07-004765 Southern Insight, Inc. vs. Department Of Financial Services, Division Of Workers' Compensation
 Status: Closed
Recommended Order on Tuesday, July 1, 2008.


View Dockets  
Summary: Upon the facts presented, a penalty was owed by the non-exempt contractor, but the new calculation was in order.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8DEPARTMENT OF FINANCIAL )

12SERVICES, DIVISION OF WORKERS' )

17COMPENSATION, )

19)

20Petitioner, )

22)

23vs. ) Case No. 07-4765

28)

29SOUTHERN INSIGHT, INC., )

33)

34Respondent. )

36)

37RECOMMENDED ORDER

39Upon due notice, a disputed-fact hearing was held in this

49case on April 3, 2008, in Bunnell, Florida, before Ella Jane P.

61Davis, a duly-assigned Administrative Law Judge of the Division

70of Administrative Hearings.

73APPEARANCES

74For Petitioner: Anthony B. Miller, Esquire

80Department of Financial Services

84Division of Workers' Compensation

88200 East Gaines Street

92Tallahassee, Florida 32399-4229

95For Respondent: John Cauley, President

100Southern Insight, Inc.

103Post Office Box 2592

107Bunnell, Florida 32110

110STATEMENT OF THE ISSUE

114Whether Respondent Corporation, Southern Insight, Inc., failed to secure payment of workers' compensation coverage as

129required by Chapter 440, Florida Statutes, and the Florida

138Insurance Code, and if so, whether the Department of Financial

148Services, Division of Workers' Compensation (Department) has

155lawfully assessed the penalty against Respondent in the amount

164of $27,805.11.

167PRELIMINARY STATEMENT

169By an August 17, 2007, Stop-Work Order and Order of Penalty

180Assessment (Stop-Work Order), the Department alleged that

187Respondent had failed to secure the payment of workers'

196compensation as that term is defined in Section 440.107(2),

205Florida Statutes. On August 22, 2007, the Department issued and

215served an Amended Order of Penalty Assessment in the amount of

226$27,805.11.

228Respondent timely requested a disputed-fact hearing, and

235on October 17, 2007, the cause was referred to the Division of

247Administrative Hearings.

249The case was originally scheduled for December 12, 2007.

258On December 7, 2007, a continuance was granted at the request of

270the Department. On January 29, 2008, an Order was entered

280denying the Department's Motion to Deem Matters Admitted and

289Motion to Dismiss and re-scheduling final hearing for April 3,

2992008.

300At final hearing on April 3, 2008, the style of this cause

312was amended to reflect the burden of proof, as set out above.

324The Department presented the testimony of Department

331Investigator Lynise Beckstrom and John Cauley, Respondent's

338President, and had 14 exhibits admitted in evidence. Respondent

347had two exhibits admitted in evidence.

353A Transcript was filed with DOAH on April 8, 2008. The

364parties were required to file proposed recommended orders by

373April 28, 2008. The Department timely filed its Proposed

382Recommended Order. Respondent's Proposed Recommended Order,

388which was filed one day late, has also been considered.

398FINDINGS OF FACT

4011. The Department is the state agency responsible for

410enforcing Section 440.107, Florida Statutes, which requires that

418employers secure the payment of workers' compensation coverage

426for their employees and otherwise comply with the workers'

435compensation coverage requirements under Chapter 440, Florida

442Statutes.

4432. Respondent has been a Florida corporation, actively

451involved in the construction industry providing framing

458services, during the period of February 16, 2006, through August

46817, 2007 (assessed penalty period). At all times material,

477Respondent has been an "employer," as defined by Chapter 440,

487Florida Statutes. At all times material, John Cauley has been

497Respondent's president and sole employee. At no time material

506did Respondent obtain workers' compensation insurance coverage

513for John Cauley.

5163. On August 17, 2007, Department Investigator Lynise

524Beckstrom conducted a random workers' compensation compliance

531check of a new home construction site in Palm Coast, Florida.

542At that time, Ms. Beckstrom observed four men, including John

552Cauley, framing a new home.

5574. Utilizing the Department's Compliance and Coverage

564Automated System (CCAS) database, which contains all workers'

572compensation insurance policy information from the carrier to an

581insured and which further lists all the workers' compensation

590exemptions in the State of Florida, Ms. Beckstrom determined

599that for the assessed penalty period, Respondent did not have in

610effect either a State of Florida workers' compensation insurance

619policy or a valid, current exemption for its employee, John

629Cauley.

6305. During the assessed penalty period, Respondent paid

638remuneration to its employee, John Cauley.

6446. John Cauley admitted that during the assessed penalty

653period he was not an independent contractor, as that term is

664defined in Section 440.02(15)(d)(1), Florida Statutes.

6707. Section 440.05, Florida Statutes, allows a corporate

678officer to apply for a construction certificate of exemption

687from workers' compensation benefits. Only the named individual

695on the application is exempt from workers' compensation

703insurance coverage. On or about April 15, 2006, John Cauley, as

714Respondent's President, applied for such an exemption. That

722application was denied. Mr. Cauley received neither an

730exemption card nor a denial of exemption from the Department.

7408. During the assessed penalty period, Respondent was a

749subcontractor of the contractor, Mass Builders, Inc.

7569. Sections 440.107(3) and 440.107(7)(a), Florida

762Statutes, authorize the Department to issue stop-work orders to

771employers unable to provide proof of workers' compensation

779coverage, including proof of a current, valid workers'

787compensation exemption.

78910. Based on the lack of workers' compensation coverage

798and lack of a current, valid workers' compensation exemption for

808Respondent corporation's employee, John Cauley, the Department

815served on Respondent a stop-work order on August 17, 2007. The

826stop-work order ordered Respondent to cease all business

834operation for all worksites in the State of Florida.

84311. Immediately upon notification by Investigator

849Beckstrom of his lack of valid exemption, Mr. Cauley submitted a

860new exemption application, which was granted, bringing

867Respondent corporation into compliance. However, in order to

875have the stop-work order lifted so that he can work as a

887corporation again, Mr. Cauley must pay a percentage of the

897penalty assessment and enter into a payment plan with the

907Agency. In the meantime, Mr. Cauley cannot pay the percentage

917required by the Department if he cannot find work as someone

928else's employee, which he had been unable to do as of the date

941of the hearing. Herein, it is not disputed that Respondent was

952inadvertently out of compliance. Mr. Cauley seeks merely to

961reduce the amount of the penalty assessment so that removal of

972the stop-work order against Respondent corporation can be

980negotiated.

98112. On the day the stop-work order was issued,

990Investigator Beckstrom also served Respondent with a "Request

998for Production of Business Records for Penalty Assessment

1006Calculation," in order to determine a penalty under Section

1015440.107(7), Florida Statutes. Pursuant to Florida

1021Administrative Code Rule 69L-6.015, the Department may request

1029business records for the three years preceding the date of the

1040stop-work order. Logically, however, Ms. Beckstrom only

1047requested business records dating back to February 14, 2006,

1056Respondent's date of incorporation in Florida. The requested

1064records included payroll, bank records, check stubs, invoices,

1072and other related business records. Ms. Beckworth testified

1080that, "Business records requests usually consist of payroll,

1088bank records, taxes, check stubs, invoices, anything relating to

1097that business." This is a fair summation of a much more

1108detailed listing of records required to be kept pursuant to Rule

111969L-6.015, Florida Administrative Code, which was in effect at

1128all times material.

113113. In response to the Request for Production, Respondent

1140provided Southern Insight Inc.'s corporate bank statements for

1148the assessed penalty period, detailing corporate income and

1156expenses through deposits and bank/debit card purchases.

116314. However, Investigator Beckworth did not deem the

1171corporate bank statements produced by Respondent to be an

1180adequate response, and she did not base her calculations for

1190penalty purposes thereon.

119315. Mr. Cauley expected that the Department would, and has

1203argued herein that the Department should, have subtracted from

1212the total deposits to Respondent's corporate account (the

1220minuend) the total corporate business expenses (the subtrahend)

1228in order to determine the Respondent's payroll to Mr. Cauley

1238(the difference), upon which difference the Department should

1246have calculated his workers' compensation penalty.

125216. In fact, the Department, through its investigator, did

1261not utilize the total amount deposited to Respondent's corporate

1270account, because some deposits "could" have come from a family

1280member of Mr.Cauley. That said, there are no individual names

1290on the account; the account is clearly in the name of the

1302Respondent corporation; and there is no proof herein that any

1312deposits to Respondent's corporate bank account were derived

1320from anyone other than Mr. Cauley, as Respondent's President.

132917. Ms. Beckstrom testified that if the Agency had

1338accepted the total of the deposits to this corporate account for

1349the assessed penalty period as Respondent's payroll, the result

1358would have been more than the total amount actually determined

1368by her to constitute Mr. Cauley's payroll, but that statement

1378was not demonstrated with any specificity.

138418. The Department also did not use any of the subtracted

1395amounts shown on the corporate bank statements, even though the

1405bank statements listed the same information as would normally be

1415found on a corporate check , including the transaction number,

1424recipient of the money, the date, and the amount for each

1435bank/debit card transaction. All that might be missing is the

1445self-serving declaration of the check writer on the check stub

1455as to what object or service was purchased from the recipient

1466named on the bank statement.

147119. Ms. Beckstrom testified that if Mr. Cauley had

1480provided separate receipts for the transactions recorded on the

1489bank statements as bank/debit card entries, she could have

1498deducted those amounts for business expenses from the

1506corporation's income, to arrive at a lesser payroll for

1515Mr. Cauley. In other words, if Mr. Cauley had provided separate

1526receipts as back-up for the transactions memorialized on the

1535corporate bank statements, the Department might have utilized

1543the bank/debit card transactions itemized on Respondent's

1550corporate bank statements as the amount deducted for Respondent

1559corporation's business expenses, so as to obtain the payroll

1568(difference) paid to Mr. Cauley.

157320. It is the amount paid to Mr. Cauley as payroll, upon

1585which the Department must calculate the workers' compensation

1593penalty.

159421. The reason Ms. Beckworth gave for not using

1603Respondent's bank statements was that without more, the

1611transactions thereon might not be business expenses of the

1620corporation. However, she also suggested that if, instead of

1629submitting bank/debit card statements, Mr. Cauley had submitted

1637checks payable to third parties and if those corporate checks

1647showed an expenditure for a deductible business expense, like

1656motor vehicle fuel, she might have accepted the same

1665expenditures in check form (rather than the statements) in

1674calculating Respondent's payroll.

167722. Ultimately, Ms. Beckworth's only reasons for not

1685accepting the bank statements showing recipients, such as fuel

1694companies like Amoco, was "agency policy," and her speculation

1703that Amoco gas could have been put into a non-company truck or

1715car. She also speculated that a prohibition against using bank

1725statements showing deductions might possibly be found in the

1734basic manual of the National Council on Compensation Insurance

1743(NCCI) or in a rule on payrolls (Rule 69L-6.035) which became

1754effective October 10, 2007, after the assessed penalty period.

1763However, the NCCI manual was not offered in evidence; a rule in

1775effect after all times material cannot be utilized here; and no

1786non-rule policy to this effect was proven-up.

179323. In addition to not using Respondent's bank statements

1802to calculate a penalty, the Department also did not "impute" the

1813statewide average weekly wage to Respondent for Mr. Cauley.

1822Ms. Beckworth testified that to impute the statewide average

1831weekly wage would have resulted in a higher penalty to

1841Respondent. As to the amount of the statewide average weekly

1851wage, she could only say she thought the statewide average

1861weekly wage was "about $1,000.00".

186824. Instead of using Respondent's corporate bank

1875statements or imputing the statewide average weekly wage,

1883Investigator Beckstrom determined that Mass Builders, Inc., was

1891the prime contractor on the jobsite being worked by Respondent,

1901and that Mass Builders, Inc., had not produced proof of securing

1912workers' compensation coverage for Respondent, its sub-

1919contractor. Therefore, she sought, and received, Mass Builders,

1927Inc.'s "payroll records" of amounts paid by the prime

1936contractor, Mass Builders, Inc., to Respondent Southern Insight,

1944Inc., via a separate site-specific stop-work order and business

1953records request directed to Mass Builders, Inc. The only

"1962payroll records" that Mass Builders, Inc., offered in evidence

1971were Mass Builders, Inc.'s check stubs, which Ms. Beckstrom

1980utilized to come up with an income/payroll amount for Respondent

1990Southern Insight, Inc.

199325. Mr. Cauley did not know until the hearing that Mass

2004Builders, Inc.'s check stubs had been utilized in this fashion

2014by the Department. However, he ultimately did not dispute the

2024accuracy of the check stubs and did not object to their

2035admission in evidence.

203826. In calculating Respondent's total payroll for the

2046assessed penalty period, Investigator Beckstrom considered only

2053the total of the check stubs from Mass Builders, Inc. It is

2065unclear whether or not she reviewed Mass Builders, Inc.'s actual

2075cancelled checks. No one from Mass Builders, Inc., appeared to

2085testify that the stubs represented actual cancelled checks to

2094Respondent or Mr. Cauley. The Department also did not deduct

2104from the total of Mass Builders, Inc.'s check stubs any of the

2116bankcard deductions made by John Cauley from Respondent's

2124corporate bank account, for the same reasons set out above.

213427. Mr. Cauley testified, without refutation, that some of

2143the expenses noted on Respondent's bank statements, paid by

2152bank/debit card, most notably expenses for gasoline for his

2161truck, constituted legitimate business expenses of Respondent

2168corporation, which should have been deducted from either the

2177bank statement's total income figure or from the amounts paid by

2188Mass Builders, Inc., to Respondent corporation, before any

2196attempt was made by the Department to calculate the amount paid

2207by Respondent corporation to Mr. Cauley as payroll.

221528. Utilizing the SCOPES Manual, which has been adopted by

2225Department rule, Ms. Beckstrom assigned the appropriate class

2233code, 5645, to the type of work (framing) performed by

2243Respondent.

224429. In completing the penalty calculation, Ms. Beckstrom

2252multiplied the class code's assigned approved manual rate by the

2262payroll (as she determined it) per one hundred dollars, and then

2273multiplied all by 1.5, arriving at an Amended Order of Penalty

2284Assessment of $27,805.11, served on Respondent on August 22,

22942007.

229530. Subsequent to the filing of its request for a

2305disputed-fact hearing, in an effort to have the penalty reduced,

2315Respondent provided the Department with additional business

2322records in the form of portions of Southern Insight, Inc.'s 2006

2333and 2007 U.S. Income Tax Returns for an S Corporation (2006 and

23452007 income tax returns). However, neither itemized deductions

2353nor original receipts for Respondent's business expenses were

2361provided to Ms. Beckworth at the same time, and she determined

2372that without itemized deductions, there was no way to calculate

2382Respondent's legitimate business deductions so that they could

2390be deducted from the total of Mass Builders, Inc.'s, check stubs

2401to determine a lesser payroll applicable to Mr. Cauley.

241031. Investigator Beckstrom testified that the tax returns,

2418as she received them, did not justify reducing Respondent's

2427payroll used in calculating the penalty. The vague basis for

2437this refusal was to the effect that, "The Internal Revenue

2447Service permits different business deductions than does the

2455Department."

245632. Itemization pages (schedules) of Respondent's income

2463tax returns were not provided until the de novo disputed-fact

2473hearing. Confronted with these items at hearing, Ms. Beckworth

2482testified that ordinary business income is not used by the

2492Department to determine payroll, but that automobile and truck

2501expense and legitimate business expenses could be deducted, and

2510that she would probably accept some of the deductions on

2520Respondent's 1020-S returns. Also, if Respondent's bank

2527statement corresponded to the amount on the tax form, she could

2538possibly deduct some items on the bank statements as business

2548expenses before reaching a payroll amount. However, she made no

2558such calculations at hearing.

256233. Ms. Beckworth testified that if she had Respondent's

2571checks or "something more" she could possibly deduct the motor

2581fuel amounts. Although Respondent's 2006, and 2007, income tax

2590returns reflected Respondent corporation's income minus several

2597types of business deductions, Ms. Beckstrom testified that the

2606tax deductions were not conclusive of the workers' compensation

2615deductions, because the Internal Revenue Service allows certain

2623deductions not permissible for workers' compensation purposes,

2630but she did not further elaborate upon which tax deductions

2640were, or were not, allowable under any Department rule. She did

2651not "prove up" which deductions were not valid for workers'

2661compensation purposes.

266334. Respondent's 2006, tax deductions for "automobile and

2671truck expense" were $2,898.00, and for 2007, were $4,010.00.

2682There was no further itemization by Respondent within these

2691categories for fuel. Other business deductions on the tax

2700returns were also listed in categories, but without any further

2710itemization. The only supporting documentation for the tax

2718returns admitted in evidence was Respondent's bank statements.

2726Respondent believed that the tax returns and possibly other

2735documentation had been submitted before hearing by his

2743accountant. It had not been submitted.

274935. The Department never credibly explained why it

2757considered a third party's check stubs (not even the third

2767party's cancelled checks) more reliable than Respondent's bank

2775statements or federal tax returns. Even so, at hearing, the

2785Department declined to utilize the business deductions itemized

2793on Respondent's tax forms or any bank/debit card deductions on

2803its bank statements so as to diminish the amount arrived-at via

2814the Mass Builders, Inc.'s check stubs, and ultimately to arrive

2824at a difference which would show a lesser payroll to Mr. Cauley.

283636. Although Mr. Cauley's questions to Ms. Beckstrom

2844suggested that he would like at least all of the fuel company

2856deductions on his bank statements to be considered as business

2866deductions of Respondent Southern Insight, Inc., and for those

2875fuel company expenditures to be subtracted from either the total

2885deposits to the corporate bank account or deducted from the

2895payroll total as calculated by Ms. Beckstrom from Mass Builders,

2905Inc.'s check stub total, he did not testify with clarity as to

2917which particular debits/charges on the bank statements fell in

2926this category. Nor did he relate, with any accuracy, the

2936debits/charges on the bank statements to the corporate tax

2945returns.

294637. Upon review by the undersigned of Respondent's bank

2955statements admitted in evidence, it is found that the bulk of

2966Respondent's bank/debit card deductions during the assessed

2973penalty period were cash withdrawals or ATM debits which cannot

2983be identified as being paid to fuel companies or purveyors of

2994construction material. As Investigator Beckstrom legitimately

3000observed, "Big Al's Bait" is not a likely source of motor fuel.

"3012Publix" and "Outback Steak House" are likewise unlikely sources

3021of fuel or construction material, and cannot stand alone,

3030without some other receipt to support them, as a legitimate

3040corporate business entertainment expense. Other debits/charges

3046on the bank statements are similarly non-complying, ambiguous,

3054or defy categorization.

305738. However, the undersigned has been able to isolate on

3067the corporate bank statements purchases from the known fuel

3076distributors "Amoco" and "Chevron" on the following dates:

30847/09/07, 7/10/07, 6/04/07, 6/04/07, 6/11/07, 5/03/07/ 4/09/07,

30914/10/07, 4/13/07, 4/16/07, 3/02/07, 3/05/07, 3/13/07, 3/15/07,

30983/20/07, 1/29/07, 5/01/06, 6/02/06, 8/02/06, 11/03/06, totaling

3105$556.98.

3106CONCLUSIONS OF LAW

310939. The Division of Administrative Hearings has

3116jurisdiction over the parties and subject matter of this cause,

3126pursuant to Sections 120.569 and 120.57(1), Florida Statutes

3134(2007).

313540. As reflected by the amended style above, the

3144Department has the duty to go forward and the burden to prove,

3156by clear and convincing evidence, that Respondent violated the

3165workers' compensation law during the relevant period and that

3174the penalty assessment is correct. Department of Banking and

3183Finance, Division of Securities and Investor Protection v.

3191Osborne Stern Inc. , 670 So. 2d 932, 935 (Fla. 1996); L and W

3204Plastering and Drywall Services, Inc., v. Department of

3212Financial Services, Division of Workers' Compensation , Case No.

322006-3261 (DOAH, March 16, 2007).

322541. There has never been any real dispute over the

3235Department's jurisdiction; that John Cauley was the sole, non-

3244exempt corporate officer/employee of Respondent during the

3251period from Respondent's incorporation up to the date of the

3261stop-work order; that the stop-work order was authorized by

3270statute; or that Respondent owes some amount of penalty for that

3281period. What is at issue herein is what formula should be

3292applied in order to calculate the penalty owed.

330042. As to how the penalty is to be calculated, Section

3311440.107, provides, in pertinent part, as follows:

3318(7)(d)1. In addition to any penalty, stop-

3325work order, or injunction, the department

3331shall assess against any employer who has

3338failed to secure the payment of compensation

3345as required by this chapter a penalty equal

3353to 1.5 times the amount the employer would

3361have paid in premium when applying approved

3368manual rates to the employer's payroll

3374during periods for which it failed to secure

3382the payment of workers' compensation

3387required by this chapter within the

3393preceding 3-year period or $1,000, whichever

3400is greater.

3402* * *

3405(7)(e) When an employer fails to provide

3412business records sufficient to enable the

3418department to determine the employer's

3423payroll for the period requested for the

3430calculation of the penalty provided in

3436paragraph (d), for penalty calculation

3441purposes, the imputed weekly payroll for

3447each employee, corporate officer, sole

3452proprietor, or partner shall be the

3458statewide average weekly wage as defined in

3465s. 440.12(2) multiplied by 1.5.

347043. Pursuant to Florida Administrative Code Rule 69L-

34786.015, in effect at all times material, employers must at all

3489times maintain required records, including, but not limited to

"3498(4) Tax records. Every employer shall maintain all forms,

3507together with supporting records and schedules, filed with the

3516Internal Revenue Service." Employers also must produce those

3524records when requested by the Department. This Respondent did

3533not keep all the records required by the rule, but he produced,

3545or thought he had produced, what records he had.

355444. The Department was tasked by Section 440.120 (7) (e),

3564with using the records that Respondent could produce to

3573calculate a penalty. If those records did not suffice, then the

3584Department was required to impute the statewide average weekly

3593wage.

359445. Instead of complying with the statute, the Department

3603elected to get a third party's (Mass Builders, Inc.'s) records

3613and try to calculate Respondent's penalty that way.

362146. The Department's heart may have been in the right

3631place, because there is at least speculation that if the

3641Department had used the deposits to Respondent's bank account

3650but not the deductions from that account for fuel, the penalty

3661assessed would have been higher than the off-statute method

3670used, and there also is minimal evidence that using the

3680statewide average weekly wage would have increased Respondent's

3688penalty above the off-statute method used, but the method of

3698using a third party prime contractor's check stubs was not

3708statutorily authorized.

371047. A new computation of penalty is in order.

371948. Liability herein has been accepted and proven by clear

3729and convincing evidence: the Department is entitled to its

3738penalty. Only damages (the penalty amount) is at issue. To

3748correctly assess that penalty, the Department must first attempt

3757to calculate a penalty according to law, using the bank

3767statements (all deposits and at least those fuel deductions

3776specifically culled out in Finding of Fact 38, as being clearly

3787payments for "motor fuel," the one business expense

3795Ms. Beckstrom was willing to recognize), and to the extent it

3806can use them, Respondent's tax returns, which as submitted at

3816hearing are now complete with schedules showing fuel costs and

3826other business deductions.

382949. Given the sum of Ms. Beckstrom's testimony about the

3839Department being able to deduct at least Respondent's fuel costs

3849if the fuel costs are supported by cancelled checks, and the

3860failure of the Department to establish any distinction that

3869would render Respondent's bank/debit card transactions for fuel

3877less reliable than cancelled checks for fuel, it is concluded

3887that the Department should, at a minimum, have considered the

3897fuel costs described in Finding of Fact 38, and any other fuel

3909costs for which Respondent can produce some type of receipt.

391950. Today, a bank/debit card transaction is the equivalent

3928of a check paid. Posting of a bank/debit card transaction to a

3940bank statement is the equivalent of a check clearing the bank,

3951and constitutes evidence that is, at a minimum, as credible as a

3963check stub and probably as credible as the cancelled check

3973itself. It also is axiomatic that today most people no longer

3984use checks to purchase motor vehicle fuel at the pump, and they

3996very rarely receive a separate receipt at the pump. There also

4007was no specific rule prohibiting the use of itemized bank

4017statements in effect at any time material. Moreover, if the

4027Department will accept a third party's check stubs without

4036supporting documentation and will accept Respondent's checks

4043without supporting receipts, it is inconsistent and unreasonable

4051to require Respondent to submit more than the detailed bank

4061statements submitted here.

406451. Also, The Department has not drawn any distinction

4073that would render a third party's check stubs more reliable than

4084Respondent's deposits. Indeed, the Department has not

4091demonstrated that Mass Builders, Inc.'s check stubs, admitted

4099herein, constitute evidence of anything at all without some

4108predicate from the writer of the check stubs.

411652. Beyond that, the income tax returns, now complete, may

4126or may not yield information for further deductions from

4135Respondent's total deposits.

413853. Only if no calculation using these materials is

4147possible, may the Department impute the average weekly wage to

4157Respondent's Mr. Cauley.

416054. In this case, the system sadly penalizes Mr. Cauley

4170for incorporating and for not working for someone else, which is

4181a proposition contrary to "The American Dream," but just as

4191incorporation is designed to insulate an individual from certain

4200types of liability, the complicated structure of Chapter 440, is

4210designed to protect those whom that individual might hire as

4220employees and those general contractors, like Mass Builders,

4228Inc., who might "sub-out" work to Southern Insight, Inc., in the

4239event Mr. Cauley, or one of his employees, suffers a

4249construction industry accident. Inadvertent though Mr. Cauley's

4256non-compliance was, the Department was obligated to protect him

4265and any potential employees he might hire.

427255. Pursuant to Section 440.107(7)(a), Florida Statutes,

4279the Department may issue an order of conditional release from a

4290stop-work order upon a finding that the employer has complied

4300with the coverage requirements of Chapter 440, Florida Statutes,

4309and has agreed to remit periodic payments of the penalty

4319pursuant to a payment schedule agreement with the Department.

4328Considering the facts that no injuries addressed by workers'

4337compensation have befallen Mr. Cauley and that the Department

4346may be, in effect, "double-dipping" by pursuing another penalty

4355against Mass Builders, Inc., as well as against Respondent ( see

4366Finding of Fact 24) the instant case may be one that can be

4379settled. However, it is clear that at this stage, this case

4390should be returned to the Department for the calculations the

4400Department is best qualified to conduct.

4406RECOMMENDATION

4407Based on the foregoing Findings of Facts and Conclusions of

4417Law, it is

4420RECOMMENDED that a final order be entered by the Department

4430of Financial Services, Division of Workers' Compensation, that

4438affirms the stop-work order and concludes that a penalty is

4448owed; that provides for a recalculation of penalty to be

4458completed, on the basis set out herein, within 30 days of the

4470final order; and that guarantees the Respondent Southern

4478Insight, Inc., a window of opportunity to request a Section

4488120.57 (1) disputed-fact hearing solely upon the recalculation.

4496DONE AND ENTERED this 1st day of July, 2008, in

4506Tallahassee, Leon County, Florida.

4510S

4511___________________________________

4512ELLA JANE P. DAVIS

4516Administrative Law Judge

4519Division of Administrative Hearings

4523The DeSoto Building

45261230 Apalachee Parkway

4529Tallahassee, Florida 32399-3060

4532(850) 488-9675 SUNCOM 278-9675

4536Fax Filing (850) 921-6847

4540www.doah.state.fl.us

4541Filed with the Clerk of the

4547Division of Administrative Hearings

4551this 1st day of July, 2008.

4557COPIES FURNISHED:

4559Anthony B. Miller, Esquire

4563Department of Financial Services

4567Division of Workers' Compensation

4571200 East Gaines Street

4575Tallahassee, Florida 32399-4229

4578John Cauley, President

4581Southern Insight, Inc.

4584Post Office Box 2592

4588Bunnell, Florida 32110

4591Honorable Alex Sink

4594Chief Financial Officer

4597Department of Financial Services

4601The Capitol, Plaza Level 11

4606Tallahassee, Florida 32399-0300

4609Daniel Sumner, General Counsel

4613Department of Financial Services

4617The Capitol, Plaza Level 11

4622Tallahassee, Florida 32399-0300

4625NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

4631All parties have the right to submit written exceptions within

464115 days from the date of this Recommended Order. Any exceptions

4652to this Recommended Order should be filed with the agency that

4663will issue the final order in this case.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 10/06/2008
Proceedings: Final Order filed.
PDF:
Date: 09/29/2008
Proceedings: Agency Final Order
PDF:
Date: 07/01/2008
Proceedings: Recommended Order
PDF:
Date: 07/01/2008
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 07/01/2008
Proceedings: Recommended Order (hearing held April 3, 2008). CASE CLOSED.
PDF:
Date: 04/29/2008
Proceedings: (Respondent`s) Proposed Recommended Order filed.
PDF:
Date: 04/28/2008
Proceedings: Department of Financial Services` Proposed Recommended Order filed.
PDF:
Date: 04/09/2008
Proceedings: Post-hearing Order.
Date: 04/08/2008
Proceedings: Transcript of Proceedings filed.
Date: 04/03/2008
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 02/14/2008
Proceedings: Notice of Service of Department of Financial Services` First Requests for Admissions, First Written Interrogatories, and First Request for Production filed.
PDF:
Date: 01/29/2008
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for April 3, 2008; 11:00 a.m.; Bunnell, FL).
PDF:
Date: 01/29/2008
Proceedings: Order (denying Agency`s Motion to Deem Matters Admitted and Motion to Dismiss; and Southern Insight, Inc.`s failure to answer the Interlocking Discovery Request is excused) .
Date: 01/28/2008
Proceedings: CASE STATUS: Motion Hearing Held.
PDF:
Date: 01/18/2008
Proceedings: Order (pending Motions are scheduled for oral argument by telephone conference call at 11:00 a.m.; January 28, 2008).
PDF:
Date: 01/03/2008
Proceedings: Motion to Deem Admitted and Motion to Dismiss filed.
PDF:
Date: 12/07/2007
Proceedings: Order Granting Continuance and Re-scheduling Hearing (hearing set for January 28, 2008; 11:00 a.m.; Bunnell, FL).
PDF:
Date: 11/27/2007
Proceedings: Department`s Proposed Pre-hearing Statement filed.
PDF:
Date: 11/19/2007
Proceedings: Respondent`s Motion to Continue filed.
PDF:
Date: 11/09/2007
Proceedings: Revised Notice of Service of Department of Financial Services` First Interlocking Discovery Request filed.
PDF:
Date: 11/05/2007
Proceedings: Notice of Service of Department of Financial Services` First Interlocking Discovery Request filed.
PDF:
Date: 11/02/2007
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 11/02/2007
Proceedings: Notice of Hearing (hearing set for December 12, 2007; 12:00 p.m.; Bunnell, FL).
PDF:
Date: 10/25/2007
Proceedings: Joint Response to Initial Order filed.
PDF:
Date: 10/18/2007
Proceedings: Initial Order.
PDF:
Date: 10/17/2007
Proceedings: Amended Order of Penalty Assessment filed.
PDF:
Date: 10/17/2007
Proceedings: Stop-Work Order filed.
PDF:
Date: 10/17/2007
Proceedings: Request for Administrative Hearing filed.
PDF:
Date: 10/17/2007
Proceedings: Agency referral filed.

Case Information

Judge:
ELLA JANE P. DAVIS
Date Filed:
10/17/2007
Date Assignment:
10/18/2007
Last Docket Entry:
10/06/2008
Location:
Bunnell, Florida
District:
Northern
Agency:
ADOPTED IN TOTO
 

Counsels

Related DOAH Cases(s) (2):

Related Florida Statute(s) (6):

Related Florida Rule(s) (1):