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F.S. 440.105 on Google Scholar

F.S. 440.105 on Casetext

Amendments to 440.105


The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B)

Title XXXI
LABOR
Chapter 440
WORKERS' COMPENSATION
View Entire Chapter
F.S. 440.105 Florida Statutes and Case Law
440.105 Prohibited activities; reports; penalties; limitations.
(1)(a) Any insurance carrier, any individual self-insured, any commercial or group self-insurance fund, any professional practitioner licensed or regulated by the Department of Health, except as otherwise provided by law, any medical review committee as defined in s. 766.101, any private medical review committee, and any insurer, agent, or other person licensed under the insurance code, or any employee thereof, having knowledge or who believes that a fraudulent act or any other act or practice which, upon conviction, constitutes a felony or misdemeanor under this chapter is being or has been committed shall send to the Division of Investigative and Forensic Services, Bureau of Workers’ Compensation Fraud, a report or information pertinent to such knowledge or belief and such additional information relative thereto as the bureau may require. The bureau shall review such information or reports and select such information or reports as, in its judgment, may require further investigation. It shall then cause an independent examination of the facts surrounding such information or report to be made to determine the extent, if any, to which a fraudulent act or any other act or practice which, upon conviction, constitutes a felony or a misdemeanor under this chapter is being committed. The bureau shall report any alleged violations of law which its investigations disclose to the appropriate licensing agency and state attorney or other prosecuting agency having jurisdiction with respect to any such violations of this chapter. If prosecution by the state attorney or other prosecuting agency having jurisdiction with respect to such violation is not begun within 60 days of the bureau’s report, the state attorney or other prosecuting agency having jurisdiction with respect to such violation shall inform the bureau of the reasons for the lack of prosecution.
(b) In the absence of fraud or bad faith, a person is not subject to civil liability for libel, slander, or any other relevant tort by virtue of filing reports, without malice, or furnishing other information, without malice, required by this section or required by the bureau, and no civil cause of action of any nature shall arise against such person:
1. For any information relating to suspected fraudulent acts furnished to or received from law enforcement officials, their agents, or employees;
2. For any information relating to suspected fraudulent acts furnished to or received from other persons subject to the provisions of this chapter; or
3. For any such information relating to suspected fraudulent acts furnished in reports to the bureau, or the National Association of Insurance Commissioners.
(2) Whoever violates any provision of this subsection commits a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083.
(a) It shall be unlawful for any employer to knowingly:
1. Coerce or attempt to coerce, as a precondition to employment or otherwise, an employee to obtain a certificate of election of exemption pursuant to s. 440.05.
2. Discharge or refuse to hire an employee or job applicant because the employee or applicant has filed a claim for benefits under this chapter.
3. Discharge, discipline, or take any other adverse personnel action against any employee for disclosing information to the department or any law enforcement agency relating to any violation or suspected violation of any of the provisions of this chapter or rules promulgated hereunder.
(b) It shall be unlawful for any insurance entity to revoke or cancel a workers’ compensation insurance policy or membership because an employer has returned an employee to work or hired an employee who has filed a workers’ compensation claim.
(3) Whoever violates any provision of this subsection commits a misdemeanor of the first degree, punishable as provided in s. 775.082 or s. 775.083.
(a) It shall be unlawful for any employer to knowingly fail to update applications for coverage as required by s. 440.381(1) and 1department rules within 7 days after the reporting date for any change in the required information, or to post notice of coverage pursuant to s. 440.40.
(b) It shall be unlawful for any employer to knowingly participate in the creation of the employment relationship in which the employee has used any false, fraudulent, or misleading oral or written statement as evidence of identity.
(c) It is unlawful for any attorney or other person, in his or her individual capacity or in his or her capacity as a public or private employee, or for any firm, corporation, partnership, or association to receive any fee or other consideration or any gratuity from a person on account of services rendered for a person in connection with any proceedings arising under this chapter, unless such fee, consideration, or gratuity is approved by a judge of compensation claims or by the Deputy Chief Judge of Compensation Claims.
(4) Whoever violates any provision of this subsection commits insurance fraud, punishable as provided in paragraph (f).
(a) It shall be unlawful for any employer to knowingly:
1. Present or cause to be presented any false, fraudulent, or misleading oral or written statement to any person as evidence of compliance with s. 440.38.
2. Make a deduction from the pay of any employee entitled to the benefits of this chapter for the purpose of requiring the employee to pay any portion of premium paid by the employer to a carrier or to contribute to a benefit fund or department maintained by such employer for the purpose of providing compensation or medical services and supplies as required by this chapter.
3. Fail to secure workers’ compensation insurance coverage if required to do so by this chapter.
(b) It shall be unlawful for any person:
1. To knowingly make, or cause to be made, any false, fraudulent, or misleading oral or written statement for the purpose of obtaining or denying any benefit or payment under this chapter.
2. To present or cause to be presented any written or oral statement as part of, or in support of, a claim for payment or other benefit pursuant to any provision of this chapter, knowing that such statement contains any false, incomplete, or misleading information concerning any fact or thing material to such claim.
3. To prepare or cause to be prepared any written or oral statement that is intended to be presented to any employer, insurance company, or self-insured program in connection with, or in support of, any claim for payment or other benefit pursuant to any provision of this chapter, knowing that such statement contains any false, incomplete, or misleading information concerning any fact or thing material to such claim.
4. To knowingly assist, conspire with, or urge any person to engage in activity prohibited by this section.
5. To knowingly make any false, fraudulent, or misleading oral or written statement, or to knowingly omit or conceal material information, required by s. 440.185 or s. 440.381, for the purpose of obtaining workers’ compensation coverage or for the purpose of avoiding, delaying, or diminishing the amount of payment of any workers’ compensation premiums.
6. To knowingly misrepresent or conceal payroll, classification of workers, or information regarding an employer’s loss history which would be material to the computation and application of an experience rating modification factor for the purpose of avoiding or diminishing the amount of payment of any workers’ compensation premiums.
7. To knowingly present or cause to be presented any false, fraudulent, or misleading oral or written statement to any person as evidence of compliance with s. 440.38, as evidence of eligibility for a certificate of exemption under s. 440.05.
8. To knowingly violate a stop-work order issued by the department pursuant to s. 440.107.
9. To knowingly present or cause to be presented any false, fraudulent, or misleading oral or written statement to any person as evidence of identity for the purpose of obtaining employment or filing or supporting a claim for workers’ compensation benefits.
(c) It shall be unlawful for any physician licensed under chapter 458, osteopathic physician licensed under chapter 459, chiropractic physician licensed under chapter 460, podiatric physician licensed under chapter 461, optometric physician licensed under chapter 463, or any other practitioner licensed under the laws of this state to knowingly and willfully assist, conspire with, or urge any person to fraudulently violate any of the provisions of this chapter.
(d) It shall be unlawful for any person or governmental entity licensed under chapter 395 to maintain or operate a hospital in such a manner so that such person or governmental entity knowingly and willfully allows the use of the facilities of such hospital by any person, in a scheme or conspiracy to fraudulently violate any of the provisions of this chapter.
(e) It shall be unlawful for any attorney or other person, in his or her individual capacity or in his or her capacity as a public or private employee, or any firm, corporation, partnership, or association, to knowingly assist, conspire with, or urge any person to fraudulently violate any of the provisions of this chapter.
(f) If the monetary value of any violation of this subsection:
1. Is less than $20,000, the offender commits a felony of the third degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
2. Is $20,000 or more, but less than $100,000, the offender commits a felony of the second degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
3. Is $100,000 or more, the offender commits a felony of the first degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
(5) It shall be unlawful for any attorney or other person, in his or her individual capacity or in his or her capacity as a public or private employee or for any firm, corporation, partnership, or association, to unlawfully solicit any business in and about city or county hospitals, courts, or any public institution or public place; in and about private hospitals or sanitariums; in and about any private institution; or upon private property of any character whatsoever for the purpose of making workers’ compensation claims. Whoever violates any provision of this subsection commits a felony of the second degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
(6) This section shall not be construed to preclude the applicability of any other provision of criminal law that applies or may apply to any transaction.
(7) An injured employee or any other party making a claim under this chapter shall provide his or her personal signature attesting that he or she has reviewed, understands, and acknowledges the following statement: “Any person who, knowingly and with intent to injure, defraud, or deceive any employer or employee, insurance company, or self-insured program, files a statement of claim containing any false or misleading information commits insurance fraud, punishable as provided in s. 817.234.” If the injured employee or other party refuses to sign the document attesting that he or she has reviewed, understands, and acknowledges the statement, benefits, or payments under this chapter shall be suspended until such signature is obtained.
History.s. 12, ch. 93-415; s. 105, ch. 97-103; s. 7, ch. 98-174; s. 10, ch. 2001-91; s. 87, ch. 2001-277; s. 19, ch. 2002-194; s. 473, ch. 2003-261; s. 11, ch. 2003-412; s. 5, ch. 2006-305; s. 99, ch. 2010-5; s. 10, ch. 2016-165.
1Note.As amended by s. 11, ch. 2003-412. The amendment by s. 473, ch. 2003-261, substituted a reference to the Financial Services Commission instead of referencing the department (defined as the Department of Financial Services in s. 440.02) in place of the former Department of Insurance.

Statutes updated from Official Statutes on: March 07, 2023
F.S. 440.105 on Google Scholar

F.S. 440.105 on Casetext

Amendments to 440.105


Arrestable Offenses / Crimes under Fla. Stat. 440.105
Level: Degree
Misdemeanor/Felony: First/Second/Third

440.105 2a1 - PUBLIC ORDER CRIMES - COERCE EMPL TO OBT CERTIF OF WORK COMP EXEMPT - M: F
440.105 2a2 - PUBLIC ORDER CRIMES - FIRE/NOT HIRE EMP/APP BC FILED WORK COMP CLAIM - M: F
440.105 2a3 - PUBLIC ORDER CRIMES - ADVER EMP ACTION BC REP VIOL OF WORK COMP REGS - M: F
440.105 2b - PUBLIC ORDER CRIMES - INS CO CANCEL INS BC EMP FILED WORK COMP CLAIM - M: F
440.105 3a - PUBLIC ORDER CRIMES - FAIL UPDATE APP POST NOT RE WORK COMP COVERAGE - M: F
440.105 3b - PUBLIC ORDER CRIMES - EMPLOYER HIRE EMPLOYEE WHO USED FALSE ID - M: F
440.105 3c - PUBLIC ORDER CRIMES - ATTY OTHERS RECEIVE UNAPPROVED WORK COMP FEE - M: F
440.105 4a1 - FRAUD-FALSE STATEMENT - EVID BY EMP COMPLY CLAIM/INS LESS 20K DOLS - F: T
440.105 4a1 - FRAUD-FALSE STATEMENT - EVID EMP CMPLY COMP CLAIM 20K LESS 100K DOLS - F: S
440.105 4a1 - FRAUD-FALSE STATEMENT - EVID BY EMP COMPLY COMP CLAIM 100K DOLS MORE - F: F
440.105 4a2 - FRAUD - EMPE PAY EMPR W/C CONTRIB CLAIM LESS 20K DOLS - F: T
440.105 4a2 - FRAUD - EMP PAY EMPR W/C CONTR CLAIM 20K LESS 100K DOL - F: S
440.105 4a2 - FRAUD - EMPE PAY EMPR CONTRIB CLAIM 100KDOLS MORE - F: F
440.105 4a3 - FRAUD - EMP NOT GET WORK COMP INS UNDER 20K DOLS - F: T
440.105 4a3 - FRAUD - EMP NOT GET WORK COMP INS 20K LESS 100K DOLS - F: S
440.105 4a3 - FRAUD - EMP NOT GET WORK COMP INS 100K DOLS OR MORE - F: F
440.105 4b - FRAUD-FALSE STATEMENT - MISREP OMIT INF RE W/C CLAIM LESS 20K DOLS - F: T
440.105 4b - FRAUD-FALSE STATEMENT - MISREP OMIT INFO W/C CLAIM 20K LESS 100K DOLS - F: S
440.105 4b - FRAUD-FALSE STATEMENT - MISREP OMIT INF RE W/C CLAIM 100K DOLS MORE - F: F
440.105 4b8 - FRAUD - VIOL WORK COMP STOP WORK ORDER 100K DOLS OR MO - F: F
440.105 4b8 - FRAUD - VIOL WORK COMP STOP WORK ORDER 20K TO 100K DOL - F: S
440.105 4b8 - FRAUD - VIOL WORK COMP STOP WORK ORDER LESS THAN 20K - F: T
440.105 4b9 - FRAUD - USE FALSE ID FOR WC CLAIM 100K DOLS OR MORE - F: F
440.105 4b9 - FRAUD - USE FALSE ID FOR WC CLAIM 20K TO 100K DOLS - F: S
440.105 4b9 - FRAUD - USE FALSE ID FOR WC CLAIM LESS THAN 20K DOLS - F: T
440.105 4c - FRAUD - PHYS ASSIST WORK COMP FRAUD CLAIM LESS 20K DOL - F: T
440.105 4c - FRAUD - PHYS ASSIST W/C FRAUD CLAIM 20K LESS 100K DOLS - F: S
440.105 4c - FRAUD - PHYS ASST CONSP W/C FRAUD CLAIM 100K DOLS MORE - F: F
440.105 4d - FRAUD - OPR HOSP ALLW W/C FRAUD CLAIM LESS 20K DOLS - F: T
440.105 4d - FRAUD - HOSPTL ALLW W/C FRAUD CLAIM 20K LESS 100K DOLS - F: S
440.105 4d - FRAUD - HOSP ALLOW W/C FRAUD CLAIM 100K DOLS MORE - F: F
440.105 4e - FRAUD - ATTY OTHER AST VIOL W/C LAW CLM LESS 20K DOLS - F: T
440.105 4e - FRAUD - ATTY OTHER ASST VIOL W/C CLM 20K LESS 100K DOL - F: S
440.105 4e - FRAUD - ATTY OTHER ASST VIOL W/C CLAIM 100K DOLS MORE - F: F
440.105 5 - PUBLIC ORDER CRIMES - ATTORNEY OR OTHER SOLICIT WORK COMP CLAIM - F: S


Civil Citations / Citable Offenses under S440.105
R or S next to points is Mandatory Revocation or Suspension

Current data shows no reason a civil citation or a suspension or revocation of license should have been issued under Florida Statute 440.105.


Annotations, Discussions, Cases:

  1. Jacobson v. Se. Pers. Leasing, Inc.

    113 So. 3d 1042 (Fla. Dist. Ct. App. 2013)   Cited 6 times
    In this workers' compensation appeal, Claimant Eugene Jacobson appeals orders of the Judge of Compensation Claims (JCC) that grant, in part, the Employer/Carrier's (E/C's) motion to tax costs against him under section 440.34(3), Florida Statutes (2007), and deny Claimant's motion to approve a retainer agreement between him and Michael J. Winer, under which Winer would have provided legal services to Claimant limited to representation in the defense to oppose the E/C's motion to tax costs. Claimant challenges the constitutionality of sections 440.105( 3)(c) and 440.34 insofar as these sections preclude him from contracting for legal services to defend against the E/C's motion to tax costs. We conclude to the extent that sections 440.34 and 440.105( 3)(c), Florida Statutes, prohibit Claimant from retaining counsel to defend a motion to tax costs against him, those statutes infringe upon Claimant's constitutional rights under the First Amendment of the Constitution. Accordingly, as applied here, sections 440.34 and 440.105( 3)(c) are unconstitutional. For the reasons set forth herein, we reverse the orders of the JCC, and remand for a new hearing on the…
    PAGE 1045
  2. Pavilion v. Wetherington

    943 So. 2d 226 (Fla. Dist. Ct. App. 2006)   Cited 5 times
    On appeal, as below, Pavilion Apartments and Claims Center invoke section 440.09(4), Florida Statutes (2004), which renders an employee ineligible for workers' compensation benefits if it is "determine[d] that the employee has knowingly or intentionally engaged in any of the acts described in s. 440.105 . . . for the purpose of securing workers' compensation benefits." § 440.09(4)(a), Fla. Stat. (2004). Section 440.105 places requirements on claimants not unlike the duty of candor an attorney owes a tribunal she is addressing. See R. Regulating Fla. Bar 4-3.3(a) (2006) ("Candor Toward the Tribunal"). Section 440.105 provides in relevant part:
    PAGE 228
  3. Polston v. Hurricane Is. Outward Bd.

    920 So. 2d 766 (Fla. Dist. Ct. App. 2006)   Cited 3 times
    The E/C then filed a petition for benefits, requesting "a determination pursuant to Fla. Stat. 440.09(4) whether the Employee/Claimant has knowingly made false, fraudulent or misleading oral or written statements for the purposes of securing workers' compensation benefits in violation of Fla. Stat. 440.105(4)(b)." Polston filed a motion to dismiss the petition, in which she argued the JCC had no jurisdiction. This motion was denied. After a final hearing, the JCC issued an order finding Polston had violated section 440.105(4)(b)(2), and was not entitled to compensation or benefits pursuant to section 440.09(4).
    PAGE 767
  4. Chapman v. Nationsbank

    872 So. 2d 390 (Fla. Dist. Ct. App. 2004)   Cited 6 times
    Section 440.105(4)(b)1. states it is unlawful for anyone "[t]o knowingly make, or cause to be made, any false, fraudulent, or misleading . . . statement for the purpose of obtaining . . . any benefit or payment under this chapter."
    PAGE 393
  5. Matrix v. Hernandez

    975 So. 2d 1217 (Fla. Dist. Ct. App. 2008)   Cited 7 times
    The E/C, on one hand, asserts that section 440.09(4)(a) should be read to mean that an employee shall not be entitled to compensation or benefits under this chapter if a JCC determines that the employee has knowingly or intentionally engaged in any of the acts described in section 440.105. Thus, according to the E/C, because it is clear that claimant violated section 440.105( 4)(b)(9) by procuring work with a false social security card, claimant should not be entitled to workers' compensation benefits. Claimant, on the other hand, interprets section 440.09(4)(a) differently. Specifically, claimant argues that pursuant to the statute, an employee shall not be entitled to compensation benefits only if a JCC determines that the employee has knowingly or intentionally engaged in any of the acts described in section 440.105 for the purpose of securing workers' compensation benefits. The question thus becomes whether the Legislature intended "for the purpose of securing workers' compensation benefits" to modify just "any criminal act" or, also, "any of the acts described in s. 440.105. " Because at first glance both interpretations appear reasonable…
    PAGE 1219
  6. McArthur v. Mental Health Care, Inc.

    35 So. 3d 105 (Fla. Dist. Ct. App. 2010)   Cited 6 times
    The process by which an employee may be sanctioned for violating section 440.105 is set forth in section 440.09(4). That statute, which is commonly referred to as the "fraud defense," provides that the employee is not entitled to any compensation or benefits under chapter 440 if the JCC (or an administrative law judge, court, or jury) determines that the employee knowingly and intentionally engaged in any of the acts prohibited by section 440.105. See§ 440.09(4)(a), Fla. Stat. Thus, not only does section 440.09(4) specifically authorize the JCC to determine whether an employee has violated section 440.105, but it also sets forth the sanction that the JCC is required to impose upon finding that a violation occurred.
    PAGE 107
  7. Foods v. Howard

    225 So. 3d 898 (Fla. Dist. Ct. App. 2017)   Cited 1 times
    Sections 440.09(4) and 440.105, Florida Statutes, are often referred to as the mechanisms that created the "fraud defense." This "misnomer appears to have narrowed the application of the sanction beyond that intended by the legislature." Village Apartments v. Hernandez, 856 So.2d 1140, 1141 (Fla. 1st DCA 2003). Not all prohibited acts in section 440.105 entail a "fraud" element. See § 440.105(4)(b) 2.–3., Fla. Stat. In interpreting a statute, "full effect must be given to the language selected by the legislature." Hernandez, 856 So.2d at 1141. Accordingly, per section 440.09(4), the commission of "any" act of an employee prohibited by section 440.105 results in forfeiture of benefits, not just those statutorily designated as "fraudulent." This Court has previously emphasized that the 2003 Amendments to section 440.09(4)(a), adding the phrase "or any criminal act," broadened the subsection to cover not only acts described in section 440.105, but also other criminal acts, as long as "all of those acts are done for the purpose of securing workers' compensation benefits." Matrix Emp. Leasing, 975 So.2d at 1219.
    PAGE 902
  8. State v. Brock

    No. 4D13-962 (Fla. Dist. Ct. App. Apr. 30, 2014)   Cited 1 times
    The trial court granted the motion to dismiss, stating that it appeared the purpose of the statute related to insurance coverage and insurance claims, and that section 440.105(4)(b)9 required that the obtaining of employment or filing or supporting a claim had to be connected to workers' compensation benefits. The court ruled that to sustain a violation under section 440.105(4)(b)9, the State was required to plead and prove not only that Defendant obtained employment by a false, fraudulent, or misleading oral or written statement as evidence of identity, but that he did so with the intent to secure worker compensation benefits. This was error.
    PAGE 2
  9. Arreola v. Admin

    17 So. 3d 792 (Fla. Dist. Ct. App. 2009)   Cited 7 times
    It is prohibited by section 440.105(4)(b) for any person to "make, or cause to be made," any false, fraudulent, or misleading statements for the purpose of obtaining workers' compensation benefits. § 440.105(4)(b)1., Fla. Stat. (2006). An employee found to have knowingly or intentionally committed one of these prohibited acts is not entitled to compensation or benefits under the workers' compensation statute. § 440.09(4)(a), Fla. Stat. (2006). Whether a claimant has violated section 440.105 is a factual determination to be made by the JCC, which is reviewed by this court for competent substantial evidence. Paulson v. Dixie County Emergency Med. Servs., 936 So.2d 1109, 1110 (Fla. 1st DCA 2006). "It matters not that other persuasive evidence, if accepted by the JCC, might have supported a contrary ruling." Pinnacle Benefits, Inc. v. Alby, 913 So.2d 756, 757 (Fla. 1st DCA 2005).
    PAGE 794
  10. Isaac v. Green Iguana, Inc.

    871 So. 2d 1004 (Fla. Dist. Ct. App. 2004)   Cited 16 times
    Section 440.09(4) provides that an employee will not be allowed compensation benefits if the JCC "determines that the employee has knowingly or intentionally engaged in any of the acts described in s. 440.105 for the purpose of securing workers' compensation benefits." Section 440.105(4)(b) contains numerous examples of false, fraudulent or misleading activity which are prohibited.
    PAGE 1006