Garien v. Schneider

546 N.W.2d 606, 1996 Iowa Sup. LEXIS 242, 1996 WL 189952
CourtSupreme Court of Iowa
DecidedApril 17, 1996
Docket95-237
StatusPublished
Cited by4 cases

This text of 546 N.W.2d 606 (Garien v. Schneider) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Garien v. Schneider, 546 N.W.2d 606, 1996 Iowa Sup. LEXIS 242, 1996 WL 189952 (iowa 1996).

Opinion

CARTER, Justice.

This appeal concerns the right of an employee whose employer was not insured for workers’ compensation liability to bring an action at law for injuries received in the workplace. Plaintiff Aan Garien sustained substantial personal injuries while working in the employ of the defendant. The employer did not carry workers’ compensation insurance.

Relying on Iowa Code section 87.21 (1993), Alan brought an action at law against his employer. Loss-of-consortium claims on behalf of Man’s wife and children were joined with his action. In addition, both Alan and the consortium claimants made a negligence claim against a coemployee, defendant William Schneider.

Following the filing of motions for summary judgment, the district court ruled that, because the defendant employer had not insured against workers’ compensation liability and was not self-insured, an election existed on plaintiffs’ part to bring an action at law. The court also ruled that Alan had not elected an inconsistent remedy by accepting proffered payments of workers’ compensation benefits from the employer. After reviewing *608 the record and considering the arguments presented, we affirm the district court’s ruling that the employer was neither insured nor self-insured, thus providing plaintiffs an election to sue at law. On the matter of the alleged inconsistent election arising from the employee’s acceptance of proffered workers’ compensation payments, we find that a genuine issue of material fact has been presented that precludes summary adjudication of that issue. The judgment of the district court is thus affirmed in part, reversed in part, and remanded for further proceedings.

I. The Consequences of Being Uninsured for Workers’ Compensation Liability.

We first consider the legal consequences of the employers being uninsured against workers’ compensation liability. Section 87.21 deals with this issue and provides as follows:

Any employer, except an employer with respect to an exempt employee under section 85.1, who has failed to insure the employer’s liability in one of the ways provided in this chapter, unless relieved from carrying such insurance as provided in section 87.11, is liable to an employee for a personal injury in the course of and arising out of the employment, and the employee may enforce the liability by an action at law for damages, or may collect compensation as provided in chapters 85, 85A, 85B, and 86.

It is undisputed that the defendant employer did not insure against workers’ compensation liability. The employer argues, however, that it was the substantial equivalent of a self-insured employer under section 87.10. It bases this claim on the fact that, prior to Alan’s injury, it had made arrangements with an independent workers’ compensation administrator to administer its workers’ compensation claims on a self-insured basis in several states, including Iowa. Following Alan’s injury, that independent administrator filed a first report of injury with the Iowa Industrial Commissioner, computed temporary total disability benefits, and issued payments of those benefits that were accepted by Alan. In addition, it made payments to medical suppliers on Alan’s behalf.

Although the acts of the independent administrator may be significant in deciding the second issue on appeal involving election of remedies, those actions fall short of qualifying the employer for self-insured status. As we observed in Reedy v. White Consolidated Industries, Inc., 503 N.W.2d 601 (Iowa 1993),

[a] self-insured employer under the Workers’ Compensation Act is not an employer who fails to secure insurance against workers’ compensation liability. Without more, an employer who fails to secure insurance against such claims merely waives the protection of the act against common-law claims_ To be a qualified self-insured employer under the act, it is necessary to voluntarily assume a recognized status under the workers’ compensation laws as an insurer.

Id. at 603 (citing Iowa Code § 87.4 (1987)). Among other requirements necessary to gain self-insured status under the act, an employer must file proof of financial ability and furnish a bond approved by the industrial commissioner. Iowa Code § 87.11 (1993). The employer’s failure to do this defeats any right to claim self-insured status for purposes of precluding the employee’s election under section 87.21. The district court’s ruling on this issue was correct.

II. Issue Concerning Plaintiffs’ Inconsistent Election.

Our inquiry does not end with a determination that the employer was neither insured nor self-insured. The employer has asserted that Alan elected against an action at law under section 87.21 by accepting workers’ compensation benefits paid by the independent administrator after first notice of injury was filed with the Iowa Industrial Commissioner. In Stroup v. Reno, 530 N.W.2d 441 (Iowa 1995), we determined that an employee elects against a right to workers’ compensation benefits by pursuing an action at law. We are convinced that the converse is true and that an employee may irreversibly elect against an action at law by the acceptance of workers’ compensation benefits.

*609 The district court summarily adjudicated this issue against defendants. We find that a sufficient factual issue exists to preclude the affirmance of that ruling. This action was commenced on June 16,1994. As of September 1, 1994, approximately $119,181 in medical benefits had been paid to medical suppliers on Alan’s behalf by his employer. More significant perhaps is the fact that, as of September 1, 1994, approximately $15,797 in temporary total disability benefits had been proffered by the employer and accepted by Alan. Five of these payments, each in the sum of $509 were proffered and accepted after the present action was commenced.

Plaintiffs have advanced two arguments in support of the district court’s ruling on the election issue. These are: (1) that no election may be complete until there has been a full and complete satisfaction of an employee’s entitlement under the workers’ compensation act; and (2) that, based on the holding in Bolinger v. Kiburz, 270 N.W.2d 603 (Iowa 1978), no election exists if based on ignorance of the law or mistake. As to the first of these claims, plaintiffs’ arguments are premised on the common-law doctrine of election of remedies. We are not persuaded that this doctrine is applicable to the present dispute. We believe, rather, that the issue before us relates to an election required under a statute and therefore must be determined based on an interpretation of that particular legislation.

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Bluebook (online)
546 N.W.2d 606, 1996 Iowa Sup. LEXIS 242, 1996 WL 189952, Counsel Stack Legal Research, https://law.counselstack.com/opinion/garien-v-schneider-iowa-1996.