manfredo formula

May 7, 2025

Jeffrey P. Gale, P.A. /// Interplay Between Florida’s Workers’ Compensation Lien Law (FS 440.39) and UM/UIM Insurance (FS 627.727)

It is not unusual for employees to be injured in motor vehicle crashes while in the course and scope of performing their job duties. Such incidents implicate various types of insurance coverage.

Regardless of fault, i.e., whether or not the employee caused the crash, injured employees should be covered by workers’ compensation, PIP, and health insurance (including Medicare). Workers’ compensation and PIP are primary over Medicare, meaning Medicare will expect workers’ compensation and PIP to pay before it does, and if it does pay, to be repaid from the proceeds of a workers’ compensation or personal injury settlement.

If the injured employee is not at-fault, he or she can pursue a civil remedy for damages against the at-fault driver and the vehicle owner if different than the driver. The funds for the recovery would come from the liable party’s bodily injury (BI) insurance coverage and/or personal assets.

In some instances, the liable party may not maintain bodily injury insurance or the BI coverage limits may not be enough to pay the full measure of damages. Florida offers an optional type of insurance coverage to protect the injured party under those situations. The type of coverage is known as uninsured and underinsured vehicle coverage (UM/UIM). The purpose of the insurance is “for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, resulting therefrom.” Section 627.727(1), Florida Statutes (2025). Basically, UM and UIM substitute for the inadequacies in coverage of the at-fault party.

January 9, 2025

Jeffrey P. Gale, P.A. /// Scrutinize Workers’ Compensation Carrier’s Paylog to Reduce WC Lien Amount

by Jeffrey P. Gale, P.A.

It is not uncommon for an individual hurt in a work-related accident, for which workers’ compensation benefits are due, to also have a liability case against a negligent third party. Where compensation is recovered in both cases, the injured party may have to give some of the third-party recovery to the workers’ compensation insurance carrier to satisfy its workers’ compensation lien. See section 440.39(2), Florida Statutes.

There is a formula, commonly referred to as the Manfredo Formula, used for establishing the amount of the lien recovery. However, before getting to the formula, it is necessary to determine the amount of recoverable expenditures to plug into the formula.

July 21, 2024

Jeffrey P. Gale, P.A. // Comparative Fault Not Part of Manfredo Formula Equation

by Jeffrey P. Gale, P.A.

Not infrequently, both a workers’ compensation case and a personal injury liability case will arise from the same accident. For example, a construction site supervisor involved in a motor vehicle crash while traveling to Home Depot for supplies can pursue workers’ compensation benefits from the employer and civil liability damages from the at-fault party.

Florida Statute 440.39(2) provides that “the employer or, in the event the employer is insured against liability hereunder, the insurer shall be subrogated to the rights of the employee or his or her dependents against such third-party tortfeasor.” This means that the employer and its workers’ compensation insurance carrier are entitled to recover a portion of their expenditures from money the injured employee receives from the at-fault third party.

Typically, it is not a dollar-for-dollar recovery. The formula for the recovery is contained in section 440.39(3)(a).