Share This Article:
Do You Know the Rule?
Iowa’s workers’ compensation statute does not allow employees, or their surviving family members, to collect benefits when the employee, effectively, knowingly harmed himself. This is the willful-injury defense outlined in Iowa Code section 85.16(1) (2016), and it allows employers and carriers to withhold compensation under certain circumstances.
When it applies
The defense applies in three scenarios:
1. Intent to harm self or another. The injury was caused by the employee’s willful intent to injure himself or herself or to willfully injure another.
2. Intoxication. The injury was caused by the employee’s intoxication.
2. A third-party’s willful act. The injury was caused by the willful act of a third party directed against the employee for reasons personal to such employee.
Suicide
These cases typically involve situations where the employee purportedly committed suicide. Employers will have to look for clear evidence of the employee’s intent to commit suicide, such as a suicide note or verbal expressions of the intent to coworkers.
Establishing intoxication
For the intoxication defense to apply, the employer must show all of the following:
- The intoxication did not arise out of and in the course of employment.
- The intoxication was due to the effects of alcohol or another narcotic, depressant, stimulant, hallucinogenic, or hypnotic drug not prescribed by an authorized medical practitioner.
- The intoxication was a substantial factor in causing the injury.
To show that the intoxication was due to alcohol or drugs, employers can look to drug tests indicating that the employee had alcohol or drugs in his blood at the time of, or right after, the injury.
Establishing a third-party’s willful act
To establish the defense based on a third-party’s action, the employer will have to show that the injury arose from a personal situation, such as a dispute between the employee and third-party unrelated to the employee’s job.
Employee’s burden to overcome the defense
Once the employee shows the above, the onus is on the employee. He or she can move forward with the claim by establishing one of the following:
- The employee was not intoxicated at the time of the injury; or
- The intoxication was not a substantial factor in causing the injury.
AI california case management case management focus claims compensability compliance compliance corner courts covid do you know the rule ethics exclusive remedy florida glossary check Healthcare health care hr homeroom insurance iowa kentucky leadership medical NCCI new jersey new york ohio opioids osha pennsylvania Safety simply research state info technology texas violence WDYT west virginia what do you think women's history month workers' comp 101 workers' recovery workers' compensation contact information Workplace Safety Workplace Violence
Read Also
- Nov 25, 2024
- Claire Muselman
- Nov 25, 2024
- Liz Carey
About The Author
About The Author
- Chris Parker
More by This Author
Read More
- Nov 25, 2024
- Claire Muselman
- Nov 25, 2024
- Liz Carey
- Nov 25, 2024
- Chris Parker
- Nov 25, 2024
- Chriss Swaney
- Nov 25, 2024
- Claire Muselman
- Nov 24, 2024
- Frank Ferreri