AAI Ltd t/as AAMI v Chan

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Court of Appeal


Supreme Court


New South Wales

  • Summary available
Medium Neutral Citation: AAI Ltd t/as AAMI v Chan [2021] NSWCA 19
Hearing dates: 3 February 2021
Decision date: 25 February 2021
Before: Gleeson JA at [1];
Leeming JA at [2];
Emmett AJA at [83].
Decision:

1. To the extent necessary, grant leave to appeal, confined to grounds 1, 2, 3 and 6 of the notice of appeal.

2. Appeal allowed.

3. Set aside orders 1-3 made on 18 September 2020, and in lieu thereof, order that the summons filed on 28 April 2020 be dismissed with costs.

4. The first respondent to pay the appellant’s costs of the appeal.

Catchwords:

ADMINISTRATIVE LAW - judicial review - Motor Accidents Compensation Act 1999 (NSW), s 62 - application for further assessment - proper officer not to order further assessment unless additional relevant information capable of having a material effect on outcome of previous assessment - further medical opinions covering similar ground to opinions previously considered - further medical opinions accepted to be additional relevant information - whether judicially reviewable error in proper officer’s decision that further medical opinions not capable of having material effect - need for identification of jurisdictional error or error of law on face of record - primary judge erred in finding reviewable error - appeal allowed and decision of proper officer restored

Legislation Cited:

Motor Accidents Compensation Act 1999 (NSW), ss 58, 61, 62, 63, 131

Motor Accidents Injuries Act 2017 (NSW)

Supreme Court Act 1970 (NSW), ss 69, 101

Uniform Civil Procedure Rules 2005 (NSW), rr 51.22, 59.4

Cases Cited:

AAI Ltd trading as GIO as agent for the Nominal Defendant v McGiffen [2016] NSWCA 229; 77 MVR 348

Ali v AAI Ltd [2016] NSWCA 110; 75 MVR 502

Allianz Australia Insurance Ltd v Kerr (2012) 83 NSWLR 302; [2012] NSWCA 13

Bojko v ICM Property Service Pty Ltd [2009] NSWCA 175

Coordinated Construction Co Pty Ltd v Climatech (Canberra) Pty Ltd [2005] NSWCA 229

Craig v South Australia (1995) 184 CLR 163; [1995] HCA 58

Gaynor v Attorney General of New South Wales (2020) 102 NSWLR 123; [2020] NSWCA 48

Jubb v Insurance Australia Ltd [2016] NSWCA 153; 76 MVR 228

Kirk v Industrial Court (NSW) (2010) 239 CLR 531; [2010] HCA 1

Meeuwissen v Boden (2010) 78 NSWLR 143; [2010] NSWCA 253

Pham v NRMA Insurance Ltd [2014] NSWCA 22; 66 MVR 152

QBE Insurance (Australia) Ltd v Miller [2013] NSWCA 442; 67 MVR 322

Woolworths Ltd v Pallas Newco Pty Ltd (2004) 61 NSWLR 707; [2004] NSWCA 422

Category:Principal judgment
Parties: AAI Ltd (Appellant)
Zion (Xun) Chan (First Respondent)
Tami O’Carroll in her capacity as a Proper Officer appointed by the State Insurance Regulatory Authority (Second Respondent)
State Insurance Regulatory Authority (Third Respondent)
Representation:

Counsel:
K Rewell SC (Appellant)
J Sexton SC, J Sleight (First Respondent)

Solicitors:
Moray & Agnew (Appellant)
Neville Hourn & Bourg Legal (First Respondent)
Crown Solicitor’s Office…
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Details
Case
[2021] NSWCA 19
Decision Date

CaseChat Overview and Summary

AAI Ltd trading as AAMI (the appellant) appealed to the Court of Appeal of the Supreme Court of New South Wales against a decision of the primary judge who had found that the "proper officer" under the *Motor Accidents Compensation Act 1999* (NSW) had made a reviewable error. The dispute concerned an application for a further assessment of a claim, where the proper officer had refused to order such an assessment on the basis that the additional medical opinions provided were not capable of having a material effect on the outcome of the previous assessment.

The Court of Appeal was required to determine whether the primary judge had erred in finding that the proper officer's decision constituted a reviewable error. Specifically, the court considered whether there was a jurisdictional error or an error of law on the face of the record, which would render the proper officer's decision amenable to judicial review.

The Court of Appeal reasoned that the proper officer's decision involved an assessment of whether the further medical opinions were "additional relevant information" and whether this information was "capable of having a material effect on the outcome of the previous assessment." The court found that the primary judge had erred in concluding that the proper officer's decision was reviewable. The appeal judges held that the proper officer's assessment of the materiality of the additional information was a question of fact and degree, and that the primary judge had incorrectly substituted their own view for that of the proper officer. The court applied the principle that judicial review is generally concerned with the legality of a decision, not its merits, and that errors of law on the face of the record are required for review.

The appeal was allowed, and the orders made by the primary judge were set aside. The summons filed by the respondent was dismissed, and the respondent was ordered to pay the appellant's costs of both the appeal and the proceedings at first instance.

Orders

Orders of the court

1. To the extent necessary, grant leave to appeal, confined to grounds 1, 2, 3 and 6 of the notice of appeal.

2. Appeal allowed.

3. Set aside orders 1-3 made on 18 September 2020, and in lieu thereof, order that the summons filed on 28 April 2020 be dismissed with costs.

4. The first respondent to pay the appellant’s costs of the appeal.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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