David Napier v. City of Riviera Beach and Gallagher Bassett Services, Inc. ( 2019 )


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  •          FIRST DISTRICT COURT OF APPEAL
    STATE OF FLORIDA
    _____________________________
    No. 1D18-2576
    _____________________________
    DAVID NAPIER,
    Appellant/Cross-Appellee,
    v.
    CITY OF RIVIERA BEACH and
    GALLAGHER BASSETT SERVICES,
    INC.,
    Appellees/Cross-Appellants.
    _____________________________
    On appeal from an order of the Judge of Compensation Claims.
    Gregory J. Johnsen, Judge.
    Date of Accident: May 21, 1993.
    August 29, 2019
    PER CURIAM.
    Claimant argues that competent substantial evidence (CSE)
    did not support the denial of his request for low-back surgery, but
    we find to the contrary and affirm that issue without further
    comment. On the Employer/Carrier’s (E/C) cross-appeal, we
    affirm as supported by CSE the Judge of Compensation Claims’
    (JCC) finding that Claimant’s pars defect is compensable. We
    agree, however, that the JCC erred in addressing maximum
    medical improvement (MMI), because no claims requiring this
    determination were noticed for hearing. This renders moot the
    E/C’s argument that CSE did not support the MMI finding.
    The parties to workers’ compensation cases are required to
    set forth their claims, defenses, and issues at the pretrial
    conference. See Isaac v. Green Iguana, Inc., 
    871 So. 2d 1004
    (Fla.
    1st DCA 2004) (reversing denial of compensation based on
    affirmative defense not raised in pretrial). Because due process
    rights are implicated, a party has a right to rely on the issues as
    framed in the pretrial statement. See 
    id. at 1006.
    Here, approximately ten days before the merits hearing,
    Claimant filed a Petition for Benefits (PFB) claiming entitlement
    to temporary indemnity benefits from October 12, 2017 and
    continuing. Because the indemnity claim had not been mediated,
    the order on appeal reserved jurisdiction over the issue for a later
    hearing. See Parodi v. Fla. Contracting Co., 
    16 So. 3d 958
    , 961
    (Fla. 1st DCA 2009) (finding JCC properly reserved jurisdiction
    on unmediated PFBs). The E/C also reserved the right to assert
    defenses to the request for temporary indemnity including, but
    not limited to, res judicata. Thus, the only claim before the JCC
    at the merits hearing was authorization for low-back surgery.
    Because no claims requiring the determination of MMI as a
    component of eligibility or entitlement had been raised in the pre-
    trial stipulation, the JCC erred in addressing MMI status. See
    Commercial Carrier Corp. v. LaPointe, 
    723 So. 2d 912
    , 915 (Fla.
    1st DCA 1999) (“An order that is not in accord with the
    understanding with which the workers’ compensation hearing
    was undertaken and participated in is a denial of due process and
    must be reversed.”) (quoting Se. Recycling v. Cottongim, 
    639 So. 2d
    155, 157 (Fla. 1st DCA 1994)). Accordingly, we strike
    paragraphs 21 through 23 of the order as to MMI.
    AFFIRMED in part and REVERSED in part.
    B.L. THOMAS, KELSEY, and M.K. THOMAS, JJ., concur.
    _____________________________
    Not final until disposition of any timely and
    authorized motion under Fla. R. App. P. 9.330 or
    9.331.
    _____________________________
    2
    Michael H. Stauder of Michael H. Stauder, Sr., P.A., Jupiter, for
    Appellant/Cross-Appellee.
    Gary M. Schloss of Hayes, Schloss & Alcocer, P.A., West Palm
    Beach, for Appellees/Cross-Appellants.
    3