The United States District Court for the Northern District of Iowa has certified two questions to this court arising out of a suit for bad-faith failure to pay workers’ compensation benefits. The questions posed are as follows:
1. When does a cause of action for bad faith failure to pay workers’ compensation benefits accrue — the date the claim is denied by the insurer, the date the industrial commissioner first determines that the injury and/or disability is compensable under the Iowa Workers’ Compensation Act, or at some other time?
2. What limitation period applies to the bringing of such a cause of action — the two-year period of Iowa Code section 614.-1(2), the five-year period of section 614.-1(4), or some other period?
The facts giving rise to the inquiry are not disputed. On June 11, 1987, plaintiff Greg Brown allegedly suffered a work-related back injury. He claimed workers’ compensation benefits from his employer, United Parcel Service, and its insurance carrier, defendant Liberty Mutual Insurance Company. Liberty Mutual denied the claim by letter on July 20, 1987.
Brown then filed a petition for arbitration with the Iowa Industrial Commissioner, seeking weekly benefits, medical expenses, and penalties pursuant to Iowa Code section 86.13 (1987). Liberty Mutual’s answer alleged that Brown’s disability did not stem from his employment, but from preexisting medical problems.
The industrial commissioner heard the contested case and, on May 18, 1989, ruled that Brown was entitled to 110 weeks of permanent partial disability benefits, twenty-three weeks of healing-period benefits, statutory interest, medical expenses, mileage fees, and costs. Liberty Mutual promptly paid the award. The issue of penalty benefits was mediated separately, ultimately resulting in a $10,000 settlement.
On March 20,1991, Brown filed suit in the Iowa District Court alleging bad faith in Liberty Mutual’s original denial of the claim. Brown sought both actual and punitive damages for economic loss resulting from the delay, severe mental and emotional distress, and damage to his reputation in the community. Following a general denial by Liberty Mutual, the action was removed to federal court. A statute-of-limitations defense interposed by Liberty Mutual led to the court’s inquiry concerning the accrual date of Brown’s cause of action and selection of the correct limitation period.
I.
Accrual of claim.
Generally speaking, an action “‘accrues’ when all the elements are known, or in the exercise of reasonable care should have been known, to the plaintiff.”
LeBeau v. Dimig,
The federal court’s first question suggests two possible target dates for accrual of the action — the date the claim is denied by the carrier or the date the industrial commissioner determines the worker’s eligibility for benefits. Liberty Mutual argues in favor of the denial date, claiming all the information pertinent to the cause of action is necessarily known by the time denial is communicated. Brown counters that, until the industrial commissioner rules on the employee’s benefit eligibility, the district court is without jurisdiction to act. This court held in
Tollman v. Hanssen,
Brown also argues that any trial court adjudication of the bad-faith issue in advance of administrative proceedings could well result in an inconsistent and anomalous outcome. A review of several recent decisions, however, easily persuades us otherwise.
As already noted,
Boylan
recognized the employer’s statutory obligation to act in good faith
prior to
the commissioner’s determination of benefit eligibility, thus exposing the insurer to potential bad-faith liability in advance of an administrative decision.
Boylan,
Two other jurisdictions that have squarely faced the issue have both ruled that an insurer’s denial of coverage letter puts the claimant on reasonable notice of potential bad faith, thereby fixing the cause of action’s accrual date.
ALFA Mut. Ins. Co. v. Smith,
We also reject Brown’s fallback argument that Liberty Mutual’s conduct amounted to a continuing tort, thereby delaying accrual of the cause of action until Brown’s last benefit became due and payable 110 weeks after the July 1987 denial letter. Contrary to Brown’s contention, we are convinced the delayed payments flowed from a single injury — denial of the claim.
See Scott v. City of Sioux City,
Thus in answer to the first certified question, we hold that a claimant’s cause of action for bad-faith failure to pay workers’ compensation benefits accrues upon receipt of notification that the carrier has denied the claim. At that point both of the essential elements of the action are, or should with reasonable diligence be, known to the plaintiff. Applying this standard to the present case, plaintiffs cause of action accrued on July 20, 1987.
II. Statute of limitations. Having pinpointed the cause of action’s accrual date, we are left with the second question: Which limitation period applies? Iowa Code section 614.1 offers two alternatives. Subsection (2), favored by Liberty Mutual, provides:
Injuries to person or reputation — rela tive rights — statute penalty. Those founded on injuries to the person or reputation, including injuries to relative rights, whether based on contract or tort, or for a statute penalty, within two years.
Iowa Code § 614.1(2).
Brown, on the other hand, urges the longer period authorized by subsection (4):
Unwritten contracts — injuries to property-fraud — other actions. Those founded on unwritten contracts, those brought for injuries to property, ... and all other actions not otherwise provided for in this respect, within five years....
Iowa Code § 614.1(4).
We have said that in choosing the proper statute of limitations, the court’s focus must be on the “actual nature of the action.”
Clark v. Figge,
The distinction drawn in
Sandbulte
between cause and effect becomes important here where Brown seeks relief for emotional and reputational injury as well as economic loss. Liberty Mutual asserts these are “injuries to the person” that trigger the two-year limitation period of section 614.1(2). But Brown’s injuries clearly do not stem from bodily hurts or slander.
See Clark,
Brown’s bad-faith claim, as noted in
Boylan,
rests on Liberty Mutual’s alleged breach of its statutory good-faith obligation to pay benefits in advance of a specific di
CERTIFIED QUESTIONS ANSWERED.
Notes
. By our holding, we necessarily reject the dichotomy posed in
Rodgers v. Pennsylvania Life Insurance Co.,
