Drummond v Gordian Runoff Ltd ACN 052 179 647
[2024] NSWCA 239
•4/10/2024
(1) A contract of insurance under this Part entered into on or after 1 July 2002 provides insurance cover in respect of loss only if a claim in respect of the loss is made to the insurer during the period of insurance. -
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Subsection (1) is the general rule but there are exceptions to this general rule, as provided by this section. … (3) When a loss becomes apparent during the period of insurance but a claim cannot be made during that period because an insured event has not occurred, a claim can be made after the period of insurance (as a delayed claim ) but only if—(a) the loss was properly notified to the insurer during the period of insurance (or within 6 months after the loss became apparent in the case of a loss that became apparent in the last 6 months of the period of insurance), and (b) the beneficiary under the contract of insurance making the claim diligently pursued the enforcement of the statutory warranty concerned after the loss became apparent.”
(1) Subject to this section, where the effect of a contract of insurance would, but for this section, be that the insurer may refuse to pay a claim, either in whole or in part, by reason of some act of the insured … being an act that occurred after the contract was entered into … the insurer may not refuse to pay the claim by reason only of that act but the insurer’s liability in respect of the claim is reduced by the amount that fairly represents the extent to which the insurer’s interests were prejudiced as a result of that act.”
Antico v Heath Fielding Australia Pty Ltd(1997) 188 CLR 652
(1) A contract of insurance in relation to residential building work required by section 92 must insure: (a) a person on whose behalf the work is being done against the risk of loss resulting from non-completion of the work because of the insolvency, death or disappearance of the contractor, and (b) a person on whose behalf the work is being done and the person’s successors in title against the risk of being unable, because of the insolvency, death or disappearance of the contractor: (i) to recover compensation from the contractor for a breach of a statutory warranty in respect of the work, or (ii) to have the contractor rectify any such breach.”
(1) A claim under a contract of insurance must be made no later than 6 months after the beneficiary first becomes aware, or ought reasonably to have become aware, of the fact or circumstance under which the claim arises or no later than 6 months after the end of the period of cover, whichever is the earlier. … (3) A claim cannot be made later than as permitted by this clause. (4) This clause applies only to a claim made after the commencement of this clause and extends to a claim made after that commencement in respect of a loss arising before that commencement. (5) In this clause: period of cover means the period for which the contract of insurance provides insurance cover as required by section 103B of the Act.”
(1) A contract of insurance must provide insurance cover for loss arising from non-completion of the work for a period of not less than 12 months after the failure to commence, or cessation of, the work the subject of the cover. (2) A contract of insurance must provide insurance cover for other loss insured in accordance with this Act for a period of not less than: (a) in the case of loss arising from a structural defect within the meaning of the regulations — 6 years after the completion of the work or the supply of the kit home, or the end of the contract relating to the work or supply, whichever is the later, or (b) in the case of loss arising otherwise than from any such structural defect — 2 years after the completion of the work or the supply of the kit home, or the end of the contract relating to the work or supply, whichever is the later.
… (2B) Subsection (2) is subject to any variation specified in the regulations as to the period for which insurance cover must be provided. (3) This section is subject to any limits set out in the regulations as to the period within which a claim must be made. …”
(1) A contract of insurance provides insurance cover in respect of loss only if: (a) in the case of cover for loss arising from non-completion of work — the loss becomes apparent and is notified to the insurer within the period of insurance, or (b) in any other case: (i) the loss becomes apparent and is notified to the insurer within the period of insurance, or (ii) the loss becomes apparent during the last 6 months of the period of insurance and is notified to the insurer within 6 months after the loss becomes apparent.
(2) A loss becomes apparent when a beneficiary under the contract first becomes aware (or ought reasonably have become aware) of the loss.(3) In this section: loss means loss indemnified by a contract of insurance.period of insurance means the period for which a contract of insurance provides cover.”
(1) A contract of insurance under this Part entered into on or after 1 July 2002 provides insurance cover in respect of loss only if a claim in respect of the loss is made to the insurer during the period of insurance. -
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Subsection (1) is the general rule but there are exceptions to this general rule, as provided by this section. (2) A loss that becomes apparent in the last 6 months of the period of insurance has an extended claim period , which permits a claim in respect of the loss to be made within 6 months after the loss becomes apparent.… (3) When a loss becomes apparent during the period of insurance but a claim cannot be made during that period because an insured event has not occurred, a claim can be made after the period of insurance (as a delayed claim ) but only if —(a) the loss was properly notified to the insurer during the period of insurance (or within 6 months after the loss became apparent in the case of a loss that became apparent in the last 6 months of the period of insurance), and (b) the beneficiary under the contract of insurance making the claim diligently pursued the enforcement of the statutory warranty concerned after the loss became apparent.
(4) A delayed claim can also be made when the insured event occurs in the last 6 months of the period of insurance (as if the insured event did not occur until after the period of insurance) subject to compliance with the other requirements of this section for a delayed claim. … (6) The regulations can make provision for or with respect to what constitutes or does not constitute diligent pursuit of the enforcement of a statutory warranty for the purposes of this section. (7) A loss is properly notified to an insurer only if the insurer has been given notice in writing of the loss and the notice provides such information as may be reasonably necessary to put the insurer on notice as to the nature and circumstances of the loss. The regulations can make provision for or with respect to the form and content of such a notice.”
“(4) In this section and sections 103BB and 103BC: loss means loss indemnified by a contract of insurance under Part 6.period of insurance means the period for which a contract of insurance under Part 6 provides cover.”
(1) Despite any other provision of this Act, a contract of home warranty insurance entered into before 1 July 2010 does not in any circumstances provide insurance cover in respect of loss unless a claim in respect of the loss is made to the insurer within 10 years after the work insured was completed. -
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Section 3B provides for the date of completion of residential building work. (2) This section does not operate to extend any period of insurance.”
(1) Subject to this section, where the effect of a contract of insurance would, but for this section, be that the insurer may refuse to pay a claim, either in whole or in part, by reason of some act of the insured or of some other person, being an act that occurred after the contract was entered into but not being an act in respect of which subsection (2) applies, the insurer may not refuse to pay the claim by reason only of that act but the insurer’s liability in respect of the claim is reduced by the amount that fairly represents the extent to which the insurer’s interests were prejudiced as a result of that act.… (6) A reference in this section to an act includes a reference to: (a) an omission …” (Emphasis added)
(1) Appeal allowed. (2) Set aside the orders of the Court below of 9 June 2023 and 3 July 2023. (3) In lieu thereof order that the proceedings be remitted to the primary judge for the determination of the appellants’ claim in accordance with these reasons. (4) The respondent pay the appellants’ costs of the proceedings below to date and of the appeal.
(a) does section 54 of the Insurance Contracts Act 1984 (Cth) prevent an insurer from refusing a ‘delayed claim’ where the insured fails to notify the insurer in accordance with section 103BB(3) of theHome Building Act ; and(b) if not, is section 103BB of the Home Building Act invalid pursuant to section 109 of the Constitution, as inconsistent with a law of the Commonwealth.”
(1) Subject to this section, where the effect of a contract of insurance would, but for this section, be that the insurer may refuse to pay a claim, either in whole or in part, by reason of some act of the insured or of some other person, being an act that occurred after the contract was entered into … the insurer may not refuse to pay the claim by reason only of that act but the insurer’s liability in respect of the claim is reduced by the amount that fairly represents the extent to which the insurer’s interests were prejudiced as a result of that act.”
(1) The appeal is dismissed. (2) The appellants are to pay the respondent’s costs of the appeal.
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