Wells v Australian Aviation Underwriting Pool Pty Ltd

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SUPREME COURT OF QUEENSLAND

CITATION:

Wells v Australian Aviation Underwriting Pool Pty Ltd [2003] QSC 226

PARTIES:

ROBYN LUCELLE WELLS
(plaintiff)
v
AUSTRALIAN AVIATION UNDERWRITING POOL PTY LTD (ACN 004 489 810)
(defendant)

FILE NO/S:

SC No  8085 of 1999

DIVISION:

Trial Division

PROCEEDING:

Trial

DELIVERED ON:

21 July 2003

DELIVERED AT:

Brisbane

HEARING DATE:

26 – 30 May 2003

JUDGE:

McMurdo J

ORDER:

1.   Claim dismissed.

2.   Unless the plaintiff serves upon the defendant’s solicitors and delivers to the court a submission as to costs within 7 days of today, the plaintiff is to pay the defendant’s costs of the proceedings to be assessed.

3.   In the event that such a submission is delivered, the defendant is directed to serve upon the plaintiff’s solicitors and deliver to the court a submission as to costs within a further 7 days.

CATCHWORDS:

INSURANCE – CONSTRUCTION OF POLICY - where plaintiff injured in a motor vehicle accident – where plaintiff made claim for payment of a disability benefit under an accident insurance policy – where defendant to pay the plaintiff $500,000 if plaintiff, as a result of any bodily injury, suffered an “Permanent Total Disablement” as defined in the policy – whether alleged disablement must have been solely and independently of any other cause, the result of any injury suffered – whether an injury sufficiently causing a disablement would cease to be so if the insured suffers a later injury which of itself would have caused a disablement

INSURANCE – CONSTRUCTION OF POLICY - where insurance policy provides bodily injury must directly result in a permanent and total disablement lasting twelve calendar months which, at the end of the period must be beyond hope of improvement – where disablement must prevent the insured engaging in each and every occupation or employment for wage or profit for which the insured is reasonable qualified – whether plaintiff prevented from engaging in an occupation for which he was reasonably qualified – whether plaintiff suffered a permanent and total disablement beyond hope of improvement

Fidelity and Casualty Company of New York v Mitchell (1917) AC 592, considered
Jason v Batten (1930) Ltd [1969] 1 Lloyd’s Reports 281, considered
QBE Insurance Limited v Jande (1995) 8 ANZ Insurance Cases 61-270, considered

COUNSEL:

C Heyworth-Smith for the plaintiff
S Couper QC for the defendant

SOLICITORS:

Melrose King & Emerson for the plaintiff
Hunt & Hunt for the defendant

  1. McMURDO J:  This is a claim for payment of a disability benefit under a policy of accident insurance.  The plaintiff, Mrs Wells, entered into the policy with the defendant for a period of cover for the year commencing 1 October 1995.  The policy insured against injury during that period to her husband, Mr Brian Colin Wells.  The defendant promised to pay an amount of $500,000 if Mr Wells suffered “Permanent Total Disablement”, as defined in the policy, resulting from such an injury.  Her case is that Mr Wells suffered an injury in a motor accident or about 17 August…

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Details
Case
[2003] QSC 226
Decision Date

CaseChat Overview and Summary

The case of Wells v Australian Aviation Underwriting Pool Pty Ltd involved a dispute over the interpretation and application of an accident insurance policy. The plaintiff, Wells, had been injured in a motor vehicle accident and sought to claim a disability benefit under the policy. The policy provided for a payment of $500,000 if the plaintiff, as a result of any bodily injury, suffered a "Permanent Total Disablement" as defined in the policy. The central issue before the court was whether the alleged disablement had to be solely and independently of any other cause, the result of the injury suffered. Additionally, the court had to determine whether an injury sufficiently causing a disablement would cease to be so if the insured suffered a later injury which of itself would have caused a disablement.

The court examined the policy terms and found that the definition of "Permanent Total Disablement" required that the bodily injury must directly result in a permanent and total disablement lasting twelve calendar months, which at the end of the period must be beyond hope of improvement. The disablement must prevent the insured from engaging in each and every occupation or employment for which they were reasonably qualified. The court held that the plaintiff was not prevented from engaging in an occupation for which he was reasonably qualified, and therefore, he did not suffer a permanent and total disablement beyond hope of improvement. Consequently, the claim for the disability benefit was dismissed.

The court ordered that unless the plaintiff served a submission as to costs within seven days, they would be liable to pay the defendant's costs of the proceedings to be assessed. If a submission was delivered, the defendant was required to respond with a submission as to costs within a further seven days. This decision underscores the importance of the precise interpretation of insurance policy terms and the stringent requirements that must be met for a claim to succeed.

Orders

Orders of the court

1. Claim dismissed.

2. Unless the plaintiff serves upon the defendant’s solicitors and delivers to the court a submission as to costs within 7 days of today, the plaintiff is to pay the defendant’s costs of the proceedings to be assessed.

3. In the event that such a submission is delivered, the defendant is directed to serve upon the plaintiff’s solicitors and deliver to the court a submission as to costs within a further 7 days.

Background

Background to the litigation

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Evidence

Evidence Before The Court

Full text does not contain this section.

Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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