Thе United States District Court for the Northern District of Iowa has certified two questions of law to be answered by this court as provided in Iowa Codе sections 684A.1 and .3 (1993) and Iowa Rules of Appellate Procedure 451 to 461. The questions relate to that portion of a pending federal civil action in which plaintiff, Larry Reedy, a former employee of the defendant, White Consolidated Industries, Inc., asserts the bad-faith failure of the defendant, as a self-insured employer, to pay workers’ compensation medical benefits relating to injuries sustained by plaintiff.
The certified questions are as follows:
1. Is an action against a self-insured employer for bad-faith failure to pay a workers’ compensation claim for medical benefits recognized in Iowa?
2. If the Iowa courts were to recognize the existence of a Bad-Faith Action, must the employee first litigаte his workers’ compensation claim before the Iowa Industrial Commission and exhaust all appeals before such a Bad-Faith Action is ripe for adjudication?
We separately consider these inquiries.
I. Bad-Faith Liability of Self-Insured Employers With Respect to Nonpayment of Workers’ Compensation Benefits.
The federal court’s inquiry preceded our decision in
Boylan v. American Motorists Insurance Co.,
One of the bases for the Boylan decision was the recognition that the еxclusive-remedy defense contained in Iowa Code section 85.20 (1993) is not available to insurance carriers. The present claim is against a self-insured employer. We have not yet determined whether such an employer is subject to the same liability as that which was reсognized in Boylan.
The point of beginning for this inquiry is our decision in
Harned v. Farmland Foods, Inc.,
Notwithstanding our rejection of the dual-capacity doctrine for finding an employer liable outside of the Workers’ Compensation Act in the Jansen decision, we believe that the liability recognized in Boy-lan should extend to self-insured emрloyers. A self-insured employer under the Workers’ Compensation Act is not an employer who fails to secure insurance against workеrs’ 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. Iowa Code § 87.21 (1993). To be a qualified self-insured employer under the act, it is necessаry to voluntarily assume a recognized status under the workers’ compensation laws as an insurer. Iowa Code § 87.4 (1987). For purposes of a bаd-faith tort claim, we see no distinction between a workers’ compensation insurance carrier for an employer and an еmployer who voluntarily assumes self-insured status under the act. Consequently, we answer the first certified question in the affirmative.
II. The Ripeness Question.
The second certified question is couched in terms of “ripeness.” Because that term has more than one meaning, we wish to make clear that we are not passing on questions of “ripeness” as an element of the case or controversy requirement of Article III of the federal Constitution.
See Beachy v. Board of Aviation Comm’rs,
The statutory exhaustion-of-remedy doctrine for review of agency action,
see
Iowa Code § 17A.19(1) (1993), does not apply to this independent tort action that has evolved by case decision. Nor do we find the doctrine of primary jurisdiction recognized in
State ex rel. Turner v. Iowa Electric Light & Power Co.,
In our view, it would be clearly preferable to have the extent of the defending pаrty's liability for such payments determined in the first instance by the administrative agency entrusted with the administration of the Iowa workers’ compensаtion laws. Moreover, we believe that decisions made through this administrative process that are relevant to the issues in the bad-faith action will, in many instances, carry preclusive effect under the principles we recognized in
Board of Supervisors v. Chicago & North Western Transportation Co.,
We believe, however, that, within the cоntext of a bad-faith tort claim based on failure to provide workers' compensation benefits, the goal of having material issues of benefit entitlement decided in the first instance by the industrial commissioner is best handled through a discretionary abstention policy that operates to delay the
The clerk is directed to proceed in accordance with Iowa Rule of Appellate Procedure 458.
CERTIFIED QUESTIONS ANSWERED.
