Uninsured/Underinsured Motorist Complaint - Iowa

Iowa Personal Injury Updated July 9, 2026 Free Word and PDF

UNINSURED / UNDERINSURED MOTORIST COMPLAINT

Table of Contents

  1. Caption
  2. Parties
  3. Jurisdiction and Venue
  4. General Allegations
  5. Policy Identification and Coverage
  6. UM vs. UIM Status
  7. First Claim — Breach of Contract (UM/UIM Benefits)
  8. Second Claim — Bad Faith / Breach of Duty of Good Faith
  9. Damages
  10. Jury Demand
  11. Prayer for Relief

Caption

IN THE IOWA DISTRICT COURT FOR [COUNTY NAME] COUNTY

[PLAINTIFF FULL NAME],
Plaintiff,
v. Case No.: [________________________________]
[INSURANCE COMPANY NAME],
Defendant. PETITION AT LAW
(Uninsured/Underinsured Motorist)

Parties

  1. Plaintiff, [PLAINTIFF FULL NAME] ("Plaintiff"), is an individual residing at [PLAINTIFF ADDRESS], [CITY], [COUNTY] County, Iowa [ZIP CODE], and is an insured under the automobile insurance policy described herein.

  2. Defendant, [INSURANCE COMPANY NAME] ("Defendant Insurer"), is an insurance company authorized to transact business in the State of Iowa, with its principal place of business at [INSURER ADDRESS].

  3. [JOHN/JANE DOE] ("Uninsured/Underinsured Motorist") is an individual who, at all relevant times, operated a motor vehicle [☐ without liability insurance / ☐ with liability insurance inadequate to compensate Plaintiff's damages].


Jurisdiction and Venue

  1. This Court has jurisdiction over this matter pursuant to Iowa Code § 602.6101.

  2. Venue is proper in [COUNTY] County pursuant to Iowa Code § 616.18 because [☐ the injury or damage was sustained in this county / ☐ Defendant Insurer resides (has its principal place of business) in this county / ☐ Defendant Insurer transacts business in this county].

  3. The amount in controversy exceeds $[AMOUNT].


General Allegations

  1. On or about [DATE OF ACCIDENT], at approximately [TIME], Plaintiff was [☐ operating / ☐ a passenger in] a motor vehicle on [STREET/HIGHWAY/ROUTE], in or near [CITY], [COUNTY] County, Iowa.

  2. At said time and place, the Uninsured/Underinsured Motorist negligently operated a motor vehicle, proximately causing a collision with Plaintiff's vehicle.

  3. The Uninsured/Underinsured Motorist was negligent in one or more of the following respects:

☐ Operating at an excessive or unreasonable speed (Iowa Code § 321.285)
☐ Failure to yield the right of way (Iowa Code § 321.319)
☐ Following too closely (Iowa Code § 321.307)
☐ Operating while intoxicated (Iowa Code § 321J.2)
☐ Failure to obey a traffic control device (Iowa Code § 321.256)
☐ Improper lane change (Iowa Code § 321.306)
☐ Texting/electronic device use while driving (Iowa Code § 321.276)
☐ Other: [________________________________]

  1. As a direct and proximate result of the above-described negligence, Plaintiff sustained serious bodily injuries and damages.

Policy Identification and Coverage

  1. At the time of the accident, Plaintiff was insured under an automobile insurance policy issued by Defendant Insurer, Policy No. [POLICY NUMBER], effective from [POLICY START DATE] to [POLICY END DATE] (the "Policy").

  2. The Policy includes uninsured motorist ("UM") bodily injury coverage with limits of $[UM LIMIT PER PERSON] per person / $[UM LIMIT PER ACCIDENT] per accident.

  3. The Policy includes underinsured motorist ("UIM") bodily injury coverage with limits of $[UIM LIMIT PER PERSON] per person / $[UIM LIMIT PER ACCIDENT] per accident.

  4. Plaintiff has paid all premiums due under the Policy and has complied with all conditions precedent.

  5. Plaintiff [☐ accepted UM/UIM coverage / ☐ did not execute a valid written rejection of UM/UIM coverage].


Stacking Provisions

  1. ☐ Plaintiff claims stacking of UM/UIM coverages.

☐ Stacking is not at issue in this claim
☐ Plaintiff is covered under multiple policies and claims the highest available limit: [________________________________]


UM vs. UIM Status

Select one:

☐ Uninsured Motorist (UM) Claim:

  1. The at-fault motorist was uninsured at the time of the accident in that [☐ no bodily injury liability policy was in effect / ☐ the at-fault motorist is unknown (hit-and-run), and physical contact occurred between the hit-and-run vehicle and Plaintiff or Plaintiff's vehicle as required under Iowa Code § 516A.1 / ☐ the at-fault motorist's insurer denied coverage or is insolvent per Iowa Code § 516A.3].

☐ Underinsured Motorist (UIM) Claim:

  1. The at-fault motorist maintained bodily injury liability coverage with limits of $[TORTFEASOR POLICY LIMIT], which is less than Plaintiff's damages.

  2. Plaintiff has exhausted the at-fault motorist's bodily injury liability limits and received $[AMOUNT RECOVERED FROM TORTFEASOR] in [☐ settlement / ☐ judgment].

  3. Defendant Insurer was provided with timely written notice and the opportunity to consent to the settlement with the tortfeasor's insurer.


First Claim

Breach of Contract (UM/UIM Benefits)

  1. Plaintiff re-alleges and incorporates by reference paragraphs 1 through 20.

  2. The Policy constitutes a valid and enforceable contract between Plaintiff and Defendant Insurer.

  3. Plaintiff has performed all obligations and satisfied all conditions precedent required under the Policy.

  4. Defendant Insurer has breached the Policy by failing and refusing to pay UM/UIM benefits owed to Plaintiff despite proper and timely demand.

  5. As a direct and proximate result of Defendant Insurer's breach, Plaintiff has been damaged in an amount to be proven at trial.


Second Claim

Bad Faith / Breach of Duty of Good Faith and Fair Dealing

  1. Plaintiff re-alleges and incorporates by reference paragraphs 1 through 25.

  2. Under Iowa law, an insurer owes its insured a duty of good faith and fair dealing in processing and paying first-party claims.

  3. Defendant Insurer breached its duty of good faith and fair dealing by engaging in one or more of the following acts:

☐ Unreasonably delaying investigation and/or processing of the claim
☐ Denying benefits without a reasonable basis
☐ Failing to make prompt payment of the undisputed portion of the claim
☐ Misrepresenting policy provisions to the insured
☐ Failing to adopt reasonable standards for claim investigation
☐ Other: [________________________________]

  1. Defendant Insurer's conduct was done intentionally or with reckless disregard for Plaintiff's rights, entitling Plaintiff to compensatory and consequential damages.

Damages

  1. As a result of the accident and Defendant Insurer's breaches, Plaintiff has suffered the following damages:

☐ Past medical expenses: $[AMOUNT]
☐ Future medical expenses: $[AMOUNT]
☐ Past lost wages/earnings: $[AMOUNT]
☐ Future lost wages/earning capacity: $[AMOUNT]
☐ Pain and suffering (past and future): $[AMOUNT]
☐ Mental anguish and emotional distress: $[AMOUNT]
☐ Physical disability and disfigurement: $[AMOUNT]
☐ Loss of enjoyment of life: $[AMOUNT]
☐ Loss of consortium (if applicable): $[AMOUNT]
☐ Consequential damages for bad faith
☐ Punitive damages (if bad faith proven)
☐ Prejudgment interest (Iowa Code § 535.2)
☐ Attorney's fees (if contractually or statutorily authorized)
☐ Costs of suit


Jury Demand

Plaintiff hereby demands a trial by jury on all issues so triable.


Prayer for Relief

WHEREFORE, Plaintiff demands judgment against Defendant Insurer as follows:

  1. Compensatory damages in an amount to be determined at trial;
  2. UM/UIM benefits in the full amount owed under the Policy;
  3. Consequential and compensatory damages for bad faith;
  4. Punitive damages;
  5. Prejudgment interest pursuant to Iowa Code § 535.2;
  6. Costs of this action; and
  7. Such other and further relief as this Court deems just and equitable.

Respectfully submitted,

[ATTORNEY NAME], Iowa Attorney No. [BAR NUMBER]
[FIRM NAME]
[FIRM ADDRESS]
[CITY], Iowa [ZIP CODE]
Telephone: [________________________________]
Email: [________________________________]
Attorney for Plaintiff


State-Specific Notes — Iowa

Topic Detail
UM Mandatory? Mandatory in every liability policy; insured may reject in writing (Iowa Code § 516A.1)
UIM Mandatory? Mandatory; insured may reject separately in writing (§ 516A.1)
Minimum UM Limits $20,000 per person / $40,000 per accident
Stacking Prohibited — combined coverage cannot exceed highest single policy limit (§ 516A.2)
Hit-and-Run Physical contact with the insured or the insured's vehicle required (§ 516A.1)
Underinsured Definition Damages-excess: tortfeasor's limits less than insured's actual damages (recognized under § 516A.1's underinsured-coverage mandate; see also Veach v. Farmers Ins. Co., 460 N.W.2d 845 (Iowa 1990))
Arbitration Per policy terms only; not statutorily mandated (contrast with some other states)
Bad Faith Common-law first-party bad faith tort recognized in Dolan v. Aid Ins. Co., 431 N.W.2d 790 (Iowa 1988) — no Iowa-specific statutory bad-faith-penalty section exists; plaintiff must prove (1) no reasonable basis for denial/delay and (2) insurer knew or should have known no reasonable basis existed
SOL — Contract 10 years (Iowa Code § 614.1(5)), but insurer may contractually shorten to 2 years to match § 614.1(2) (Robinson v. Allied Prop. & Cas. Ins. Co., 816 N.W.2d 398 (Iowa 2012); Douglass v. Am. Family Mut. Ins. Co., 508 N.W.2d 665 (Iowa 1993))
SOL — Personal Injury 2 years (Iowa Code § 614.1(2))
Subrogation/Reimbursement Insurer that pays UM/UIM benefits is entitled to reimbursement from any recovery against the tortfeasor (§ 516A.4); Iowa also recognizes equitable/contractual subrogation at common law, subject to the "made whole" rule for medical expenses (Allied Mut. Ins. Co. v. Heiken, 675 N.W.2d 820 (Iowa 2004))
Filing Iowa uses "Petition" not "Complaint"

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About this template

Last updated
July 9, 2026
Citations checked
July 9, 2026
Jurisdiction
Iowa
Category
Personal Injury

Legal authority

  • Iowa Code § 516A.1 (Coverage Included in Every Liability Policy — Rejection by Insured)
  • Iowa Code § 516A.2 (Construction — Minimum Coverage — Stacking)
  • Iowa Code § 516A.3 (Effect of Insolvency)
  • Iowa Code § 516A.4 (Insurer Making Payment — Reimbursement/Subrogation)
  • Iowa Code § 614.1(5) (Ten-Year Statute of Limitations — Written Contracts)
  • Iowa Code § 616.18 (Venue — Personal Injury or Damage Actions)

Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.

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Checked against the law it cites

A reviewer verified this template's legal citations against the official source on July 9, 2026.

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