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Locker v. United Pharmaceutical Group, Inc.
46 So. 3d 1126
Fla. Dist. Ct. App.
2010
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Background

  • Claimant filed a petition for benefits (PFB) seeking authorization for continued treatment for her right shoulder.
  • Dr. Bayliss prescribed treatment that was attached to the PFB.
  • Dr. Bayliss had previously been authorized and was not de-authorized by the Employer/Carrier (E/C).
  • Employer/Carrier moved to dismiss the PFB based on an EMA opinion from an earlier proceeding in this matter.
  • JCC granted the dismissal, relying on extra-record evidence and the EMA finding that the shoulder condition was not ripe for award.
  • The reviewing court treats the dismissal as a de novo question of law; the four-corners rule governs whether the PFB states a claim.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
RiPe and entitlement of the PFB Locker: PFB seeks authorized, ongoing treatment; benefits are ripe, due, and owing. E/C: relies on prior EMA ruling; issues not challenged previously cannot be relitigated. Reversed; PFB alleged ripe, due, and owing benefits.
Reliance on extra-record evidence Locker: JCC must decide within the four corners of the PFB and attached medicals. E/C: prior EMA evidence helps resolve whether benefits are due. Remanded; trial court erred by considering non-pleaded, extra-record evidence.

Key Cases Cited

  • Gilbreth v. Genesis Eldercare, 821 So.2d 1226 (Fla. 1st DCA 2002) (de novo review for legal conclusions on motions to dismiss)
  • Siegle v. Progressive Consumers Ins. Co., 819 So.2d 732 (Fla. 1st DCA 2002) (standard for reviewing dismissal rulings; accept allegations as true)
  • Chatham Mfg., Corp. v. Cates, 969 So.2d 515 (Fla. 1st DCA 2007) (four-corners rule; cannot rely on matters outside the complaint)
  • Brewer v. Clerk of Circuit Court, Gadsden County, 720 So.2d 602 (Fla. 1st DCA 1998) (motion to dismiss for failure to state a cause of action; de novo review)
  • Thomas v. Eckerd Drugs, 987 So.2d 1262 (Fla. 1st DCA 2008) (uses summary-judgment-like framework in absence of governing WC precedent)
Read the full case

Case Details

Case Name: Locker v. United Pharmaceutical Group, Inc.
Court Name: District Court of Appeal of Florida
Date Published: Oct 29, 2010
Citation: 46 So. 3d 1126
Docket Number: 1D10-0464
Court Abbreviation: Fla. Dist. Ct. App.