Russo v Aiello

Case

[2001] NSWCA 306

13 September 2001

No judgment structure available for this case.
CITATION: Russo v Aiello [2001] NSWCA 306
FILE NUMBER(S): CA 40696/00
HEARING DATE(S): 20/06/01
JUDGMENT DATE:
13 September 2001

PARTIES :


Lido Russo (1App)
Zucchini Pty Ltd (2App)
John Domonic Aiello (R)
JUDGMENT OF: Meagher JA at 1; Hodgson JA at 2; Young CJ in Eq at 24
LOWER COURT JURISDICTION : District Court
LOWER COURT
FILE NUMBER(S) :
DC53/00
LOWER COURT
JUDICIAL OFFICER :
Dodd DCJ
COUNSEL: A Lakeman (A)
J D Hislop QC/D J Russell (R)
SOLICITORS: Turner Whelan (A)
GIO Australia, CTP Claims (R)
CATCHWORDS: Motor vehicle- Accident causing personal injury- Claim made out of time- Whether District Court Judge could be satisfied that there was no full and satisfactory explanation for the delay. Words & Phrases- "Reject". (D)
LEGISLATION CITED: Motor Accidents Act 1988, ss 40(2), 43A(7)
CASES CITED:
Allied Pastoral Holdings Pty Ltd v Commissioner of Taxation [1983] 1 NSWLR 1
Browne v Dunn (1894) 6 R 67
Kanj v Kassem (Sinclair DCJ 31.3.2000)
Reg v Lichfield (Mayor) (1841) 1 QB 453; 113 ER 1206
DECISION: By majority: (1) Leave to appeal granted. (2) Appeal dismissed with costs.


THE SUPREME COURT

OF NEW SOUTH WALES


      CA 40696 of 2000
      DC 53 of 2000

      MEAGHER JA
      HODGSON JA
      YOUNG CJ in Eq

      Thursday 13 September 2001

      RUSSO v AIELLO

The plaintiff was injured in a motor vehicle on 11 January 1997. He saw a solicitor that month who alerted him to the need to complete a claim form. The plaintiff decided that his disabilities would improve and went overseas. He obtained more legal advice in 1998. He submitted a claim form in March 1999. The insurer did not accept the plaintiff’s reasons as constituting sufficient grounds to waive the delay.

The plaintiff filed his claim in the District Court on 6 January 2000. The defendant successfully moved to dismiss the claim as a late claim. Under section 43A(7) of the Motor Vehicles Act 1988 the Court must dismiss the claim if satisfied that the claimant does not have a full and satisfactory explanation for the delay.

The Judge also rejected the plaintiff’s contention that, on the facts, the insurer had not rejected his reasons for delay.

HELD: On appeal (Hodgson JA dissenting): The Court held that although the District Court had directed its mind to the explanation given to the insurer, and not, as it ought, to the explanation to the Court, in the present case the conclusion reached below was inevitable.

Per Hodgson JA: The decision below was so affected by serious error that the plaintiff was denied procedural justice, the appeal should be allowed and the proceedings returned to the District Court.

[NOTE - For simplicity the above summary intentionally omits the fact that there were two plaintiffs, an individual and a company controlled by him which was suing per quod servitium amisit]

      ORDERS

(1) Leave to appeal granted;

(2) Appeal dismissed with costs.


      ************

THE SUPREME COURT

OF NEW SOUTH WALES


      CA 40696 of 2000
      DC 53 of 2000

      MEAGHER JA
      HODGSON JA
      YOUNG CJ in Eq

      Thursday 13 September 2001

      RUSSO v AIELLO

      JUDGMENT

1    MEAGHER JA: I agree with Young CJ in Eq.

2    HODGSON JA: The circumstances of this case are set out in the judgment of Young CJ in Eq.

3 Section 43A of the Motor Accidents Act 1988 is in the following terms:

      (1) The objects of this section are:
          (a) to ensure that the issue of the lateness of a claim is dealt with as soon as possible after receipt of the claim, and
          (b) to ensure that any delay caused to the consideration of the substantive claim by the lateness issue is kept to a minimum, and
          (c) to ensure that the lateness issue is either resolved or made a mutually apparent substantive issue at an early date.
      (2) A claim may be made more than 6 months after the relevant date for the claim under section 43 (in this section called "a late claim") if the claimant provides a full and satisfactory explanation for the delay in making the claim. The explanation is to be provided in the first instance to the third-party insurer concerned (if there is one) or to the Nominal Defendant.
      (3) Evidence as to any delay in the onset of symptoms relating to the injury suffered by the injured person as a result of the motor accident may be given in any such explanation.
      (4) A late claim may not be made more than 12 months after the relevant date for the claim under section 43 unless, in addition to the provision of a full and satisfactory explanation, the total damages of all kinds likely to be awarded to the claimant if the claim succeeds are not less than 10 per cent of the maximum amount that may be awarded for non-economic loss under section 79 or 79A as at the date of the relevant motor accident.
      (5) Subsection (4) does not apply to a claimant who is legally incapacitated because of the claimant's age or mental capacity.
      (6) This subsection applies if the late claim is made against the Nominal Defendant or a person who is insured by a third-party insurer. A reference in this subsection to an insurer includes a reference to the Nominal Defendant.
          (a) If, within 2 months after receiving a late claim for which no explanation for delay is provided, the insurer does not reject the claim or ask the claimant to provide a full and satisfactory explanation for the delay in making the claim, the insurer (and the person against whom the claim is made) lose the right to challenge the claim on the ground of delay.
          (b) If, within 2 months after receiving an explanation for delay in the making of a late claim, the insurer does not reject the explanation, the insurer (and the person against whom the claim is made) lose the right to challenge the claim on the ground of delay.
          (c) If court proceedings are commenced in respect of a late claim, an insurer (or the person against whom the claim is made) may apply to have the proceedings dismissed on:
              (i) the ground of delay, or
              (ii) in the case of a late claim that is made more than 12 months after the relevant date for the claim under section 43, the ground of the amount of damages,
          or both, only within 2 months after the statement of claim is served on the defendant and received by the insurer. The insurer (or the person against whom the claim is made) may only apply to have the proceedings dismissed on the ground of delay if the insurer (or the person) has not lost the right to challenge the claim on the ground of delay.
      (7) A court must dismiss proceedings commenced in respect of a late claim if the court is satisfied that the claimant does not have a full and satisfactory explanation for the delay in making the claim and, alternatively or in addition in the case of a late claim that is made more than 12 months after the relevant date for the claim under section 43, that the total damages of all kinds likely to be awarded to the claimant if the claim succeeds are less than 10 per cent of the maximum amount that may be awarded for non-economic loss under section 79 or 79A as at the date of the relevant motor accident.

4 The reference in s.43A(7) to “a full and satisfactory explanation” is elaborated in s.40(2) in the following way:

      (2) In this Part, a reference to a full and satisfactory explanation by a claimant for non-compliance with a duty or for delay is a reference to a full account of the conduct, including the actions, knowledge and belief of the claimant, from the date of the accident until the date of providing the explanation. The explanation is not a satisfactory explanation unless a reasonable person in the position of the claimant would have failed to have complied with the duty or would have been justified in experiencing the same delay

5 I agree with Young CJ in Eq. that the insurer’s letter of 3rd May 1999 was a rejection within s.43A(6), so that the insurer and the respondent are not precluded from relying on the appellants’ delay.

6 As noted by Young CJ in Eq., the primary judge stated that “the onus is on the plaintiff” to provide the explanation for delay. In one sense, that might be considered correct in that s.43A(2) requires a claimant to provide an explanation to the insurer. However, under s.43A(7) the onus is squarely on the applicant, in this case the respondent, to satisfy the Court “that the claimant does not have a full and satisfactory explanation for the delay”; and I do not think the primary judge recognised this.

7    Of course, in deciding whether a defendant has discharged its onus of proving that a claimant does not have a full and satisfactory explanation for the delay, a Court would have regard to the explanation provided to the insurer, and to the circumstance that normally only the claimant is able to give evidence of the claimant’s explanation for delay; and if the Court considered that the explanation provided to the insurer was not full and satisfactory, and if there was no relevant additional material before the Court, the inference that the claimant did not have a full and satisfactory explanation would readily be drawn.

8    However, in the present case there was material before the primary judge in addition to the explanation provided to the insurer, but the primary judge disregarded that material.

9    The primary judge noted that it was only the period 6th December 1997 to 6th October 1998 in respect of which the respondent said there was not a full explanation. In relation to that period, the primary judge said this:

      I note that there is no further information given in relation to the plaintiff’s work activities, if any, from 6 December to 6 October 1998, apart from the reference in paragraph 10 to returning to Australia in relation to a job offer. There is no attempt to identify when it was that the plaintiff realised that his disabilities had not improved, thus leading to the decision to seek further legal advice, and there is no attempt to identify when that decision was made. It can readily be seen that different consequences might flow in terms of whether the explanation is satisfactory if the realisation that disabilities had not improved had taken place in December 1997, or close to that time, as opposed to having taken place, for instance, in September 1998, or close to that time. There is just a dearth of detail over that period of approximately eleven months, which, in my view, prevents the conclusion being made that the explanation is full in the sense required under the Act.

10    The reference to paragraph 10 in that passage was to paragraph 10 of the Statutory Declaration of the first appellant dated 25th March 1999 and provided to the insurer. There was in fact evidence before the primary judge additional to that statutory declaration in relation to the relevant period.

11    First, there were particulars provided by the appellants, which included the following material:

      3. The first named plaintiff as a result of the accident, was unable to work for the following periods:
              13.1.97-27.1.97
              27.1.97-April 1997
              Apr – May 1997
              June – Dec 1997
      4. As a result of the accident, the first named plaintiff and his co-owner sold the business, Red Zucchini Bar, in July 1997. Following the sale of his business the first named plaintiff travelled to Italy to stay with his family from July to December 1997 in order to recuperate. The first named plaintiff claims a diminution in his capacity to work during this period.
      5. From December 1997 to July 1998 the first named plaintiff set up a business by the name of Ceruti’s Bistro and the plaintiff worked in the Bistro as the manager until July 1998.
      6. From July 1998 to December 1998 the first named plaintiff set up the Lido Bar with his brother, Vidor Russo. During the period July to December 1998 the proprietor at Ceruti’s Bistro, Mr. David Gray, employed the first named plaintiff two nights per week to manage the Bistro.
      7. The plaintiff was employed as a manger by the Ceruti’s Bistro in December 1998 earning approximately $700.00 net per week. The plaintiff ceased employment with the Ceruti’s Bistro in March 1999. The first named plaintiff claims $700.00 net per week from March 1999 to 31 October 1999, (30.5 weeks) or $21,350.00 net.

12    That evidence was admitted without objection, and no order was made under s.136 of the Evidence Act limiting its effect. It was in my opinion evidence of the truth of those matters: cf. Evidence Act ss.60, 75.

13    Next, there was a medical report of Dr. Rao, dated 10th December 1998. That report included the following passages:

      Progress:
      Mr. Russo persistently complained of the following ailments:
      1. Current headaches.
      2. Recurrent episodes of dizziness.
      3. Difficulty to lift and carry objects, which interfered considerably in his participation and contribution in the business in Cremorne known as “Red Zucchini Bar” which subsequently had to be sold in May 1997.
      4. Because of his recurrent ailments relating to the injury sustained, his personal relationship with his girlfriend got strained continuously hence he made the decision to make a trip to Italy to stay with his sister, to obtain some rest and change in his life style until he returned in December 1997.
      His brother Vic Russo encouraged him to come back on his feet to participate in a gainful employment situation hence he has been working in the new business called “Lido Bar” in City of Sydney since May-June 1998.
      ….
      Opinion:
      1. Mr. Russo’s ailments are consistent with the history of injury sustained due to the M.V.A. in question.
      2. He sustained the injury to many part of his body as described above.
      3. He also suffered some degree of mental trauma as a result of the same, eventuated in psycho-sociological disruption in his case, straining of his relationship with his girlfriend, going overseas to seek a change in his lifestyle and so on.
      4. His performance at work got affected hence the result was selling the “Red Zucchini Bar” without having a chance to create and realise some realistic capital gain in the business.
      5. Similar experience seems to have been suffered by him during the process of re-establishing himself in the hospitality industry by way of starting “Lido Bar” but not being able to perform satisfactorily hence he had to sell the business in December 1998.
      6. In my opinion his multiple ailments may be expected to bother him for some considerable period in the future.
      The progress report will be made available at a later date upon request.

14    Thirdly, there was the affidavit dated 14th October 2000 sworn by the first appellant, pars.13-15 and 23 of which were as follows:

      13. I remained with my sister in Italy for some months, returning to Australia on or about 6 December 1997. By this time some of my disabilities had improved, however I was still suffering headaches, dizziness and difficulty with concentration, problems with my neck and left shoulder, my knee and my upper back.
      14. Over a period of time I formed the view that my disabilities were not going to improve and that some had in fact have (sic) become worse, affecting my life to a greater extent than I had initially believed they would.
      15. I decided to seek further legal advice and on or about 6 October 1998 I attended the offices of Teakle Ormsby Conn in relation to my claim and instructed them to obtain my file from my former solicitors.

      23. As a result of my attendance upon Dr Dixon, on 18 January 1999, 27 January 1999 and 10 February 1999, I became aware that the injuries and disabilities sustained in the accident were more serious than had been initially thought. Annexed here to (sic) and marked “B” is a copy of the report of Dr. Dixon dated 31 May 1999.

15    Finally, there was Dr. Dixon’s report, referred to in par.23 of the affidavit. That report concluded with the following paragraphs:

      His prognosis for working as a Restraunteur is guarded. He will have difficulty with residual headache and arthralgia in the left shoulder especially on changes of weather and pain in the middle of his lumbar spine. He has residual neck symptoms of pain and stiffness and has C3/4 disc lesion of his cervical spine on MRI which could be contributing to his shoulder pain as well.
      His residual disabilities are permanent.

16    In the light of that material, the primary judge’s statement in the first sentence of the quoted passage is a very plain error. In my opinion also, it was a serious error, which was highly material to his decision, and accordingly it vitiated his decision. This Court is therefore required to decide the matter itself or else send the matter back to the District Court for decision.

17 In considering what course to take, it is first necessary to note that s.40(2) sets a high standard for explanations of delay. However, in my opinion it should not be read as making it necessary, for an explanation of delay to be satisfactory, that any reasonable person in the position of the claimant would have experienced the same delay. There is a substantial spectrum of reasonableness, and in my opinion it is sufficient that there is a hypothetical person within that spectrum who would have experienced the same delay. In other words, it is not necessary that no reasonable person would not have experienced the same delay. That in my opinion would be a test virtually impossible to satisfy, and could not have been intended by the legislature.

18    In this case, until submissions were made before the primary judge, no indication was given by the respondent of the respects in which it alleged the appellants’ explanation was less than full and satisfactory. The respondent’s Notice of Motion sought dismissal of the proceedings “upon grounds set forth in the affidavit of Snadar Rapaport sworn and filed herein”. That affidavit annexed the first appellant’s statutory declaration dated 23rd March 1999 and the insurer’s letter in response, but did not indicate any grounds on which the explanation in that statutory declaration was said to be less than full and satisfactory. The insurer’s letter did not itself specify any reason for not accepting the appellants’ explanation. Before the primary judge, the first appellant was not cross-examined on his affidavit.

19    Apparently, in making submissions before the primary judge, the appellants went first on the question of whether the appellants had a full and satisfactory explanation, notwithstanding that the onus of proof in that respect was on the respondent. The alleged gap in the explanation was raised for the first time in the respondent’s submissions. The appellants at that stage did not apply to re-open to lead more evidence to deal with that alleged gap, but were permitted to address in reply. In submissions before this Court, Mr. Lakeman for the appellants said that he was not suggesting the appellants were denied natural justice.

20    Notwithstanding that concession, I am inclined to think that the circumstances I have outlined mean that the appellants were denied procedural fairness in the manner discussed in Browne v. Dunn (1894) 6 R 67 and Allied Pastoral Holdings Pty. Limited v. Commissioner of Taxation [1983] 1 NSWLR 1. But whether or not this is so, these circumstances are highly pertinent to whether the Court should be satisfied that the appellants do not have a full and satisfactory explanation for the delay from 6th December 1997 to 6th October 1998.

21    The appellants produced extensive material in explanation of the whole of the delay in question. The material relevant to the particular delay ultimately relied on by the respondent, namely that between 6th December 1997 and 6th October 1998, showed plainly that the appellants could, if required, have provided more material in relation to that period. Notwithstanding that the onus was squarely on the respondent to prove the absence of an explanation, the respondent chose not to specify any respect in which the explanation was said to be deficient, and chose not to cross-examine the first appellant on his affidavit. Whether or not the material actually provided to the Court does itself amount to a full and satisfactory explanation, in my opinion it would be quite wrong to draw the inference against the appellants in those circumstances that they do not have a full and satisfactory explanation.

22    Young CJ in Eq. stated that he would “reach the conclusion that there was not a full and satisfactory explanation given in this case”. With respect, I do not agree that that is the question to be determined: rather it is whether the court is satisfied that the appellants do not have a full and satisfactory explanation. For my part, particularly having regard to the way the respondent conducted its application, I am not so satisfied. The legislature could have made an application of the kind made in this case depend upon whether or not a claimant had given a full and satisfactory explanation, and indeed could have imposed the onus of proof on the claimant. But it did not do so. It made such an application depend upon whether or not the claimant had a full and satisfactory explanation, and imposed the onus of proof on the defendant.

23    In my opinion, leave to appeal should be granted, the appeal should be allowed with costs, and the respondent’s motion should be dismissed with costs.

24    YOUNG CJ in Eq: Mr Russo, the first appellant says that on 11 January 1997, he was a passenger in a motor vehicle driven by the respondent in McCarrs Creek Road, Terrey Hills. The second appellant is the first appellant’s employer, a company in which he has a substantial equity interest. The appellants say that the first appellant suffered personal injury when the respondent’s vehicle failed to negotiate a sharp bend and hit a rock face. The first appellant suffered personal injury. The second appellant sues per quod servitium amisit.

25 Section 43A of the Motor Accidents Act 1988 requires such claims to be made within six months of the relevant accident. Late claims may be entertained in certain circumstances. However, late claims may not be made later than 12 months after the accident unless:


      (a) there is a full and satisfactory explanation of the delay; and

      (b) there is a claim for at least 10% of the maximum amount for non-economic loss under s 79A of that Act.

26    The appellants submitted their claims on 26 March 1999 that is, over 2 years after the accident.

27    When notifying the claims, Mr Russo handed over a statutory declaration which included the following alleged facts:


      (i) Mr Russo saw a solicitor at Parramatta with his father on 21 January 1997;

      (ii) On that occasion he was probably handed a claim form;

      (iii) He did not complete the form as he considered his disabilities would improve;

      (iv) He went to Italy in July, 1997;

      (v) During 1997, he received a letter from the Parramatta solicitor, but there was no follow up on the claim form;

      (vi) In November, 1997, his father received a further claim form;

      (vii) He returned to Australia in December, 1997;

      (viii) His problems appeared to have improved with the time in Italy;

      (ix) Later he realized his condition had not improved;

      (x) In October 1998, he consulted new solicitors;

      (xi) At the time he consulted new solicitors, he had in his possession a partly completed claim form, but he cannot remember how that came about.

      (xii) He received specialist medical advice in January and February 1999.

      (xiii) He completed the claim form with his new solicitors on 23 March 1999.

      (xiv) He claimed that his damages exceeded 10% of the appropriate non-economic loss figure.

28    It would appear that the insurer mislaid this statutory declaration and the appellants’ solicitors forwarded a further copy under cover of a letter dated 28 April 1999.

29    On 3 May 1999, the insurer replied as follows:

          “Thank you for your letter dated 28 April, 1999, in which you gave your client’s reasons for failing to lodge their claim within the time required by law.
          Unfortunately, I must advise you that this office does not accept your client’s reasons as sufficient grounds to waive the requirement to lodge a claim within six months. Your client’s claim, therefore, can not proceed any further....”

30    The appellants filed their claim in the District Court on 6 January 2000. On 25 January 2000, the defendant filed a notice of motion to dismiss the proceedings. This motion was heard and granted by his Honour Judge Dodd on 15 August 2000.

31 The relevant provisions of the Motor Accidents Act 1988 are ss 43A(7) and 40(2) which are as follows:

          “43A(7) A court must dismiss proceedings commenced in respect of a late claim if the court is satisfied that the claimant does not have a full and satisfactory explanation for the delay in making the claim ...”
          “40(2) ...a reference to a full and satisfactory explanation by a claimant for non-compliance with a duty or for delay is a reference to a full account of the conduct, including the actions, knowledge and belief of the claimant, from the date of the accident until the date of providing the explanation. The explanation is not a satisfactory explanation unless a reasonable person in the position of the claimant would have failed to have complied with the duty or would have been justified in experiencing the same delay.”

32    The case for the appellants on the motion was presented to the learned District Court Judge on the basis that: (a) the letter of 3 May 1999 was not a rejection of the explanation; and (b) that the explanation ought to be accepted by the Judge.

33    The statement in (b) was, strictly speaking, not the question that should have been considered by the Judge. The Act requires that the Judge be satisfied that the plaintiff does not have a full and satisfactory explanation for the delay.

34 The evidence before the Judge on the appellants’ side, was an affidavit by their solicitor which merely set out the relevant details and annexed the claim form and the statutory declaration. The affidavit also attached medical reports, correspondence, the statement of claim and particulars under Part 24C Rule 2(2) and Part 9 Rule 27 of the District Court rules. It did not proffer any further explanation for the delay.

35    The affidavit also annexed correspondence between the plaintiffs’ solicitors and the insurer or its solicitors in which, between November 1999 further particulars were sought, medical examinations arranged and the possibility of an informal conference to settle the matter being arranged.

36    The first plaintiff also swore an affidavit. He basically repeated what was in his statutory declaration referred to earlier. However he did say in paragraph 14 of the affidavit:

          “Over a period of time, I formed the view that my disabilities were not going to further improve and that some had in fact become worse affecting my life to a greater extent that I had initially believed they would.”

      The affidavit did not specify when the view was formed. It must have been sometime between 6 December 1997 and 6 October 1998.

37    The learned judge rejected the argument that the insurer’s letter of 3 May 1999 did not amount to a rejection of the explanation. His Honour did so on his plain reading of that letter. The argument was, but faintly, presented to us. It must fail.

38 Generally speaking as Patterson J said in Reg v Lichfield (Mayor) (1841) 1 QB 453, 462; 113 ER 1206, 1210, “It is clear that the claim has not been admitted; it has, therefore, been rejected.” There may be cases (an illustration is Kanj v Kassem (9541/99) decided by Judge Sinclair on 31 March 2000) where the whole conduct of the defendant shows that despite the text of a letter, the insurer has not rejected the explanation. The present, however, is not such a case.

39    The learned Judge then turned to the principal argument:

          “The next question then to be addressed is whether I am satisfied that the plaintiff does not have a full and satisfactory explanation for the delay in making that claim. That must be assessed on the information now before the Court. The onus is on the plaintiff to provide that explanation. The questions are, firstly, whether the explanation is full in the sense that it is as complete an account as possible for the plaintiff to give of the conduct of the claimant, including the actions, knowledge, and belief, of the claimant from the date of the accident until the date of providing the explanation, and also whether the explanation is satisfactory in the sense that it is such a complete explanation.”

40    The key passage in his Honour’s reasoning was the following:

          “There is no attempt to identify when it was that the plaintiff realised that his disabilities had not improved, thus leading to the decision to seek further legal advice, and there is no attempt to identify when that decision was made. It can readily be seen that different consequences might flow in terms of whether the explanation is satisfactory if the realisation that disabilities had not improved had taken place in December 1997, or close to that time, as opposed to having taken place, for instance, in September 1998, or close to that time. There is just a dearth of detail over that period of approximately eleven months, which, in my view, prevents the conclusion being made that the explanation is full in the sense required under the Act.”

41    His Honour held that:

          “… it seems to me that there is such a lack of detail for the period in question that the explanation cannot be regarded as full and I, therefore, have come to the conclusion that within the terms of s 43A(7) the proceedings must be dismissed, and, therefore, I make the orders sought in the defendant’s notice of motion.”

42 It was properly pointed out to us in argument that s 43A (7) of the Act does not require the Court to consider the explanation given to the insurer, but rather to direct its mind to the question as to whether the Court is satisfied that the plaintiff does not have a full and satisfactory explanation. Thus, his Honour’s comment about “onus” was misplaced. However, in a case where the plaintiff does not furnish the District Court with any greater explanation than that provided to the insurer, for all intents and purposes, the Court can consider the fullness and adequacy of the explanation furnished to the insurer.

43    Further, it would seem that the parties conducted the hearing before his Honour on the basis that the plaintiffs did have a full and satisfactory explanation and were prepared to proffer it to him.

44    Mr Lakeman, for the appellants, says that there is really not much more a plaintiff can say than “I didn’t make a claim earlier because I reasonably thought my disabilities were not sufficiently severe to make a claim.” This, essentially, was what the appellants were saying in this case. Mr Russo was not cross-examined, the onus was in any event on the insurer, so that the truth of this explanation must be accepted.

45    Further Mr Lakeman puts, the learned Judge apparently overlooked the evidence of the medical reports and the particulars that had been supplied with the pleadings. His Honour seemed to have solely focused on the statutory declaration.

46    Mr Lakeman also submits that the test to be applied does not require plaintiffs to be put to providing an explanation of such detail that no possible arguable gap can be said to exist in the chain of consequences from the point of impact to when the insurer receives the explanation. I would quite agree with that statement.

47    Although it is clear that the hearing before his Honour was technically not free from criticism, essentially he was faced with the question whether the explanation proffered by the appellants was such that a reasonable person would have been justified in experiencing the same delay.

48    The material before his Honour was, on any view of it, very light on detail as to the reason for delay in making a claim within time.

49    The material also suggests that there was little, if any, prejudice to the insurer by the delay, but this does not appear to be a relevant factor under the statutory scheme.

50    It is, of course, a drastic step to take of refusing plaintiffs who have a fairly arguable case in negligence the right to go to trial, especially if the insurer suffers no prejudice in what has occurred. However, for good or ill, the legislation requires that result in certain cases.

51    His Honour directed his mind to the relevant legislation. He considered the explanation proffered. He rejected it as constituting a full and satisfactory explanation. He was thus compelled to make the orders dismissing the proceedings which he made.

52    Although there may be errors of process, ultimately I can see no error in his Honour’s conclusion. The conclusion he reached was one which he was entitled to reach on the material before him: I can see no appealable error.

53    Even if I was of the view that the errors before his Honour were sufficient to warrant setting aside his decision and exercising the jurisdiction on the merits in this Court, I would still reach the conclusion that there was not a fully and satisfactory reason given for the delay in this case.

54    The present appeal was commenced without leave. However, at the hearing, the appellants seemed to concede that leave was necessary. In view of the errors in process, the fact that the order terminates the proceedings leave to appeal should be granted. We considered the matter as though we were hearing both an application for leave to appeal and the actual appeal.

55    In my view, leave to appeal should be granted as the order made by the District Court Judge amounted to termination of the entire proceedings. However, the appeal itself must be dismissed with costs.

56    Accordingly the orders of the Court are:


      (1) Leave to appeal granted.

      (2) Appeal dismissed with costs.

      *****************
Most Recent Citation

Cases Citing This Decision

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