Insurance Australia Limited t/as NRMA Insurance v Schubert

Case [2023] NSWPIC 360


CERTIFICATE OF DETERMINATION OF MEMBER 
CITATION: Insurance Australia Limited t/as NRMA Insurance v Schubert [2023] NSWPIC 360
CLAIMANT: Rosemary Schubert
INSURER: NRMA
MEMBER: Hugh Macken
DATE OF DECISION: 17 July 2023
CATCHWORDS:

MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; section 6.23; 50-year-old female; head on collision; fractured cervical spine; multiple rib fractures; fractured right tibia, fractured right thumb; pre-existing physical psychiatric disabilities; ongoing pain and discomfort; no paid employment previous 10 years; non-economic loss; 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 $250,000.

STATEMENT OF REASONS

INTRODUCTION

  1. The claimant is a 50 year old woman who was seriously injured whilst a passenger in a motor vehicle which, on 6 June 2022, crossed onto the wrong side of the road and collided with a bus. The insurer has admitted breach of duty of care on the part of their insured driver with no allegation of contributory negligence.

  2. The figure of the proposed resolution of $250,000 is, by agreement of both parties, compensation for non-economic loss.

  3. I have no hesitation in approving this settlement.

Reasons

  1. The claimant suffered significant injuries in the accident including a fracture to her cervical spine, multiple rib fractures, a fractured right tibia and a fractured right thumb.

  2. The claimant has a long history of pre-existing physical and psychiatric disabilities such that she has been in receipt of Centrelink payments for the pre-existing disability for about 10 years.

  3. The claimant confirmed at the assessment conference that she has not been in any paid employment for at least 10 years and, since that time has been dealing with significant physical and psychological difficulties.

  4. The material, all 2830 pages of it, bears out the fairly severe pre-existing difficulties from which she was suffering. In particular she was suffering from left leg cellulitis, feet ulcers, epilepsy, seizures, significant abdominal problems, bipolar effective disorder, chronic hip pain, problems with the right knee, significant cervical spinal problems, carpal tunnel syndrome, and significant psychiatric problems.

  5. Accordingly, I have no hesitation in accepting that there is no basis upon which any claim can be made for economic loss arising from the subject motor vehicle accident. Thus the only matter to be determined is whether a figure of $250,000 is reasonable compensation for non-economic loss.

  6. Noting all the material in this matter, together with the somewhat inexact science behind assessment of non-economic loss, I approve this settlement. Indeed, I consider the figure of $250,000 to be “the higher end of the range”.

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

Legislation

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

    ·        Motor Accident Injuries Act2017, Section 6.23 (3)

    ·        Motor Accident Injuries Regulation 2017, Section 7.37

Details
AGLC
Insurance Australia Limited t/as NRMA Insurance v Schubert [2023] NSWPIC 360
Case
[2023] NSWPIC 360
Decision Date

CaseChat Overview and Summary

In the case of Insurance Australia Limited t/as NRMA Insurance v Schubert, the court was tasked with evaluating a claim for compensation under the Motor Accident Injuries Act 2017. The claimant, Schubert, was involved in a head-on collision that resulted in significant injuries, including a fractured cervical spine, multiple rib fractures, a fractured right tibia, and a fractured right thumb. Schubert, a 50-year-old female, had pre-existing physical psychiatric disabilities and had not been in paid employment for the previous ten years. The primary focus of the case was on the non-economic loss claim, particularly in the context of the Motor Accident Injuries Regulation 2017, section 7.37. The court's role was to determine whether the settlement amount offered by NRMA Insurance was appropriate given the extent of Schubert's injuries and her pre-existing conditions.

The court had to consider several legal issues, including the nature and extent of Schubert's injuries, the impact of her pre-existing conditions on her ability to recover, and the adequacy of the settlement amount in compensating for the non-economic loss. The key legal question was whether the settlement amount adequately addressed the totality of Schubert's circumstances, including her physical injuries, ongoing pain and discomfort, and the effect of her pre-existing psychiatric disabilities on her recovery. The court also needed to examine the application of section 7.37 of the Motor Accident Injuries Regulation 2017 to ensure the settlement was in line with regulatory requirements.

After considering the evidence presented, the court concluded that the settlement amount offered by NRMA Insurance was appropriate. The court found that the settlement adequately reflected the severity of Schubert's injuries, the impact of her pre-existing conditions, and her ongoing pain and discomfort. The court determined that the settlement amount was fair and reasonable, taking into account all relevant factors, including the regulatory framework provided by section 7.37 of the Motor Accident Injuries Regulation 2017. Consequently, the court approved the settlement, ensuring that Schubert received compensation that was commensurate with her needs and losses.

The final orders of the court approved the settlement amount offered by NRMA Insurance to Schubert. This decision provided Schubert with the compensation she needed to address her physical injuries, ongoing pain, and the impact of her pre-existing psychiatric disabilities. The court's approval of the settlement ensured that Schubert's claim was resolved in a manner that was fair and in compliance with the statutory and regulatory framework governing motor accident compensation in Australia.

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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