Allianz Australia Insurance Limited v Johnson

Case [2023] NSWPIC 401


CERTIFICATE OF DETERMINATION OF MEMBER 
CITATION: Allianz Australia Insurance Limited v Johnson [2023] NSWPIC 401
CLAIMANT: Maureen Johnson
INSURER: Allianz
MEMBER: Hugh Macken
DATE OF DECISION: 3 August 2023
CATCHWORDS:

MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; section 6.23; fractured right lower leg requiring surgery; vehicle caught fire; psychological trauma following accident; loss of mobility consequent on injuries sustained in the accident; subsequent fall with fracture to the neck of right femur; rehabilitation treatment; self-funded retiree; woman of great strength and resilience; assessment of non-economic loss; pre-existing difficulties exacerbated by the motor accident; significant effect on her capacity to engage in pre-accident day to day activities; Motor Accident Injuries Regulation 2017 section 7.37; Held – settlement approved.

DETERMINATIONS MADE:

CERTIFICATE

SETTLEMENT APPROVAL

Issued under section 6.23 of the Motor Accident Injuries Act 2017

The amount of the claim for damages is approved in the total amount of $200,000.

STATEMENT OF REASONS

INTRODUCTION

  1. Maureen Johnson (the claimant) is an 83-year-old woman who was seriously injured in a motor vehicle accident on 8 January 2021 when the vehicle when she was driving was hit by the insured’s vehicle which had crossed on to the wrong side of the road and collided with her vehicle. Breach of duty of care has been admitted on the part of the insurer without any allegation of contributory negligence.

  2. She suffered a fracture of her right lower leg which required surgical management at John Hunter Hospital. She then underwent a considerable period of rehabilitation at Foster Private Hospital.

  3. The vehicle in which she was travelling had caught fire and, she additionally suffers ongoing psychological trauma following the accident.

  4. Following the accident, in September 2022, and as a result of her loss of mobility consequent on the injury sustained in the accident, she suffered a fall at home which resulted in a fracture to the neck and her right femur. She again required significant rehabilitation treatment for this. She continues to receive treatment for this.

  5. A figure of $200,000 is the proposed settlement figure in this matter. This is compensation for non-economic loss only.

  6. I have no hesitation in approving settlement of this matter.

Reasons

  1. The claimant had long since retired from her employment with Armaguard. She is a self-funded retiree living with her husband and has family support around her.

  2. She has made a good recovery and is a woman of great strength and resilience who seemingly maintains a very positive outlook notwithstanding the injuries she suffered in the accident.

  3. In my view, and noting the most inexact science associated with the assessment of non-economic loss, she would reasonably expect an assessment of non-economic loss to be between $150,000 and $200,000.

  4. The proposed settlement figure is at the higher end of the scale and, in my view, more than adequately compensates her for the physical and psychological sequalae of the accident.

  5. Whilst the claimant can be fairly described as a strong and resilient individual she is 83 years of age and did suffer from some pre-existing difficulties which, in all likelihood, have been somewhat exacerbated by the motor accident.

  6. Notwithstanding any pre-existing injuries there is no doubt that the injuries she sustained in the accident have had, and continue to have, a significant effect on her capacity to engage in her pre-accident day to day activities.

  7. For the above reasons I have no hesitation in approving the settlement proposed in the documents signed by the parties.

Legislation

  1. In making my decision I have considered the following legislation and guidelines:

    ·        Motor Accident Injuries Act2017, s 6.23 (3), and

    ·        Motor Accident Injuries Regulation 2017, section 7.37.

Details
AGLC
Allianz Australia Insurance Limited v Johnson [2023] NSWPIC 401
Case
[2023] NSWPIC 401
Decision Date

CaseChat Overview and Summary

The case of Allianz Australia Insurance Limited versus Johnson was heard in the Motor Accident Authority. The plaintiff, Allianz Australia Insurance Limited, sought approval for a settlement with the defendant, Ms Johnson, following a motor accident in which she sustained injuries. Ms Johnson, a woman of great strength and resilience, was involved in a car accident that resulted in a fractured right lower leg, which required surgical intervention. In addition to the physical injuries, Ms Johnson experienced psychological trauma and a loss of mobility due to the accident. Subsequently, she suffered a fall that resulted in a fracture to the neck of her right femur. The case involved a claim for non-economic loss and the assessment of the impact of the accident on her ability to engage in pre-accident day-to-day activities.

The legal issues before the court included the assessment of non-economic loss under section 6.23 of the Motor Accident Injuries Act 2017 and the consideration of pre-existing difficulties exacerbated by the motor accident as per section 7.37 of the Motor Accident Injuries Regulation 2017. The court had to determine whether the settlement amount accurately reflected the extent of Ms Johnson's non-economic loss, taking into account the significant effect the accident had on her capacity to engage in activities she was able to do prior to the incident. The court also needed to consider the extent to which pre-existing difficulties were exacerbated by the motor accident in its assessment of the appropriate settlement amount.

The court approved the settlement, finding that it appropriately reflected the non-economic loss suffered by Ms Johnson. The court acknowledged the significant impact of the motor accident on her physical and psychological well-being, as well as the exacerbation of her pre-existing difficulties. The settlement was deemed fair and reasonable, taking into account all relevant factors, including the severity and impact of her injuries and the effect on her ability to engage in pre-accident activities. The court was satisfied that the amount of the settlement was adequate to compensate Ms Johnson for her non-economic loss.

The court approved the settlement amount proposed between Allianz Australia Insurance Limited and Ms Johnson.

Orders

Orders of the court

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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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