The following information is provided as a general overview of contested case hearings. It does not constitute legal advice. Hearings are conducted in accordance with Iowa Code chapter 17A and Iowa Administrative Code chapter 191.
When the Insurance Division has taken or could take some adverse action against you, you may be entitled to a contested case hearing to challenge the alleged facts on which that action is based. The Insurance Division, for example, may revoke, suspend, or refuse to issue an insurance producer license, order you to cease and desist certain acts or practices, or impose certain penalties for something it says you have done wrong. The hearing is your opportunity to state why you disagree with the facts alleged and to present evidence through witnesses and documents that support your position. After the hearing, the Insurance Commissioner will decide whether to accept, modify, or reject any previous decision made by the Insurance Division in the action. Iowa Code § 17A.2(5).
If you are entitled to a contested case hearing, a hearing may be scheduled in several different ways. The Insurance Division may send a notice to you. This notice of hearing will provide specific references to the statutes and rules involved. The notice will include a date, time, and place for the hearing and will tell you if the hearing will be held in person, by videoconference, or by telephone conference. Or the Insurance Division may send a notice to you stating that you must request a hearing within a certain period of time to contest a decision made by the Insurance Division.
You may, within 20 days of the date of the notice was mailed, file a written request that your case be transferred to an administrative law judge assigned by the Iowa Department of Inspections and Appeals. The Insurance Commissioner will determine whether your request to transfer the case to an administrative law judge should be granted or if the case should remain before the Commissioner. Iowa Administrative Code rule 191—3.6. This document will refer to the Commissioner, the Commissioner’s designee, or the assigned administrative law judge as the “Presiding Officer.”
If you have received a denial of your application for licensure or a summary cease and desist order, you can request a hearing by filing a written request with the Insurance Division. The deadline to request a hearing will appear in the Insurance Division’s notice or order, but it is often 30 days from the date of mailing. Usually, your request should include your name and address, a statement of why you disagree with the facts alleged, the date, and your signature. (See further instructions below.) You should keep a copy of your written request for your records. To ensure that you get a hearing, you must postmark or deliver the request to the agency by the Insurance Division’s deadline in the notice.
Most importantly, if the Insurance Division staff has filed a statement of charges against you, you are required to file an answer to the charges within 20 days of the date the notice of hearing was mailed. If you fail to file an answer within 20 days, you may be found to be in default and lose your opportunity to dispute the allegations made against you. If you are found in default, there may be a hearing to determine what happens to your license and the amount, if any, of penalties, costs, and/or restitution that will be imposed upon you. You are allowed to participate in that hearing. If you receive an order finding you in default, you can file a written request to have the default order set aside and ask to be permitted to file an answer and restore your opportunity for a hearing on the merits. Your request to have a default order set aside must include specific information. Iowa Administrative Code rule 191—3.22.
To file a document, you can personally deliver, email to the email address provided below, or mail your document to the Insurance Division.
If you choose to email your document, you can file your document with the Insurance Division by sending an email to enforcement.filings@iid.iowa.gov. You should include the Division Case number in the subject of the email and attach your document as a PDF.
If you choose to mail your document, address it to the Iowa Insurance Division, Enforcement Filing Clerk, 1963 Bell Ave, Suite 100, Des Moines, Iowa 50315.
A proof of mailing is required to determine the date the document was mailed for filing purposes and includes items listed in Iowa Administrative Code rule 191—3.12(5) and 3.12(6). You can choose to add tracking to your mailing to ensure you know when it reaches the Insurance Division, but this is not required. The proof of mailing should be included with the document you are filing.
The following information, examples provided, should be included at the top of any document you want to file:
Case heading: “Before the Iowa Insurance Commissioner”
Case name: “In the Matter of John Doe”
Case number: “Division Case No. 00000”
Document title: “Answer” “Motion to Continue”
Additionally, all documents must be signed by you, or your attorney, in order to be filed. Once the Division has received your filing, a file-stamped copy will be sent to your email address if you have provided one. You will also be provided a paper copy by mail if you request one or if the Division does not have your email address.
Only the Presiding Officer can grant a deadline extension or the continuance of a hearing date. If you need additional time to prepare an answer, respond to a motion, or if you have a conflict on a scheduled hearing date, you should prepare a document in writing that includes the following information:
- For what deadline or hearing date are you requesting an extension or continuance?
- Why do you need an extension?
- How long of an extension are you requesting?
- Any other information that will help the Commissioner make an informed decision.
Please note that the Presiding Officer must grant your request by Order before a deadline is moved. If no Order is issued, the deadline remains. Therefore, it is beneficial to you to request a deadline extension as soon as you think you may need one.
Certain timeframes may apply to the extension of deadlines. A motion to continue must be filed 14 days prior to the hearing. Iowa Administrative Code rule 191—3.17. If you miss this deadline, you can still request an extension and the Presiding Officer may consider your request.
The notice you receive will refer to the statutes (Iowa Code) and rules (Iowa Administrative Code) that apply to your case. You should review those statutes and rules before the hearing. The Iowa Code and the Iowa Administrative Code are available on the Legislature’s website: https://www.legis.iowa.gov/law. Iowa Code § 17A.12.
It would be helpful to write down the important facts and the points you want to present at the hearing. As part of the notice of hearing you receive, a prehearing conference date will be included. The reasons for a prehearing conference may include: 1) to set a schedule of activities to occur before the hearing; 2) to narrow the issues that are in dispute; and 3) to allow the parties a chance to settle or resolve the case without the need to have a hearing. If you intend to call witnesses or present evidence at the hearing, you will need to file a witness and exhibit list by the prehearing conference date, listing the witnesses and exhibits you expect to use at hearing. You should also get in touch with the attorney representing the Insurance Division in order to exchange copies of the exhibits prior to the prehearing conference.
If you fail to list specific witnesses or exhibits prior to the pre-hearing conference, those witnesses or exhibits may be excluded at hearing. If you want a person with knowledge about your case to speak in support of your position, you need to list them as a witness and ask that person to attend the hearing. You should organize and bring with you any and all documents you listed on your exhibit list and intend to submit to the Presiding Officer to consider. You must bring at least two copies of each document you intend to submit as an exhibit: one copy for the Presiding Officer and one copy for the witness. If you want to speak on your own behalf, you should be ready to make statements under oath. Remember that the hearing is your opportunity to present your side of the case, so you should bring the witnesses and exhibits that are necessary to tell your story.
The Department of Inspection and Appeals also has links to statutes, rules, and other resources. https://dia.iowa.gov/administrative-hearings/legal-resources/agency-specific-resources/insurance-division-resources
You are entitled to have witnesses attend the hearing who know about facts that would help your case. If necessary, you can ask the Presiding Officer to issue a subpoena to order the witness to attend. Generally, you must present a written request for a subpoena at least 10 days before the hearing. However, you will probably want to allow more time since the subpoena will have to be mailed to you to serve on the witness, unless you pick it up or request that it be emailed to you. Please note that you are responsible for serving the subpoena on the person that you want to attend the hearing and for paying any witness fees or mileage expenses claimed by the witness. Iowa Code §§ 17A.13(1); 622.69; 622.74. If your witnesses are unable to attend the hearing in person, you must file notice no later than 14 days prior to the hearing informing the Presiding Officer and Division’s counsel that your witnesses cannot attend in person and requesting that they be allowed to attend the hearing by videoconference or telephone.
The Insurance Commissioner is appointed by the Governor to administer the laws and regulations of the business of insurance, securities, and other regulated industries. In most contested cases, the Insurance Commissioner will be the presiding officer who will hear the contested case. If the Insurance Commissioner is not the presiding officer in a case, in nearly all circumstances, he will still be responsible for issuing a final decision in contested cases after an evidentiary hearing. You cannot call the Insurance Commissioner or the Insurance Division staff for legal advice. The Presiding Officer is generally prohibited from communicating with any person or any party about the factual or legal issues in your case, unless all parties are first provided notice and an opportunity to participate and respond. For this reason, anyone who sends written information to the Presiding Officer concerning the contested case must also send the same information to the attorney representing the Insurance Division in the contested case. Iowa Code § 17A.17.
If you have a good reason for not being able to attend a hearing, you must immediately ask in writing for the Presiding Officer to continue the hearing to another date. You will need to state the specific reasons for the continuance and sign the statement. You will also need to send a copy of your request to the attorney representing the Insurance Division. Upon receiving your request, the Presiding Officer will decide whether or not it is appropriate to continue the hearing. If you fail to attend the hearing without timely requesting and getting a new hearing date, the case may be decided against you in your absence.
You may hire a lawyer to represent you at your own expense or you may choose to represent yourself. Depending on your financial resources and the type of appeal, you may be able to receive legal representation through Iowa Legal Aid.
In many cases, it will help you to hire a lawyer to represent you. If you choose to obtain a lawyer, your lawyer must either be licensed to practice in Iowa or follow Iowa Court Rule 31.14 regarding pro hac vice applications, which requires them to obtain local counsel. Your lawyer must file a notice of appearance with the Iowa Insurance Division pursuant to the filing instructions above.
The Department of Inspection and Appeals has guidance on obtaining legal advice. https://dia.iowa.gov/administrative-hearings/obtaining-legal-advice
You can find out what evidence will be presented at the hearing in several different ways. You may informally ask the attorney representing the Insurance Division that is taking the action against you for copies of any proposed exhibits the Division anticipates offering as evidence at hearing.
Alternatively, you may use “discovery.” Discovery can be very formal. These rules are technical and you may want the assistance of a lawyer to utilize discovery. Generally, discovery allows you to obtain relevant information about your case through the use of written questions, requests for documents, and taking statements of opposing witnesses under oath in advance of the hearing. Iowa Code § 17A.13; Iowa Administrative Code rule 191—3.13.
Additionally, as mentioned above, you and the Division are required to exchange a list of witnesses and documents to be used at the hearing by the prehearing conference date.
Yes, the hearing will be recorded. The Insurance Division often records hearings electronically, and it may use a court reporter to transcribe the hearings during or after the hearing. You may ask the Insurance Division how it will record your hearing. If the Insurance Division does not intend to arrange for a court reporter to transcribe the hearing, you can arrange for a court reporter; however, if you do, you will have to pay the court reporter yourself. Iowa Code § 17A.12(7).
Generally, hearings are open to the public and anyone may attend. The hearing may be closed to the public only if some specific provision of law allows the hearing to be closed. Sometimes witnesses must wait outside the hearing room until they are called to testify. This prevents each witness from hearing what the other witnesses have said. Iowa Code § 17A.12(7).
Generally, yes. The Presiding Officer may allow you to submit a written letter at the hearing even if a written letter would not be admissible in a criminal or civil court proceeding. An administrative contested case proceeding operates under different rules than a criminal or civil trial and this type of evidence, sometimes referred to as “hearsay,” is generally admissible in an administrative hearing. Although the rule on hearsay and exceptions to the hearsay rule can be complex, “hearsay” is an out-of-court statement offered to prove the truth of the information claimed in the statement.
A letter, or other hearsay, may be given less weight by the Presiding Officer than other kinds of evidence. A letter alone, for example, may not be given as much weight by the Presiding Officer as the sworn testimony of a live witness who can be questioned during the hearing. Because live witnesses are available to be questioned, testimony from live witnesses usually carries the most weight.
However, certain documents may carry more weight than others. For example, government documents such as a final judgment in a criminal trial or a certified business record carry considerable weight due to their official nature. Also, a statement by a person that has been signed before a notary public would carry more weight than a letter that has not been notarized or sworn under oath. Iowa Code § 17A.14.
Yes, you are permitted to ask questions of the opposing witnesses who testify against you. Similarly, the attorney representing the Insurance Division will be permitted to ask questions of witnesses who testify on your behalf. In addition, the Presiding Officer may ask questions of any witness. Iowa Code § 17A.14.
If your witness does not show up, you can ask the Presiding Officer to continue the hearing to another day. You can also ask the Presiding Officer to “hold the record open” to allow you to submit a written statement by the witness after the hearing. It is up to the Presiding Officer to decide whether your request for a continuance or to hold the record open should be granted. If the record is held open, you will be given a deadline by which to submit the letter or other documents.
The Presiding Officer may allow a witness to testify over the telephone or by videoconference at the hearing, even if the hearing is held in-person. You need to tell the Presiding Officer and the attorney representing the Insurance Division at least 14 days before the hearing that you have a witness who will not be attending in person and request permission for that witness to testify by telephone or videoconference. You are responsible for providing the Enforcement Clerk with a telephone number the witness can be reached at and/or providing the witness with the videoconference link or conference number provided to you by the Enforcement Clerk. Iowa Administrative Code rule 191—3.8.
Yes, a case can be settled by the parties prior to the hearing. If you want to settle, you should contact the attorney representing the Insurance Division. Often that person is identified the individual who signed the Statement of Charges. Settlements must be approved by the Insurance Commissioner, so an agreement with the attorney representing the Insurance Division does not resolve the case unless and until the Insurance Commissioner approves the settlement you have reached by signing a Consent Order. Iowa Code § 17A.10. You may be required to pay any ordered monetary amounts prior to the settlement being submitted to the Commissioner for his consideration.
Whether the hearing is before the Insurance Commissioner or other presiding officer, the final agency decision will be made by the Insurance Commissioner and will be based on the law, the statements of the witnesses, and on the documents that were introduced at the hearing. Iowa Code § 17A.11(1).
Usually, you will receive a written decision through the mail or email that states the facts about the case and details your legal rights. This decision can be stated verbally by Presiding Officer at the conclusion of the hearing while you are still present, but decisions are almost always written and mailed or emailed to the parties after the hearing. Iowa Code § 17A.16(1). There is no required timeframe for the issuance of a written decision and it may be months before a written decision is issued. All final decisions are also posted on the Division’s website. Pursuant to Iowa Code §§ 22.13 and 17A.3(1)(e), government settlement agreements are public records.
You have the right to appeal a decision. If the decision was issued by the Insurance Commissioner, you can ask the agency for a “rehearing” to change the decision. Once the agency has issued a final decision, you can appeal to district court. Pay very close attention to any deadlines in the agency’s statutes or rules for an appeal to the agency or for rehearing. If you miss a deadline, you may be barred from any further appeals. You must appeal to district court within 30 days after issuance of the agency’s final decision. Iowa Code §§ 17A.15, 17A.19.
If you still have questions regarding a contested case, you can contact the Enforcement Bureau of the Iowa Insurance Division at (515) 654-6561. Please note: the Iowa Insurance Division and its staff does not represent you and cannot provide legal advice. However, staff is available to assist in answering general questions regarding our procedures relating to contested cases.