State Government Insurance Commission v Co-operative Bulk Handling Limited
[1990] HCATrans 260
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IN THE HIGH COURT OF AUSTRALIA
Office of the Registry
Perth No P21 of 1990 B e t w e e n -
STATE GOVERNMENT INSURANCE
COMMISSION
Applicant
and
CO-OPERATIVE BULK HANDLING
LIMITED
Respondent
Application for special leave
to appeal
MASON CJ
DEANE J
TOOHEY J
TRANSCRIPT OF PROCEEDINGS
AT PERTH ON THURSDAY, 25 OCTOBER 1990, AT 10.47 AM
Copyright in the High Court of Australia
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| MR C.J.L. PULLIN, QC: | May it please the Court, I appear |
with MR G.P. BOURHILL, for the applicant.
(instructed by Phillips Fox)
MR P.G. da C. FOSS: If it please the Court, I appear with
MR G.J. PYNT, for the respondent. (instructed by
Mallesons Stephen Jaques)
| MASON CJ: | Mr Pullin. |
| MR PULLIN: | Thank you, Your Honour. | Your Honours, the |
summary of submission indicates that the effect of
the Full Court's decision in this case is toconvert the SGIC, which was the insurer of the
common law risk, into the insurer of the workers'
compensation risk and we say that that result
brings about a result which is different in
Western Australian from the position in Victoria.
The Victorian case which dealt with the subject and
came to this Court was the Transport Accident
Commission v CMT Construction of Metropolitan
Tunnels and I have copies of that case which have
already been made available, as I understand it,
Your Honours.
| MASON CJ: | Yes. | The point of that decision was that under |
the statute the amount in respect of workers'
compensation was deducted before judgment was
entered.
MR PULLIN: Entirely so, Your Honour, but that point was not
the point on which the judgment went off. That is
not a significant aspect of the case. All that washeld was that the liability to make compensation
payments-was not extinguished ab initio and there
had been no benefit derived by the employer as a
result of that but the decision nowhere says the
significant fact is the fact that there is a
deduction from the judgment before judgment is entered. So, we would say that that being the case, there is then a different result in the two
States.
The background I have set out, of course, is
the typical accident with a worker being injured as
a result of a co-worker's negligence and the
employer being vicariously liable.
| MASON CJ: | We are aware of the facts of the case. |
MR PULLIN: All right, Your Honour. Now, the position is
that the Full Court determined the matter simply by
looking at the policy which read that - and this is
the policy with the motor vehicle insurer promising
to insure the employer, that is CBH, in respect ofall liability for negligence which may be incurred
by CBH and they said, "Well, there was a judgment
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for $125,000. That is the liability, therefore'' -
just reading those words - "that is what must be
paid".
Now, in fact, CBH was suing in this case but
CBH had been indemnified already for workers'
compensation payments of about $70,000 and the
balance which fell due for payment when the common
law judgment was entered as a result of the
application of the Act, was $55,000, so my client
did indemnify them; it paid the $55,000. Now, why should the employer then gain a windfall and
recover this $70,000 in circumstances where thepolicy does not require it? The policy says - - -
MASON CJ: It may not be a windfall for the employer, may it
not? The employer may have been bound to refund it
to the workers' compensation insurer.
MR PULLIN: Yes, but in Victoria the workers' compensation
insurer - in this case, the workers' compensation
insurer, Wesfarmers, has worked in with the
employer and, together they have agreed that there
can be a subrogated claim come forward and, hence,
we see CBH suing.
In the Victorian case, the workers'
compensation insurer apparently did not have that
agreement and it sued in the third party
proceedings the employer and then the employer sued
or sought indemnity from the State Insurance
Office. So it is exactly the same structure except here we do not have the workers' compensation
insurer in it as a party.
In Victoria, the result was that there could
be no recovery and the SIO really ran that first
step case, so here the employer will receive a
windfall if it chooses not to give the money to the
workers' compensation insurer, Wesfarmers, because
the Victorian authority says you cannot recover it
and, on that basis, we say that is a strange result
to come about. Now, the Full Court, as I say, just looked at
the policy and chose not to look at the workers'
compensation legislation at all, and indeed, so far
as the CMT case is concerned, only
Mr Justice Rowland mentioned it and then just
simply said in a sentence that it is a different
Act and so really did not give proper consideration
to the effect of that decision.
MASON CJ: But, is it true to say that the Full Court did
not look at the workers' compensation legislation?
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| MR PULLIN: | They just said it had nothing to do with it. |
The policy says that there is a:
"insure ..... in respect of all
liability ..... what is the
liability ..... $125,000 - "
so, therefore, there should be judgment in favour
of Co-Operative Bulk Handling which will, as a
result, receive a windfall. The SGRC will, therefore, become the insurer of the workers'
compensation risk without having received any
premium and Wesfarmers, if in fact it receives the
money, will not have carried any risk and will
never in cases where there is an injury caused atwork, despite the fact that it will calculate its
premiums on the basis that .it is to pay out for
them, will eventually get that money back. That
just cannot be right, in my submission.
The Full Court's decision in relation to each
of the judges can be seen. If I take the
Chief Justice, without going right through it he
deals with the facts, talks about questions of
double insurance and says, "This isn't a case of
double insurance" and we accept all of that, and
eventually ends up by saying on page 102, quoting
the terms of the policy:
The liability of the Trust was expressed in
terms of "all liability for negligence which
may be incurred by the owner or other person
in respect of the death or bodily injury -
et cetera.
The liability of the Trust under the Trust policy was unlimited.
And, ended up saying, on page 103:
In my opinion the present case is not a
case of double insurance. It is not a case for contribution. It is not a case in which
the respondent had a legal defence to theappellant's claim -
And, then says at the second-last paragraph on page
103:
The provisions of ss7(13) of the 1912 Act
and s92(b) of the 1981 Act contain nothing to
alter that position.
So, there is a consideration of it but it is a
dismissal of it without any discussion at all.
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MASON CJ: Yes, but His Honour did agree with the other
judgments. There is a discussion of section 92(b)
in the judgment of Mr Justice Rowland at page 117 and, quite clearly, Their Honours had in mind and
were following the judgment of Chief Justice Burt
in the Forbes, Brambles case.
MR PULLIN: Yes, but the Forbes, Brambles case, Your Honour,
was a quite limited point which provides no
guidance at all, in my submission. The argument in that case was that the amount paid by way of
compensation should be deducted from the amount
recoverable and deducted from the assessment andjudgment entered for the balance and all the Forbes
case decides is that no, what happens is that you
deduct after judgment has been entered. Well, that
is perfectly clear on the Act as it stands, the new
Act, in any event so there is no question of that.
Forbes just provides no assistance at all, in
our submission. It was a quite limited point taken
on appeal and decided on that quite limited point.
MASON CJ: But, the principle of the Forbes case extends
more widely than that, does it not? At least it
was so regarded by Mr Justice Rowland. If you look
at page 120, the top paragraph on that page and the
reference there in the last line to "payment of
compensation" is a reference to payment of workers'
compensation.
MR PULLIN: In the last line in the first paragraph,
Your Honour?
MASON CJ: Yes, the top paragraph on page 120.
MR PULLIN: Yes, that is a quote from Sir Francis Burt's
judgment.
MASON CJ: Yes.
MR PULLIN: But, that is the effect ·of the provision in the
Workers' Compensation Act. There is no doubt that there is, in effect, a satisfaction of the judgment
in part by the workers' compensation payments. If
I can say, in effect, what it says is that the
amount or, to use the precise wording of the
section, if I may, it says:
If the action proceeds to judgment ..... against
the employer only ..... there shall be deducted
from the amount of the judgment and be paid to
the employer a sum representing the
amount ..... actually recoverable by the worker
by way of weekly or lump sum compensation,
medical and other expenses paid pursuant to
this Act -
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So, it does not say who shall deduct it; "there shall be deducted" but one assumes that, put aside
all questions of insurers, the employer is allowed
to deduct it. There is a judgment for the full
amount. The employer is allowed to deduct from the amount of the judgment and pay the balance.
| TOOHEY J: | Mr Pullin, it is not an answer to the complaint |
in the particular case but I suppose if the
Full Court is right the situation can be remedied
by some provision in these policies, can it not;
an indemnity which is qualified by reference to any
amount of workers' compensation paid?
| MR PULLIN: | I would like to think about that, Your Honour, a |
little longer than perhaps I have now but anything
is possible, but I suppose there could be
legislation but that is always - - -
| TOOHEY J: | No, I was not thinking of legislation but, in so |
far as the point is said to have wide implications
and, of course, that is true, I suppose, in terms
of existing policies but for the future, is it
something that is capable of being met by a
rewording of the policy?
MR PULLIN: Well, Your Honour, it is the standard form
policy which is used in most of the States. The wording is almost identical; that is, there is an
indemnity with respect to liability for common law
claims.
TOOHEY J: Yes, but no doubt that has been structured by
reference to provisions, historically at any rate,
that are not comparable to the one that we arefaced with here in the Workers' Compensation Act.
MR PULLIN: Well, in fact, New South Wales, the -
Your Honour will realize that New South Wales first
decided to get rid of common law claims and then
re-introduced them. In the re-introduced form,
there is a provision which,· although differently
worded, in my submission, results in a deduction after assessment. So, it will arise in New South Wales as well. Now, it may be an answer to say that statutory policies can be changed but, really, that is really
suggesting an amendment to legislation.
TOOHEY J: Yes, I see that.
| MR PULLIN: | Your Honours, at present there are six other |
matters on foot in Western Australia with similar
circumstances arising and one imagines that this is
going to be arising all the time. I was just indicating to Justice Toohey that in
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New South Wales under the restored common law
rights there is a provision which is similar in
effect, in my submission; that is, a deductionafter assessment in so far as that is in any way
important in the consideration of this question.
So, if it is thought there is a different statutory
provision in Victoria, then in New South Wales at
least, in my submission, there is likely to be this
same question arising and there doubtless reference
will be made to the Full Court decision in this
State as providing guidance as to what is to happen
between the workers' compensation insurer and the
statutory common law insurer.
Once again, it will be argued there, one
assumes, that there is an inconsistency in effect
between the High Court decision on the subject
coming from Victoria and the decision of theWestern Australian court here. Although it is
going to have to be reconciled, our submission is
it should be a reconciliation here rather than
waiting for decisions in New South Wales to arise
which will generate the same kind of debate.
| MASON CJ: | Mr Pullin, is this legislation, as it were, still |
current? There is a suggestion in the respondent's
outline of argument that in some way or other the
legislation is not current. In what way, I do not
follow.
MR PULLIN: Could I just explain that, Your Honour? Could
you turn to page 72 - if Your Honour looks just above 7A at (c), you will see a provision which
reads:
Any amount received by the worker from the employer by way of compensation under this Act
in respect of an injury by accident shall be
deducted from the amount recoverable by or
payable to a worker from or by the employer,
under a judgment for damages in respect of the
same injury.
That is the old Workers' Compensation Act. The new Workers' Compensation Act provision is found on page 78 and that is the one that is in force now and I place all my argument on that provision and,
just reading the relevant parts, the first two
lines:
Where in respect of a disability an action is
brought by a worker for damages independently
of this Act against his employer -
Then, go down to (b), the first words:
If the action proceeds to judgment
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and go down to the next line:
against the employer only -
Go down to the next line:
there shall be deducted from the amount of the
judgment and be paid to the employer a sum
representing the amount -
Then, after the brackets:
actually recoverable by the worker by way of
weekly or lump sum compensation, medical and
other expenses paid pursuant to this Act -
and I have quoted that in my outline. That
provision still remains on foot and there is no
suggestion that that will be changed.
| MASON CJ: | I follow. |
MR PULLIN: And, as I say, that is different from the
Victorian provision which deducts beforehand but
the New South Wales' provision - perhaps I should
just hand it up to you. I am afraid there is only - I am sorry, it appears there is only one copy,
Your Honours, but could I direct your attention to
section 151B.
| TOOHEY J: | I am sorry, what are we looking at? |
MR PULLIN: | I am sorry, Your Honours, there is only one copy and perhaps I could hand up a second copy of the |
| relevant part. That leaves me without a copy but | |
| section 151B(l) - - - | |
| MASON CJ: | So you say it is a like provision? |
| MR PULLIN: We say it is similar in effect. | It talks about |
after recovery there was a tjeduction so that is the
same effect.
| MASON CJ: Yes. |
MR PULLIN: So, in our submission, the question is going to
arise in New South Wales as well. For those
reasons, we submit that special leave should be
granted.
MASON CJ: Yes, Mr Foss.
| MR FOSS: | Mr Justice Wallace in the MVI Trust v Forbes, |
Brambles decision which I will hand up to you
definitely did consider the consequences beyond
just the entering of the judgment. At page 55, he
considered the consequence with regard to the
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appellant and the second respondent and said
between those, it is a question of:
construction of the insurance policy ..... That
policy provided that the appellant insure the
second respondent "in respect of all liability
for negligence" -
which is the same policy as we are talking
of here -
incurred by the second respondent in respect
of bodily injury -
Then, at line 45:
It follows that "all liability for negligence"
(underlining supplied) forms the total damages
assessed by his Honour before taking into account any payments made pursuant to the provisions of the workers' compensation
legislation. Those damages were the measure
of the second respondent's total liability for negligence and in the circumstances payment of
workers' compensation must be disregarded in
the asessment of damages for negligence.
And, what His Honour plainly envisaged there was
that what the second respondent had to pay under
his policy was the total amount of damages
disregarding the amount of workers' compensation,
notwithstanding the fact that under the terms ofthe Act some of that money was to come back again
and, really, the question we say here is, what is
to happen to that money that comes back after the
terms of the Act?
It really is a question of interpretation of
the specific provisions of this Act and to make the
distinction between whether the money comes out
before judgment is entered or whether it comes out
afterwards. If the intention of the legislature
was not to mean something by saying that it was not to come out before and it specifically provides for repayment of those moneys, there seems to be little point in having it.
If you go to section 92, it says in
paragraph (b) not only that there should be
deducted from the amount of the damage an amount
equivalent to the sum actually recoverable by the
worker by way of weekly of lump sum compensation
but it says it shall be paid to the employer, that
sum representing the amount.
Now, it is a rather complicated sort of
provision for Parliament to enact if it did not
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intend it to have some sort of result and the result
that the Honourable Mr Justice Wallace said in MVIT
v Forbes was that it retained the total liability of
the common law insurer and meant that there was a
refund payable under the Act and that refund - if
the person happened to be self-insured which is
possible under the Act, if that refund - the person
was self-insured, they would put it in their pocket
because their total common law liability would have
been paid by the insurer.
If, on the other hand, the person was inured
under the Workers' Compensation Act, that money
would then go back to the workers' compensation
insurer. Now, that is the only way in which you can make sense of this particular provision as to
why the Parliament went to such an elaborate
provision to make sure that it did not come out
before and that there was actually a payment of a
sum back and it does not make a lot of sense unless
you actually give it that sort of meaning.
It is consistent with the rest of the scheme
of the Act. Section 93 talks about the situation
where there is a third party involved and in those
circumstances it specifically makes quite clear
that the full recovery of that workers'
compensation insurance is given back to the
employer and that is consistent in style to what is
happening under section 92.
| TOOHEY J: | Mr Foss, do the insurers not have any sort of |
arrangement between themselves to meet this type of
situation?
| MR FOSS: | No, there is not, Your Honour, but it is quite a |
common sort of thing where - it is not like a knock
for knock agreement where they are in fact handling
the same type of liability as you have with two
cars banging into one another. Here you are
covering quite different sorts of liability.
TOOHEY J: That is true but this is a situation that must
arise constantly.
MR FOSS: It is a situation that has been raised in clause
4.3 of the affidavit as to other circumstances and
it is quite a common one and quite easily resolved.
The example that was given, for instance, in the
affidavit was, what happens if you have a
construction contract where you have both a property insurance and you have a liability insurance, and they said, "Well, this is a similar
sort of an example". Well, that is easily handled
by the insurance industry. Usually the property
insurer ends up paying the full amount and that is
quite easy because if you work various rights of
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subrogation it always ends up with the property
insurer being the basic insurer and the liability
insurer merely taking up the extra part.
But, here, Parliament has intervened and has
made it quite specific in section 92 that it is not
just a matter of the worker's compensation insurer
paying it and that going towards reducing the
liability at common law, which is what would happen
in the example given at 4.3 of the affidavit. It specifically preserves that liability and no explanation can be given for why it would go to the
trouble of preserving that liability.
TOOHEY J: Well, I seem to recall and, I must confess, my
recollection is very hazy, that there were some
decisions of this Court many years ago which gave
rise to problems because of a question as to
whether judgment should be entered for the full
amount where there had been an entitlement to
workers' compensation and it was a result of that
trend of litigation that these sort of provisions
were introduced.
MR FOSS: That is exactly the point, Your Honour, and I
think this has specifically preserved the situation
that judgment is to be entered for the full amount.
Now, that does have a consequence. If judgment
were entered for the reduced amount, I do not think
we could argue that there was a liability in thecommon law insurer to indemnify us for the amount
for which judgment had not been entered.
MASON CJ: Well, Transport Accident would be against you on
that.
MR FOSS: Yes, and I think that is the reason why this is
really a matter of construction of two different
Acts of Parliament and that is why special leave should not be granted because it is really just a
matter of the differences between our Act and theVictorian Act and there is also the
South Australian Act which, again, they have not followed the Transport Accident case because they
have come to the conclusion that their judgment is
to be, generally speaking, entered without
deducting the workers' compensation payments and it
was as a basis for that, they decided not to follow
the Transport Accident case.
But, that is the distinction between the two. They are very clearly distinguishable and, in that
Transport Accident case, one of the - His Honour,
when giving an idea as to the sorts of things that
have happened, indicated one of the changes was
this particular point; that the Act now provided
for judgment on the balance whereas previously it
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was not judgment on that balance. It would have
been judgment for the full amount and that two were
maintained as two separate liabilities.
But, in the Victorian situation, they have not been maintained as two separate liabilities. Here,
quite plainly, they have because of the mechanism
they have set up to artificially provide for a
judgment of the full amount and provide for a
payment back out of that judgment. There is quite
an artificial construction so far as Parliament has
set it up and it obviously was set up in order to
preserve the two liabilities as separate
liabilities and to have an amount of money coming
back which represented the workers' compensation
payment.
If you look at section 92(b), it is an unusual
piece of drafting but the only explanation you can
give to it is that in the light of these cases, and
there have been a number of cases over the years,
it was intended to preserve the separate entities
of the workers' compensation liability and the
common law liability and to have a piece of money
coming back which then could be dealt with under
the ordinary rights of subrogation.
Again, that is a concept well understood in
insurance law. If there is a recovery relating to
the particular loss that you have suffered, thenthe person who is entitled to that is the insurer
who bore that particular loss. It would be a much
simpler situation just to provide that judgment
would be entered for the balance and, in some
circumstances, that is what the case is but in
Western Australia it is not and it was done that
way on purpose and the only way in which you can
understand the scheme of this Act is to see that
the workers' compensation insurer is to only be
liable where it is purely a workers' compensation
liability, without any common law involvement.
So, the arguments that have been raised at
various times during this case are that - the first
one was to try and overcome MVIT v Forbes and to
say that the judgment should be in such a way that
the money comes out before you take out the
judgment.
The second argument is to say, "Well, we have
discharged your liability", and the third argument
is to say - and this is the one we say there is -
that you only discharge your liability by paying
the full amount, then there is a repayment back and
it is a matter of which of the insurers - and it is
an insurance question - are entitled to that money
that comes back.
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It was suggested by my learned friend that it
would be windfall profit if the money came back to the person but, of course, if a person has insured
himself for a full common law liability and he was
sued purely at common law, then the net result as
far as the HVIT or, in this case, the SGIC was
concerned is they would pay the full amount of that
judgment and he would be in exactly the same
situation as he would be in in this particular
instance.
What this legislation does is - it says it
does not really matter in what order you are sued,
whether proceedings for compensation are taken or whether immediately proceedings at common law are
taken, but the net result at the end of that is
that the full amount of the damages are paid by the
SGIC and you do not have to pay anything yourself.
If, in the meantime, because of the social
implications of workers' compensation - you have to
pay workers' compensation - you get that back if,
in fact, the person is entitled to recover those
damages at common law.
| TOOHEY J: | What happens in the event of a compromise of a |
personal injury claim so that there is no judgment?
MR FOSS: That sort of happened in this particular case,
Your Honour, and the case has not been fought on
that basis. What happened in this particular case is it was compromised without reference to the
defendant and was settled at a lower sum and when
the action came on it was actually agreed between
the parties that we would proceed on the basis that
the proper way in which it should be done at all
times is for there to be judgment for the fullamount and, therefore, the liability, I believe - I
do not think you could settle it without havingregard to the rights of the defendant.
So, for instance, take the situation of MVIT
taking over the action, I do not believe they have the right to settle without having regard to the
rights of the defendant. So, there would be an
action against them if they settled without having
regard to that.In HVIT v Forbes, His Honour made it quite clear that that was the liability they had to pay
and, therefore, what the applicant here is seeking
to do is to set aside HVIT v Forbes. That is a
particular case for Western Australian statutes and
there is no reason why you should do it.
Your Honours have already in the case of - which is
mentioned - National Employers Mutual General
Insurance Association Ltd v State Government
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Insurance Commission, number S, refused leave to
appeal on that one, in the case of the
South Australian legislation and if it is merely
the insurance point that you have already received
indemnification or who receives the moneys received
back, then I do not believe there is any particularpoint or difficult point of law involved in that
and it was easily dealt with by the way that
Their Honours dealt with it in this particular
case, and we adopt that argument.
MASON CJ: Yes, Mr Pullin.
| MR PULLIN: | May it please the Court, there are four points |
in reply I wish to make. The first is the MVIT case did not deal, in my submission, with any
question which arises in this case. Could I take
the Court to page 53 where the ground of appeal is
set out at the top and one can see the quite
limited point which was in issue there. It is justopposite line 5, the indentation, which reads:
"The trial judge erred in concluding that the
provisions of s 92(b) of the ..... Act required
him to enter judgment for the first
respondent -
that is, the plaintiff -
in the sum of -
X dollars -
which sum included workers' compensation paid
by.the second respondent ..... through its
insurer to the first respondent ..... prior to
trial.
That was the only issue about whether or not there
should be entry for judgment of the amount
including the workers' compensation or not and it
was on that quite limited point and provides, in my
submission, no guidance at all.
MASON CJ: | The last paragraph commencing on page 55 is in principle against you, is it not? |
| MR PULLIN: | It may suggest that, Your Honour, but it is |
quite incidental and, in my submission, quite
accidental because the issue - all the attention of
the court was directed to this question which isset as the point in issue in that case, not the
issue that we are arguing here which is, really,
this question of the relationship between or, I
suppose in the end, the liability of the insurer
under its policy taking into account the effect ofthe Act.
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| MASON CJ: Yes. | Now, you did say in your address in-chief |
that the result in this case was a windfall for the
employer.
MR PULLIN: Yes.
| MASON CJ: | Now, I still do not understand how that comes |
about because the employer is obliged to refund the
amount to the workers' compensation insurer under
the policy with that insurer.
| MR PULLIN: | But why would that be, Your Honour, because what |
is coming back is not - the CMT case has held that
that is not so because CMT - let us assume in this
case that Wesfarmers and CBH had not been friends
and that Wesfarmers had found it necessary to
exercise its rights under the policy and claim
subrogation which was, in effect, what the workers'
compensation insurer was doing in CMT. It was saying, "Look, you have received a benefit" and they were not in agreement as the two are here.
Now, let us assume in another case that there
is no such agreement. Then, the position will be
that the insurer will end up with a windfall
because he will sue, rely upon this case to recover
his money and then rely on CMT as a reason for not
paying it on to the workers' compensation insurer,
and if I can also answer a point made by my learned
friend about the Transport Accident Commission
case, my learned friend says, contrary to my
submission, that it was significant that there was
a difference between the legislation in Victoria
and here.
In the joint judgment at page 447, after
analysing the difference in the original Victorian
legislation and the legislation which was then in
force, the reasons for there being a change in
approach in the legislation were identified in
three - there were three reasons set.
| DEANE J: Mr Pullin, I am sorry, I do not understand still |
how employer can get a windfall. I mean, assume he is not friendly with his compensation insurer.
Then, two positions can arise; one is, he has been
covered for his workers' compensation payments and
he gets the payment back, which means that he has
recovered the payments which were covered by the
insurance. Why would he not, as a matter of course, have to refund them to his insurer?
| MR PULLIN: | No. | Your Honour, can we take this case where in |
fact CBH has not had to pay out any workers'
compensation insurance, $70,000, so he is not out of pocket and he is not out of pocket in relation
to the common law claim because SGIC has paid that.
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He now sues us and says, "I want the $70,000" and he will win - and has won that case in this case
here.
DEANE J: Well, I do not follow. If he is not friendly with
his workers' compensation insurer, he is entitled
to have payments made from the negligence verdict
and he must account for those payments to his
workers' compensation insurer because they
represent what he was insured against.
MR PULLIN: Well, not according to CMT, Your Honour.
DEANE J: Well, now, can you show me why CMT says that?
That is what I do not follow. I can understand that if you say the workers' compensation insurer
cannot force him to sue, but that is a different
thing.
MR PULLIN: Yes. Well, the position is, in CMT, worker sues
CMT for $250,000. Before judgment, $31,000 of
workers' compensation is deducted and judgment is
entered for the balance, so that is step one. The workers' compensation employer then says, "Well, look, I paid the workers' compensation. I want you", CMT, the employer, "to give me that money".
The CMT, the employer, then says to the equivalent of my client, the SIO in that case, "Well, if
that's so, you must indemnify me", so that step is
the same as the one in this case.
Mr Justice O'Bryan said, "No, NEM, the
workers' compensation insurer has no such right".
The Full Court of the Supreme Court, then, overturns that and says, "No, that is not right.
The workers' compensation insurer can recover it
from the employer" and therefore the employer is
entitled to indemnity from SIO.
It, then, comes to this Court and this Court
says, "No, that is not righ_t. Mr Justice O'Bryan was right" and the workers' compensation insurer
has no entitlement to recover and the reasons for that are twofold, and they are set out in the
headnote, Your Honour, accurately set out - the two
reasons which were given. First:
That the satisfaction of a judgment for
damages did not extinguish ab initio liability
to pay compensation unde~ the Act.
So, the Court said, "Well, why do you", the
workers' compensation insurer, "want anything back
because you always had that obligation. You're
just doing what you had to do under your policy".The second reason that was given by the Court was:
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That the insurer's payment was by way of indemnity against the employer's liability
under the Act and hence was not recoverable
from the employer.
So, the end result is that the workers'
compensation insurer fails. Now, because there is no point made of the difference between the
Victorian Act and the Western Australian Act about
whether you would made your deduction before or
after judgment, that is not a critical factor;
Wesfarmers, in this case, would fail in an action
against the CBH, the employer.
DEANE J: If the CBH had actually got the money back
pursuant to the provisions of the Act?
MR PULLIN: Well, yes, but the odd thing is that is why this
decision is wrong we say. Why can they get the money back? Why is it that the employer in this case is entitled to get the money back? How can it possibly be that it can recover under the terms of
its policy?
| DEANE J: But that is avoiding the question. | I mean, assume |
the Act entitles them to receive the payment of the
workers' compensation payments, I just cannot
comprehend how it can be said they can keep those
payments and do not have to reimburse the workers'
compensation insurer.
MR PULLIN: Because it has been said by the High Court in
CMT that those payments retain their character as
workers' compensation payments whereas what the
employer in this case is recovering is an indemnity
for damages in common law. So, he is winning the
case because - - -
| DEANE J: | No, he is not. | What he is obtaining under the Act |
is a refund of the workers' compensation payments
on the construction against you.
| MR PULLIN: | No, Your Honour, because the Full Court - all it |
did was to say, "The premium says you are
indemnified for liability for common law damages.
What's your beef, because the money - - - "
| DEANE J: | But, what the Full Court says was, "Of course the |
employer has to refund them to the workers'
compensation insurer". I mean, they spelled it out in no uncertain terms.
MR PULLIN: Yes, but the case is not a case about insurers,
of course. The case is all about the two parties, not about workers' compensation parties. It is
about the employer suing the State Government
Insurance Office for its indemnity for common law
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damages. The Full Court said the Workers' Compensation Act, really has nothing to do with
this. They have absolutely set that aside. The decision in this case is based upon what the policy
says and they say, "Well, look, the policy says
there is indemnity with respect to common law
damages. Pay up". We say that one must have
regard to the legislation; one simply cannot do
that.
DEANE J: Well, if you look at page 119, the last paragraph,
the last two or three sentences, you would disagree
with that, would you? I mean, that is not put in terms of this particular case. That is put in
terms of the abstract working.
| MR PULLIN: | The answer to that, Your Honour, is CMT says |
that is wrong.
| DEANE J: | So you disagree with that? |
MR PULLIN: Yes. If, in fact, a workers' compensation
insurer tries to rely on that, he will have cited
against him, CMT. That, with respect, is really a
throw-away line unnecessary to the decision. It is
really obiter because the decision has been reached
on the basis that the policy says you indemnify for
common law, you insure against common law
liability. The liability in this case is $130,000. The Act has got nothing to do with it. We say that is wrong.
DEANE J: Well, I must confess, looking at the Act in this
case, I would have thought that that was plainly
and demonstrably right which must mean that either
CMT turns on the different wording of the Victorian
Act or -
| MR PULLIN: | Which is does not say, of course, Your Honour. |
| DEANE J: | - - - or my approach to insurance law is wrong |
because CMT says it is. I cannot quite see that in CMT yet but that may be -
MR PULLIN: Perhaps it is CMT that needs review, then,
Your Honour. But, that is the problem; that there
is a difficulty because of CMT standing as
authority against the recovery by the workers'
compensation insurer.
The South Australian case - and I am told that special leave was refused in that case, but that
was a double insurance case, in our submission;
nothing to do with this case at all. They are my
submissions in reply.
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MASON CJ: Yes, thank you, Mr Pullin. The Court is of
opinion that the decision of the Full Court in this
case is not attended with sufficient doubt to
justify the grant of special leave to appeal. The application is, therefore, refused.
| MR FOSS: | I ask for costs, Your Honour. |
| MASON CJ: | You do not oppose costs, do you, Mr Pullin? |
| MR PULLIN: | Not at all, Your Honour. |
| MASON CJ: | The application is refused with costs. |
AT 11.35 AM THE MATTER WAS ADJOURNED SINE DIE
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Key Legal Topics
Areas of Law
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Contract Law
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Negligence & Tort
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Statutory Interpretation
Legal Concepts
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Appeal
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Vicarious Liability
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Statutory Construction
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Remedies
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