Denison Municipal Utilities v. Iowa Workers' Compensation Commissioner
DENISON MUNICIPAL UTILITIES, Appellee, v. IOWA WORKERSâ COMPENSATION COMMISSIONER, Appellant
Attorneys
Thomas J. Miller, Attorney General, and Julie A. Burger, Assistant Attorney General, Des Moines, for appellant., David Brian Scieszinski, of Bradshaw, Fowler, Proctor & Fairgrave, P.C., Des Moines, for appellee.
Full Opinion (html_with_citations)
In this case, we are presented with an appeal by the workersâ compensation commissioner (commissioner) from a district court order on judicial review holding the commissioner lacked the authority under Iowa Code section 86.12 (2018) to require the employer, Denison Municipal Utilities (DMU), to file a first report of injury. The district court accordingly reversed the commissionerâs $1000 assessment against DMU for its failure to file this first report of injury. Because DMU challenged the authority and legality of the commissionerâs actions in district court, the district court should have treated DMUâs appeal as a writ of certiorari. Consequently, we consider the district courtâs order not as one on judicial review, but rather as an order sustaining DMUâs writ of certiorari.
Ultimately, we conclude that Iowa Code section 86.11 does not provide the sole basis for the commissioner to require an employer to file a first report of injury and that DMU was required to file a first report of injury in this case. Further, we conclude that the deputy commissionerâs decision that DMU failed to make a sufficient showing of good cause to avoid the $1000 assessment pursuant to Iowa Code section 86.12 was supported by substantial evidence. Therefore, the $1000 assessment against DMU was proper, and the district court erred in sustaining DMUâs writ of certiorari. Writ annulled.
I. Background Facts and Proceedings.
On January 29, 2013, Kevin Fink filed an âOriginal Notice and Petitionâ for alternate medical care with the commissioner.
Both DMU and its insurance provider, Employers Mutual Casualty Company (EMC), were served with the original notice and petition by certified mail on January 30.
DMU did not file a first report of injury within the thirty-day period. Accordingly, on March 22 the commissioner sent DMU a notice of hearing and proposed assessment notifying it that a hearing was scheduled for April 9. At the time of hearing, DMU would be required to show cause why it had not filed the report and why a proposed $1000 should not be assessed agĂĄinst it for its failure to file the first report of injury as demanded.
The hearing was held as scheduled on April 9 before a deputy commissioner. The only witness to testify on behalf of DMU was the adjuster for EMC. Through the adjuster, DMU first argued that it was not required to file the first report of injury under Iowa Code section 86.11 because Fink had not missed any time from work and Fink was not suffering from a permanent disability or impairment. Therefore, the commissioner had no authority to demand that it file the first report of injury. DMU next argued that Iowa Code section 86.12 only authorizes assessments of $1000 when the first report of injury is specifically required by Iowa Code section 86.11. Since the requirements for filing the report under Iowa Code section 86.11 had not been met, the commissioner lacked the authority to assess $1000 against DMU.
An employee from the division of workersâ compensation also testified at the hearing. In response to the deputy commissionerâs question why the demand letter had been sent, she testified:
It was sent due to the fact that there was a petition filed by Mr. Fink on an alternate medical care. And when a petition is filed with our agency, if we donât have a corresponding First Report, we require one to be filed.
No first report of injury had been filed as of the time of the hearing. The employee also testified that she was not aware of Mr. Finkâs injury, whether he had missed any time from work, or whether he had any permanent disability or permanent impairment. No other evidence was offered on the issue.
On April 26, the deputy commissioner issued her decision.
DMU filed a petition for judicial review under chapter 17A, naming both Fink and the commissioner as opposing parties. In its petition, it reasserted its argument that the commissioner did not have the authority to assess $1000 against it because a first report of injury was not required by Iowa Code section 86.11. In addition, it argued the $1000 assessment violated its due process rights because it had no meaningful avenue for appeal given that Iowa Code section 86.29 expressly precluded it from naming the commissioner as an opposing party in actions for judicial review, notwithstanding the fact that the commissioner is the only party interested in assuring that such assessments are upheld. See Iowa Code § 86.29 (2013) (â[I]n a petition for judicial review of a decision of the workersâ compensation commissioner in a contested case under this chapter ... the opposing party shall be named the respondent, and the agency shall not be named as a respondent.â).
On November 5, the district court entered its order on judicial review.
The commissioner appealed the order of the district court, and we retained the appeal.
II. Jurisdiction to Hear the Appeal.
In the proceedings below, DMU challenged whether the courts have jurisdiction to hear appeals from assessments made by the commissioner pursuant to Iowa Code section 86.12. Iowa Code section 86.29 prohibits parties from naming the commissioner as an opposing party in
III. Standard of Review.
Certiorari is an action at law âwhere an inferior tribunal ... is alleged to have exceeded proper jurisdiction or otherwise acted illegally.â State Pub. Defender v. Iowa Dist. Ct., 728 N.W.2d 817, 819 (Iowa 2007) (internal quotation marks omitted). âAppeal to this court from a certiorari judgment of a district court is treated as an ordinary action.â Norland, 323 N.W.2d at 252; see also Iowa R. Civ. P. 1.1412. Thus, our review is for errors at law. Fisher v. Chickasaw County, 553 N.W.2d 331, 333 (Iowa 1996). When an inferior tribunalâs findings of fact are not supported by substantial evidence, or when it has not applied the law properly, an illegality exists. Amro v. Iowa Dist. Ct., 429 N.W.2d 135, 138 (Iowa 1988).
IV. Analysis.
This case presents two issues which require our analysis. First, whether the deputy commissioner properly concluded the commissioner has the authority to demand a first report of injury in circumstances beyond those expressly established by Iowa Code section 86.11. Second, whether the deputy commissionerâs decision that DMU failed to make a sufficient showing of good cause to avoid the assessment of $1000 pursuant to Iowa Code section 86.12 was supported by substantial evidence. We address each of these issues in turn.
Before proceeding, however, we set forth several well-settled principles of statutory interpretation that arise here. First, the principal purpose of the workersâ
A. Workersâ Compensation Commissionerâs Authority to Demand DMU File a First Report of Injury. We begin our analysis by examining the statutory provisions in dispute. In relevant part, Iowa Code section 86.12 provides:
The workersâ compensation commissioner may require any employer to supply the information required by section 86.10 or to file a report required by section 86.11 or 86.13 or by agency rule, by written demand sent to the employerâs last known address. Upon failure to supply such information or file such report within thirty days, the employer may be ordered to appear and show cause why the employer should not be subject to assessment of one thousand dollars for each occurrence. Upon such hearing, the workersâ compensation commissioner shall enter a finding of fact and may enter an order requiring such assessment to be paid....
By its plain language, Iowa Code section 86.12 empowers the commissioner to ensure that required information and reports are supplied to and filed with the agency. Id.; see DeShaw v. Energy Mfg. Co., 192 N.W.2d 777, 783 (Iowa 1971) (Becker, J., dissenting) (âIt is the mandatory duty of the employer to supply such information. It is the duty of the ... [cjommissioner to see that this is done.â) Iowa Code section 86.12 also provides the commissioner with an enforcement mechanism to compel compliance. As set forth in Iowa Code section 86.12, this starts with a written demand to the employer that it provide the agency with required information or reports.
The first question then becomes, when are information and reports required? Iowa Code section 86.12 answers this question. As it relates to required reports, Iowa Code section 86.12 delineates three bases by which reports may be required, namely: (1) Iowa Code section 86.11, (2) Iowa Code section 86.13, and (3) agency rule. Iowa Code § 86.12.
Specifically relating to first reports of injury, Iowa Code section 86.11 mandates that employers file a first report of injury with the commissioner in two circumstances. In relevant part, Iowa Code section 86.11 provides:
If the injury results only in temporary disability, causing incapacity for a longer period than three days, then ... the employer or insurance carrier ... shall file a report with the workersâ compensation commissioner in the form and manner required by the commissioner. If such injury to the employee results in permanent total disability, permanent partial disability, or death, then the employer or insurance carrier ... shall file a report with the workersâ compensation commissioner....
The plain language of Iowa Code section 86.12 grants the commissioner the authority to require that reports be filed in addition to those already required by Iowa Code sections 86.11 and 86.18. Id. § 86.12 (âThe workersâ compensation commissioner may require any employer to ... file a report required by section 86.11 or 86.13 or by agency rule.... â). The disjunctive language, âor,â in conjunction with the language âby agency rule,â of Iowa Code section 86.12, clearly grants the commissioner the authority to promulgate rules mandating reports be filed in > circumstances beyond those already required by Iowa Code sections 86.11 and 86.13. See id.; Anderson v. State, 801 N.W.2d 1, 5-6 (Iowa 2011) (noting that use of the disjunctive âorâ necessitated conclusion that statute set forth a list of alternatives). Further, while Iowa Code section 86.11 mandates two circumstances in which a first report of injury must be filed with the commissioner, nothing in the language of section 86.11 either expressly or impliedly limits the commissionerâs authority to promulgate rules establishing additional circumstances in which a first report of injury must be filed. This is an express grant of authority under Iowa Code section 86.12. As such, the plain language of Iowa Code section 86.12 grants the commissioner the authority to establish, by agency rule, additional circumstances when employers' may be required to file a first report of injury.
This is precisely what the commissioner has done here. In relevant part, rule 876 â 3.1(1) provides:
The first report of injury is to be filed when demanded by the commissioner pursuant to Iowa Code section 86.12 and when an employer is served with an original notice and petition that alleges an injury for which a first report has not been filed.
Iowa Admin. Code r. 876 â 3.1(1); see also id. r. 876 â 11.7 (âA reporter shall file reports as required by ... subrule[ ] 3.1(1)_â). This rule plainly requires that a first report of injury be filed: (1) when demanded by the commissioner pursuant to the procedure set forth in Iowa Code section 86.12 and (2) when the employer has been served with an original notice and petition alleging an employee injury and a first report of injury has not yet been filed.
Pursuant to this rule, DMU was required to file a first report of injury. First, it is undisputed that on January 29, an original notice and petition was filed with the commissioner. See Iowa Admin. Code r. 876 â 4.1(14) (âContested case proceedings before the workersâ compensation commissioner [include ajpplication for alternate medical care.... â); id. r. 876 â 4.6 (establishing that âoriginal notice ... Form 100C is to be used for the contested case proceeding provided for in subrule 4.1(14)â (emphasis added)); id. r. 876 â 4.7
Further, there is no reason to conclude Iowa Code section 86.11 implicitly narrows the commissionerâs authority to promulgate rules requiring that an employer file a first report of injury. Rather, the workersâ compensation statute, read as a whole, supports the view that the commissioner has the authority to promulgate rules requiring that an employer file a first report of injury in circumstances beyond those already required by Iowa Code section 86.11.
First, in keeping with the principle that we interpret the workersâ compensation statute liberally in favor of the workerâ and in this case in particular â it makes obvious, practical sense for the commissioner to require that an employer file a first report of injury after an employee has filed a claim with the commissioner. Pursuant to Iowa Code section 85.23, an employeeâs compensation claim is barred unless âwithin ninety days from the date of the occurrence of the injury,â the employer has âactual knowledge of the occurrence of an injury,â or the âemployee ... give[s] notice thereof to the employer.â Iowa Code § 85.23. One way employees can protect themselves is to notify their employer of a work-related injury and to have the employer prepare a first report of injury or similar report. After an employee files a claim with the commissioner, the commissioner has an interest in obtaining the first report of injury from the employer to ensure the notice requirement of Iowa Code section 85.23 has been satisfied and that the employeeâs claim is not statutorily barred. See id. § 86.11 (âThe report to the workersâ compensation commissioner of injury ... shall not be admitted in evidence or used in any trial or hearing ... except as to the notice under section 85.23.â (Emphasis added.)); Arndt v. City of Le Claire, 728 N.W.2d 389, 394 (Iowa 2007) (âSection 86.11 allows the first report of injury to be admitted in evidence or used in any trial or hearing ... for the limited purpose of showing the employer had notice of the occurrence of an injury as required by section 85.23.â). Consequently, once a claim has been filed, the commissioner needs the first report of injury regardless of whether the injury falls under the umbrella of reports already required by Iowa Code section 86.11. Given that a first report of injury âshall be without prejudice to the employer,â Iowa Code § 86.11, allowing employers to ignore the commissionerâs request for a first report of injury after a claim has been filed serves only to hamper the commissionerâs ability to determine whether the statutorily required notice has been accomplished and, consequently hampers the commissionerâs ability to proceed in an expedited fashion with' employeesâ potentially meritorious claims.
All books, records, and payrolls of the employers, showing or reflecting in any way upon the amount of wage expenditure of such employers, shall always be open for inspection by the workersâ compensation commissioner ... for the purpose of ascertaining the correctness of the wage expenditure, the number of persons employed, and such other information as may be necessary for the uses and purposes of the commissioner in the administration of the law.
(Emphasis added.) This broad grant of information gathering authority suggests that the legislature did not intend to tightly circumscribe the commissionerâs ability to procure information.
Accordingly, we conclude that Iowa Code section 86.11 does not provide the sole basis for the commissioner to require an employer file a first report of injury. Pursuant to Iowa Code section 86.12, the commissioner has the authority to promulgate agency rules mandating employers file first reports of injury in circumstances beyond those already required by Iowa Code, section 86.11. Here, pursuant to rule 876 â 3.1(1), once Fink had filed his original notice and petition for alternative medical care with the commissioner, served DMU and EMC, and the commissioner demanded by written notice that DMU file a first report of injury, DMU was required to file the report. Consequently, the commissioner had the authority to demand this first report of injury, and the deputy commissioner properly applied the law in reaching this conclusion.
B. Whether DMU Made a Sufficient Showing of Good Cause to Avoid the $1000 Assessment Pursuant to Iowa Code Section 86.12. Having concluded the commissioner had the authority to demand that DMU file the first report of injury, we must next decide whether the deputy commissionerâs decision that DMU failed to make a sufficient showing of good cause to avoid the $1000 assessment Was supported by substantial evidence.
We again turn to Iowa Code section 86.12, which, in relevant part, provides:
The workersâ compensation commissioner may require any employer to supply the information required by section 86.10 or to file a report required by section 86.11 or 86.13 or by agency rule, by written demand sent to the employerâs last known address. Upon failure to supply such information or file such report within thirty days, the employer may be ordered to appear and show cause why the employer should not be subject to assessment of one thousand dollars for each occurrence. Upon such hearing, the workersâ compensation commissioner shall enter a finding of fact and may enter an order requiring such assessment to be paid....
As it relates to reports specifically, in order for the commissioner to assess $1000 against an employer pursuant to Iowa Code section 86.12, several prerequisites must be met: (1) the commissioner must send a written demand to the employerâs last known address demanding the desired report be filed; (2) the report must be required by Iowa Code section 86.11, Iowa Code section 86.13, or agency rule; (3) the employer must then fail to supply the commissioner with the demanded report within thirty days; (4) the employer must then be notified that there will be a hearing at which time it will have the opportunity to
Applying the facts of this case to the requirements set forth in Iowa Code section 86.12, we find that the commissioner followed the proper procedures and that DMU failed to make a sufficient showing of good cause for its failure to file the required, demanded first report of injury. Consequently, the deputy commissionerâs assessment of $1000 against DMU was supported by substantial evidence.
First, the commissioner sent DMU a written notice demanding that DMU either advise the agency of proof of filing a first report of injury for Finkâs alleged injury or immediately file such a report. Second, as previously discussed, the report was required under rule 876 â 3(1). Third, DMU failed to file the required, demanded first report of injury within the statutorily proscribed thirty-day period. Fourth, the commissioner sent DMU a notice of hearing and proposed assessment notifying DMU that a hearing would be held on April 9, at which time DMU could appear and would be required to show good cause why it had failed to file the required, demanded first report of injury. Fifth, DMU participated at the scheduled hearing and was allowed to present evidence and testimony therein to show good cause why it failed to file the required, demanded first report of injury. DMU forwarded no good cause or excuse for its failure to file the first report of injury, except that it did not believe the report was required. As we have concluded, and as concluded by the deputy commissioner, the mere belief that a first report of injury was not required by Iowa Code section 86.11 is not a sufficient excuse so as to constitute âgood causeâ for failing to file a report required by rule 876 â 3.1(1).
V. Conclusion.
The deputy commissioner properly applied the law in concluding Iowa Code section 86.11 does not provide the sole basis for the commissioner to require an employer to file a first report of injury pursuant to rule 876 â 3.1(1). In this case, DMU was required to file a first report of injury. Further, the deputy commissionerâs decision that DMU failed to make a sufficient showing of good cause to avoid the $1000 assessment pursuant to Iowa Code section 86.12 was supported by substantial evidence. Consequently, the district court erred in sustaining DMUâs writ of certiorari. We reverse the decision of the district court and annul the writ.
WRIT ANNULLED.
. On February 5, DMU answered Finkâs petition for alternate medical care, disputing liability on the claim. As a direct result of the DMUâs denial of liability, a deputy workersâ compensation commissioner dismissed Finkâs petition.
. In its order, the court rejected DMUâs argument that its due process rights had been violated. It concluded that by naming Fink as an opposing party as required by Iowa Code section 86.29, DMU had complied with the statute so as to confer jurisdiction on the court. This allowed it to reach the merits and thereby provided DMU with a meaningful avenue for appeal, obviating due process concerns.
. We need not decide today whether, upon demand by the commissioner, an employer who fails to file a first report of injury that is neither required by Iowa Code section 86.11, nor agency rule, would be properly subject to a $1000 assessment pursuant to Iowa Code section 86.12. Rather, as previously discussed, the commissioner has promulgated a rule that required DMU to file a first report of injury in this case.