LON TWEETEN d/b/a TWEETEN FARMS and GRINNELL MUTUAL INSURANCE CO. v. COREY TWEETEN
No. 22-2081
Supreme Court of Iowa
Submitted November 16, 2023—Filed December 22, 2023
Oxley, J.
Appellants,
vs.
COREY TWEETEN,
Appellee.
An employer and workers’ compensation carrier appeal a district court order denying in part their petition for judicial review of an agency order granting workers’ compensation benefits to an employee. REVERSED AND REMANDED.
Oxley, J., delivered the opinion of the court, in which all justices joined.
Christopher S. Spencer (argued) and Stephen W. Spencer of Peddicord Wharton, LLP, West Des Moines, for appellant.
Janece M. Valentine (argued) of Valentine Law Office, P.C., Fort Dodge, for appellee.
OXLEY, Justice.
An employer and its workers’ compensation carrier appeal following an award of benefits to an employee. The appeal raises issues involving three provisions of
- (1) Does the statutory bar under
Iowa Code section 85.35(9) preclude further benefits following a compromise settlement between a claimant and the Second Injury Fund? - (2) Does the discovery rule toll the statute of limitations following amendments to
Iowa Code section 85.26(1) ? - (3) How do amendments to
Iowa Code section 85.39(2) affect reimbursement for independent medical examinations?
As explained below, the employee‘s compromise settlement with the Second Injury Fund does not preclude the employee‘s claims against his employer, but the statute of limitations does. Because the employee has no compensable injury, he is not entitled to reimbursement for an independent medical examination irrespective
I. Background Facts and Proceedings.
Corey Tweeten worked for his dad, Lon, on the family farm, Tweeten Farms. Corey and Lon were vacuuming grain out of a bin on July 25, 2017, when Corey hurt his right arm. The pain persisted, and Corey sought medical treatment for pain in his right elbow on August 14. He was diagnosed with right lateral epicondylitis (tennis elbow) and advised to take two Aleve per day, ice the elbow, and use a wrist splint to decrease the strain on his elbow. His elbow pain did not subside, and he returned for further medical treatment on January 3, 2018. He was told to continue using over-the-counter pain medicine and ice for his elbow and was referred for physical therapy. When physical therapy did not help, Corey returned to his local clinic provider on April 13. In addition to the elbow pain, Corey complained for the first time about pain in his shoulder. Corey received a trigger point injection in his right deltoid muscle on May 11 and was scheduled for an MRI. The May 22 MRI of his shoulder revealed nothing abnormal, and another MRI was ordered to scan the distal deltoid in his midarm, which is where Corey‘s complaints centered. That MRI showed a “significant deltoid insertional tear,” which was described as an “unusual injury.” Dr. Bryan Warme performed surgery to repair the deltoid tear on June 18. At his October 16 follow-up with Corey, Dr. Warme concluded that Corey had likely overcompensated for the tennis elbow, causing the deltoid tear. Dr. Warme believed both injuries were related to the July 2017 grain bin incident. Lon, Corey‘s father, had been submitting the medical bills to his health insurance carrier, but he submitted the medical bills related to the surgery to Grinnell Mutual Insurance Company (Grinnell), his workers’ compensation carrier for the farm.
Grinnell directed Corey to see Dr. Steven Aviles for an independent medical examination. After his review on August 29, 2018, Dr. Aviles did not think the right lateral elbow pain and the right deltoid injury were caused by the same event. He concluded that the tennis elbow was likely caused by chronic repetitive stress but the distal deltoid avulsion was caused by a traumatic injury, opining that it is not possible for that type of injury to occur from chronic repetitive stress. In a November 12 letter, Dr. Aviles stood by his conclusion that the deltoid tear could not result from a repetitive stress injury and was not work related, disagreeing with Dr. Warme‘s October 16 conclusion to the contrary.
On January 21, 2020, Corey filed an arbitration petition with the workers’ compensation commissioner seeking medical benefits from Tweeten Farms and Grinnell1 for an upper right extremity injury, asserting an injury date of February 1, 2018. The petition included a claim against the Second Injury Fund premised on a prior right ankle injury in 2008.
Corey sought an independent medical exam from Dr. Robin Sassman, who agreed with Dr. Warme in a January 16, 2021 report that the deltoid tear related to overcompensating for the tennis elbow and was therefore related to Corey‘s work injury. Dr. Sassman performed an impairment
An arbitration hearing on the petition for benefits was held before a deputy workers’ compensation commissioner on March 10, 2021. The Second Injury Fund filed a notice on February 15 that it had reached a settlement with Corey, which was awaiting approval by the commissioner, and that it would not be attending the upcoming hearing. In its April 13 posthearing brief, Grinnell asserted that the compromise settlement with the Second Injury Fund extinguished all of Corey‘s claims for workers’ compensation benefits pursuant to
The deputy found that Corey had right elbow epicondylitis and a deltoid tear arising out of the course of his employment from the July 2017 grain bin incident. The deputy applied the discovery rule to conclude that Corey did not learn of the seriousness of his injury until April 2018, which meant that his January 21, 2020 petition did not run afoul of the two-year statute of limitations in
Grinnell filed a motion for reconsideration, noting that the deputy did not address whether the Second Injury Fund compromise settlement divested the commissioner of jurisdiction to award additional benefits. The deputy concluded that the statutory bar in
Grinnell appealed to the commissioner, and the commissioner affirmed the deputy‘s arbitration decision. As to the argument that the compromise settlement ended the commissioner‘s jurisdiction over Corey‘s claims, the commissioner substituted its analysis, explaining that the statutory bar goes to jurisdiction over the case, not subject matter jurisdiction, and can therefore be waived. Noting the importance of the hearing report to determining the issues to be decided, the commissioner concluded that Grinnell waived the issue by signing the hearing report without including the issue in the report or raising it during the hearing.
Grinnell filed a petition for judicial review. The district court disagreed with the commissioner‘s jurisdictional analysis of
Grinnell appealed; Corey did not. As noted at the outset, Grinnell‘s appeal challenges the district court‘s application of three statutory provisions:
II. Corey‘s Compromise Settlement with the Second Injury Fund Did Not Bar His Claim for Benefits Against His Employer Under Iowa Code Section 85.35(9) .
Whether the compromise settlement bars Corey‘s claims for further relief from his employer under
Like most states, Iowa provides a comprehensive statutory scheme governing injuries suffered on the job. See Suckow v. NEOWA FS, Inc., 445 N.W.2d 776, 778–79 (Iowa 1989) (describing the scheme as representing a compromise whereby “[e]mployees give up their common law rights of actions against employers,” and “[i]n return employers give up their common law defenses and must pay employees for all work-related injuries regardless of fault“). The general assembly vested the workers’ compensation commissioner with exclusive jurisdiction over claims by injured employees seeking workers’ compensation benefits against their employers. See
The workers’ compensation scheme is statutory, so we begin with the language of the relevant statute. Notably,
In 2005, the general assembly made significant revisions to
The parties dispute whether this additional language changed the scope of the statutory bar. But what we said in Bankers Standard—that the “language of section 85.35 contains no limitation on the ‘final bar to any further rights,‘” 661 N.W.2d at 182 (quoting
Whether the compromise settlement bars Corey‘s claim for benefits from Grinnell depends on whether that claim is premised on rights that fall within the “subject matter of the compromise.” Here, it is important to understand what benefits were covered by Corey‘s compromise agreement with the Second Injury Fund and what benefits he is seeking from Grinnell. Subchapter II of
With this understanding, we return to the language of
Although we give no deference to the commissioner‘s interpretation of
That is not to say that compromise settlements between an employee and the Second Injury Fund will never bar an employee from seeking benefits from his employer. The extent of the bar will depend on the subject matter of the compromise. But where, as here, the subject matter of the dispute concerns whether a preexisting injury triggers the Second Injury Compensation Act, a compromise settlement of that dispute does not bar the separate and distinct claim against the employer for the current injury.
Therefore, Corey‘s compromise settlement with the Second Injury Fund did not bar his claim against Grinnell for his right arm injuries, and the commissioner properly exercised his jurisdiction to consider that claim.
III. Corey‘s Claim for Benefits Against His Employer Was Untimely Under Iowa Code Section 85.26 .
Corey was diagnosed with tennis elbow and a deltoid tear in his right arm. Corey identifies the July 2017 grain bin incident as the work event causing the injuries. Yet Corey did not file a petition for benefits until January 21, 2020, outside the two-year window allowed by
We also adopted a discovery rule that tolls the period for commencing a proceeding until the employee knows or should recognize that the injury is compensable for purposes of workers’ compensation benefits. See Orr v. Lewis Cent. Sch. Dist., 298 N.W.2d 256, 259–61 (Iowa 1980) (en banc) (applying discovery rule to
Since Orr, we have continued to apply the discovery rule to toll the statute of limitations “until the employee also knows that the physical condition is serious enough to have a permanent adverse impact on the claimant‘s employment or employability, i.e., the claimant knows or should know the ‘nature, seriousness, and probable compensable character’ of his injury or condition.” Herrera, 633 N.W.2d at 287–89 (quoting Orr, 298 N.W.2d at 257); see also Larson Mfg. Co. v. Thorson, 763 N.W.2d 842, 854–55 (Iowa 2009) (using the
In 2017, the general assembly added a sentence to
An original proceeding for benefits . . . shall not be maintained in any contested case unless the proceeding is commenced within two years from the date of the occurrence of the injury for which benefits are claimed . . . . For the purposes of this section, ‘date of the occurrence of the injury’ means the date that the employee knew or should have known that the injury was work-related.
As a common law rule, discovery rules are subject to modification or abrogation by the legislature. See, e.g., Frideres v. Schiltz, 540 N.W.2d 261, 267 (Iowa 1995) (en banc) (recognizing that the common law discovery rule was replaced by enactment of a discovery rule in
The general assembly expressly defined the “date of occurrence of the injury,” and it did so “[f]or the purposes of this section,” i.e.,
Corey submits that application of the discovery rule is a two-part process
We have recognized a similar distinction in the application of the discovery rule in the context of medical malpractice claims. See Rathje v. Mercy Hosp., 745 N.W.2d 443, 452, 455–56 (Iowa 2008) (discussing the national development of the discovery rule and noting that the “difficult subissue, however, was how the discovery rule should be applied to the elements of the claim, i.e., whether or not it should be applied to all of the elements“). In 1975, the general assembly enacted
Here, the general assembly set the parameters for the discovery rule in
We therefore agree with the district court that the general assembly modified the discovery rule we had previously recognized when it statutorily defined the “date of occurrence of the injury.” For purposes of
The district court concluded that Corey‘s tennis elbow was time-barred because he knew that that injury was work-related when the injury occurred in July 2017. But the district court also concluded that Corey could not have known the deltoid tear was work-related until he knew of that specific injury. Corey‘s counsel candidly admitted during oral argument that the injuries were not presented to the commissioner as separate or cumulative injuries, and Corey does not attempt to support the district court‘s distinction between the two injuries on appeal. He argues instead that both injuries stand or fall together on our application of the discovery rule. Having concluded that the discovery rule as we previously applied it did not survive the 2017 revisions to
IV. Corey is Not Entitled to Reimbursement for Dr. Sassman‘s Examination Under Iowa Code Section 85.39 .
Finally, Grinnell appeals the award of $4,650 to reimburse Corey for the independent medical evaluation by Dr. Sassman under
V. Conclusion.
The district court‘s judgment granting in part and denying in part Grinnell‘s petition
REVERSED AND REMANDED.
