each workers'
626    compensation carrier identified in the request for exemption.
627    Upon filing a notice of revocation of election, ana sole
628    proprietor, partner, or officer who is a subcontractor or an
629    officer of a corporate subcontractormust notify her or his
630    contractor. Upon revocation of a certificate of election of
631    exemption by the department, the department shall notify the
632    workers' compensation carriers identified in the request for
633    exemption.
634          (6) A construction industry certificate of election to be
635    exempt which is issued in accordance with this section shall be
636    valid for 2 years after the effective date stated thereon. Both
637    the effective date and the expiration date must be listed on the
638    face of the certificate by the department. The construction
639    industry certificate must expire at midnight, 2 years from its
640    issue date, as noted on the face of the exemption certificate.
641    Any person who has received from the division a construction
642    industry certificate of election to be exempt which is in effect
643    on December 31, 1998, shall file a new notice of election to be
644    exempt by the last day in his or her birth month following
645    December 1, 1998. A construction industry certificate of
646    election to be exempt may be revoked before its expiration by
647    the sole proprietor, partner, orofficer for whom it was issued
648    or by the department for the reasons stated in this section. At
649    least 60 days prior to the expiration date of a construction
650    industry certificate of exemption issued after December 1, 1998,
651    the department shall send notice of the expiration date and an
652    application for renewal to the certificateholder at the address
653    on the certificate.
654          (10) Each sole proprietor, partner, orofficer of a
655    corporation who is actively engaged in the construction industry
656    and who elects an exemption from this chapter shall maintain
657    business records as specified by the division by rule, which
658    rules must include the provision that any corporation with
659    exempt officers and any partnership activelyengaged in the
660    construction industry with exempt partnersmust maintain written
661    statements of those exempted persons affirmatively acknowledging
662    each such individual's exempt status.
663          (13) Any corporate officer permitted by this chapter to
664    claimclaiming an exemption under this sectionmust be listed on
665    the records of this state's Secretary of State, Division of
666    Corporations, as a corporate officer. If the person who claims
667    an exemption as a corporate officer is not so listed on the
668    records of the Secretary of State, the individual must provide
669    to the division, upon request by the division, a notarized
670    affidavit stating that the individual is a bona fide officer of
671    the corporation and stating the date his or her appointment or
672    election as a corporate officer became or will become effective.
673    The statement must be signed under oath by both the officer and
674    the president or chief operating officer of the corporation and
675    must be notarized.The division shall issue a stop-work order
676    under s. 440.107(1) to any corporation who employs a person who
677    claims to be exempt as a corporate officer but who fails or
678    refuses to produce the documents required under this subsection
679    to the division within 3 business days after the request is
680    made.
681          (14) An officer of a corporation who elects exemption from
682    this chapter by filing a certificate of election under this
683    section may not recover benefits or compensation under this
684    chapter. For purposes of determining the appropriate premium for
685    workers' compensation coverage, carriers may not consider any
686    officer of a corporation who validly meets the requirements of
687    this section to be an employee.
688          Section 4. Section 440.06, Florida Statutes, is amended to
689    read:
690          440.06 Failure to secure compensation; effect.--Every
691    employer who fails to secure the payment of compensation, as
692    provided in s. 440.10, by failing to meet the requirements of
693    under this chapter as provided ins. 440.38 may not, in any suit
694    brought against him or her by an employee subject to this
695    chapter to recover damages for injury or death, defend such a
696    suit on the grounds that the injury was caused by the negligence
697    of a fellow servant, that the employee assumed the risk of his
698    or her employment, or that the injury was due to the comparative
699    negligence of the employee.
700          Section 5. Effective January 1, 2004, section 440.077,
701    Florida Statutes, is amended to read:
702          440.077 When a corporatesole proprietor, partner, or
703    officer rejects chapter, effect.--AnA sole proprietor, partner,
704    or officer of a corporation who is permitted to elect an
705    exemption under this chapteractively engaged in the
706    construction industryand who elects to be exempt from the
707    provisions of this chapter may not recover benefits under this
708    chapter.
709          Section 6. Subsection (1) of section 440.09, Florida
710    Statutes, is amended, and paragraph (e) is added to subsection
711    (7) of said section, to read:
712          440.09 Coverage.--
713          (1) The employer mustshallpay compensation or furnish
714    benefits required by this chapter if the employee suffers an
715    accidental compensableinjury or death arising out of work
716    performed in the course and the scope of employment. The injury,
717    its occupational cause, and any resulting manifestations or
718    disability mustshallbe established to a reasonable degree of
719    medical certainty, based onand by objective relevantmedical
720    findings, and the compensable accident must be the major
721    contributing cause of any resulting injuries. For purposes of
722    this section, “major contributing cause” means the cause which
723    is more than 50 percent responsible for the injury as compared
724    to all other causes combined for which treatment or benefits are
725    sought. In cases involving occupational disease or repetitive
726    exposure, both causation and sufficient exposure to support
727    causation must be proven by clear and convincing evidence. Pain
728    or other subjective complaints alone, in the absence of
729    objective relevant medical findings are not compensable. For
730    purposes of this section, “objective relevant medical findings”
731    are those objective findings that correlate to the subjective
732    complaints of the injured employee and are confirmed by physical
733    examination findings or diagnostic testing. Establishment of the
734    causal relationship between a compensable accident and injuries
735    for conditions that are not readily observable must be by
736    medical evidence only, as demonstrated by physical examination
737    findings or diagnostic testing. Major contributing cause must be
738    demonstrated by medical evidence only.Mental or nervous
739    injuries occurring as a manifestation of an injury compensable
740    under this section shall be demonstrated by clear and convincing
741    evidence.
742          (a) This chapter does not require any compensation or
743    benefits for any subsequent injury the employee suffers as a
744    result of an original injury arising out of and in the course of
745    employment unless the original injury is the major contributing
746    cause of the subsequent injury. Major contributing cause must be
747    demonstrated by medical evidence only.
748          (b) If an injury arising out of and in the course of
749    employment combines with a preexisting disease or condition to
750    cause or prolong disability or need for treatment, the employer
751    must pay compensation or benefits required by this chapter only
752    to the extent that the injury arising out of and in the course
753    of employment is and remains more than 50 percent responsible
754    for the injury as compared to all other causes combined and
755    thereafter remainsthe major contributing cause of the
756    disability or need for treatment. Major contributing cause must
757    be demonstrated by medical evidence only.
758          (c) Death resulting from an operation by a surgeon
759    furnished by the employer for the cure of hernia as required in
760    s. 440.15(6) shall for the purpose of this chapter be considered
761    to be a death resulting from the accident causing the hernia.
762          (d) If an accident happens while the employee is employed
763    elsewhere than in this state, which would entitle the employee
764    or his or her dependents to compensation if it had happened in
765    this state, the employee or his or her dependents are entitled
766    to compensation if the contract of employment was made in this
767    state, or the employment was principally localized in this
768    state. However, if an employee receives compensation or damages
769    under the laws of any other state, the total compensation for
770    the injury may not be greater than is provided in this chapter.
771          (7)
772          (e) As a part of rebutting any presumptions under
773    paragraph (b), the injured worker must prove the actual
774    quantitative amounts of the drug or its metabolites as measured
775    on the initial and confirmation post-accident drug tests of the
776    injured worker’s urine sample and provide additional evidence
777    regarding the absence of drug influence other than the worker’s
778    denial of being under the influence of a drug. No drug test
779    conducted on a urine sample shall be rejected as to its results
780    or the presumption imposed under paragraph (b) on the basis of
781    urine being bodily fluid tested.
782          Section 7. Effective January 1, 2004, subsection (1) of
783    section 440.10, Florida Statutes, is amended to read:
784          440.10 Liability for compensation.--
785          (1)(a) Every employer coming within the provisions of this
786    chapter, including any brought within the chapter by waiver of
787    exclusion or of exemption,shall be liable for, and shall
788    secure, the payment to his or her employees, or any physician,
789    surgeon, or pharmacist providing services under the provisions
790    of s. 440.13, of the compensation payable under ss. 440.13,
791    440.15, and 440.16. Any contractor or subcontractor who engages
792    in any public or private construction in the state shall secure
793    and maintain compensation for his or her employees under this
794    chapter as provided in s. 440.38.
795          (b) In case a contractor sublets any part or parts of his
796    or her contract work to a subcontractor or subcontractors, all
797    of the employees of such contractor and subcontractor or
798    subcontractors engaged on such contract work shall be deemed to
799    be employed in one and the same business or establishment; and
800    the contractor shall be liable for, and shall secure, the
801    payment of compensation to all such employees, except to
802    employees of a subcontractor who has secured such payment.
803          (c) A contractor shallmayrequire a subcontractor to
804    provide evidence of workers' compensation insurance or a copy of
805    his or her certificate of election. A subcontractor that is a
806    corporation and that has an officer who electselectingto be
807    exempt as permitted under this chaptera sole proprietor,
808    partner, or officer of a corporationshall provide a copy of his
809    or her certificate of exemptionelectionto the contractor.
810          (d)1. If a contractor becomes liable for the payment of
811    compensation to the employees of a subcontractor who has failed
812    to secure such payment in violation of s. 440.38, the contractor
813    or other third-party payor shall be entitled to recover from the
814    subcontractor all benefits paid or payable plus interest unless
815    the contractor and subcontractor have agreed in writing that the
816    contractor will provide coverage.
817          2. If a contractor or third-party payor becomes liable for
818    the payment of compensation to the corporate officeremployeeof
819    a subcontractor who is activelyengaged in the construction
820    industry and has elected to be exempt from the provisions of
821    this chapter, but whose election is invalid, the contractor or
822    third-party payor may recover from the claimant, partnership,or
823    corporation all benefits paid or payable plus interest, unless
824    the contractor and the subcontractor have agreed in writing that
825    the contractor will provide coverage.
826          (e) A subcontractor providing services in conjunction with
827    a contractor on the same project or contract workis not liable
828    for the payment of compensation to the employees of another
829    subcontractor or the contractor on such contract work and is not
830    protected by the exclusiveness-of-liability provisions of s.
831    440.11 from anyaction at law or in admiralty on account of
832    injury to anof such employee of another subcontractor, or of
833    the contractor, provided that:
834          1. The subcontractor has secured workers’ compensation
835    insurance for its employees or the contractor has secured such
836    insurance on behalf of the subcontractor and its employees in
837    accordance with paragraph (b).
838          2. The subcontractor’s own culpable negligence was not the
839    major contributing cause of the injury.
840          (f) If an employer fails to secure compensation as
841    required by this chapter, the department shallmayassess
842    against the employer a penalty not to exceed $5,000 for each
843    employee of that employer who is classified by the employer as
844    an independent contractor but who is found by the department to
845    not meet the criteria for an independent contractor that are set
846    forth in s. 440.02. The division shall adopt rules to administer
847    the provisions of this paragraph.
848          (g) For purposes of this section, a person is conclusively
849    presumed to be an independent contractor if:
850          1. The independent contractor provides the general
851    contractor with an affidavit stating that he or she meets all
852    the requirements of s. 440.02; and
853          2. The independent contractor provides the general
854    contractor with a valid certificate of workers' compensation
855    insurance or a valid certificate of exemption issued by the
856    department.
857         
858          A sole proprietor, partner, or officer of a corporation who
859    elects exemption from this chapter by filing a certificate of
860    election under s. 440.05 may not recover benefits or
861    compensation under this chapter. An independent contractor who
862    provides the general contractor with both an affidavit stating
863    that he or she meets the requirements of s. 440.02 and a
864    certificate of exemption is not an employee under s. 440.02 and
865    may not recover benefits under this chapter. For purposes of
866    determining the appropriate premium for workers' compensation
867    coverage, carriers may not consider any person who meets the
868    requirements of this paragraph to be an employee.
869          Section 8. Section 440.1025, Florida Statutes, is amended
870    to read:
871          440.1025 Consideration of publicEmployer workplace safety
872    program in rate-setting; program requirements; rulemaking.—
873          (1) For a public or privateemployer to be eligible for
874    receipt of specific identifiable consideration under s. 627.0915
875    for a workplace safety program in the setting of rates, the
876    publicemployer must have a workplace safety program. At a
877    minimum, the program must include a written safety policy and
878    safety rules, and make provision for safety inspections,
879    preventative maintenance, safety training, first-aid, accident
880    investigation, and necessary recordkeeping. For purposes of this
881    section, "public employer" means any agency within state,
882    county, or municipal government employing individuals for
883    salary, wages, or other remuneration.The division may
884    promulgate rules for insurers to utilize in determining public
885    employer compliance with the requirements of this section.
886          (2) The division shall publicize on the Internet, and
887    shall encourage insurers to publicize, the availability of free
888    safety consultation services and safety program resources.
889          Section 9. Subsections (1), (2), (3), and (5) and
890    paragraph (f) of subsection (4) of section 440.105, Florida
891    Statutes, are amended to read:
892          440.105 Prohibited activities; reports; penalties;
893    limitations.--
894          (1)(a) Any insurance carrier, any individual self-insured,
895    any commercial or group self-insurance fund, any professional
896    practitioner licensed or regulated by the Department of Health
897    Business and Professional Regulation, except as otherwise
898    provided by law, any medical review committee as defined in s.
899    766.101, any private medical review committee, and any insurer,
900    agent, or other person licensed under the insurance code, or any
901    employee thereof, having knowledge or who believes that a
902    fraudulent act or any other act or practice which, upon
903    conviction, constitutes a felony or misdemeanor under this
904    chapter is being or has been committed shall send to the
905    Division of Insurance Fraud, Bureau of Workers' Compensation
906    Fraud, a report or information pertinent to such knowledge or
907    belief and such additional information relative thereto as the
908    bureau may require. The bureau shall review such information or
909    reports and select such information or reports as, in its
910    judgment, may require further investigation. It shall then cause
911    an independent examination of the facts surrounding such
912    information or report to be made to determine the extent, if
913    any, to which a fraudulent act or any other act or practice
914    which, upon conviction, constitutes a felony or a misdemeanor
915    under this chapter is being committed. The bureau shall report
916    any alleged violations of law which its investigations disclose
917    to the appropriate licensing agency and state attorney or other
918    prosecuting agency having jurisdiction with respect to any such
919    violations of this chapter. If prosecution by the state attorney
920    or other prosecuting agency having jurisdiction with respect to
921    such violation is not begun within 60 days of the bureau's
922    report, the state attorney or other prosecuting agency having
923    jurisdiction with respect to such violation shall inform the
924    bureau of the reasons for the lack of prosecution.
925          (b) In the absence of fraud or bad faith, a person is not
926    subject to civil liability for libel, slander, or any other
927    relevant tort by virtue of filing reports, without malice, or
928    furnishing other information, without malice, required by this
929    section or required by the bureau, and no civil cause of action
930    of any nature shall arise against such person:
931          1. For any information relating to suspected fraudulent
932    acts furnished to or received from law enforcement officials,
933    their agents, or employees;
934          2. For any information relating to suspected fraudulent
935    acts furnished to or received from other persons subject to the
936    provisions of this chapter; or
937          3. For any such information relating to suspected
938    fraudulent acts furnished in reports to the bureau, or the
939    National Association of Insurance Commissioners.
940          (2) Whoever violates any provision of this subsection
941    commits a misdemeanor of the firstseconddegree, punishable as
942    provided in s. 775.082 or s. 775.083.
943          (a) It shall be unlawful for any employer to knowingly:
944          1. Coerce or attempt to coerce, as a precondition to
945    employment or otherwise, an employee to obtain a certificate of
946    election of exemption pursuant to s. 440.05.
947          2. Discharge or refuse to hire an employee or job
948    applicant because the employee or applicant has filed a claim
949    for benefits under this chapter.
950          3. Discharge, discipline, or take any other adverse
951    personnel action against any employee for disclosing information
952    to the department or any law enforcement agency relating to any
953    violation or suspected violation of any of the provisions of
954    this chapter or rules promulgated hereunder.
955          4. Violate a stop-work order issued by the department
956    pursuant to s. 440.107.
957          (b) It shall be unlawful for any insurance entity to
958    revoke or cancel a workers' compensation insurance policy or
959    membership because an employer has returned an employee to work
960    or hired an employee who has filed a workers' compensation
961    claim.
962          (3) Whoever violates any provision of this subsection
963    commits a felonymisdemeanor of the thirdfirstdegree,
964    punishable as provided in s. 775.082,or s. 775.083, or s.
965    775.084.
966          (a) It shall be unlawful for any employer to knowingly
967    fail to update applications for coverage as required by s.
968    440.381(1) and department of Insurancerules, or to post notice
969    of coverage pursuant to s. 440.40.
970          (b) It is unlawful for any attorney or other person, in
971    his or her individual capacity or in his or her capacity as a
972    public or private employee, or for any firm, corporation,
973    partnership, or association to receive any fee or other
974    consideration or any gratuity from a person on account of
975    services rendered for a person in connection with any
976    proceedings arising under this chapter, unless such fee,
977    consideration, or gratuity is approved by a judge of
978    compensation claims or by the Deputy Chief Judge of Compensation
979    Claims.
980          (4) Whoever violates any provision of this subsection
981    commits insurance fraud, punishable as provided in paragraph
982    (f).
983          (f) If the monetary valueamountof any claim or workers'
984    compensation insurance premium involved in any violation of this
985    subsection:
986          1. Is less than $20,000, the offender commits a felony of
987    the third degree, punishable as provided in s. 775.082, s.
988    775.083, or s. 775.084.
989          2. Is $20,000 or more, but less than $100,000, the
990    offender commits a felony of the second degree, punishable as
991    provided in s. 775.082, s. 775.083, or s. 775.084.
992          3. Is $100,000 or more, the offender commits a felony of
993    the first degree, punishable as provided in s. 775.082, s.
994    775.083, or s. 775.084.
995          (5) It shall be unlawful for any attorney or other person,
996    in his or her individual capacity or in his or her capacity as a
997    public or private employee or for any firm, corporation,
998    partnership, or association, to unlawfully solicit any business
999    in and about city or county hospitals, courts, or any public
1000    institution or public place; in and about private hospitals or
1001    sanitariums; in and about any private institution; or upon
1002    private property of any character whatsoever for the purpose of
1003    making workers' compensation claims. Whoever violates any
1004    provision of this subsection commits a felony of the second
1005    thirddegree, punishable as provided in s. 775.082, s. 775.083,
1006    or s. 775.085.
1007          Section 10. Subsection (3) of section 440.1051, Florida
1008    Statutes, is amended to read:
1009          440.1051 Fraud reports; civil immunity; criminal
1010    penalties.--
1011          (3) A person who calls and, knowingly and falsely, reports
1012    workers' compensation fraud or who, in violation of subsection
1013    (2) retaliates against a person for making such report, commits
1014    is guilty of a felonymisdemeanor of the thirdfirstdegree,
1015    punishable as provided in s. 775.082,or s. 775.083, or 775.084
1016    both.
1017          Section 11. Subsections (1), (3), (5), and (6) of section
1018    440.107, Florida Statutes, are amended to read:
1019          440.107 Department powers to enforce employer compliance
1020    with coverage requirements.--
1021          (1) The Legislature finds that the failure of an employer
1022    to comply with the workers' compensation coverage requirements
1023    under this chapter poses an immediate danger to public health,
1024    safety, and welfare. The Legislature authorizes The department
1025    shalltosecure employer compliance with the workers'
1026    compensation coverage requirements under this chapterand
1027    authorizes the department to conduct investigations for the
1028    purpose of ensuring employer compliance.
1029          (3) In addition to any other powers provided by this
1030    chapter, the department is authorized to:
1031          (a) Conduct investigations for the purpose of ensuring
1032    employer compliance;
1033          (b) Enter and inspect any place of business at any
1034    reasonable time for the purpose of investigating employer
1035    compliance;
1036          (c) Examine and copy business records;
1037          (d)In discharging its duties, the department may
1038    Administer oaths and affirmations;,
1039          (e) Certify to official acts;,
1040          (f) Issue and servesubpoenas to compel the attendance of
1041    witnesses orand the production of business records,books,
1042    papers, correspondence, memoranda, and other records deemed
1043    necessary by the department as evidence in order to ensure
1044    proper compliance with the coverage provisions of this chapter;
1045          (g) Issue stop-work orders, penalty assessment orders, and
1046    any other orders necessary for the administration of this
1047    chapter;
1048          (h) Enforce the terms of a stop-work order;
1049          (i) Levy and pursue actions to recover penalties; and
1050          (j) Seek injunctions and other appropriate relief.
1051          (5)(a)Whenever the department determines that an employer
1052    who is required to secure the payment to his or her employees of
1053    the compensation provided for by this chapter has failed to do
1054    so, has materially understated or concealed payroll, has
1055    materially misrepresented or concealed an employee’s duties so
1056    as to avoid proper classification of the employee for premium
1057    calculations, or has materially misrepresented or concealed
1058    information pertinent to the computation and application of an
1059    experience rating modification factor, such failure,
1060    understatement, concealment, or misrepresentation shall subject
1061    the employer to the sanctions set forth in this section and
1062    shall be deemed an immediate serious danger to public health,
1063    safety, or welfare sufficient to justify service by the
1064    department of a stop-work order on the employer, requiring the
1065    cessation of all business operations at the place of employment
1066    or job site. If the division makes such a determination, the
1067    division shall issue a stop-work order within 72 hours. The
1068    order shall take effect upon the date of service upon the
1069    employer and shall remain in effect until the department issues
1070    an order releasing the stop-work order upon the finding that the
1071    employer has come into compliance with the coverage requirements
1072    of this chapter and paid any penalty assessed under this
1073    section, unless the employer provides evidence satisfactory to
1074    the department of having secured any necessary insurance or
1075    self-insurance and pays a civil penalty to the department, to be
1076    deposited by the department into the Workers' Compensation
1077    Administration Trust Fund, in the amount of $100 per day for
1078    each day the employer was not in compliance with this chapter.
1079    The issuance of a stop-work order pursuant to this subsection
1080    shall have no effect upon an employer’s or carrier’s duty to
1081    provide benefits under this chapter, or the employer’s and
1082    carrier’s rights under this chapter, including exclusive remedy.
1083          (b) Stop-work orders and penalty assessment orders issued
1084    under this subsection against a corporation, partnership, or
1085    sole proprietorship shall be in effect against any successor
1086    corporation or business entity that has one or more of the same
1087    principals or officers as the corporation or partnership against
1088    which the stop-work order was issued and which is engaged in the
1089    same or a related enterprise.
1090          (c) The department shall assess a penalty of $1,000 per
1091    day against an employer for each day that the employer conducts
1092    business operations that are in violation of a stop-work order.
1093          (6) In addition to the issuance of a stop-work order and
1094    any other penalties provided for in this chapter,the department
1095    may file a complaint in the circuit court in and for Leon County
1096    to enjoin any employer, who has failed to secure the payment of
1097    workers’compensation as required by this chapter, from
1098    employing individuals and from conducting business until the
1099    employer presents evidence satisfactory to the department of
1100    having secured the payment of workers’for compensation as
1101    required by this chapter and pays any administrative fine ora
1102    civil penalty assessed or owedto the department, to be
1103    deposited by the department into the Workers' Compensation
1104    Administration Trust Fund, in the amount of $100 per day for
1105    each day the employer was not in compliance with this chapter.
1106          Section 12. Subsections (1) and (3) of section 440.11,
1107    Florida Statutes, are amended to read:
1108          440.11 Exclusiveness of liability.--
1109          (1) The liability of an employer prescribed in s. 440.10
1110    shall be exclusive and in place of all other liability,
1111    including vicarious liability,of such employer to any third-
1112    party tortfeasor and to the employee, the legal representative
1113    thereof, husband or wife, parents, dependents, next of kin, and
1114    anyone otherwise entitled to recover damages from such employer
1115    at law or in admiralty on account of such injury or death,
1116    except as follows:that
1117          (a)If an employer fails to secure payment of compensation
1118    as required by this chapter, an injured employee, or the legal
1119    representative thereof in case death results from the injury,
1120    may elect to claim compensation under this chapter or to
1121    maintain an action at law or in admiralty for damages on account
1122    of such injury or death. In such action the defendant may not
1123    plead as a defense that the injury was caused by negligence of a
1124    fellow employee, that the employee assumed the risk of the
1125    employment, or that the injury was due to the comparative
1126    negligence of the employee.
1127          (b) When an employer commits an intentional tort that
1128    causes the injury or death of the employee. For purposes of this
1129    exception, an employer’s actions shall be deemed to constitute
1130    an intentional tort and not an accident only when the employee
1131    proves, by clear and convincing evidence, that:
1132          1. The employer deliberately intended to injure the
1133    employee; or
1134          2. The employer engaged in conduct that the employer knew,
1135    based on prior similar accidents or on explicit warnings
1136    specifically identifying a known danger, was certain to result
1137    in injury or death to the employee, and the employee was not
1138    aware of the risk because the danger was not apparent and the
1139    employer deliberately concealed or misrepresented the danger so
1140    as to prevent the employee from exercising informed judgment
1141    about whether to perform the work.
1142         
1143          The same immunities from liability enjoyed by an employer shall
1144    extend as well to each employee of the employer when such
1145    employee is acting in furtherance of the employer's business and
1146    the injured employee is entitled to receive benefits under this
1147    chapter. Such fellow-employee immunities shall not be applicable
1148    to an employee who acts, with respect to a fellow employee, with
1149    willful and wanton disregard or unprovoked physical aggression
1150    or with gross negligence when such acts result in injury or
1151    death or such acts proximately cause such injury or death, nor
1152    shall such immunities be applicable to employees of the same
1153    employer when each is operating in the furtherance of the
1154    employer's business but they are assigned primarily to unrelated
1155    works within private or public employment. The same immunity
1156    provisions enjoyed by an employer shall also apply to any sole
1157    proprietor, partner, corporate officer or director, supervisor,
1158    or other person who in the course and scope of his or her duties
1159    acts in a managerial or policymaking capacity and the conduct
1160    which caused the alleged injury arose within the course and
1161    scope of said managerial or policymaking duties and was not a
1162    violation of a law, whether or not a violation was charged, for
1163    which the maximum penalty which may be imposed does not exceed
1164    60 days' imprisonment as set forth in s. 775.082. The immunity
1165    from liability provided in this subsection extends to county
1166    governments with respect to employees of county constitutional
1167    officers whose offices are funded by the board of county
1168    commissioners.
1169          (3) An employer's workers' compensation carrier, service
1170    agent, or safety consultant shall not be liable as a third-party
1171    tortfeasor to employees of the employer or employees of its
1172    subcontractors for assisting the employer and its
1173    subcontractors, if any,in carrying out the employer's rights
1174    and responsibilities under this chapter by furnishing any safety
1175    inspection, safety consultative service, or other safety service
1176    incidental to the workers' compensation or employers' liability
1177    coverage or to the workers' compensation or employer's liability
1178    servicing contract. Without limitation, a safety consultant may
1179    include an owner, as defined in chapter 713, or an owner’s
1180    related, affiliated, or subsidiary companies and the employees
1181    of each.The exclusion from liability under this subsection
1182    shall not apply in any case in which injury or death is
1183    proximately caused by the willful and unprovoked physical
1184    aggression, or by the negligent operation of a motor vehicle, by
1185    employees, officers, or directors of the employer's workers'
1186    compensation carrier, service agent, or safety consultant.
1187          Section 13. Paragraph (m) of subsection (1), subsection
1188    (12), and paragraph (a) of subsection (15) of section 440.13,
1189    Florida Statutes, are amended to read:
1190          440.13 Medical services and supplies; penalty for
1191    violations; limitations.--
1192          (1) DEFINITIONS.--As used in this section, the term:
1193          (m) "Medically necessary" means any medical service or
1194    medical supply which is used to identify or treat an illness or
1195    injury, is appropriate to the patient's diagnosis and status of
1196    recovery, and is consistent with the location of service, the
1197    level of care provided, and applicable practice parameters. The
1198    service should be widely accepted among practicing health care
1199    providers, based on scientific criteria, and determined to be
1200    reasonably safe. The service must not be of an experimental,
1201    investigative, or research nature, except in those instances in
1202    which prior approval of the Agency for Health Care
1203    Administration has been obtained. The Agency for Health Care
1204    Administration shall adopt rules providing for such approval on
1205    a case-by-case basis when the service or supply is shown to have
1206    significant benefits to the recovery and well-being of the
1207    patient. The agency shall ensure that applicable practice
1208    parameters are established under subsection (15) for physician
1209    medical services, including, but not limited to, pain management
1210    and psychiatric treatment.
1211          (12) CREATION OF THREE-MEMBER PANEL; GUIDES OF MAXIMUM
1212    REIMBURSEMENT ALLOWANCES.--
1213          (a) A three-member panel is created, consisting of the
1214    Insurance Commissioner, or the Insurance Commissioner's
1215    designee, and two members to be appointed by the Governor,
1216    subject to confirmation by the Senate, one member who, on
1217    account of present or previous vocation, employment, or
1218    affiliation, shall be classified as a representative of
1219    employers, the other member who, on account of previous
1220    vocation, employment, or affiliation, shall be classified as a
1221    representative of employees. The panel shall determine statewide
1222    schedules of maximum reimbursement allowances for medically
1223    necessary treatment, care, and attendance provided by
1224    physicians, hospitals, ambulatory surgical centers, work-
1225    hardening programs, pain programs, and durable medical
1226    equipment. The maximum reimbursement allowances for inpatient
1227    hospital care shall be based on a schedule of per diem rates, to
1228    be approved by the three-member panel no later than March 1,
1229    1994, to be used in conjunction with a precertification manual
1230    as determined by the agency. All compensable charges for
1231    hospital outpatient care shall be reimbursed at 75 percent of
1232    usual and customary charges, except as otherwise provided by
1233    this subsection. Until the three-member panel approves a
1234    schedule of per diem rates for inpatient hospital care and it
1235    becomes effective, all compensable charges for hospital
1236    inpatient care must be reimbursed at 75 percent of their usual
1237    and customary charges. Annually, the three-member panel shall
1238    adopt schedules of maximum reimbursement allowances for
1239    physicians, hospital inpatient care, hospital outpatient care,
1240    ambulatory surgical centers, work-hardening programs, and pain
1241    programs. However, the maximum percentage of increase in the
1242    individual reimbursement allowance may not exceed the percentage
1243    of increase in the Consumer Price Index for the previous year.
1244    An individual physician, hospital, ambulatory surgical center,
1245    pain program, or work-hardening program shall be reimbursed
1246    either the usual and customary charge for treatment, care, and
1247    attendance, the agreed-upon contract price,or the maximum
1248    reimbursement allowance in the appropriate schedule, whichever
1249    is less.
1250          (b) Maximum reimbursement for physicians, freestanding
1251    ambulatory surgical centers, pain programs, and work-hardening
1252    programs shall be equal to 100 percent of the reimbursement
1253    allowed by Medicare for the services provided or the medical
1254    reimbursement level adopted by the three-member panel as of
1255    January 1, 2003, whichever is greater. Effective January 1,
1256    2005, the maximum reimbursement for physicians, freestanding
1257    ambulatory surgical centers, pain programs, and work-hardening
1258    programs shall increase 5 percent per year for 5 consecutive
1259    years unless the three-member panel determines that the 5-
1260    percent annual increase would result in significant rate
1261    increases for carriers. Maximum reimbursement for surgical
1262    procedures shall be equal to 140 percent of the reimbursement
1263    allowed by Medicare for the service provided or the medical
1264    reimbursement level adopted by the three-member panel as of
1265    January 1, 2003, whichever is greater. Effective January 1,
1266    2005, the maximum reimbursement for surgical procedures shall
1267    increase 5 percent per year for 5 consecutive years unless the
1268    three-member panel determines that the 5-percent annual increase
1269    would result in significant rate increases for carriers. Payment
1270    for outpatient physical, occupational, and speech therapy
1271    provided by hospitals shall be reduced to the schedule of
1272    maximum reimbursement allowances for those services which
1273    applies to nonhospital providers. Payments for scheduled
1274    outpatient nonemergency radiological and clinical laboratory
1275    services that are not provided in conjunction with a surgical
1276    procedure shall be reduced to the maximum reimbursement
1277    allowances for those services which applies to nonhospital
1278    providers.
1279          (c)(b)As to reimbursement for a prescription medication,
1280    the reimbursement amount for a prescription shall be the average
1281    wholesale price times 1.2 plus $4.18 for the dispensing fee,
1282    except where the carrier has contracted for a lower amount. Fees
1283    for pharmaceuticals and pharmaceutical services shall be
1284    reimbursable at the applicable fee schedule amount. Where the
1285    employer or carrier has contracted for such services and the
1286    employee elects to obtain them through a provider not a party to
1287    the contract, the carrier shall reimburse at the schedule,
1288    negotiated, or contract price, whichever is lower.
1289          (d)(c)Reimbursement for all fees and other charges for
1290    such treatment, care, and attendance, including treatment, care,
1291    and attendance provided by any hospital or other health care
1292    provider, ambulatory surgical center, work-hardening program, or
1293    pain program, must not exceed the amounts provided by the
1294    uniform schedule of maximum reimbursement allowances as
1295    determined by the panel or as otherwise provided in this
1296    section. This subsection also applies to independent medical
1297    examinations performed by health care providers under this
1298    chapter. Until the three-member panel approves a uniform
1299    schedule of maximum reimbursement allowances and it becomes
1300    effective, all compensable charges for treatment, care, and
1301    attendance provided by physicians, ambulatory surgical centers,
1302    work-hardening programs, or pain programs shall be reimbursed at
1303    the lowest maximum reimbursement allowance across all 1992
1304    schedules of maximum reimbursement allowances for the services
1305    provided regardless of the place of service. In determining the
1306    uniform schedule, the panel shall first approve the data which
1307    it finds representative of prevailing charges in the state for
1308    similar treatment, care, and attendance of injured persons. Each
1309    health care provider, health care facility, ambulatory surgical
1310    center, work-hardening program, or pain program receiving
1311    workers' compensation payments shall maintain records verifying
1312    their usual charges. In establishing the uniform schedule of
1313    maximum reimbursement allowances, the panel must consider:
1314          1. The levels of reimbursement for similar treatment,
1315    care, and attendance made by other health care programs or
1316    third-party providers;
1317          2. The impact upon cost to employers for providing a level
1318    of reimbursement for treatment, care, and attendance which will
1319    ensure the availability of treatment, care, and attendance
1320    required by injured workers;
1321          3. The financial impact of the reimbursement allowances
1322    upon health care providers and health care facilities, including
1323    trauma centers as defined in s. 395.4001, and its effect upon
1324    their ability to make available to injured workers such
1325    medically necessary remedial treatment, care, and attendance.
1326    The uniform schedule of maximum reimbursement allowances must be
1327    reasonable, must promote health care cost containment and
1328    efficiency with respect to the workers' compensation health care
1329    delivery system, and must be sufficient to ensure availability
1330    of such medically necessary remedial treatment, care, and
1331    attendance to injured workers; and
1332          4. The most recent average maximum allowable rate of
1333    increase for hospitals determined by the Health Care Board under
1334    chapter 408.
1335          (e)(d)In addition to establishing the uniform schedule of
1336    maximum reimbursement allowances, the panel shall:
1337          1. Take testimony, receive records, and collect data to
1338    evaluate the adequacy of the workers' compensation fee schedule,
1339    nationally recognized fee schedules and alternative methods of
1340    reimbursement to certified health care providers and health care
1341    facilities for inpatient and outpatient treatment and care.
1342          2. Survey certified health care providers and health care
1343    facilities to determine the availability and accessibility of
1344    workers' compensation health care delivery systems for injured
1345    workers.
1346          3. Survey carriers to determine the estimated impact on
1347    carrier costs and workers' compensation premium rates by
1348    implementing changes to the carrier reimbursement schedule or
1349    implementing alternative reimbursement methods.
1350          4. Submit recommendations on or before January 1, 2003,
1351    and biennially thereafter, to the President of the Senate and
1352    the Speaker of the House of Representatives on methods to
1353    improve the workers' compensation health care delivery system.
1354         
1355          The division shall provide data to the panel, including but not
1356    limited to, utilization trends in the workers' compensation
1357    health care delivery system. The division shall provide the
1358    panel with an annual report regarding the resolution of medical
1359    reimbursement disputes and any actions pursuant to s. 440.13(8).
1360    The division shall provide administrative support and service to
1361    the panel to the extent requested by the panel.
1362          (15) PRACTICE PARAMETERS.--
1363          (a) The Agency for Health Care Administration, in
1364    conjunction with the department and appropriate health
1365    professional associations and health-related organizations shall
1366    develop and shallmayadopt by rule scientifically sound
1367    practice parameters for medical procedures relevant to workers'
1368    compensation claimants. Practice parameters developed under this
1369    section must focus on identifying effective remedial treatments
1370    and promoting the appropriate utilization of health care
1371    resources. Priority must be given to those procedures that
1372    involve the greatest utilization of resources either because
1373    they are the most costly or because they are the most frequently
1374    performed. Practice parameters for treatment of the 10 top
1375    procedures associated with workers' compensation injuries,
1376    including the remedial treatment of lower-back injuries, pain
1377    management, and psychiatry, must be developed by December 31,
1378    20031994.
1379          Section 14. Paragraph (i) of subsection (1) and subsection
1380    (10) of section 440.134, Florida Statutes, are amended to read:
1381          440.134 Workers' compensation managed care arrangement.--
1382          (1) As used in this section, the term:
1383          (i) "Medical care coordinator" means a primary care
1384    provider within a provider network who is responsible for
1385    managing the medical care of an injured worker including
1386    determining other health care providers and health care
1387    facilities to which the injured employee will be referred for
1388    evaluation or treatment. A medical care coordinator shall be a
1389    physician licensed under chapter 458,oran osteopathic
1390    physician licensed under chapter 459, a chiropractic physician
1391    licensed under chapter 460, or a podiatric physician licensed
1392    under chapter 461.
1393          (10) Written procedures and methods for the management of
1394    an injured worker's medical care by a medical care coordinator
1395    including:
1396          (a) Assignment of a medical care coordinator licensed
1397    under chapter 458 or chapter 459 to manage care by physicians
1398    licensed under chapter 458 or chapter 459, a medical care
1399    coordinator licensed under chapter 460 to manage care by
1400    physicians licensed under chapter 460, and a medical care
1401    coordinator licensed under chapter 461 to manage care by
1402    physicians licensed under chapter 461 upon request by an injured
1403    employee for care by a physician licensed under chapter 458,
1404    chapter 459, chapter 460, or chapter 461.
1405          (b)(a)The mechanism for assuring that covered employees
1406    receive all initial covered services from a primary care
1407    provider participating in the provider network, except for
1408    emergency care.
1409          (c)(b)The mechanism for assuring that all continuing
1410    covered services be received from the same primary care provider
1411    participating in the provider network that provided the initial
1412    covered services, except when services from another provider are
1413    authorized by the medical care coordinator pursuant to paragraph
1414    (e)(d).
1415          (d)(c)The policies and procedures for allowing an
1416    employee one change to another provider within the same
1417    specialty and provider network as the authorized treating
1418    physician during the course of treatment for a work-related
1419    injury, if a request is made to the medical care coordinator by
1420    the employee; and requiring that special provision be made for
1421    more than one such referral through the arrangement's grievance
1422    procedures.
1423          (e)(d)The process for assuring that all referrals
1424    authorized by a medical care coordinator are made to the
1425    participating network providers, unless medically necessary
1426    treatment, care, and attendance are not available and accessible
1427    to the injured worker in the provider network.
1428          Section 15. Subsection (1) of section 440.14, Florida
1429    Statutes, is amended to read:
1430          440.14 Determination of pay.--
1431          (1) Except as otherwise provided in this chapter, the
1432    average weekly wages of the injured employee on the date of the
1433    accidentat the time of the injuryshall be taken as the basis
1434    upon which to compute compensation and shall be determined,
1435    subject to the limitations of s. 440.12(2), as follows:
1436          (a) If the injured employee has worked in the employment
1437    in which she or he was working on the date of the accidentat
1438    the time of the injury, whether for the same or another
1439    employer, during substantially the whole of 13 weeks immediately
1440    preceding the accidentinjury, her or his average weekly wage
1441    shall be one-thirteenth of the total amount of wages earned in
1442    such employment during the 13 weeks. As used in this paragraph,
1443    the term "substantially the whole of 13 weeks" means the
1444    calendarshall be deemed to mean and refer to a constructive
1445    period of 13 weeks as a whole, which shall be defined as the 13
1446    calendar weeks before the date of the accident, excluding the
1447    week during which the accident occurred.a consecutive period of
1448    91 days, andThe term "during substantially the whole of 13
1449    weeks" shall be deemed to mean during not less than 90 percent
1450    of the total customary full-timehours of employment within such
1451    period considered as a whole.
1452          (b) If the injured employee has not worked in such
1453    employment during substantially the whole of 13 weeks
1454    immediately preceding the accidentinjury, the wages of a
1455    similar employee in the same employment who has worked
1456    substantially the whole of such 13 weeks shall be used in making
1457    the determination under the preceding paragraph.
1458          (c) If an employee is a seasonal worker and the foregoing
1459    method cannot be fairly applied in determining the average
1460    weekly wage, then the employee may use, instead of the 13 weeks
1461    immediately preceding the accidentinjury, the calendar year or
1462    the 52 weeks immediately preceding the accidentinjury. The
1463    employee will have the burden of proving that this method will
1464    be more reasonable and fairer than the method set forth in
1465    paragraphs (a) and (b) and, further, must document prior
1466    earnings with W-2 forms, written wage statements, or income tax
1467    returns. The employer shall have 30 days following the receipt
1468    of this written proof to adjust the compensation rate, including
1469    the making of any additional payment due for prior weekly
1470    payments, based on the lower rate compensation.
1471          (d) If any of the foregoing methods cannot reasonably and
1472    fairly be applied, the full-time weekly wages of the injured
1473    employee shall be used, except as otherwise provided in
1474    paragraph (e) or paragraph (f).
1475          (e) If it is established that the injured employee was
1476    under 22 years of age when the accident occurredinjuredand
1477    that under normal conditions her or his wages should be expected
1478    to increase during the period of disability, the fact may be
1479    considered in arriving at her or his average weekly wages.
1480          (f) If it is established that the injured employee was a
1481    part-time worker on the date of the accidentat the time of the
1482    injury, that she or he had adopted part-time employment as a
1483    customary practice, and that under normal working conditions she
1484    or he probably would have remained a part-time worker during the
1485    period of disability, these factors shall be considered in
1486    arriving at her or his average weekly wages. For the purpose of
1487    this paragraph, the term "part-time worker" means an individual
1488    who customarily works less than the full-time hours or full-time
1489    workweek of a similar employee in the same employment.
1490          (g) If compensation is due for a fractional part of the
1491    week, the compensation for such fractional part shall be
1492    determined by dividing the weekly compensation rate by the
1493    number of days employed per week to compute the amount due for
1494    each day.
1495          Section 16. Paragraphs (b) and (f) of subsection (1), and
1496    paragraph (a) of subsection (3) of section 440.15, Florida
1497    Statutes, are amended to read:
1498          440.15 Compensation for disability.--Compensation for
1499    disability shall be paid to the employee, subject to the limits
1500    provided in s. 440.12(2), as follows:
1501          (1) PERMANENT TOTAL DISABILITY.--
1502          (b) Only A catastrophic injury as defined in s. 440.02(38)
1503    shall, in the absence of conclusive proof of a substantial
1504    earning capacity, constitute permanent total disability. In all
1505    other cases, no compensation shall be payable under paragraph
1506    (a) if the employee is engaged in, or is physically capable of
1507    engaging in, employment, including sheltered employment. In
1508    order to obtain permanent total disability benefits, the
1509    employee must establish that he or she is not able
1510    uninterruptedly to engage in any employment, including part-time
1511    sedentary employment or available sheltered employment within a
1512    50-mile radius of the employee’s residence, due to his or her
1513    physical limitation. “Sheltered employment” means work
1514    unavailable in the open labor market that is offered to the
1515    employee or which is actually performed by the employee as
1516    offered by the employer in whose employment the injured worker
1517    was engaged at the time of the accident. Such benefits shall be
1518    payable until the employee reaches age 70, notwithstanding any
1519    age limits. If the accident occurred on or after the employee
1520    reaches age 65, benefits shall be payable during the continuance
1521    of permanent total disability, not to exceed 5 years following
1522    the determination of permanent total disability.Only claimants
1523    with catastrophic injuries or who are incapable of engaging in
1524    employment, including sheltered employment as described in this
1525    paragraph,are eligible for permanent total benefits. In no
1526    other case may permanent total disability be awarded.
1527          (f)1. If permanent total disability results from injuries
1528    that occurred subsequent to June 30, 1955, and for which the
1529    liability of the employer for compensation has not been
1530    discharged under s. 440.20(11), the injured employee shall
1531    receive additional weekly compensation benefits equal to 5
1532    percent of her or his weekly compensation rate, as established
1533    pursuant to the law in effect on the date of her or his injury,
1534    multiplied by the number of calendar years since the date of
1535    injury. The weekly compensation payable and the additional
1536    benefits payable under this paragraph, when combined, may not
1537    exceed the maximum weekly compensation rate in effect at the
1538    time of payment as determined pursuant to s. 440.12(2).
1539    Entitlement to These supplemental payments shall not be paid or
1540    payable after the employee attainscease at age 62, regardless
1541    of whether or notif the employee has applied for or is
1542    ineligible to applyis eligiblefor social security benefits
1543    under 42 U.S.C. ss. 402 and 423, whether or not the employee has
1544    applied for such benefits. These supplemental benefits shall be
1545    paid by the department out of the Workers' Compensation
1546    Administration Trust Fund when the injury occurred subsequent to
1547    June 30, 1955, and before July 1, 1984. These supplemental
1548    benefits shall be paid by the employer when the injury occurred
1549    on or after July 1, 1984. Supplemental benefits are not payable
1550    for any period prior to October 1, 1974.
1551          2.a. The department shall provide by rule for the periodic
1552    reporting to the department of all earnings of any nature and
1553    social security income by the injured employee entitled to or
1554    claiming additional compensation under subparagraph 1. Neither
1555    the department nor the employer or carrier shall make any
1556    payment of those additional benefits provided by subparagraph 1.
1557    for any period during which the employee willfully fails or
1558    refuses to report upon request by the department in the manner
1559    prescribed by such rules.
1560          b. The department shall provide by rule for the periodic
1561    reporting to the employer or carrier of all earnings of any
1562    nature and social security income by the injured employee
1563    entitled to or claiming benefits for permanent total disability.
1564    The employer or carrier is not required to make any payment of
1565    benefits for permanent total disability for any period during
1566    which the employee willfully fails or refuses to report upon
1567    request by the employer or carrier in the manner prescribed by
1568    such rules or if any employee who is receiving permanent total
1569    disability benefits refuses to apply for or cooperate with the
1570    employer or carrier in applying for social security benefits.
1571          3. When an injured employee receives a full or partial
1572    lump-sum advance of the employee's permanent total disability
1573    compensation benefits, the employee's benefits under this
1574    paragraph shall be computed on the employee's weekly
1575    compensation rate as reduced by the lump-sum advance.
1576          (3) PERMANENT IMPAIRMENT AND WAGE-LOSS BENEFITS.--
1577          (a) Impairment benefits.--
1578          1. Once the employee has reached the date of maximum
1579    medical improvement, impairment benefits are due and payable
1580    within 20 days after the carrier has knowledge of the
1581    impairment.
1582          2. The three-member panel, in cooperation with the
1583    department, shall establish and use a uniform permanent
1584    impairment rating schedule. This schedule must be based on
1585    medically or scientifically demonstrable findings as well as the
1586    systems and criteria set forth in the American Medical
1587    Association's Guides to the Evaluation of Permanent Impairment;
1588    the Snellen Charts, published by American Medical Association
1589    Committee for Eye Injuries; and the Minnesota Department of
1590    Labor and Industry Disability Schedules. The schedule should be
1591    based upon objective findings. The schedule shall be more
1592    comprehensive than the AMA Guides to the Evaluation of Permanent
1593    Impairment and shall expand the areas already addressed and
1594    address additional areas not currently contained in the guides.
1595    On August 1, 1979, and pending the adoption, by rule, of a
1596    permanent schedule, Guides to the Evaluation of Permanent
1597    Impairment, copyright 1977, 1971, 1988, by the American Medical
1598    Association, shall be the temporary schedule and shall be used
1599    for the purposes hereof. For injuries after July 1, 1990,
1600    pending the adoption by rule of a uniform disability rating
1601    agency schedule, the Minnesota Department of Labor and Industry
1602    Disability Schedule shall be used unless that schedule does not
1603    address an injury. In such case, the Guides to the Evaluation of
1604    Permanent Impairment by the American Medical Association shall
1605    be used. Determination of permanent impairment under this
1606    schedule must be made by a physician licensed under chapter 458,
1607    a doctor of osteopathic medicine licensed under chapters 458 and
1608    459, a chiropractic physician licensed under chapter 460, a
1609    podiatric physician licensed under chapter 461, an optometrist
1610    licensed under chapter 463, or a dentist licensed under chapter
1611    466, as appropriate considering the nature of the injury. No
1612    other persons are authorized to render opinions regarding the
1613    existence of or the extent of permanent impairment.
1614          3. All impairment income benefits shall be based on an
1615    impairment rating using the impairment schedule referred to in
1616    subparagraph 2. Impairment income benefits are paid weekly at a
1617    the rate equal toof 50 percent ofthe employee's average weekly
1618    temporary total disability benefit not to exceed the maximum
1619    weekly benefit under s. 440.12; provided, however, that such
1620    benefits shall be reduced by 50 percent for each week in which
1621    the employee has earned income equal to, or in excess of, the
1622    employee’s average weekly wage. An employee's entitlement to
1623    impairment income benefits begins the day after the employee
1624    reaches maximum medical improvement or the expiration of
1625    temporary benefits, whichever occurs earlier, and continues
1626    until the earlier of:
1627          a. The expiration of a period computed at the rate of 3
1628    weeks for each percentage point of impairment; or
1629          b. The death of the employee.
1630          4. After the employee has been certified by a doctor as
1631    having reached maximum medical improvement or 6 weeks before the
1632    expiration of temporary benefits, whichever occurs earlier, the
1633    certifying doctor shall evaluate the condition of the employee
1634    and assign an impairment rating, using the impairment schedule
1635    referred to in subparagraph 2. Compensation is not payable for
1636    the mental, psychological, or emotional injury arising out of
1637    depression from being out of work. If the certification and
1638    evaluation are performed by a doctor other than the employee's
1639    treating doctor, the certification and evaluation must be
1640    submitted to the treating doctor, and the treating doctor must
1641    indicate agreement or disagreement with the certification and
1642    evaluation. The certifying doctor shall issue a written report
1643    to the department, the employee, and the carrier certifying that
1644    maximum medical improvement has been reached, stating the
1645    impairment rating, and providing any other information required
1646    by the department by rule. If the employee has not been
1647    certified as having reached maximum medical improvement before
1648    the expiration of 102 weeks after the date temporary total
1649    disability benefits begin to accrue, the carrier shall notify
1650    the treating doctor of the requirements of this section.
1651          5. The carrier shall pay the employee impairment income
1652    benefits for a period based on the impairment rating.
1653          6. The department may by rule specify forms and procedures
1654    governing the method of payment of wage loss and impairment
1655    benefits for dates of accidents before January 1, 1994, and for
1656    dates of accidents on or after January 1, 1994.
1657          Section 17. Subsections (1) and (7) of section 440.16,
1658    Florida Statutes, are amended to read:
1659          440.16 Compensation for death.--
1660          (1) If death results from the accident within 1 year
1661    thereafter or follows continuous disability and results from the
1662    accident within 5 years thereafter, the employer shall pay:
1663          (a) Within 14 days after receiving the bill, actual
1664    funeral expenses not to exceed $10,000$5,000.
1665          (b) Compensation, in addition to the above, in the
1666    following percentages of the average weekly wages to the
1667    following persons entitled thereto on account of dependency upon
1668    the deceased, and in the following order of preference, subject
1669    to the limitation provided in subparagraph 2., but such
1670    compensation shall be subject to the limits provided in s.
1671    440.12(2), shall not exceed $200,000$100,000, and may be less
1672    than, but shall not exceed, for all dependents or persons
1673    entitled to compensation, 662/3 percent of the average wage:
1674          1. To the spouse, if there is no child, 50 percent of the
1675    average weekly wage, such compensation to cease upon the
1676    spouse's death.
1677          2. To the spouse, if there is a child or children, the
1678    compensation payable under subparagraph 1. and, in addition,
1679    162/3 percent on account of the child or children. However, when
1680    the deceased is survived by a spouse and also a child or
1681    children, whether such child or children are the product of the
1682    union existing at the time of death or of a former marriage or
1683    marriages, the judge of compensation claims may provide for the
1684    payment of compensation in such manner as may appear to the
1685    judge of compensation claims just and proper and for the best
1686    interests of the respective parties and, in so doing, may
1687    provide for the entire compensation to be paid exclusively to
1688    the child or children; and, in the case of death of such spouse,
1689    331/3 percent for each child. However, upon the surviving
1690    spouse's remarriage, the spouse shall be entitled to a lump-sum
1691    payment equal to 26 weeks of compensation at the rate of 50
1692    percent of the average weekly wage as provided in s. 440.12(2),
1693    unless the $200,000$100,000limit provided in this paragraph is
1694    exceeded, in which case the surviving spouse shall receive a
1695    lump-sum payment equal to the remaining available benefits in
1696    lieu of any further indemnity benefits. In no case shall a
1697    surviving spouse's acceptance of a lump-sum payment affect
1698    payment of death benefits to other dependents.
1699          3. To the child or children, if there is no spouse, 331/3
1700    percent for each child.
1701          4. To the parents, 25 percent to each, such compensation
1702    to be paid during the continuance of dependency.
1703          5. To the brothers, sisters, and grandchildren, 15 percent
1704    for each brother, sister, or grandchild.
1705          (c) To the surviving spouse, payment of postsecondary
1706    student fees for instruction at any area technical center
1707    established under s. 1001.44 for up to 1,800 classroom hours or
1708    payment of student fees at any community college established
1709    under part III of chapter 1004 for up to 80 semester hours. The
1710    spouse of a deceased state employee shall be entitled to a full
1711    waiver of such fees as provided in ss. 1009.22 and 1009.23 in
1712    lieu of the payment of such fees. The benefits provided for in
1713    this paragraph shall be in addition to other benefits provided
1714    for in this section and shall terminate 7 years after the death
1715    of the deceased employee, or when the total payment in eligible
1716    compensation under paragraph (b) has been received. To qualify
1717    for the educational benefit under this paragraph, the spouse
1718    shall be required to meet and maintain the regular admission
1719    requirements of, and be registered at, such area technical
1720    center or community college, and make satisfactory academic
1721    progress as defined by the educational institution in which the
1722    student is enrolled.
1723          (7) Compensation under this chapter to aliens not
1724    residents (or about to become nonresidents) of the United States
1725    or Canada shall be the same in amount as provided for residents,
1726    except that dependents in any foreign country shall be limited
1727    to surviving spouse and child or children, or if there be no
1728    surviving spouse or child or children, to surviving father or
1729    mother whom the employee has supported, either wholly or in
1730    part, for the period of 1 year prior to the date of the injury,
1731    and except that the judge of compensation claims may, at the
1732    option of the judge of compensation claims, or upon the
1733    application of the insurance carrier, commute all future
1734    installments of compensation to be paid to such aliens by paying
1735    or causing to be paid to them one-half of the commuted amount of
1736    such future installments of compensation as determined by the
1737    judge of compensation claims, and provided further that
1738    compensation to dependents referred to in this subsection shall
1739    in no case exceed $100,000$50,000.
1740          Section 18. Subsection (9) is added to section 440.192,
1741    Florida Statutes, to read:
1742          440.192 Procedure for resolving benefit disputes.--
1743          (9) A petition for benefits must contain claims for all
1744    benefits that are ripe, due, and owing on the date the petition
1745    is filed.
1746          Section 19. Section 440.25, Florida Statutes, is amended
1747    to read:
1748          440.25 Procedures for mediation and hearings.--
1749          (1) Within 15090days after a petition for benefits is
1750    filed under s. 440.192, a mediation conference concerning such
1751    petition shall be held. Within 40 days after such petition is
1752    filed,The judge of compensation claims shall notify the
1753    interested parties by order that a mediation conference
1754    concerning such petition will be held unless the parties have
1755    notified the Office of the Judges of Compensation Claims that a
1756    mediation has been held. Such order shallmust give the date on
1757    by which a mandatory statethe mediation conference shallmust
1758    be held. Such orderandmay be served personally upon the
1759    interested parties or may be sent to the interested parties by
1760    mail. The mediator may excuse the appearance of a represented
1761    party and the representative for the employer and carrier, and
1762    may permit the appearance of a party and the representative for
1763    the employer and carrier by telephone or, if agreed to by the
1764    parties, other electronic means, upon written request and at the
1765    mediator’s discretion. It is the duty of the party requesting
1766    appearance by telephone or other electronic means to ensure that
1767    facilities and all necessary electronic equipment are arranged
1768    at its expense and that the means are readily available to
1769    prepare, execute, and exchange documents, stipulations,
1770    agreements, and other pleadings without unreasonable delay. If a
1771    party or its counsel has a conflict with the date on which the
1772    mandatory state mediation is scheduled by order of the judge of
1773    compensation claims, counsel or the party alleging the conflict,
1774    if unrepresented, shall, within 21 days after the date of the
1775    initial notice, advise the state mediator’s office in writing of
1776    the conflict and contact the state mediator’s office by
1777    telephone to reschedule the mediation to a date within the
1778    timeframe set forth in this subsection.
1779          (2)(a) The parties, upon request, shall exchange the
1780    following documents within their actual or constructive control
1781    within 30 days before the date of any mediation unless
1782    previously produced:
1783          1. The employee’s 13-week wage statement together with
1784    information regarding the receipt and value of fringe benefits
1785    and the date of any suspension of same.
1786          2. Payroll records since the date of the accident.
1787          3. All medical records and reports related to the work
1788    injury or disability claimed which relate to the claim or
1789    defenses.
1790          4. A payout sheet, excluding work product, investigative
1791    information, and payment for attorney’s fees.
1792          5. Statements, written or otherwise recorded, and not
1793    privileged.
1794          6. All offers of employment and corresponding job
1795    descriptions.
1796          7. Any and all documentation concerning the employer’s
1797    communication with the employee about returning to work.
1798          8. Any and all documents relating to recommended future
1799    medical treatment based on medical opinions pursuant to s.
1800    440.13(9)(b).
1801          (b) Failure to comply with the requirements of paragraph
1802    (a) shall result in the exclusion at any future final hearing on
1803    the issues contained in the petitions for benefits filed prior
1804    to the date of the mediation of the documents not timely
1805    provided and other sanctions deemed appropriate by the judge.
1806    Mandatory exchange of documents is required unless a stipulation
1807    is entered into that such documents are immaterial to the
1808    disputed issue.
1809          (c) No less than 30 days prior to any mediation, the
1810    employee shall make a specific written demand for settlement of
1811    the issues which remain outstanding, and may make a written
1812    demand for settlement of the case, which contains sufficient
1813    explanation and supporting documentation to enable the employer
1814    and carrier and its counsel, if any, to evaluate the demand for
1815    settlement.
1816          (d) The employer and carrier and its counsel, if any,
1817    receiving the demand shall respond in writing within 15 working
1818    days to the specific written demand for settlement of the
1819    issues.
1820          (3) Mediations, including those that have previously been
1821    rescheduled due to conflict pursuant to subsection (1), may be
1822    rescheduled one additional time to a date within the timeframe
1823    set forth in subsection (1) or for no more than an additional 30
1824    days beyond the timeframe set forth in subsection (1) by written
1825    stipulation of the parties. Otherwise, all mediations may be
1826    continued by order of the judge of compensation claims at his or
1827    her discretion. To obtain such an order, a motion for
1828    continuance must be filed stating the reason for the requested
1829    continuance, the date that the order originally scheduling the
1830    state mediation was mailed, and whether mediation had been
1831    continued previously and, if so, the number of times. The
1832    proposed order on the motion must contain a blank space so that
1833    a new mediation conference date may be assigned.The claimant or
1834    the adjuster of the employer or carrier may, at the mediator's
1835    discretion, attend the mediation conference by telephone or, if
1836    agreed to by the parties, other electronic means. A continuance
1837    may be granted if the requesting party demonstrates to the judge
1838    of compensation claims that the reason for requesting the
1839    continuance arises from circumstances beyond the party's
1840    control. Any order granting a continuance must set forth the
1841    date of the rescheduled mediation conference.A mediation
1842    conference may not be used solely for the purpose of mediating
1843    attorney's fees.
1844          (4) State and private mediations may be canceled if all
1845    issues other than attorney’s fees have been settled or resolved,
1846    the petitions for benefits have been dismissed or withdrawn, or
1847    the state mediation conference has been waived by order of the
1848    chief judge. State mediations may also be canceled if the
1849    parties have filed a notice with the judge of compensation
1850    claims at least 15 days prior to the state mediation
1851    substituting private mediation for the mandatory state
1852    mediation. The notice shall include the name of the private
1853    mediator and the date and time of the private mediation.
1854          (5)(a) The notice substituting private mediation for state
1855    mediation shall include language stipulating that the parties
1856    agree to be bound by the applicable rules and statutes
1857    pertaining to state mediations, including the filing by the
1858    private mediator of a mediator’s report pursuant to rule
1859    4.310(e), Florida Rules of Workers' Compensation Procedure. The
1860    notice shall state that the private mediation may only be
1861    continued or rescheduled pursuant to subsection (3) and that
1862    claimant's counsel is responsible for ensuring that a mediator’s
1863    report is filed within 10 days after the conclusion of the
1864    private mediation conference.
1865          (b) If a notice is filed substituting private mediation for
1866    mandatory state mediation or the parties agree to hold a private
1867    mediation conference, such private mediation conference shall be
1868    at the carrier's expense. The mediation conference shall be
1869    conducted by a mediator certified under s. 44.106. If the
1870    parties do not agree upon a rescheduled mediation date pursuant
1871    to the timeframe requirements set forth in subsections (1) and
1872    (3) or the parties to not agree to a private mediator within 20
1873    days after the date of a notice substituting private mediation
1874    for mandatory state mediation, the employee or his or her
1875    counsel shall notify the judge of compensation claims in writing
1876    and the judge shall appoint a private mediator within 7 days
1877    after the judge is notified. The terms and requirements for
1878    state and private mediation, including the timeframe
1879    requirements set forth in subsections (1) and (3), shall remain
1880    in full force and effect and the parties shall comply with the
1881    terms thereof.
1882          (2) Any party who participates in a mediation conference
1883    shall not be precluded from requesting a hearing following the
1884    mediation conference should both parties not agree to be bound
1885    by the results of the mediation conference. A mediation
1886    conference is required to be held unless this requirement is
1887    waived by the Deputy Chief Judge. No later than 3 days prior to
1888    the mediation conference, all parties must submit any applicable
1889    motions, including, but not limited to, a motion to waive the
1890    mediation conference, to the judge of compensation claims.
1891          (6)(3)(a)Such mediation conference shall be conducted
1892    informally and does not require the use of formal rules of
1893    evidence or procedure. Any information from the files, reports,
1894    case summaries, mediator's notes, or other communications or
1895    materials, oral or written, relating to a mediation conference
1896    under this section obtained by any person performing mediation
1897    duties is privileged and confidential and may not be disclosed
1898    without the written consent of all parties to the conference.
1899    Any research or evaluation effort directed at assessing the
1900    mediation program activities or performance must protect the
1901    confidentiality of such information. Each party to a mediation
1902    conference has a privilege during and after the conference to
1903    refuse to disclose and to prevent another from disclosing
1904    communications made during the conference whether or not the
1905    contested issues are successfully resolved. This subsection and
1906    paragraphs (9)(4)(a) and (b) shall not be construed to prevent
1907    or inhibit the discovery or admissibility of any information
1908    that is otherwise subject to discovery or that is admissible
1909    under applicable law or rule of procedure, except that any
1910    conduct or statements made during a mediation conference or in
1911    negotiations concerning the conference are inadmissible in any
1912    proceeding under this chapter.
1913          (a)1. Unless the parties conduct a private mediation under
1914    subparagraph 2., mediation shall be conducted by a mediator
1915    selected by the Chief Judge of Compensation ClaimsDirector of
1916    the Division of Administrative Hearingsfrom among mediators
1917    employed on a full-time basis by the Office of the Judges of
1918    Compensation Claims. A mediator must be a member of The Florida
1919    Bar for at least 5 years,andmust complete a mediation training
1920    program approved by the Chief Judge of Compensation Claims, and
1921    must possess a minimum of 5 years' experience in the full-time
1922    practice of workers' compensation lawDirector of the Division
1923    of Administrative Hearings. Adjunct mediators may be employed by
1924    the Office of the Judges of Compensation Claims on an as-needed
1925    basis and shall be selected from a list prepared by the Chief
1926    Judge of Compensation ClaimsDirector of the Division of
1927    Administrative Hearings. An adjunct mediator must be independent
1928    of all parties participating in the mediation conference. An
1929    adjunct mediator must be a member of The Florida Bar for at
1930    least 5 years, must possess a minimum of 5 years' experience in
1931    the full-time practice of Florida workers' compensation law, and
1932    must complete a mediation training program approved by the Chief
1933    Judge of Compensation ClaimsDirector of the Division of
1934    Administrative Hearings. An adjunct mediator shall have access
1935    to the office, equipment, and supplies of the judge of
1936    compensation claims in each district.
1937          (b)2. With respect to any mediation occurring on or after
1938    January 1, 2003, if the parties agree or if mediators are not
1939    available under subparagraph 1. to conduct the required
1940    mediation within the period specified in this section, the
1941    parties shall hold a mediation conference at the carrier's
1942    expense within the 90-day period set for mediation. The
1943    mediation conference shall be conducted by a mediator certified
1944    under s. 44.106. If the parties do not agree upon a mediator
1945    within 10 days after the date of the order, the claimant shall
1946    notify the judge in writing and the judge shall appoint a
1947    mediator under this subparagraph within 7 days.In the event
1948    both parties agree, the results of the mediation conference
1949    shall be binding and neither party shall have a right to appeal
1950    the results. In the event either party refuses to agree to the
1951    results of the mediation conference, the results of the
1952    mediation conference as well as the testimony, witnesses, and
1953    evidence presented at the conference shall not be admissible at
1954    any subsequent proceeding on the claim. The mediator shall not
1955    be called in to testify or give deposition to resolve any claim
1956    for any hearing before the judge of compensation claims. The
1957    employer may be represented by an attorney at the mediation
1958    conference if the employee is also represented by an attorney at
1959    the mediation conference.
1960          (7)(a) After receiving notice of impasse from the mediator, the
1961    judge of compensation claims shall hold a live pretrial hearing.
1962    The judge of compensation claims shall give the parties at least
1963    7 days' notice of the pretrial hearing and, unless the judge of
1964    compensation claims indicates otherwise, the pretrial hearing
1965    shall be held in the county where the office of the judge of
1966    compensation claims is located. A pretrial hearing may be
1967    continued with prior approval of the judge of compensation
1968    claims.
1969          (b) The parties may submit their pretrial stipulations by mail
1970    when represented by counsel and with leave of the judge of
1971    compensation claims; however, the parties or their legal counsel
1972    shall appear at any live pretrial hearing.
1973          (c) If a party or a party’s attorney fails to attend the
1974    pretrial hearing without good cause, the judge may dismiss the
1975    petition or claim, strike defenses, or take such other action as
1976    may be authorized by law or rule 4.150, Florida Rules of
1977    Workers' Compensation Procedure.
1978          (d) At the pretrial hearing, the parties shall:
1979          1. State and simplify the claims, defense, and issues.
1980          2. Stipulate and admit to such facts and documents as will
1981    avoid unnecessary proof.
1982          3. Present, examine, and mark all exhibits for identification,
1983    including all impeachment and rebuttal exhibits.
1984          4. Furnish the opposing party with the names and addresses of
1985    all witnesses, including impeachment and rebuttal witnesses. A
1986    party may be required by the judge of compensation claims to
1987    provide a statement of subject matter of the expected testimony
1988    of one or more witnesses.
1989          5. Exchange all available written reports of experts when
1990    expert opinion is offered at trial. The reports shall clearly
1991    disclose the expert opinion and its basis on all subjects on
1992    which the expert will testify. If stipulated into evidence, the
1993    reports shall be presented to the judge of compensation claims
1994    to be so marked. The parties shall consider and determine a
1995    limitation of the number of expert witnesses.
1996          6. Estimate time of trial and schedule the final hearing.
1997          7. Consider and determine, as appropriate, such other matters
1998    as may aid in the disposition of the case, including, but not
1999    limited to, referral to additional mediation or appointment of
2000    an expert medical advisor pursuant to s. 440.13(9)(c).
2001          (e) Final witness lists, final exhibit lists, supplements, and
2002    amendments to the pretrial stipulation shall be served no later
2003    than 30 days before the final hearing. Witness lists, exhibit
2004    lists, supplements, and amendments to be filed less than 30 days
2005    before the final hearing must be approved by the judge or
2006    stipulated to by the parties. A motion seeking such approval is
2007    a procedural motion.
2008          (f) At the discretion of the judge and on filing and service of
2009    motion and notice of hearing not less than 5 days before the
2010    date of the pretrial hearing, procedural motions may also be
2011    heard at the pretrial hearing.
2012          (g) The judge shall record the pretrial hearing by stenographer
2013    or electronic means at the request of any party or by a written
2014    stipulation signed by the parties.
2015          (h)1. At the request of any party, or by his or her own motion,
2016    the judge promptly shall enter an order reciting the actions
2017    taken at the pretrial hearing and the agreements made by the
2018    parties about any of the matters considered and limiting the
2019    issues for trial to those not disposed of by admissions or
2020    stipulations of the parties.
2021          2. The order may control the subsequent course of action, in
2022    the discretion of the judge, unless the judge modifies it to
2023    prevent injustice.
2024          3. The judge shall serve the order on the attorneys for the
2025    parties and on any party not represented by counsel.
2026          4. Unless otherwise specified in the notice of hearing, the
2027    judge may consider and determine all issues pending as of the
2028    date of the pretrial hearing.
2029          (8) Upon the motion of the judge of compensation claims or on
2030    the motion of any party, the judge of compensation claims may
2031    consolidate any petitions for benefits filed 30 days before the
2032    scheduled mediation with any pending petitions for benefits for
2033    purposes of a hearing or for any other purpose. Any hearing on a
2034    consolidation must be held no later than 10 days before the
2035    mediation. Only petitions for benefits filed 30 days before the
2036    mediation date are ripe, due, and owing for the final hearing.
2037          (b) The parties shall complete the pretrial stipulations
2038    before the conclusion of the mediation conference if the claims,
2039    except for attorney's fees and costs, have not been settled and
2040    if any claims in any filed petition remain unresolved. The judge
2041    of compensation claims may impose sanctions against a party or
2042    both parties for failing to complete the pretrial stipulations
2043    before the conclusion of the mediation conference.
2044          (9)(4)(a) If the parties fail to agree upon written
2045    submission of pretrial stipulations at the mediation conference,
2046    the judge of compensation claims shall order a pretrial hearing
2047    to occur within 14 days after the date of mediation ordered by
2048    the judge of compensation claims. The judge of compensation
2049    claims shall give the interested parties at least 7 days'
2050    advance notice of the pretrial hearing by mail.At the pretrial
2051    hearing, the judge of compensation claims shall, subject to
2052    paragraph (b), set a date for the final hearing that allows the
2053    parties at least 60 days to conduct discovery unless the parties
2054    consent to an earlier hearing date.
2055          (b) A continuance of the final hearing must be held and
2056    concluded within 90 days after the mediation conference is held.
2057    Continuances may be granted when the reason for requesting the
2058    continuance arises from circumstances beyond the party's
2059    control, when appropriate in the discretion ofonly if the
2060    requesting party demonstrates tothe judge of compensation
2061    claims, or by agreement of the parties; however, any continuance
2062    to a date greater than 150 days after the date of initial
2063    mediation shall require the written consent of the claimantthat
2064    the reason for requesting the continuance arises from
2065    circumstances beyond the party's control. The written consent of
2066    the claimant must be obtained before any request from a
2067    claimant's attorney is granted for an additional continuance
2068    after the initial continuance has been granted. Any order
2069    granting a continuance must set forth the date and time of the
2070    rescheduled hearing. A continuance may be granted only if the
2071    requesting party demonstrates to the judge of compensation
2072    claims that the reason for requesting the continuance arises
2073    from circumstances beyond the control of the parties. The judge
2074    of compensation claims shall report any grant of two or more
2075    continuances to the Deputy Chief Judge.
2076          (c) The judge of compensation claims shall give the
2077    interested parties at least 7 days' advance notice of the final
2078    hearing, served upon the interested parties by mail.
2079          (d) The final hearing shall be held within 210 days after
2080    receipt of the petition for benefitsin the county where the
2081    injury occurred, if the injury occurred in this state, unless
2082    otherwise agreed to between the parties and authorized by the
2083    judge of compensation claims in the county where the injury
2084    occurred. If the injury occurred outside the state and is one
2085    for which compensation is payable under this chapter, then the
2086    final hearing may be held in the county of the employer's
2087    residence or place of business, or in any other county of the
2088    state that will, in the discretion of the DeputyChief Judge, be
2089    the most convenient for a hearing. If the employee has been
2090    involved in one or more claimed injuries in different venues
2091    that have been the subject of a motion to consolidate, the
2092    hearing shall be held in the county in which the employer of the
2093    first injury in time resides, in any other county of the state
2094    that will, in the discretion of the Chief Judge, be the most
2095    convenient for a hearing, or in the county agreed upon by the
2096    parties.The final hearing shall be conducted by a judge of
2097    compensation claims, who shall, within 30 days after final
2098    hearing or closure of the hearing record, unless otherwise
2099    agreed by the parties, enter a final order on the merits of the
2100    disputed issues. The judge of compensation claims may enter an
2101    abbreviated final order in cases in which compensability is not
2102    disputed. Either party may request separate findings of fact and
2103    conclusions of law. At the final hearing, the claimant and
2104    employer may each present evidence with respect to the claims
2105    presented by the petition for benefits and may be represented by
2106    any attorney authorized in writing for such purpose. When there
2107    is a conflict in the medical evidence submitted at the hearing,
2108    the provisions of s. 440.13 shall apply. The report or testimony
2109    of the expert medical advisor shall be made a part of the record
2110    of the proceeding and shall be given the same consideration by
2111    the judge of compensation claims as is accorded other medical
2112    evidence submitted in the proceeding; and all costs incurred in
2113    connection with such examination and testimony may be assessed
2114    as costs in the proceeding, subject to the provisions of s.
2115    440.13. No judge of compensation claims may make a finding of a
2116    degree of permanent impairment that is greater than the greatest
2117    permanent impairment rating given the claimant by any examining
2118    or treating physician, except upon stipulation of the parties.
2119    Any benefit due but not raised at the final hearing which was
2120    ripe, due, or owing at the time of the final hearing is waived.
2121          (e) Co-counsel or any successor attorney shall file a
2122    notice of appearance in accordance with the Florida Rules of
2123    Workers' Compensation Procedure. Substitution of counsel may be
2124    made:
2125          1. By the filing and service of a stipulation, which does
2126    not require the approval of the judge; or
2127          2. By motion, which requires approval of the judge.
2128          (f) An attorney of record shall remain the attorney of
2129    record and not be permitted to withdraw unless:
2130          1. The attorney files a written motion for withdrawal
2131    setting forth the reasons for the motion.
2132          2. The motion is served on the client and counsel for all
2133    parties.
2134          3. An order is entered granting the motion of withdrawal.
2135          (g)(e)The order making an award or rejecting the claim,
2136    referred to in this chapter as a "compensation order," shall set
2137    forth the findings of ultimate facts and the mandate; and the
2138    order need not include any other reason or justification for
2139    such mandate. The compensation order shall be filed in the
2140    Office of the Judges of Compensation Claims at Tallahassee. A
2141    copy of such compensation order shall be sent by mail to the
2142    parties and attorneys of record at the last known address of
2143    each, with the date of mailing noted thereon.
2144          (h)(f)Each judge of compensation claims is required to
2145    submit a special report to the DeputyChief Judge in each
2146    contested workers' compensation case in which the case is not
2147    determined within 30 days of final hearing or closure of the
2148    hearing record. Said form shall be provided by the Secretary
2149    director of Management Servicesthe Division of Administrative
2150    Hearingsand shall contain the names of the judge of
2151    compensation claims and of the attorneys involved and a brief
2152    explanation by the judge of compensation claims as to the reason
2153    for such a delay in issuing a final order.
2154          (g) Notwithstanding any other provision of this section,
2155    the judge of compensation claims may require the appearance of
2156    the parties and counsel before her or him without written notice
2157    for an emergency conference where there is a bona fide emergency
2158    involving the health, safety, or welfare of an employee. An
2159    emergency conference under this section may result in the entry
2160    of an order or the rendering of an adjudication by the judge of
2161    compensation claims.
2162          (h) To expedite dispute resolution and to enhance the
2163    self-executing features of the Workers' Compensation Law, the
2164    Deputy Chief Judge shall make provision by rule or order for the
2165    resolution of appropriate motions by judges of compensation
2166    claims without oral hearing upon submission of brief written
2167    statements in support and opposition, and for expedited
2168    discovery and docketing. Unless the judge of compensation
2169    claims, for good cause, orders a hearing under paragraph (i),
2170    each claim in a petition relating to the determination of pay
2171    under s. 440.14 shall be resolved under this paragraph without
2172    oral hearing.
2173          (i) To further expedite dispute resolution and to enhance
2174    the self-executing features of the system, those petitions filed
2175    in accordance with s. 440.192 that involve a claim for benefits
2176    of $5,000 or less shall, in the absence of compelling evidence
2177    to the contrary, be presumed to be appropriate for expedited
2178    resolution under this paragraph; and any other claim filed in
2179    accordance with s. 440.192, upon the written agreement of both
2180    parties and application by either party, may similarly be
2181    resolved under this paragraph. A claim in a petition or $5,000
2182    or less for medical benefits only or a petition for
2183    reimbursement for mileage for medical purposes shall, in the
2184    absence of compelling evidence to the contrary, be resolved
2185    through the expedited dispute resolution process provided in
2186    this paragraph. For purposes of expedited resolution pursuant to
2187    this paragraph, the Deputy Chief Judge shall make provision by
2188    rule or order for expedited and limited discovery and expedited
2189    docketing in such cases. At least 15 days prior to hearing, the
2190    parties shall exchange and file with the judge of compensation
2191    claims a pretrial outline of all issues, defenses, and witnesses
2192    on a form adopted by the Deputy Chief Judge; provided, in no
2193    event shall such hearing be held without 15 days' written notice
2194    to all parties. No pretrial hearing shall be held. The judge of
2195    compensation claims shall limit all argument and presentation of
2196    evidence at the hearing to a maximum of 30 minutes, and such
2197    hearings shall not exceed 30 minutes in length. Neither party
2198    shall be required to be represented by counsel. The employer or
2199    carrier may be represented by an adjuster or other qualified
2200    representative. The employer or carrier and any witness may
2201    appear at such hearing by telephone. The rules of evidence shall
2202    be liberally construed in favor of allowing introduction of
2203    evidence.
2204          (i)(j)A judge of compensation claims may, upon the motion
2205    of a party or the judge's own motion, dismiss a petition for
2206    lack of prosecution if a petition, response, motion, order,
2207    request for hearing, or notice of deposition has not been filed
2208    during the previous 12 months unless good cause is shown. A
2209    dismissal for lack of prosecution is without prejudice and does
2210    not require a hearing.
2211          (j)(k)A judge of compensation claims may not award
2212    interest on unpaid medical bills and the amount of such bills
2213    may not be used to calculate the amount of interest awarded.
2214    Regardless of the date benefits were initially requested,
2215    attorney's fees do not attach under this subsection until 30
2216    days after the date the carrier or self-insured employer
2217    receives the petition.
2218          (10)(5)(a) Procedures with respect to appeals from orders
2219    of judges of compensation claims shall be governed by rules
2220    adopted by the Supreme Court. Such an order shall become final
2221    30 days after mailing of copies of such order to the parties,
2222    unless appealed pursuant to such rules.
2223          (b) An appellant may be relieved of any necessary filing
2224    fee by filing a verified petition of indigency for approval as
2225    provided in s. 57.081(1) and may be relieved in whole or in part
2226    from the costs for preparation of the record on appeal if,
2227    within 15 days after the date notice of the estimated costs for
2228    the preparation is served, the appellant files with the judge of
2229    compensation claims a copy of the designation of the record on
2230    appeal, and a verified petition to be relieved of costs. A
2231    verified petition filed prior to the date of service of the
2232    notice of the estimated costs shall be deemed not timely filed.
2233    The verified petition relating to record costs shall contain a
2234    sworn statement that the appellant is insolvent and a complete,
2235    detailed, and sworn financial affidavit showing all the
2236    appellant's assets, liabilities, and income. Failure to state in
2237    the affidavit all assets and income, including marital assets
2238    and income, shall be grounds for denying the petition with
2239    prejudice. The Office of the Judges of Compensation Claims shall
2240    adopt rules as may be required pursuant to this subsection,
2241    including forms for use in all petitions brought under this
2242    subsection. The appellant's attorney, or the appellant if she or
2243    he is not represented by an attorney, shall include as a part of
2244    the verified petition relating to record costs an affidavit or
2245    affirmation that, in her or his opinion, the notice of appeal
2246    was filed in good faith and that there is a probable basis for
2247    the District Court of Appeal, First District, to find reversible
2248    error, and shall state with particularity the specific legal and
2249    factual grounds for the opinion. Failure to so affirm shall be
2250    grounds for denying the petition. A copy of the verified
2251    petition relating to record costs shall be served upon all
2252    interested parties. The judge of compensation claims shall
2253    promptly conduct a hearing on the verified petition relating to
2254    record costs, giving at least 15 days' notice to the appellant,
2255    the department, and all other interested parties, all of whom
2256    shall be parties to the proceedings. The judge of compensation
2257    claims may enter an order without such hearing if no objection
2258    is filed by an interested party within 20 days from the service
2259    date of the verified petition relating to record costs. Such
2260    proceedings shall be conducted in accordance with the provisions
2261    of this section and with the workers' compensation rules of
2262    procedure, to the extent applicable. In the event an insolvency
2263    petition is granted, the judge of compensation claims shall
2264    direct the department to pay record costs and filing fees from
2265    the Workers' Compensation Administration Trust Fund pending
2266    final disposition of the costs of appeal. The department may
2267    transcribe or arrange for the transcription of the record in any
2268    proceeding for which it is ordered to pay the cost of the
2269    record.
2270          (c) As a condition of filing a notice of appeal to the
2271    District Court of Appeal, First District, an employer who has
2272    not secured the payment of compensation under this chapter in
2273    compliance with s. 440.38 shall file with the notice of appeal a
2274    good and sufficient bond, as provided in s. 59.13, conditioned
2275    to pay the amount of the demand and any interest and costs
2276    payable under the terms of the order if the appeal is dismissed,
2277    or if the District Court of Appeal, First District, affirms the
2278    award in any amount. Upon the failure of such employer to file
2279    such bond with the judge of compensation claims or the District
2280    Court of Appeal, First District, along with the notice of
2281    appeal, the District Court of Appeal, First District, shall
2282    dismiss the notice of appeal.
2283          (11)(6)An award of compensation for disability may be
2284    made after the death of an injured employee.
2285          (12)(7)An injured employee claiming or entitled to
2286    compensation shall submit to such physical examination by a
2287    certified expert medical advisor approved by the agency or the
2288    judge of compensation claims as the agency or the judge of
2289    compensation claims may require. The place or places shall be
2290    reasonably convenient for the employee. Such physician or
2291    physicians as the employee, employer, or carrier may select and
2292    pay for may participate in an examination if the employee,
2293    employer, or carrier so requests. Proceedings shall be suspended
2294    and no compensation shall be payable for any period during which
2295    the employee may refuse to submit to examination. Any interested
2296    party shall have the right in any case of death to require an
2297    autopsy, the cost thereof to be borne by the party requesting
2298    it; and the judge of compensation claims shall have authority to
2299    order and require an autopsy and may, in her or his discretion,
2300    withhold her or his findings and award until an autopsy is held.
2301          Section 20. Subsections (1), (2), and (3) of section
2302    440.34, Florida Statutes, are amended to read:
2303          440.34 Attorney's fees; costs.--
2304          (1) A fee, gratuity, or other consideration may not be
2305    paid for services rendered for a claimant in connection with any
2306    proceedings arising under this chapter, unless approved as
2307    reasonable by the judge of compensation claims or court having
2308    jurisdiction over such proceedings. Except as provided by this
2309    sectionsubsection, any attorney's fee approved by a judge of
2310    compensation claims for services rendered to a claimant must be
2311    equal to 20 percent of the first $5,000 of the amountof the
2312    benefits secured, 15 percent of the next $5,000 of the amount of
2313    the benefits secured, 10 percent of the remaining amount of the
2314    benefits secured to be provided during the first 10 yearsafter
2315    the date the petition for benefitsclaim is filed, and 5 percent
2316    of the benefits secured after 10 years. However,The judge of
2317    compensation claims shall consider the following factors in each
2318    case in which an hourly fee may be awarded as set forth in
2319    subsection (3),and may increase or decrease the attorney's fee
2320    if, in her or his judgment, the circumstances of the particular
2321    case warrant such action:
2322          (a) The time and labor required, the novelty and
2323    difficulty of the questions involved, and the skill requisite to
2324    perform the legal service properly.
2325          (b) The fee customarily charged in the locality for
2326    similar legal services.
2327          (c) The amount involved in the controversy and the
2328    benefits resulting to the claimant.
2329          (d) The time limitation imposed by the claimant or the
2330    circumstances.
2331          (e) The experience, reputation, and ability of the lawyer
2332    or lawyers performing services.
2333          (f) The contingency or certainty of a fee.
2334          (2) In awarding a reasonable claimant's attorney's fee,
2335    the judge of compensation claims shall consider only those
2336    benefits to the claimant that the attorney is responsible for
2337    securing. The amount, statutory basis, and type of benefits
2338    obtained through legal representation shall be listed on all
2339    attorney's fees awarded by the judge of compensation claims. For
2340    purposes of this section, the term "benefits secured" means
2341    benefits obtained as a result of the claimant's attorney's legal
2342    services rendered in connection with the claim for benefits.
2343    However, such term does not include future medical benefits to
2344    be provided on any date more than 5 years after the date the
2345    claim is filed.
2346          (3) If the claimant should prevail in any proceedings
2347    before a judge of compensation claims or court, there shall be
2348    taxed against the employer the reasonable costs of such
2349    proceedings, not to include the attorney's fees of the claimant.
2350    A claimant shall be responsible for the payment of her or his
2351    own attorney's fees, except that a claimant shall be entitled to
2352    recover a reasonable attorney's fee from a carrier or employer:
2353          (a) Against whom she or he successfully asserts a petition
2354    for medical benefits only, which may be enhanced by an
2355    additional hourly fee not to exceed $5,000if the claimant has
2356    not filed or is not entitled to file at such time a claim for
2357    disability, permanent impairment, wage-loss, or death benefits,
2358    arising out of the same accident;
2359          (b) In any case in which the employer or carrier files a
2360    response to petition denying benefits with the Office of the
2361    Judges of Compensation Claims and the injured person has
2362    employed an attorney in the successful prosecution of the
2363    petition;
2364          (c) In a proceeding in which a carrier or employer denies
2365    that an accident occurred for which compensation benefits are
2366    payable, and the claimant prevails on the issue of
2367    compensability, either the amount set forth in subsection (1)
2368    or, upon showing to the judge of compensation claims, an hourly
2369    fee not to exceed $20,000, whichever is greater; or
2370          (d) In cases where the claimant successfully prevails in
2371    proceedings filed under s. 440.24 or s. 440.28.
2372         
2373          Regardless of the date benefits were initially requested,
2374    attorney's fees shall not attach under this subsection until 30
2375    days after the date the carrier or employer, if self-insured,
2376    receives the petition. In applying the factors set forth in
2377    subsection (1) to cases arising under paragraphs (a), (b), (c),
2378    and (d), the judge of compensation claims must only consider
2379    only such benefits and the time reasonably spent in obtaining
2380    them as were secured for the claimant within the scope of
2381    paragraphs (a), (b), (c), and (d).
2382          Section 21. Subsection (7) is added to section 440.38,
2383    Florida Statutes, to read:
2384          440.38 Security for compensation; insurance carriers and
2385    self-insurers.—
2386          (7) Any employer who meets the requirements of subsection
2387    (1) through a policy of insurance issued outside of this state
2388    must at all times, with respect to all employees working in this
2389    state, maintain the required coverage under a Florida
2390    endorsement using Florida rates and rules pursuant to payroll
2391    reporting that accurately reflects the work performed in this
2392    state by such employees.
2393          Section 22. Subsection (2) of section 440.381, Florida
2394    Statutes, is amended to read:
2395          440.381 Application for coverage; reporting payroll;
2396    payroll audit procedures; penalties.--
2397          (2) Submission of an application that contains false,
2398    misleading, or incomplete information provided with the purpose
2399    of avoiding or reducing the amount of premiums for workers’
2400    compensation coverage is a felony of the second degree,
2401    punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
2402    The application must contain a statement that the filing of an
2403    application containing false, misleading, or incomplete
2404    information providedwith the purpose of avoiding or reducing
2405    the amount of premiums for workers' compensation coverage is a
2406    felony of the third degree, punishable as provided in s.
2407    775.082, s. 775.083, or s. 775.084. The application must contain
2408    a sworn statement by the employer attesting to the accuracy of
2409    the information submitted and acknowledging the provisions of
2410    former s. 440.37(4). The application must contain a sworn
2411    statement by the agent attesting that the agent explained to the
2412    employer or officer the classification codes that are used for
2413    premium calculations.
2414          Section 23. Paragraphs (c) and (d) of subsection (4) of
2415    section 627.311, Florida Statutes, are amended to read
2416          627.311 Joint underwriters and joint reinsurers.--
2417          (4)
2418          (c) The operation of the plan shall be governed by a plan
2419    of operation that is prepared at the direction of the board of
2420    governors. The plan of operation may be changed at any time by
2421    the board of governors or upon request of the department. The
2422    plan of operation and all changes thereto are subject to the
2423    approval of the department. The plan of operation shall:
2424          1. Authorize the board to engage in the activities
2425    necessary to implement this subsection, including, but not
2426    limited to, borrowing money.
2427          2. Develop criteria for eligibility for coverage by the
2428    plan, including, but not limited to, documented rejection by at
2429    least two insurers which reasonably assures that insureds
2430    covered under the plan are unable to acquire coverage in the
2431    voluntary market. Any insured may voluntarily elect to accept
2432    coverage from an insurer for a premium equal to or greater than
2433    the plan premium if the insurer writing the coverage adheres to
2434    the provisions of s. 627.171.
2435          3. Require notice from the agent to the insured at the
2436    time of the application for coverage that the application is for
2437    coverage with the plan and that coverage may be available
2438    through an insurer, group self-insurers' fund, commercial self-
2439    insurance fund, or assessable mutual insurer through another
2440    agent at a lower cost.
2441          4. Establish programs to encourage insurers to provide
2442    coverage to applicants of the plan in the voluntary market and
2443    to insureds of the plan, including, but not limited to:
2444          a. Establishing procedures for an insurer to use in
2445    notifying the plan of the insurer's desire to provide coverage
2446    to applicants to the plan or existing insureds of the plan and
2447    in describing the types of risks in which the insurer is
2448    interested. The description of the desired risks must be on a
2449    form developed by the plan.
2450          b. Developing forms and procedures that provide an insurer
2451    with the information necessary to determine whether the insurer
2452    wants to write particular applicants to the plan or insureds of
2453    the plan.
2454          c. Developing procedures for notice to the plan and the
2455    applicant to the plan or insured of the plan that an insurer
2456    will insure the applicant or the insured of the plan, and notice
2457    of the cost of the coverage offered; and developing procedures
2458    for the selection of an insuring entity by the applicant or
2459    insured of the plan.
2460          d. Provide for a market-assistance plan to assist in the
2461    placement of employers. All applications for coverage in the
2462    plan received 45 days before the effective date for coverage
2463    shall be processed through the market-assistance plan. A market-
2464    assistance plan specifically designed to serve the needs of
2465    small good policyholders as defined by the board must be
2466    finalized by January 1, 1994.
2467          5. Provide for policy and claims services to the insureds
2468    of the plan of the nature and quality provided for insureds in
2469    the voluntary market.
2470          6. Provide for the review of applications for coverage
2471    with the plan for reasonableness and accuracy, using any
2472    available historic information regarding the insured.
2473          7. Provide for procedures for auditing insureds of the
2474    plan which are based on reasonable business judgment and are
2475    designed to maximize the likelihood that the plan will collect
2476    the appropriate premiums.
2477          8. Authorize the plan to terminate the coverage of and
2478    refuse future coverage for any insured that submits a fraudulent
2479    application to the plan or provides fraudulent or grossly
2480    erroneous records to the plan or to any service provider of the
2481    plan in conjunction with the activities of the plan.
2482          9. Establish service standards for agents who submit
2483    business to the plan.
2484          10. Establish criteria and procedures to prohibit any
2485    agent who does not adhere to the established service standards
2486    from placing business with the plan or receiving, directly or
2487    indirectly, any commissions for business placed with the plan.
2488          11. Provide for the establishment of reasonable safety
2489    programs for all insureds in the plan. All insureds of the plan
2490    must participate in the safety program.
2491          12. Authorize the plan to terminate the coverage of and
2492    refuse future coverage to any insured who fails to pay premiums
2493    or surcharges when due; who, at the time of application, is
2494    delinquent in payments of workers' compensation or employer's
2495    liability insurance premiums or surcharges owed to an insurer,
2496    group self-insurers' fund, commercial self-insurance fund, or
2497    assessable mutual insurer licensed to write such coverage in
2498    this state; or who refuses to substantially comply with any
2499    safety programs recommended by the plan.
2500          13. Authorize the board of governors to provide the
2501    services required by the plan through staff employed by the
2502    plan, through reasonably compensated service providers who
2503    contract with the plan to provide services as specified by the
2504    board of governors, or through a combination of employees and
2505    service providers.
2506          14. Provide for service standards for service providers,
2507    methods of determining adherence to those service standards,
2508    incentives and disincentives for service, and procedures for
2509    terminating contracts for service providers that fail to adhere
2510    to service standards.
2511          15. Provide procedures for selecting service providers and
2512    standards for qualification as a service provider that
2513    reasonably assure that any service provider selected will
2514    continue to operate as an ongoing concern and is capable of
2515    providing the specified services in the manner required.
2516          16. Provide for reasonable accounting and data-reporting
2517    practices.
2518          17. Provide for annual review of costs associated with the
2519    administration and servicing of the policies issued by the plan
2520    to determine alternatives by which costs can be reduced.
2521          18. Authorize the acquisition of such excess insurance or
2522    reinsurance as is consistent with the purposes of the plan.
2523          19. Provide for an annual report to the department on a
2524    date specified by the department and containing such information
2525    as the department reasonably requires.
2526          20. Establish multiple rating plans for various
2527    classifications of risk which reflect risk of loss, hazard
2528    grade, actual losses, size of premium, and compliance with loss
2529    control. At least one of such plans must be a preferred-rating
2530    plan to accommodate small-premium policyholders with good
2531    experience as defined in sub-subparagraph 22.a.
2532          21. Establish agent commission schedules.
2533          22. Establish fourthreesubplans as follows:
2534          a. Subplan “A” must include those insureds whose annual
2535    premium does not exceed $2,500 and who have neither incurred any
2536    lost-time claims nor incurred medical-only claims exceeding 50
2537    percent of their premium for the immediate 2 years.
2538          b. Subplan “B” must include insureds that are employers
2539    identified by the board of governors as high-risk employers due
2540    solely to the nature of the operations being performed by those
2541    insureds and for whom no market exists in the voluntary market,
2542    and whose experience modifications are less than 1.00.
2543          c. Subplan “C” must include all otherinsureds within the
2544    plan that are not eligible for subplan “A,” subplan “B,” or
2545    subplan “D.”
2546          d. Subplan “D” must include any employer with 50 or fewer
2547    employees, except that an employer who is eligible for subplan
2548    “D” and another subplan may elect the subplan in which it will
2549    participate. The rate plan for subplan “D” shall be the same
2550    rate plan as the plan approved under ss. 627.091-627.151, and
2551    each participant in subplan “D” shall pay the premium determined
2552    under such rate plan, plus a surcharge determined by the board
2553    to be sufficient to ensure that the plan does not compete with
2554    the voluntary market but not to exceed 25 percent.
2555          (d)1.The plan must be funded through actuarially sound
2556    premiums charged to insureds of the plan.
2557          2.The plan may issue assessable policies only to those
2558    insureds in subplan “C.and subplan “D.” Assessments levied
2559    against subplan “C” participants shall cover only the excess
2560    losses attributable to subplan “C,” and assessments levied
2561    against subplan “D” participants shall cover only the excess
2562    losses attributable to subplan “D.” In no event may the plan
2563    levy assessments against any person or entity except as
2564    authorized by this paragraph.Those assessable policies must be
2565    clearly identified as assessable by containing, in contrasting
2566    color and in not less than 10-point type, the following
2567    statements: “This is an assessable policy. If the plan is unable
2568    to pay its obligations, policyholders will be required to
2569    contribute on a pro rata earned premium basis the money
2570    necessary to meet any assessment levied.”
2571          3.The plan may issue assessable policies with differing
2572    terms and conditions to different groups within subplan “C” and
2573    subplan “D”the planwhen a reasonable basis exists for the
2574    differentiation.
2575          4.The plan may offer rating, dividend plans, and other
2576    plans to encourage loss prevention programs.
2577          Section 24. Paragraphs (c) and (e) of Subsection (3) of
2578    section 921.0022, Florida Statutes, are amended to read:
2579          921.0022 Criminal Punishment Code; offense severity
2580    ranking chart.--
2581          (3) OFFENSE SEVERITY RANKING CHART
2582         
FloridaStatuteFelonyDegreeDescription
2583         
(c) LEVEL 3
2584         
316.193(2)(b)3rdFelony DUI, 3rd conviction.
2585         
316.1935(2)3rdFleeing or attempting to elude law enforcement officer in marked patrol vehicle with siren and lights activated.
2586         
319.30(4)3rdPossession by junkyard of motor vehicle with identification number plate removed.
2587         
319.33(1)(a)3rdAlter or forge any certificate of title to a motor vehicle or mobile home.
2588         
319.33(1)(c)3rdProcure or pass title on stolen vehicle.
2589         
319.33(4)3rdWith intent to defraud, possess, sell, etc., a blank, forged, or unlawfully obtained title or registration.
2590         
327.35(2)(b)3rdFelony BUI.
2591         
328.05(2)3rdPossess, sell, or counterfeit fictitious, stolen, or fraudulent titles or bills of sale of vessels.
2592         
328.07(4)3rdManufacture, exchange, or possess vessel with counterfeit or wrong ID number.
2593         
376.302(5)3rdFraud related to reimbursement for cleanup expenses under the Inland Protection Trust Fund.
2594         
440.105(3)(a)3rdFailure to update workers’ compensation insurance coverage application or to post notice of coverage.
2595         
440.105(3)(b)3rdReceipt of fee or consideration without approval by judge of compensation claims.
2596         
440.1051(3)3rdFalse report of workers’ compensation fraud or retaliation for making such a report.
2597         
697.083rdEquity skimming.
2598         
790.15(3)3rdPerson directs another to discharge firearm from a vehicle.
2599         
796.05(1)3rdLive on earnings of a prostitute.
2600         
806.10(1)3rdMaliciously injure, destroy, or interfere with vehicles or equipment used in firefighting.
2601         
806.10(2)3rdInterferes with or assaults firefighter in performance of duty.
2602         
810.09(2)(c)3rdTrespass on property other than structure or conveyance armed with firearm or dangerous weapon.
2603         
812.014(2)(c)2.3rdGrand theft; $5,000 or more but less than $10,000.
2604         
812.0145(2)(c)3rdTheft from person 65 years of age or older; $300 or more but less than $10,000.
2605         
815.04(4)(b)2ndComputer offense devised to defraud or obtain property.
2606         
817.034(4)(a)3.3rdEngages in scheme to defraud (Florida Communications Fraud Act), property valued at less than $20,000.
2607         
817.2333rdBurning to defraud insurer.
2608         
817.234(8)&(9)3rdUnlawful solicitation of persons involved in motor vehicle accidents.
2609         
817.234(11)(a)3rdInsurance fraud; property value less than $20,000.
2610         
817.505(4)3rdPatient brokering.
2611         
828.12(2)3rdTortures any animal with intent to inflict intense pain, serious physical injury, or death.
2612         
831.28(2)(a)3rdCounterfeiting a payment instrument with intent to defraud or possessing a counterfeit payment instrument.
2613         
831.292ndPossession of instruments for counterfeiting drivers' licenses or identification cards.
2614         
838.021(3)(b)3rdThreatens unlawful harm to public servant.
2615         
843.193rdInjure, disable, or kill police dog or horse.
2616         
870.01(2)3rdRiot; inciting or encouraging.
2617         
893.13(1)(a)2.3rdSell, manufacture, or deliver cannabis (or other s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs).
2618         
893.13(1)(d)2.2ndSell, manufacture, or deliver s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs within 200 feet of university or public park.
2619         
893.13(1)(f)2.3rdSell, manufacture, or deliver s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs within 200 feet of public housing facility.
2620         
893.13(6)(a)3rdPossession of any controlled substance other than felony possession of cannabis.
2621         
893.13(7)(a)8.3rdWithhold information from practitioner regarding previous receipt of or prescription for a controlled substance.
2622         
893.13(7)(a)9.3rdObtain or attempt to obtain controlled substance by fraud, forgery, misrepresentation, etc.
2623         
893.13(7)(a)10.3rdAffix false or forged label to package of controlled substance.
2624         
893.13(7)(a)11.3rdFurnish false or fraudulent material information on any document or record required by chapter 893.
2625         
893.13(8)(a)1.3rdKnowingly assist a patient, other person, or owner of an animal in obtaining a controlled substance through deceptive, untrue, or fraudulent representations in or related to the practitioner's practice.
2626         
893.13(8)(a)2.3rdEmploy a trick or scheme in the practitioner's practice to assist a patient, other person, or owner of an animal in obtaining a controlled substance.
2627         
893.13(8)(a)3.3rdKnowingly write a prescription for a controlled substance for a fictitious person.
2628         
893.13(8)(a)4.3rdWrite a prescription for a controlled substance for a patient, other person, or an animal if the sole purpose of writing the prescription is a monetary benefit for the practitioner.
2629         
918.13(1)(a)3rdAlter, destroy, or conceal investigation evidence.
2630         
944.47(1)(a)1.-2.3rdIntroduce contraband to correctional facility.
2631         
944.47(1)(c)2ndPossess contraband while upon the grounds of a correctional institution.
2632         
985.31413rdEscapes from a juvenile facility (secure detention or residential commitment facility).
2633         
(e) LEVEL 5
2634         
316.027(1)(a)3rdAccidents involving personal injuries, failure to stop; leaving scene.
2635         
316.1935(4)2ndAggravated fleeing or eluding.
2636         
322.34(6)3rdCareless operation of motor vehicle with suspended license, resulting in death or serious bodily injury.
2637         
327.30(5)3rdVessel accidents involving personal injury; leaving scene.
2638         
381.0041(11)(b)3rdDonate blood, plasma, or organs knowing HIV positive.
2639         
440.105(5)2ndUnlawful solicitation for the purpose of making workers' compensation claims.
2640         
440.381(2)2ndSubmission of information with the purpose of avoiding or reducing workers’ compensation premiums.
2641         
790.01(2)3rdCarrying a concealed firearm.
2642         
790.1622ndThreat to throw or discharge destructive device.
2643         
790.163(1)2ndFalse report of deadly explosive or weapon of mass destruction.
2644         
790.221(1)2ndPossession of short-barreled shotgun or machine gun.
2645         
790.232ndFelons in possession of firearms or electronic weapons or devices.
2646         
800.04(6)(c)3rdLewd or lascivious conduct; offender less than 18 years.
2647         
800.04(7)(c)2ndLewd or lascivious exhibition; offender 18 years or older.
2648         
806.111(1)3rdPossess, manufacture, or dispense fire bomb with intent to damage any structure or property.
2649         
812.0145(2)(b)2ndTheft from person 65 years of age or older; $10,000 or more but less than $50,000.
2650         
812.015(8)3rdRetail theft; property stolen is valued at $300 or more and one or more specified acts.
2651         
812.019(1)2ndStolen property; dealing in or trafficking in.
2652         
812.131(2)(b)3rdRobbery by sudden snatching.
2653         
812.16(2)3rdOwning, operating, or conducting a chop shop.
2654         
817.034(4)(a)2.2ndCommunications fraud, value $20,000 to $50,000.
2655         
817.234(11)(b)2ndInsurance fraud; property value $20,000 or more but less than $100,000.
2656         
817.568(2)(b)2ndFraudulent use of personal identification information; value of benefit, services received, payment avoided, or amount of injury or fraud, $75,000 or more.
2657         
817.625(2)(b)2ndSecond or subsequent fraudulent use of scanning device or reencoder.
2658         
825.1025(4)3rdLewd or lascivious exhibition in the presence of an elderly person or disabled adult.
2659         
827.071(4)2ndPossess with intent to promote any photographic material, motion picture, etc., which includes sexual conduct by a child.
2660         
839.13(2)(b)2ndFalsifying records of an individual in the care and custody of a state agency involving great bodily harm or death.
2661         
843.013rdResist officer with violence to person; resist arrest with violence.
2662         
874.05(2)2ndEncouraging or recruiting another to join a criminal street gang; second or subsequent offense.
2663         
893.13(1)(a)1.2ndSell, manufacture, or deliver cocaine (or other s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)4. drugs).
2664         
893.13(1)(c)2.2ndSell, manufacture, or deliver cannabis (or other s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs) within 1,000 feet of a child care facility or school.
2665         
893.13(1)(d)1.1stSell, manufacture, or deliver cocaine (or other s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)4. drugs) within 200 feet of university or public park.
2666         
893.13(1)(e)2.2ndSell, manufacture, or deliver cannabis or other drug prohibited under s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) within 1,000 feet of property used for religious services or a specified business site.
2667         
893.13(1)(f)1.1stSell, manufacture, or deliver cocaine (or other s. 893.03(1)(a), (1)(b), (1)(d), or (2)(a), (2)(b), or (2)(c)4. drugs) within 200 feet of public housing facility.
2668         
893.13(4)(b)2ndDeliver to minor cannabis (or other s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs).
2669          Section 25. Report to the Legislature regarding
2670    outstanding enforcement issues.--The Department of Financial
2671    Services shall, no later than January 1, 2004, provide a report
2672    to the President of the Senate, the Speaker of the House of
2673    Representatives, the minority leaders of the Senate and the
2674    House of Representatives, and the chairs of the standing
2675    committees of the Senate and the House of Representatives having
2676    jurisdiction over insurance issues, containing the following
2677    information:
2678          (1) Any provision of chapter 440, Florida Statutes,
2679    relating to workers’ compensation carrier compliance and
2680    enforcement, that the department finds it is unable to enforce.
2681          (2) Any administrative rule relating to workers’
2682    compensation carrier compliance and enforcement that the
2683    department finds it is unable to enforce.
2684          (3) Any other impediment to enforcement of chapter 440,
2685    Florida Statutes, resulting from the transfer of activities from
2686    the former Department of Labor and Employment Security to the
2687    department or the reorganization of the former Department of
2688    Insurance into the department.
2689          Section 26. Except as otherwise provided herein, this act
2690    shall take effect upon becoming a law.