Accident Compensation Commission & Ors v Ce Heath Underwriting & Insurance (Australia) Pty Ltd & Ors; Accident Compensation Commission & Ors v Baltica General Insurance Co Ltd
[1993] HCATrans 267
~
~ '-~~·:,
IN THE HIGH COURT OF AUSTRALIA
Office of the Registry
Melbourne No M29 of 1993 B e t w e e n -
THE ACCIDENT COMPENSATION
COMMISSION, THE HONOURABLE
R.H. JOLLY (who sues as The
Treasurer for the State of Victoria) and THE STATE OF
VICTORIA
Appellants
and
C.E. HEATH UNDERWRITING &
INSURANCE (AUSTRALIA) PTY LTD,
ROYAL INSURANCE AUSTRALIA
LIMITED, NATIONAL EMPLOYERS'
MUTUAL GENERAL INSURANCE
ASSOCIATION LTD (in
liquidation) and MERCANTILE
MUTUAL INSURANCE (WORKERS
COMPENSATION) LTD
Respondents
Office of the Registry
Melbourne ~o M30 of 1993 B e t w e e n -
THE ACCIDENT COMPENSATION
COMMISSION, THE HONOURABLE
R.H. JOLLY (who sues as The
| ACC(2) | 82 | 9/9/93 |
| MASON CJ BRENNAN J DEANE J DAWSON J | ||
| TOOHEY J |
Treasurer for the State of Victoria) and THE STATE OF
VICTORIA
Appellants
and
BALTICA GENERAL INSURANCE CO
LTD
Respondent
TRANSCRIPT OF PROCEEDINGS
AT CANBERRA ON THURSDAY, 9 SEPTEMBER 1993, AT 9.51 AM
(Continued from 8/9/93)
Copyright in the High Court of Australia
MASON CJ: Yes, Mr Merkel.
| MR MERKEL: | If the Court pleases, before my learned friend |
commences, if we could seek leave to substitute the
name of the present Treasurer, that is
Alan Robert Stockdale, for Mr Jolly. I understand my learned friends do not oppose that amendment.
MASON CJ: Very well. Mr Shaw.
| MR SHAW: | If the Court pleases, if I might commence with |
dealing with a number of matters which arose in the
course of argument yesterday. Your Honour Justice Deane asked a question of my learned friend which amounted to saying: was C.E. Heath or anybody else making a profit? My learned friend gave an answer which seemed to suggest that the
answer was yes, but the fact is, it is submitted,
that the answer is no. That appears from page 333
at about line 17. It was pointed out that the
amount of recompense received was in excess of the
claim and at line 21:
It can also be seen that the amount received
by the firstnamed defendant by way of
recompense and contribution in respect of theaward to Senzo exceeded $40,000. That
anomalous and unintended result was brought
about by the fact that the firstnamed
defendant made its claims for contribution on
a gross basis without taking into account the
| ACC(2) | 83 | 9/9/93 |
prospect that it might make (as in fact it
did) a claim for recompense in relation to the
gross sum it paid out for the $20,000 lump sum
award. The firstnamed defendant concedes (as
it indeed did before this litigation began) -
and that material is in fact in the appeal books.
The letters are at 219 and 231 -
that that involved an error on its part and
that it cannot retain the whole or what it
received by way of recompense and
contribution. It contends and concedes that
the total recompense receivable in respect of
the lump sum award of $20,000 should have been
distributed between the parties liable to pay
the amount of the lump sum in the proportions for which they were respectively liable. The
doubling up in claims for recompense has not
given rise to the present problem: if
recompense is allowable any necessary
adjustments between those entitled to it, andany necessary repayment to the Fund, can be
made. The dispute arises because the plaintiffs contend that, in the circumstances,
no right to recompense arose at all, which
contention the defendants deny.
The position was the same in the Full Court
and I will not go to that, but it is page 483. So,
the answer is, in our submission, no, not yes.
| BRENNAN J: | The basis being that the excess over the $20,000 |
is distributable to the prior insurers. Is that
the proposition?
| MR SHAW: | No, Your Honour. That the claims for recompense |
doubled up in an unallowable way, and that there
should have either been one claim for it all, or
separate claims for the different bits, but not
both.
BRENNAN J: If it is one claim for it all, then is that
insurer, the last insurer, entitled to stipulate
the first date of injury as the relevant date?
| MR SHAW: | Yes, we would submit so, yes, Your Honour. |
BRENNAN J: | So that even though it ends up paying only some $198 out of its own pocket, it is entitled to a |
| refund which brings it over the - | |
| MR SHAW: | No, it would get the refund, but it would have to |
distribute - - -
BRENNAN J: That is what I am saying. It would have to
distribute it.
| ACC(2) | 84 | 9/9/93 |
| MR SHAW: | Yes, Your Honour. |
| BRENNAN J: | The proposition depends upon the fact that it is |
distributable, that excess.
| MR SHAW: | Yes, Your Honour. |
| BRENNAN J: | What is the legal basis on which it is |
distributable?
| MR SHAW: | It depends on the submission about contribution, |
Your Honour. The rights as between the various insurers.
| BRENNAN J: | Which you will come to at some stage? |
| MR SHAW: | I will come to that, but in fact, Your Honour, it |
is all fixed by the contribution agreement here, in
fact, so that what the position would be if there
were not such an agreement is really, in a sense,
by the way.
The second fact that we wanted to refer to was
this that my learned friend said something
yesterday which seemed to suggest that claims for
recompense were being made from the fund in
circumstances where there were pre-amendment
injuries and post-amendment injuries, in
circumstances where the funds were not aware that
claims were being made in that way, and wasassuming that the only relevant injuries were a
particular injury at a particular date and not a
series of injuries.
In our submission that, too, is incorrect and
the fact of the matter is that in each of the
particular cases that this Court is concerned with
one of the insurers had gone into liquidation, so
that it was replaced - if that is the right word -
by the fund itself, and in each case a claim was
made by the fund for recompense on the very basis that it now contests claims can be made, and that appears at page 333, in relation to Senzo and 342 in relation to Carter. If I can just go to one of those to illustrate it, 342 at line 15, His Honour
says: However, that is, the plaintiffs now contend
that A.M.P. alone was entitled to recompense -
and this notwithstanding that a claim for
recompense was made by the I.G.C.S.F. and
administratively allowed in respect of the
proportionate liability of Palmdale.
Palmdale being the insolvent insurer, the insolvent
insurer in the other case was Bishopsgate.
| ACC(2) | 85 | 9/9/93 |
So that the position was that claims were in fact being made on this basis to the fund's
knowledge, and accepted, and no difficulties arose,
I think, in relation to this point until 1987.
Difficulties first arose, and that was in relation
to the Commonwealth settlement point in 1984. So that, what is now being asserted as a recognizable
statutory scheme is, if one accepts my learned
friend's scheme, something which nobody realized
was the scheme, neither the funds, nor the
insurers, nor the employers, until 10 years at
least after the system had come into operation, and
it is submitted that that is a very odd suggestion.
The next matter that we wanted to refer to was
this: Your Honour Justice Deane asked yesterday
whether the agreed facts were sufficiently precise
to enable one to distinguish between the various
kinds of events which might have given rise to
liability. It is submitted that it is perfectly
clear that in the courts below the matter proceeded
on the basis that I was putting to the Courtyesterday. For example, at page 375, in the
judgment of the Full Court, at line 12, the
Full Court says:
Both the date of injury and the
contribution points arose from circumstances
where a worker suffered a series of injuries,
each of which materially contributed to an
incapacity for which an award of workers'
compensation was made, and some
were pre and some were post, and at 381, at
line 22, the Full Court says:
In each of the cases which raise the point, it
was agreed that a worker had sustained a
series of injuries, each of which materially
contributed to incapacity.
And at 319 to 320 His Honour the trial judge
proceeds on the same basis. Your Honour Justice Toohey yesterday asked whether it was usual
in any circumstances to identify the injury in the
award and I think my learned friend suggested that
that did happen in relation to awards of weekly
sums. Our belief is that the answer is that it in fact never did happen in respect of any kinds of
injury. Reference was yesterday made to the
provisions of section 2C(ll), and in the transcript
at page 667 to 669, a copy of which can be supplied
to the Court if it is desired, my learned friend's
then junior, Mr Middleton, conceded that the
provisions of that section were irrelevant forpresent purposes.
| ACC(2) | 86 | 9/9/93 |
The last of the matters which arose in the
course of argument yesterday to which we wish to
refer was the question of whether the sum
compromised the position in between the black and
the white position. We think there possibly is because it depends on how recompense is calculated,
but the question is not one which really arises atthis point in this litigation because the question
is in each case: is recompense payable at all?The plaintiffs are saying: no, not at all.
| MASON CJ: | Mr Shaw, in the event that it does become |
material in our consideration of the matter to give
weight to the concession that you say was made,
there are two courses we could pursue. One, we
could ask Mr Merkel if he agrees with what you have
said on that topic or, alternatively, if not, we
ought to be provided with a copy of the transcript
which records the concession.
| MR SHAW: | If Your Honour pleases. We do have copies here |
which can be handed up.
MASON CJ: Thank you.
| DEANE J: | I do not quite follow what you have just said. |
| MR SHAW: | Which bit, Your Honour? |
DEANE J: That we are not concerned with the extent of
entitlement to recompense. Take, for example, the
position for which you are contending and that is,
for the purposes of the legislation, one can, as it
were, look beyond the award made against the last insurer and identify as it were the components of
that award from the viewpoint of the contributing
insurers. Now, without putting to you any suggestion at all as to the effect of the
legislation, one could envisage a circumstance in
which one would say, "Well, for the purposes of the legislation one therefore treats the insurers as
each entitled to make an appropriate contribution
and as each entitled to recompense from the fund by
reference to that contribution, and the result of
that is that the last insurer is not entitled to
any recompense at all in respect of its own
component of the total award. Do you follow the point?
| MR SHAW: | Yes, I do. |
| DEANE J: | Now, are you saying that that is something that we |
are not concerned with, that it suffices if we say, "Oh, here there are three contributing insurers and
the final insurer. The fund is liable to make recompense in relation to the additional amount
included in the contribution of the first insurer.
| ACC(2) | 87 | 9/9/93 |
Therefore, the fund is wrong when it says it does not have to make any contribution at all."
| MR SHAW: | Your Honour, there are two cases. | In one of the |
cases, which is Senzo, there were claims made by
all the insurers and that produced this doubling up
that we have already referred to. In the other case - - -
| DEANE J: | Now, in relation to that as I follow it, you say |
that the last insurer is entitled to make the claim but the claim has to be treated as encompassing the contributing amounts and the last insurer has to
adjust its receipts accordingly.
| MR SHAW: | Or alternatively, the claims might be made by |
each.
DEANE J: Right.
MR SHAW: In the other case - - -
DEANE J: That case raises the question I am asking you. Is
it sufficient if we say, because this is what I
understand you to say, "Well, whichever way you
look at it, some recompense is due in respect of
the first contributing insurer's portion and
Mr Shaw says we do not have to go any further."
| MR SHAW: | I do not know, Your Honour, that what I say has |
ever been accepted as leading to such a rapid
conclusion.
DEANE J: Assuming if what you say is correct - - -
| MR SHAW: | Your Honour, it really depends, I suppose, on |
whether, in that case, the question is, is nobody
entitled to recompense or are each of them entitled
to recompense. I had thought from the way in which - - -
| DEANE J: | I follow that is what you say, but if one |
disregards this legislation and were to ask, "What
would be the fair result here?", there is obviously
something to be said for the view that you look at
the individual contributions and you look at the
relevant injury or the relevant term of employment,and you answer by reference to those portions
whether, if they had stood alone, the individual
insurer would be entitled to recompense. Now, as I follow it, both arguments just pass that by as if
it is not involved in the case.
| MR SHAW: | Your Honour, we had understood, really, in |
relation to Senzo, that the question is, is nobody
entitled to recompense? If the answer is yes, that
is enough, that is wrong.
| ACC(2) | 88 | 9/9/93 |
DEANE J: Obviously that is so, if nobody is entitled.
| MR SHAW: | If the answer is somebody is entitled to |
recompense; it is enough to say that, but it really
does not raise - Your Honour, the Court has not
been taken to the pleadings, but the pleadings
raise a whole host of issues. There are estoppels
and all sorts of things, none of which are
presently relevant.
DEANE J: Can I just try and tie you down completely? Say,
in relation to Senzo, in looking at it, one reaches
the conclusion that whatever the result in relation
to other contributions, in so far as the first
contributing insurer's share is concerned, somebody
is entitled to compensation in relation to that,
because that insurer is required to contribute more
than it would have been liable at the time it went
off risk if the injury had occurred then. Well
now, is what you say, if we reach that, we finish
there and we do not go beyond it and say, well now
what about the second, third contributing insurer's
portion and what about the share which the final
insurer is landed with in any event?
| MR SHAW: | If Your Honour will permit me to be tied down in |
company? Your Honour, I shall get some
instructions on that matter. I think the answer is yes but, I should say this, the second case does
not enable that escape because of the circumstances
of it.
DEANE J: What, is not there a - - -
MR SHAW: There is only one defendant in that case.
| DEANE J: | And no contributing insurer? |
| MR SHAW: | No, there were three insurers, and a claim was |
made for recompense by the last, but not for the
whole amount as it were, and the question arises in relation to one of the others. So that the question, in that sense, is not escapable. If I
might now take the Court to the judgments below.
If I could first - - -
BRENNAN J: Could I just, before you get to there, I do not
wish to interrupt the flow of your argument,
especially if you are coming to this in the
contribution area, but is it right to say that the
absence of any profit on the part of the last
insurer is dependent upon the distribution of the
excess received being governed by the terms of the
agreement that was made between the insurers?
| MR SHAW: | I am not sure that I can answer that absolutely |
because the position of the other parties is also
| ACC(2) | 89 | 9/9/93 |
governed by the settlement agreement, so the whole
position as between them is regulated. If there
were not any agreement, it may be that the position
would be different as to who could make the variousclaims. I say that for this reason - and this will all arise in what I have to say about contribution: the right to claim recompense is given by the
statute to an insurer who pays, and it seems that
includes voluntarily, or is required to pay
recompense.
| BRENNAN J: | Or is required to pay compensation. |
| MR SHAW: | The additional amount, I should have said. | So one |
has to ask, in respect of an insurer who is saying
that he is entitled to claim recompense from the
fund, have you paid an additional amount or have
you been required to pay an additional amount?
Either of those seems to be sufficient. It is
obvious that no more than the largest sum of
recompense can be recovered in total. That is to
say, if one takes the earliest injury and looks at
the additional amount which is payable in respectof that, that fixes the largest amount of
recompense from the fund which can be available, as
it fixes the largest additional amount. How that is split up depends on when the injuries occurred,
the number of insurers in between and what thecontributions are as between them.
BRENNAN J: But if the compensation from the fund is
determined by reference to the liability of the
first insurer, then there must be some excess
somewhere because subsequent insurers were liable
for larger amounts.
| MR SHAW: | Your Honour, it all depends, in our submission, in |
the first place not on the position of the
insurers, it all depends on the position of the
employer, because it is the employer who is bound
to pay compensation and it is the compensation which includes the additional amount. So the first question is: is there an additional amount? In order to decide "is there an additional amount", one asks that question, it is submitted, about the
employer, and that arises from the nature of the
Act. Then when one comes to the insurers - take
the case of an award, for example: if there is an
award made and it is decided that it includes an
additional amount, then the question is, "Can
claims be made by the insurers for recompense for
the fund in relation to the payment of that
additional amount?"
| BRENNAN J: | Payment of what additional amount? |
| ACC(2) | 90 | 9/9/93 |
| MR SHAW: | The additional amount payable by the employer |
under the award which has been satisfied by the
insurer, whoever it is who has paid.
BRENNAN J: Ascertained by reference to the first date of
injury?
| MR SHAW: | Yes. |
| DAWSON J: | Why do you take the liability arising from the |
first injury rather than the liability arising from
the last injury?
MR SHAW: For this reason, Your Honour, that the statute
defines "additional amount" in a way which leads to
that consequence, because it defines it by
reference to increases in sums payable as
compensation in respect of injuries.
DAWSON J: If you take the last injury and the liability
arising from that, there is no additional sum
payable.
| MR SHAW: | Your Honour, that is true. |
DAWSON J: | I think this is the problem; there is nothing to indicate which you select. |
| MR SHAW: | If one has an award which is made in respect of a |
whole series of injuries, and some of them are
before the relevant dates then, we submit, the
position is that the amount - I have left out astep: if each of those injuries has materially
contributed to the relevant incapacity, then the
sum which is payable in respect of the incapacity
could have been recovered in respect of each of the
injuries singularly, but - - -
| DAWSON J: | The problem is that although they can be |
different injuries, there can only be one liability
and that is a liability to pay compensation in accordance with the Act, which is to pay weekly
payments and, of course, the lump sum is in
redemption of those weekly payments.
| MR SHAW: | Yes. |
| DAWSON J: | Now, it does not mean that you can go down the |
line and select one or other. Even though the award is in compensation of all the injuries, in
effect, if you are satisfying the liability which
arises from the last injury, there is no additional
payment. You say I should not look at that, I should look at the other one, but why?
| MR SHAW: | Your Honour, because that is what, in our |
submission, the Act says -
| ACC(2) | 91 | 9/9/93 |
| DAWSON J: | Where does it say it? |
MR SHAW: In the definition of "additional amount".
DAWSON J: It does not.
MR SHAW: Well, Your Honour, what it says is: one looks to see shether there is a sum payable as compensation under the Act in respect of, say, pre-1975 injuries
and the answer is, in these circumstances, there
is.
DAWSON J: If you take the first injury, well one of the
earlier injuries, but there is not if you take the
last injury. That is the dilemma; I mean I do not
know the answer to it.
| MR SHAW: | Your Honour, it is perfectly true what Your Honour |
has said to me, but the award is in respect of all
the injuries, and although it may be true
that -
DAWSON J: But, the award is not in respect of injuries.
The award is in satisfaction of a liability to pay
compensation in accordance with the Act. There is
only one liability. It may be triggered off by a series of injuries, but there is only one
liability, and if that liability can be satisfied
in a way that involves no additional payment, why
should it not be?
MR SHAW: Well, Your Honour says there is only one
liability, but if one considers the position of not
one employer but two - - -
| DAWSON J: | No, just take one for the moment. | I mean, the |
liability here is to make weekly payments. Now, presumably, the incapacity did not occur until, what, 1985 and up to that time the liability is
really only a contingent liability, is it not?
| MR SHAW: Well, I do not know about that, Your Honour - - - |
DAWSON J: Well, it is a liability to pay compensation in
accordance with the Act, compensation is only
payable when there is incapacity and you measure
the incapacity at the time ..
| MR SHAW: | Yes, that is true, Your Honour. |
DAWSON J: It is only a contingent liability up to 1983, and
the time that it becomes an actual liability there
is an employer, who is under a different Act, who
does not make an additional payment.
| MR SHAW: | I know Your Honour does not want to look at two |
employers - - -
| ACC(2) | 92 | 9/9/93 |
| DAWSON J: | I am putting this to you. | I am by any means |
convinced about it.
| MR SHAW: | In our submission, when one looks at the two |
employer situation, there has been an injury during
the course of each of the two employments which
materially contributes to the end incapacity. One then might get an award against each of them in
respect - - -
| DAWSON J: | You would have to select - well, I suppose you |
could claim against all of them, but there is only
the one incapacity, so - - -
| MR SHAW: | You could not get paid more than once, certainly |
not. But, you could have an award which was, I
mean, say it was for a lump sum, because it is a
bit more difficult to think of for practical
purposes in weekly payments, but you might get anaward of a lump sum as in the case I suppose, of
joint tortfeasors or something, which is a lump sum
awarded against the two employers. You can only obviously recover from one of them the whole, but
you might recover part from each, I suppose, if one
did not have enough money or whatever it was. So that, in our submission, that demonstrates that the
happening of the separate injuries, although it
does not crystallize into a liability to pay - - -
| DAWSON J: | But that is the important thing. | The error seems |
to be to think of the injury as giving a right to a
claim for something like damages and then when you get to the end to apportion it, but it does not do
that at all. The liability is really not a liability at all. It is at most, a contingent
liability, and when it becomes an actual liability,which is in 1985, it is a liability to make weekly
payments at that time and at that time the amount
of the weekly payment is fixed under the 1983 Act.
So that there is no additional amount payable. You cannot go back, because there never was a liability
in 1975 or 1973. All there was was an injury.
| MR SHAW: | There was an injury which gave rise at that time |
to a right to compensation.
| DAWSON J: | No, to a right to compensation if and when |
incapacity occurred, and it had not occurred.
| MR SHAW: | It had not then occurred, that is true, |
Your Honour.
| DAWSON J: | And it might never occur. |
MR SHAW: That is also true; the man might die. But one has
to look, it is submitted, because one is directed
to by the provisions of the Act, at the whole
| ACC(2) | 93 | 9/9/93 |
course of the injuries. One simply asks oneself whether the sum payable under the Act is increased
in respect of one of these earlier injuries. In
our submission, it is, albeit, as Your Honour says,
the incapacity has to occur before it crystallizes.
DAWSON J: But it is not increased because the incapacity
does not occur until the 1983 Act is in force.
| MR SHAW: | Your Honour, that would be so if the only - I |
suppose this is double Dutch, but if the only
injury were the last injury, of course that is so,
but it is not.
DAWSON J: Perhaps I will put it this way: the liability is
not a liability to pay anything when the injury
occurs. It only is a liability to pay something
when incapacity occurs. The payment is not increased, or the liability to payment is not
increased, if it occurs after 1983. That is theway I think it is put.
| MR SHAW: | Your Honour, in the present situation what might |
happen, although it has not happened in these
cases, is that a claim could have been made based
simply on the first injury. If that had been done,
then -
| DAWSON J: | It is still the same thing. | The liability to pay |
based on the first injury only arose after 1983.
MR SHAW: That is true, Your Honour, but if. -
DAWSON J: It is a difficult concept, a liability to do
nothing. I am talking about a contingent liability, but the liability to pay is the
important thing, because it is the payment which
you are looking at when you are talking about
increase.
| MR SHAW: | What one is talking about is an increase in the |
amount payable.
DAWSON J: There is no amount payable when the first injury
occurs. An amount only becomes payable when incapacity occurs.
| MR SHAW: | Yes, and in the present situation a worker could |
have sued had he chose in respect only of the first
injury and got the same award.
DAWSON J: But it would be still in respect of the post-1983
incapacity.
| MR SHAW: | Yes, yes it would. | But in those circumstances, it |
is submitted, there would clearly be an additional
amount.
| ACC(2) | 94 | 9/9/93 |
| BRENNAN J: | I can understand that, I think, Mr Shaw, but the |
one point I do not quite understand is why you say
in the case of Senzo, for example, that when he
discharged the obligation of the employer under the
award, what it did was to pay an additional amount. Why do you give it the character of a payment of an
additional amount as distinct from the character of
a payment under the then existing insurance
arrangements?
| MR SHAW: | Simply because, Your Honour, the award is made in |
respect of the whole string of injuries.
BRENNAN J: True, including the last.
MR SHAW: Including the last, yes.
| BRENNAN J: | So that to describe the award as having been |
made in respect of the string of injuries is to say
it is an award that is made in respect of
injuries - it is an award which, in relation to
some injuries, contains an additional amount; in
respect of other injuries, does not.
| MR SHAW: | Yes. |
| BRENNAN J: | Why then, since it is a single amount, do you |
ascribe to the payment - the character of a payment of an additional amount, leaving out of account the
fact that it is also a payment in respect of
something that is not an additional amount?
| MR SHAW: | Simply because, Your Honour, the award being an |
award in relation to the earliest injuries, each of
which themselves would have justified the same
award, in so far as it is in respect of those
injuries, the amount payable in respect of them has
been increased.
BRENNAN J: But that was not a payment for which C.E. Heath
was responsible. It was not liable for that.
| MR SHAW: | Your Honour, in our submission, the question about |
an additional amount has to be asked first in
relation to the employer - - -
BRENNAN J: True.
| MR SHAW: | - - - and the award is against the employer. |
BRENNAN J: True.
| MR SHAW: | If you like, imagine there were not any insurers, |
and one says here was this award against the
employer, it was in respect - the award was made in
respect of a string of injuries, each of which
would have justified an award in the same amount.
| ACC(2) | 95 | 9/9/93 |
When one asks oneself, "Is the amount payable by the employer under that award an amount which
includes an additional amount?", the way in which
one answers that question is, it is submitted, to
ask oneself whether the amount payable under the
award in respect of the earliest injury - say there
were two, rather than a number - has been increased
by virtue of a provision of the 1975 Act.
| BRENNAN J: | And the answer to that is, yes. |
| MR SHAW: | Yes. |
BRENNAN J: But is that the question? Or is the question,
when a payment is made, or a liability accrues to
make this payment, "Is the payment or the liability
to be given the character of a payment of anadditional amount, or not to be given that character?" And the Act seems to me to be
thoroughly silent as to that proposition; that
there are perhaps two indicia: one is, who makes
the payment, and was that paying party, in the case
of an insurer, liable in respect of the firstinjury? The second is: if the payment is to be
referable to the first injury, then why is it that
there is not, over a period, as in Senzo's case, an
inevitable over-compensation?
| MR SHAW: | Your Honour, if one takes the example that |
Your Honour was giving, and one has the award
against the employer, one has to ask oneself, it is
submitted, whether, under that award, an additional
amount is payable? I say that, Your Honour, because I have repeated the words of the Act,
section 2C says:
Where an additional amount is payable by an employer as compensation by virtue of
section 2A(3), so far as it ..... the employer shall ..... be entitled to be recompensed from
the Fund for that additional amount.
So that, it is submitted that the question is -
when we are looking at the question of recompense -
whether, that is the first question, an additionalamount is payable by an employer, and the
submission which we make is that it is payable by
the employer, albeit that the award being made in
relation not only to the earlier injuries but in relation to the later injuries, had it been made
only in relation to the last injury, for example,
there would have been no additional amount - - -
DAWSON J: You see, I do not understand that - well, I do
not understand quite a lot, that in particular -
because if there is an obligation to pay the whole
amount under the later Act in respect of the last
| ACC(2) | 96 | 9/9/93 |
injury, that must overtake any earlier obligations.
If you have an obligation to pay an amount
involving no additional amount, you do not have an
obligation to pay an additional amount because your
obligation must be the larger obligation.
MR SHAW: But, Your Honour, one may have an obligation to
pay amounts, which obligation being the same
obligation, arises from different sources.
DAWSON J: Well, I do not see that that is so, for the
moment.
| MR SHAW: | I suppose I have to go back to my example of the |
two employers.
| DEANE J: But does that really help you. | I mean - - - |
| MR SHAW: | I hope so, Your Honour. |
| DEANE J: | Does not your example of the two employers really |
indicate that there is a problem where there are
two employers that is not involved in this case?
MR SHAW: Well, there is certainly a different problem,
Your Honour, yes.
DEANE J: Ultimately, after all this, do not we come down to
the simple question whether the employer has to
pay, and pay is the operative word, an additional
amount by virtue of the retrospective provision?
| MR SHAW: | No, Your Honour, in our submission that is not the |
question. The question, if you delete out the insurers for a minute, the question in relation to
the employer is not whether an additional amount
has been paid - - -
| DEANE J: Is payable? | |
| MR SHAW: | But whether it is payable. |
DEANE J: Yes. If you go to 130 in the statutes, and I am
asking, even though I might sound as if I am
saying, because it seems to me I am beginning tounderstand what the case is about. Ultimately,
does it not come down to the construction of 2C and
the question whether in this case an additional
amount is in fact payable for the reason that the
increase in rates was made retrospective? Now, if one looks at it and says, "Cut out subsection (3)
and you find that the one employer has to pay at
the increased rates because a contributing injury
occurred after the date of the increase", must you
not necessarily answer 2C in the negative, and that
| ACC(2) | 97 | 9/9/93 |
is, he would have had to pay those in any event,
quite apart from the retrospective clause?
| MR SHAW: | Your Honour, the first question is, is there an |
additional amount payable. In our submission - - -
DEANE J: No, that isolates the question; the first - - -
| MR SHAW: | One has to go and ask other questions, it is true. |
| DEANE J: | The only question is, is an additional amount |
payable by virtue of. I mean you cannot say, "Oh there is an additional amount, or an additional
amount would have been payable in different
circumstances". The only question is, does
section 2A(3), by imposing retrospectivity, make an
additional amount payable to that which would have
been payable in any event?
| MR SHAW: | Yes, Your Honour. | And, the significant thing is, |
we submit, that the right to compensation is given
in relation to employers where an additional amount
is payable.
DEANE J: Let us look at the one employer and you say, "Well
now here the incapacity resulted from injury both
before and after the commencement date." That
being so, if you delete subsection (3) he is liable
in relation to the incapacity by reference to theincreased rates because injury after the
commencement date was a significant contributing
factor to the incapacity.
| MR SHAW: | Yes. |
| DEANE J: | Then why is that not the end of it? |
MR SHAW: Because, Your Honour, subsection (3) is there, and
because that makes payable as compensation in
respect of the earlier injuries, an increased
amount. And, Your Honour, in our submission, you simply could not have an award in the form of this
award, covering all the injuries as it does, for
the $20,000 or for the amount which is fixed,
without the operation of subsection (3) because, inrespect of the earlier injuries, a smaller amount
would have been payable and you simply could not
make an award of that amount in respect of the
earlier injuries.
| DEANE J: | I understand that. | What would be put against you, |
I would have thought, would be, for relevant
purposes, if all those periods of employment
constitute significant contributing causes to the
incapacitating injury, the relevant question, when
one looks at that award, is still, "Has the
retrospective provision increased the employer's
| ACC(2) | 98 | 9/9/93 |
liability to pay?", and the answer is that it has
not.
MR SHAW: Well, you see, Your Honour, in our submission,
that cannot be the question and the reason it
cannot be the question is because of the definition
of "additional amount". And "additional" amount is
defined, not in terms of what is payable, fullstop, but in terms of what is payable in respect of
particular injuries. So that it is true one might get a different answer if one stopped at "payable",
but when one goes on and sees that it is payable in
respect of a certain kind of injury, then one has
to ask oneself, not is the amount of the awardincreased but, in respect of these injuries, has
the amount payable been increased. And the answer to that is, it has. It is perfectly true it has
not been increased in relation to the later ones,
but it has in relation to the earlier one. So that one has an obligation which includes an additional
amount.
| DEANE J: | I follow that. | I just say that it seems to me the |
answer to that may be that it is one thing to ask
what is the injury but, having said that, if you
are asking it in a meaningful sense, you then have
to ask: what is the relevant period of employment?
If a period of employment includes employment which significantly contributed after the commencement date, that is the relevant period of employment for the purpose of the subsection (3) question.
MR SHAW: But, Your Honour, the liability arises not out of
employment, but out of injuries arising in the
course of employment.
DEANE J: Yes, but the additional amount definition focuses
on the period of employment.
| MR SHAW: It focuses, Your Honour, on | ||||
| DEANE J: | I cannot find it now, Mr Shaw. | |||
| MR SHAW: |
|
focuses on injuries arising before a certain date.
| DEANE J: | No, injury arising out of or in the course of |
employment.
| MR SHAW: | Yes, absolutely. | In our submission, that means in |
respect of an injury of a worker arising before
1 July 1975 out of or in the course of employment.
| BRENNAN J: | The problem is that additional amount is a |
definition which is hinged on a pre-1975 injury.
It says nothing about compensation which arises
from a post-1975 injury.
| ACC(2) | 99 | 9/9/93 |
| MR SHAW: | No, it does not. |
BRENNAN J: But that does not really answer the question
that if there be a liability which can be described
as including an additional amount and the same
liability in terms of quantum and the obligation todischarge does not contain an additional amount,
how one characterizes a payment that is made in
discharge of that liability. All that you can say
is that looked at from one point of view, this
contains an additional amount. Looked at from
another point of view, it does not.
| MR SHAW: | Your Honour put the question, or the suggestion, |
in terms of payment and the definition is not in
terms of payment.
| BRENNAN J: | The liability is, if you look at 2A. | The |
obligation to pay is only - the application of the
amending Act is contingent upon the making of a
payment.
| MR SHAW: | But that is so far as they relate to rates or |
amounts of compensation payable, and so on.
BRENNAN J: Yes. When absent 2A(3), there would be no
additional amount.
MR SHAW: No, there would not. That is true. If I might
take the Court briefly to, first of all, what was
said by the trial judge at 334 to 335. That is in
the course of His Honour's reasons in relation to
Senzo, and it will be seen at 335 at line 12 that
he adopts, in relation to the first defendant,
which is the last insurer, his reasoning in
relation to Fonyodi and the passage in relation to
Fonyodi will be seen in the course of His Honour's
reasons about that case beginning at page 316. At
318 His Honour sets out the effects of the Workers
Compensation Act and its effect on the way compensation is payable. Going to 320 at line 13, His Honour says: In order to determine whether the award
of $20,000 compensation made on 8th October
1985 included any "additional amount" it is in
my opinion necessary to ask and answer the
question: for what was the compensation of
$20,000 awarded? In terms it was "in
settlement of all other forms of future
compensation in respect of all injuries
arising out of or in the course of" the
worker's employment with the employer.Liability for compensation arose only under
s.5 of the 1958 Act ..... It does not accord
with the agreed facts or the common sense of
the case to say that the compensation was
| ACC(2) | 100 | 9/9/93 |
referable only to the last injury that
contributed to incapacity in January 1983. Liability for compensation attached at the
time of occurrence of each injury arising out
of or in the course of the worker's employment
by the employer and in my view it is not
correct to say that the compensation was not
referable to each of the admitted compensable
injuries suffered by the worker.
And then he goes on to deal with the effect of the
amendments and, at line 13, says:
The insurer paid "additional amounts" and,
subject to one further argument for the
plaintiffs that I must notice, was entitled to
recompense for those amounts .....
The further argument was along the
following lines. Acceptance of the
submissions for the defendant involves a
recognition of the fact that the defendant
paid compensation for which the employer
became liable under s.5 at times before the
defendant became the employer's insurer. It
would have been open to the worker to have
relied on any of the injuries he suffered (all
of which materially contributed to his
incapacity in respect of which the award of
compensation was made) in order to support the
award: Bushby v Morris, (1980) NSWLR 81. The employer would therefore have been entitled to
claim indemnity for the whole award from any
of the four insurers who, between them,
provided cover during the period of Fonyodi's
employment.
Then he says, "As a matter of practicality" the way in which the thing was conducted depended on the
contribution agreement and, at line 12: it is argued that the defendant, if it succeeds in this case, would in truth obtain recompense as to the whole of the "additional
amounts" by virtue of the Contribution
Agreement and not because it had paid them "byvirtue of" the relevant provisions of the 1958 Act. And then he goes on and says, at line 20:
The insurer can obtain only so much recompense
as could have been obtained by an employer
whose insurer he is, but if the insurer
indemnifies the employer he can obtain all the
recompense that the employer would have been
| ACC(2) | 101 | 9/9/93 |
entitled to obtain had he paid the
compensation.
And then he comes to the conclusion, and he refers
to a case where that position was arrived at. That
is the case referred to at 323, at line 14,
Australian Eagle, a case which was not referred to
in the MIM case, to which I will refer a little
later. And the same line of reasoning is adopted by the Full Court, commencing at page 389 and going
through to 392.
Going back to the outline: I have already
made the submissions which are contained in
paragraph 7. We go on in paragraphs 8, 9 and 10 to deal with the statutory scheme argument. In our submission, when one looks at the terms of the
speeches that my learned friend referred to, both
simply by page reference and by reading out the
passages to the Court - I shall not go to those
passages but they are, in our submission,
completely neutral. In our submission, there isnothing to be found in the terms of the statute or
in the speeches which lead to any different
conclusion than the conclusion one reaches by
simply reading the terms of the statute.
| BRENNAN J: | Mr Shaw, in paragraph 8 you say: |
Obtaining recompense would have been no
windfall to the employer.
Could I just ask how that operates in the case of
Senzo - and I am looking at tab 3 of the
appellants' papers. If the employer had paid the
amount of $20,000 and claimed recompense on the
footing that that $20,000 was in respect of an
injury occurring in 1973, why would he not have had
a windfall?
| MR SHAW: | I am sorry, I have lost the thing, Your Honour. |
BRENNAN J: It is simple enough, I think. If you take the
first - - -
| MR SHAW: | What page is it, Your Honour? |
| BRENNAN J: | Tab 3. | If Heath paid the $20,000 awarded and |
then claimed recompense on the footing that the
relevant injury occurred in 1973, why would there
not have been a windfall to the employer?
| MR SHAW: | Your Honour will recall that what happened was |
that the funds were set up and financed by
prescribed surcharges and contributions on
premiums. They were collected by the insurers and
then paid on to the various funds. So that, I
| ACC(2) | 102 | 9/9/93 |
suppose in a way, one was insuring oneself against
the liability to pay an additional amount. That is not an accurate way of describing it, but employers
were being charged an amount of money which was
paid into a fund which was intended to be paid out
to meet any additional amounts which the employer
had to pay.Perhaps I should also say this: the amount of
the surcharge or contribution, a maximum was fixed
in the statute - it was up to 40 per cent - but
what exactly it was was to be determined by
regulation. There is really no evidence at all as
to either how the contributions or surcharges were
fixed - by reference to what possible claims, I
mean - nor is there any evidence at all as to how
the insurers, when they were fixing their own premiums for subsequent policies, fixed their
premiums.
My learned friend, in his submissions,
suggested that the premiums by the insurers were
fixed on the basis that if a later injury occurredthey would be wholly liable in respect of it, but
there is simply no evidence about that, nor is
there any evidence about the way in which
contributions were fixed, and the other is just as
likely - - -
BRENNAN J: Well, putting it another way, if the employer
had claimed the recompense, he would have got
60 per cent back into his pocket, is that right?
| MR SHAW: | Yes. |
BRENNAN J: And, if C.E. Heath claimed the recompense they
get 60 per cent back into their pocket?
| MR SHAW: | Yes. |
| BRENNAN J: But, in distributing the 60 per cent to the |
previous insurers they pay them only respectively
9.7, 17.8, 24.3 and 42.68, is that right?
| MR SHAW: | Your Honour, I am not quite sure what the |
percentages were -
BRENNAN J: Well, whatever the percentages are. They are
less than 60, so Heath ends up with a profit?
MR SHAW: Well, Your Honour, no, all that would have
happened is that the amount for which it was liable
would have been reduced.
| BRENNAN J: | Amount for which what would have been liable? |
Heath pays $20,000.
| ACC(2) | 103 | 9/9/93 |
| MR SHAW: | Yes. |
BRENNAN J: It is to get 60 per cent back on recompense, on
your argument; what does it do with it?
| MR SHAW: | It shares it amongst the people who are entitled. |
BRENNAN J: Well, somebody must be getting a profit, because
those subsequent to Bishopsgate were liable under
their policies for an amount which exceeded
40 per cent.
MR SHAW: Well, that depends, Your Honour, on how one
regards the operation of the funds and the payment of the premiums, and how they were all calculated.
In our submission that does not necessarily follow
at all.
BRENNAN J: Well, does this follow, that if a claim had been
made against Mercantile Mutual, to take an example,
in respect of the injury which occurred on 1 July
1980, it would have been entitled to recompense in
an amount of 24.37 per cent, or whatever it might
have been, of the amount paid out.
| MR SHAW: | Yes. |
BRENNAN J: Whereas now, under your argument, it will
receive a recompense of 40 per cent.
| MR SHAW: | I am sorry, I think I got a little lost, but it |
would, according to our submission; be entitled to
claim recompense on the 40 per cent-odd basis.
BRENNAN J: That is right.
| MR SHAW: | Yes, Your Honour. |
BRENNAN J: In other words, its position has been improved
by the fact that the claim was not made in respect
of an injury covered by its policy; not claimed specifically in respect of an injury covered by its
policy.
| MR SHAW: | Yes. | By reason of the arrangements between the |
insurers. If I might now go to the contribution
point - - -
| DEANE J: | Mr Shaw, before you do that, and I do not want to |
take time, I would just like your answer to this,
as I read Justice Tadgell's judgment at the pages
you referred us to, it seems to weigh against
rather than in favour of your argument that
C. E. Heath is entitled to recompense in respect of
its period of cover, or in respect of the
proportion of the employment in its period of
cover. Do you follow my question?
| ACC(2) | 104 | 9/9/93 |
| MR SHAW: | Yes. |
DEANE J: Am I wrong in that, or - - -
| MR SHAW: | No, I think you are right in that, Your Honour. | ||
| DEANE J: |
| ||
| MR SHAW: |
|
directions of the Treasurer are referred to in the
judgments below at 258 and 265 and in the
Full Court at 375. The sections of the Act in relation to the insurers are 2C(7), that is to say:
where an insurer pays or is required to pay an
amount under sub-section (5), the insurershall be entitled to be recompensed -
So that if the insurer is required by the Treasurer
to pay on behalf of the employer any additional
amount, he is entitled to recompense, and he is
also entitled to recompense if he pays. Dealingwith the last insurer first, I have already taken the Court to the passage I think that Your Honour
just referred to at 321 in the judgment of
Justice Tadgell and, in our submission, one may say
in respect of the last insurer that it has not only
paid, but been required to pay, since it was an
insurer on risk. At 389 to 90 the Full Court
examines the operation of these provisions and at
the top of page 389 says:
it must be borne steadily in mind that the
sections require the identification of an
additional amount that is payable by an
employer and thus invite attention, at least
in the first instance, not to any question of
the liability of an insurer but to the
liability of an employer to the worker. Once this is recognized the fundamental error in
the appellant's submission is apparent. The first question is whether an employer is
liable to pay an "additional amount". If the
employer is liable, the next question iswhether an insurer "pays" or "is required to pay" that amount on behalf of the employer. The fact that an insurer may otherwise have been obliged to outlay the same amount of money is irrelevant to the question whether a payment by it discharges a liability of the employer. Further there is nothing in the sections which suggests that the insurer may seek recompense only if it has discharged the
employer's liability to the worker incircumstances where it would not otherwise
have been liable to outlay the amountconcerned or only where it makes the payment
| ACC(2) | 105 | 9/9/93 |
pursuant to a statutory, as opposed to
contractual, obligation to do so. Rather the
sections invite attention to the two questions
that we have identified - is the employer
liable to pay an additional amount; does an
insurer pay, or is it required to pay that
amount on behalf of the employer?
Then, going over to page 390 at line 6:
The right of an insurer to recompense
arises if it "pays or is required to pay an
amount" under section 2C(S) or 2G(l).
And they go on and examine that question and come
to the conclusion that an additional amount is in
fact payable and in fact has been paid. My learned friend made two submissions: one rested on the
meaning of "by virtue of". "By virtue of", I should say, appears in the definition of
"Additional Amount" and in the section which gives
the Treasurer the right to require an insurer to
pay and, in our submission, when one looks at where
the words "by virtue of" appear in the Act, all
that is being referred to is compensation which ispayable or an increase which follows from the
various provisions which are referred to.
When the insurer is referred to in
subsection C(S), it is submitted that the power
given to the Treasurer extends to any insurer of
the employer who is on risk. At 335, in the
judgment of Justice Tadgell, he commences to deal
with the question of the ability of the other
insurers to claim, and he concludes that they do
have an ability to claim. At the bottom of
page 336, at line 18, he points out that the
settlement of the contribution agreement was a
practical necessity and says that, at line 22:
The practical effect of the contribution Agreement and its implementation in the
circumstances of this case was, in my opinion,
to constitute the firstnamed defendant agent
of the other defendants for the purpose of
settling the employer's claim for indemnity.
The effect of the satisfaction by the
firstnamed defendant of the worker's claim
against the employer was as though the
firstnamed defendant had discharged on behalf
of the other insurers their due obligations to
the employer to indemnify him in the
proportions of their contribution to the firstdefendant. That is to say, payment by the
first named defendant was made for the benefit
of all defendants.
| ACC(2) | 106 | 9/9/93 |
And then, going down to the bottom of page -
| BRENNAN J: | Why would there be an agency on behalf of the |
other insurers if the employer sought payment only
from the insurer who paid?
| MR SHAW: | Your Honour, because of the effect of the |
settlement and contribution agreement - if I might
take Your Honour to the next page. After
His Honour saying that he would not construe the
contribution agreement technically, at line 4 on
page 338, he said:
I was also invited to conclude that there is
no evidence that the firstnamed defendant, who
met the claim in accordance with the
Contribution Agreement, did so on behalf of
others. I do not agree. Indeed the
communications between the defendants entirely
support the conclusion I have drawn.
What he is referring there to is this fact, that
what one is concerned with here is dealing with the
claim and in the end making the payment. The question is, in doing that, was the last insurer
acting as the agent or for the others? If one
looks in paragraph 16(a) of the outline,
Your Honour will see that there is a reference at
the end of paragraph (a) to a series of pages in
the appeal book. Those pages contain
correspondence between the last insurer and the
other insurers; the last insurer writing and
saying, "Well, here this claim has been made
against us and we want to act pursuant to the
settlement and contribution agreement on behalf of
you because you were on risk, too; do you agree?"
The letters show that they did and they agreed
to pay contributions. That all occurred before the
award was made. So that, in our submission, there is quite considerable evidence that the last
insurer was acting for the others. That the
insurer was acting on behalf of the employerappears at page 113 in paragraph 17 of the agreed
facts.
| BRENNAN J: | Does it follow that because the last insurer was |
acting with the authority of the previous insurers, that the payment which that insurer makes should be
invested with the character of a payment made of
the several amounts for which the previous insurers
were liable?
| MR SHAW: | The way in which the contribution agreement is |
drawn up certainly means that as between the
insurers that is so.
| ACC(2) | 107 | 9/9/93 |
BRENNAN J: | Of course, but that may not be the relevant relationship. | I would have thought the relevant |
relationship was the relationship between the last
insurer and the employer.
MR SHAW: That is certainly a relevant relationship,
Your Honour, yes.
| BRENNAN J: | I would have thought that that was the relevant |
relationship that one would look to in order to
give a character to the payment that was made. The
employer resorts to the last insurer for indemnity.
The last insurer takes over the conduct of
litigation and makes the payment, and the employer
is thus discharged. The employer knows nothing of
the agreement between the previous insurers. He simply resorts to his current insurer and has the
liability satisfied.
| MR SHAW: | Your Honour, that ignores the circumstances in |
which the settlement and contribution agreement
came into existence. It came into existence
because, in circumstances like Senzo where the
employer made a claim on the last insurer, the last
insurer had begun, in many cases, to say, "I will
not pay because there are other insurers who are
relevant", and that had led to a great deal of
difficulty because everybody had to be joined and
the thing became terribly complicated. It was out
of those circumstances because the government said,
"Look, really, this cannot go on because workers
are not being paid when they ought to be paid
because there is this difficulty about which of the
insurers is liable. Something has to be done or we
will legislate in order to fix it." It was out of
those circumstances that the agreement was drawn up
and in fact nearly all insurers adhered to it.
That circumstance is referred to by His Honour - I
will have the passage turned up.
What we submit is that in relation to those
other insurers they paid because of the
contribution agreement, and they were required topay because of the Treasurer's requirement and,
accordingly, they too were entitled to recompense
in accordance with the terms of the Act. We go on in paragraph 17 of the outline to deal with the
situation if, instead of the settlement of
contribution agreement having been drawn up to
provide for the last insurer to deal with the
matter as it provided for the earliest and if, in
fact, the claim had been made on the earliest, it
would seem that, in those circumstances, a claim
for recompense could be made and, in oursubmission, the fact that the other solution was
adopted ought not make any difference.
| ACC(2) | 108 | 9/9/93 |
Now, if I might last go to the question of
contribution, apart from the settlement of
contribution agreement, because it was accepted
below that had there not been such an agreement
there would have been a right at common law or
equity to contribution. My learned friend suggested, as we understood him, that contribution was confined to cases of double insurance. In our
submission that is simply not so; contribution
applies in all sorts of circumstances.
For example, it applies as between co-
sureties, it applies - in some circumstances at any
rate - as between joint tortfeasors, and it is true
that in England, Merryweather v Nixan limited the
extent of contributions between co-tortfeasors, but
that was done on policy grounds. It is clear from Palmer v Wick in the Privy Council, 84 AC 318, it
is case 18 on our list of cases, that contribution
is available, at least in Scotland, on that basis.In Stoljar's Law of Quasi-Contract he refers to, at page 152:
contribution is available as between joint
debtors, as well as between co-trustees,co-partners or co-directors.
And he refers, for example, to an instance given by
Lord Kenyon in Child v Morley, where Lord Kenyon
said:
I remember a case in Rolle's Abridgment, where a party met to dine at a tavern, and after
dinner all but one of them went away without
paying their quota of the reckoning, and that
one paid for all the rest; and it was holden
that he might recover from the others their
aliquot proportions.
Other examples are, for example, granting a rent
charge out of land, then selling the land inseparate portions; the charger then taking all the
rent from one of the new proprietors and that
proprietor is entitled to contribution from the
other proprietor. So, in our submission, it isperfectly clear that contribution is available in
very many circumstances as the Full Court says.
Then my learned friend said that the case of
Albion, 121 CLR 342, demonstrated that there was no
double insurance here and he referred to what was
said by the majority of the Court at 345 to 346.
In our submission, assistance may be derived from
that case, but more assistance is derived by
reading, on page 346, a little further than he
| ACC(2) | 109 | 9/9/93 |
read. There the two insurances were an insurance,
one, to:
indemnify the Employer -
this is at the bottom of page 343 -
against liability to pay damages at Common
Law ..... in respect of, personal injury to any
employee who is a worker within the meaning of
the Workers' Compensation Act.
And the other insurance was an insurance against
death or injury caused by or arising out of the use of a motor vehicle and Mr Justice Myers had come to the conclusion that they were not the same risk.
And in the middle of page 346 they set out what
His Honour said:
The plaintiff insured against the risk of a
servant becoming entitled to compensation from
his employer for any injury in the course of
his employment, whether the right tocompensation arose from the insured's
negligence, or not. The defendant insured against the risk of any person becoming
entitled to damages for injury arising out of
the use of a motor vehicle caused by the
negligence of the insured. I do not think that it can be fairly said that the insured
company insured against the same risk with
both the plaintiff and the defendant.
The Court goes on:
It is at this point that we, with
respect, have come to a different conclusion
from that of his Honour. It seems to us that
each policy did cover the very risk against
which the policy holder did seek indemnity
from one of the insurers. The matter can, we think, be decided simply enough by inquiring whether payment by one insurer of the policy
holder's claim for indemnity would provide theother insurer with a defence to a like claim against it.
If one asks that question here, one does have, it
is submitted, double insurance. My learned friend referred to Manufacturers Mutual Insurance v National Employers' Mutual General Insurance
Association, 6 ANZ Insurance Cases. The argument of those two cases took half a day. The judgment was unreserved and the court was not referred to
the Australian Eagle case that I referred to
earlier. Moreover, if one goes to the report at
| ACC(2) | 110 | 9/9/93 |
page 76,964, in the second column, the first
complete paragraph, Justice Samuels says:
The principles of double insurance, I
have said, were debated below, but received a
rather more cavalier treatment on the appeal.
Mr Grieve first repudiated reliance upon those
principles but then recanted, and
Mr Puckeridge moored himself firmly in the lee
of the doctrine so that I must refer to it
first of all.
So that double insurance did not appear to loom
very large in the argument. But going down to the bottom of that column, His Honour says:
Furthermore, double insurance requires
that each insurer is liable to pay the whole
of the indemnity. That seems to have been
accepted here because of the way in which the
claims have been made by the appellants.
Mr Grieve, when asked, conceded that in MMI's
case a claim made against NEM in respect of
the relevant incapacity could not have
succeeded, and I would entirely agree.
So it is in fact very, very difficult to discover
what the facts are but, if that is so, then of
course the test in Albion was not satisfied but
satisfied for that reason rather than the reasons
which His Honour gives. Going back to the
paragraph immediately before the one which I just
read, which is a passage that my learned friend
referred to, His Honour said:
It is possible that one could have two
employers' indemnity policies on foot at the
same time. But when one is dealing with
consecutive policies, as one is in the present
when one policy insures against liability for appeals, I do not see how it can be said that the employer is insured against the same risk injuries occurring in one year and the other
policy against liability for injuries
occurring in another.
His Honour goes on:
It is not to the point to argue that a different result may ensue if ultimately, incapacity arises from a disability in which
the consequences of both those injuries are
implicated.
Which would seem to be the present case:
| ACC(2) | 111 | 9/9/93 |
That injury - that amalgam, if I may term it so - is not the same as the two independent
categories of injury against which the two
policies separately insured. The employer's liability for the combined effects of two
injuries is not congruent with the several
liability flowing from each of two separate
injuries.
So, the facts, just in so far as one can tell, seem
to be entirely different. There, in fact, is a
case where consecutive insurances were held to give
rise to double insurance. That case is Keene
Corporation v Insurance Company of North America
and Others, (1981) 667 Federal Reporter, 2d series,
1034, 1050-1051. It is a decision of the Federal
Court of Appeal of the United States.
Might I add two further things. The first is
in relation to the meaning of "by virtue of". My learned friend suggested, as we would understand
it, that in fact the increases were affected by
reason of the provisions of section 5 and 9 and
perhaps 11 of the Act, or the amendments to them,
and not by virtue of the provisions of
section 2A(3). If my learned friend were right in
that it would lead to the consequence that there
never were an additional amount because all the
increases were affected that way, if one looks at
it in that sense. In our submission, it cannot
mean that.
The second matter is this - most of this I
have said before, but not all of it - it relates
really to what Your Honour Justice Deane said about
black and white. I said to Your Honour that really
the question of what the amount of recompense was
did not arise, and Your Honour said, "Well, it may
arise incidentally if one is concerned with the
position of one insurer who may not be entitled at
all". So, in that sense one does have to deal with
it, and we accept that, but they are, it is submitted, separate questions, whether somebody is
entitled to recompense and, if so, how much, how
one works it out.
There are various possible ways of working it
out and some ways of working it out might lead to
greater recompense than others. One reason for working it out in a way which produces a smaller
amount would be, of course, that it eliminates or
reduces a profit, which might otherwise result if
that were so.
I said I would hand up the copies of the
transcript where that concession was made, and
these are they. The other thing I had to do was
| ACC(2) | 112 | 9/9/93 |
find the passage that recounted the circumstances
in which the settlement and contribution agreement
came into existence. I have not yet found that.
BRENNAN J: But your submission would be that once it is
found, those circumstances are such as not only to
account for the agreement but to give theagreement, as it were, such a customary force that
those who are in the business of insuring must be
taken to know that their relationship with their
last insurer is governed by the terms of the
agreement.
| MR SHAW: | Yes, Your Honour. |
BRENNAN J: That is a very wide proposition, is it not?
MR SHAW: It is, Your Honour, but where one has the
circumstances that I related to Your Honour and the
evil is remedied in that particular way, it is
really providing for, amongst others, employers a
way of dealing with the problem which had arisen
which was, as it were, for everybody's benefit.
| BRENNAN J: | Do you contend that the evidence goes as far as |
establishing a custom of the market?
| MR SHAW: | No, I do not. |
BRENNAN J: Then, if you do not, is the evidence material?
Or put in another way, is there some other finding of fact which would bind the particular employer?
MR SHAW: There is not any finding in relation to the
particular employer, no, Your Honour.
BRENNAN J: Absent a finding a fact affecting the particular
employer, so that we can get an understanding of
the particular relationship between that employer
and the last insurer, and absent a custom of the market, is there any other way in which the
existence of the agreement could give colour to the
relationship between the employer and the last
insurer?
| MR SHAW: | I suppose, Your Honour, simply as colouring the |
approach of one of the parties to that relationship
which, in our submission, is sufficient in the
present circumstances. I will find the passage, Your Honour.
BRENNAN J: Yes, thank you.
| MASON CJ: | Mr Merkel? |
| MR MERKEL: | If the Court pleases, at paragraph 17 of my |
learned friend's outline he referred to certain
| ACC(2) | 113 | 9/9/93 |
suggested concessions of counsel before
Mr Justice Tadgell. Can I just point out that what is there referred to were matters stated in
argument and closing addresses, and the matter was
conducted in the Full Court in a way that was quite
different to those concessions and, indeed, if I
could give Your Honours the reference, at appeal
book 389, at lines 10 to 15, and 391 to 392. It is
clear that the matter conducted in the Full Court
was on the same basis as conducted here. That is,
that where there are post-amendment date injuries
there is no additional amount so, we say, it may be a good debating point before the Full Court, but itis not a matter of relevance before Your Honours.
My learned friend kept seeking resort to the
problem that arises with different employers as if
it somehow throws light on the present problem and,
we say the simple reason why it does not is that
the Act in 2C(l), (5) and (7) focuses on the
liability of the employer. So, that if a liability of an earlier employer is increased, then the Act
has its own scheme for that employer, but where
there is only a single employer the issues arise,
as we have put it in our submissions in-chief, so
that there is no inconsistency between the two
situations.
My learned friend also sought to say there was
neither windfall nor profit in the Heath situation.
Can I just give Your Honours the appeal book
references. At appeal book page 333, the separate
amounts received in Senzo by way of recompense, as
claimed, were Royal $1590.35, NEM $949.20,
MMI $5568 and Bishopsgate $1012.40, so the total
was $9119.95. C.E. Heath claimed, and received,
recompense of $13,012 therefore having a net
recompense in excess of the others of $3892.05.
Now, Your Honour Justice Brennan took my
learned friend to tab 3 of Senzo to indicate the windfall for the employer and the insurer, and my
learned friend gave an answer to Your Honour which
was, in fact, inconsistent with the decision of the
Full Court. Could I just take your Your Honours
briefly to the Senzo chart because it makes a point
that that profit was not accidental, and was quite
real. What my learned friend said to Your Honour is that each contributing insurer is entitled to
recompense in respect of the hatched portion. So,
that when Your Honour gave him the example of
Mercantile Mutual by claiming an earlier date would
get recompense for 42.68 per cent rather than the
24.37 per cent, in fact, the Full Court by
accepting that recompense is based on the earlier
state, which goes back to January 1973, and that
appears at appeal book 391 and 439, means that the
| ACC(2) | 114 | 9/9/93 |
profit made by Heath, by the court's acceptance of
its claim, as a proper claim, draws the line
across, as a hatched area, with a total recompense
of 60.39 per cent for the whole of the period.
So that, what Your Honours said to my learned
friend is a windfall for the employer because he is
liable, without any retrospectivity, for 100 per
cent of the claim, and yet can get 60 per cent
recompense, and likewise the insurer, indemnifying
him, is liable to indemnify for 100 per cent, yet
gets recompensed for 60 per cent. Each of thecontributing insurers only claim recompense in
respect of an injury during their period. So that, there is a windfall in the result and, we would
submit, that flows from the Full Court's reasoning
that one draws the line often ignores in totality
any post-amendment injury and, indeed, the fact of
it.
The question was also raised about the fact
that a contributing insurer may be treated unfairly
on the submissions we have put, and we said to
Your Honours, and we would wish to emphasize that
if apportionment was carried out in accordance with
the principles that my learned friend contends for
in Albion, it would have been by reference to the
amount of insurance they had each insured, or
indemnified the employer for, because for those
earlier insurers the statutory requirement did notoperate to require them to pay an amount on behalf
of the employer. It operated only in respect of the last insurer and there was no additional
amount.
So that is unfairness flows, it comes from the
manner they selected of apportionment, which was
not by reference to the amount they were insured
for, and the equity of that is demonstrable because
their insurance was based on a premium for that quantum. Heath's insurance was based upon a
premium for its quantum. So that apportionment in accordance with the contribution principles my
learned friend has contended for would not have
resulted in unfairness. So that, if there is that result, we do not concede there is, it is
irrelevant to the present case because Your Honours
could not assume that the manner of apportionment
was correct.
I should also mention that Your Honour
Justice Brennan pointed out to my learned friend
that 2A(3) hinges upon payment. Can I just indicate to Your Honours that the regulations which
govern entitlement to recompense also, themselves,
require payment before an entitlement arises. If I
can just give Your Honours the references in the
| ACC(2) | 115 | 9/9/93 |
legislation book volume 2. The 1975 regulations
are at 282, the 1979 regulations are at 288, and
the 1985 regulations in this regard are at
pages 301 and following. So that my learned friend's emphasis on a liability increasing by a
requirement to pay, in fact is not the entitlement
that is required in accordance with the regulations
and no suggestion as to invalidity has been made
concerning them.
It was also put by my learned friend that
Your Honours can analyse this entirely in the
context of the position of the employer. That is
right, but only so far as it goes. If an employer is not entitled to recompense, then there is no
additional amount. If an employer could have been
entitled to recompense, had it been an earlier
injury only in respect of which the claim was made,
one still has to go to the insurer to look at who
made the payment. In that sense, 2C(S) makes it
clear that the insurer's entitlement stems from it
paying on behalf of the employer and, because of
the Treasurer's requirement under 2C(S), the scheme
ultimately recompenses to recompense insurers and
only insurers because employers, by the statutory
scheme, were indemnified against any liability
under this scheme once the Treasurer's requirement
had been made.
Could I go finally to the question of
contribution. My learned friend put to Your Honours that under the contribution and
settlement agreement, an agency was created. We would say to the contrary; clauses 2 and 3 of that
agreement, which appears at appeal book 139 to 141,
assume that the contribution only arises after and
upon the last insurer discharging its liability to
indemnify the employer. What thereafter occurs is a procedure for contribution, not as principal and
agent, because contribution is irrelevant to that
question - that is reimbursement as of right under a separate principle of law - but contribution to
the amount that was paid in discharge of the last
insurer's liability.
So we say that the very notion of contribution
connotes a very different legal relationship to the
principal and agency that he put forward. So that we would submit that one never gets to the Albion
principle or contribution concepts, and it was
contribution concepts which led to that agreement
being entered into. It is in contrast to the
principal/agency that he has contended for and
which I remind Your Honours was not found as a fact
to exist by either of the courts below.
| ACC(2) | 116 | 9/9/93 |
Finally, he referred to the MMI case as not being easily understood.
We say that the MMI case
applied the very principle of the majority in
Albion which was the requirement of the same risk. We say the principles of the Court of Appeal apply
fully to what my learned friend has put as his case
and there is not any satisfaction of the
prerequisites for contribution. But, in any event,
we would submit, if contribution does not create a
principal/agent relationship, which it does not, it
does not take him to the point he must reach which
is payment by the contributing insurer of
compensation on behalf of the employer. So we would submit, for those reasons, the appeal should
be allowed. If Your Honours please.
MASON CJ: Thank you, Mr Merkel. Yes, Mr Shaw?
| MR SHAW: | The passage appears in the judgment of the |
Full Court, if Your Honour pleases. It is at 383
to 385 and the reference is, to Mr Ellis' evidence,which relates to the matter - his witness statement
is at 237 and his cross-examination is at 71.
| MASON CJ: | Thank you. | The Court will consider its decision |
in this matter.
AT 11.52 AM THE MATTER WAS ADJOURNED SINE DIE
| ACC(2) | 117 | 9/9/93 |
Key Legal Topics
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Commercial Law
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Statutory Interpretation
Legal Concepts
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Appeal
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Res Judicata
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