Workers Compensation Nominal Insurer v Sako
[2025] NSWCA 12
•13/02/2025
“(1) A claim under this Division may be made against the Nominal Insurer by any person who considers he or she has a claim against an employer for compensation under this Act or work injury damages in respect of an injury to a worker, if — (a) the employer is uninsured …”
(a) an injury to the worker caused by the negligence or other tort of the employer …
Adam P Brown Male Fashions Pty Ltd v Philip Morris Incorporated(1981) 148 CLR 170
(a) from about late 2009 to late 2011 or 2012, he was employed by Mr Rabi Harmes; (b) from about late 2011 or 2012 until about May 2014, he was employed by Italian Marble and Granite Pty Ltd (Italian Marble); and (c) from about April 2017 until about July 2022, he was employed by Granitestone Pty Ltd (Granitestone).
(a) at all material times there were policies of insurance between “scheme agents” exercising the functions of WCNI under s 154G of the 1987 Act and each of the plaintiff’s employers (that is, including Mr Harmes): at par 14; (b) WCNI was liable to indemnify Mr Sako’s employers in respect of their liability to pay common law damages to the plaintiff for his injuries: at par 15; and (c) Mr Sako sued WCNI pursuant to s 4 of the Third Party Claims Act as if the proceedings were proceedings to recover damages from the employers: at par 16.
“140 Persons eligible to make claims (1) A claim under this Division may be made against the Nominal Insurer by any person who considers he or she has a claim against an employer for compensation under this Act or work injury damages in respect of an injury to a worker, if — (a) the employer is uninsured, or (b) the person claiming the compensation has been unable, after due search and inquiry, to identify the relevant employer.
(2) An employer is considered to be uninsured if the employer —(a) had not obtained, or was not maintaining in force, a policy of insurance for the full amount of the employer’s liability under this Act in respect of the injured worker at the relevant time, or (b) having been a self-insurer at the relevant time, has ceased to undertake liability to pay compensation to the employer’s own workers (but onlyif the claim cannot be paid under section 216 from any money deposited with the Authority or under any arrangement relating to the refund of any such deposit).
… (2B) The regulations may prescribe the searches and inquiries necessary to constitute due search and inquiry to identify an employer for the purposes of this section. (3) If a payment is made by the Nominal Insurer in respect of a claim under this Division and the employer is subsequently identified, the Nominal Insurer may recover the amount paid from the employer or the employer’s insurer in the manner provided by this Division. …”
(a) the plaintiff is entitled pursuant to section 140 of the Workers’ Compensation Act 1987 to make a claim against the sixth defendant for ‘work injury damages’ in respect of an injury if the employer is uninsured or if the plaintiff is unable to identify the relevant employer;(b) for the purposes of section 140: (i) the term ‘work injury damages’ is defined in section 250 of the Workplace Injury Management and Workers Compensation Act 1998 as, inter alia, ‘damages recoverable from a worker’s employer in respect of an injury to the worker caused by the negligence or other tort of the employer’;(ii) an employer is uninsured for the purposes of section 140 if the employer ‘has not obtained, or was not maintaining in force, a policy of insurance for the full amount of the employer’s liability under this Act in respect of the injured worker at the relevant time’; (iii) the full amount of the employer’s liability in respect of injuries an employer is required to insure against is prescribed by section 155 of the Workers’ Compensation Act 1987 ;(iv) the term ‘injury’ for the purposes of the insurance an employer is required to obtain and maintain pursuant to section 155 is defined by section 155(1A) to include ‘a dust disease as defined in the Workers’ Compensation (Dust Diseases) Act 1942 and the aggravation, acceleration or deterioration of a dust disease as so defined’; and(v) the definition of the term ‘injury’ in section 155(1A) informs the scope of the liability of the sixth defendant pursuant to section 140 for the liability of any uninsured or unidentifiedemployers to pay damages to the plaintiff in respect of the injury the subject of these proceedings.
(c) in the premises, the plaintiff is entitled to make a direct claim for damages against the sixth defendant for the injuries pleaded herein in the event that any of the employers after 30 June 1987 were uninsured or are unable to be identified.”
(a) an injury to the worker caused by the negligence or other tort of the employer, or (b) the death of the worker resulting from or caused by an injury caused by the negligence or other tort of the employer,
(i) a dust disease, or (ii) the aggravation, acceleration, exacerbation or deterioration of a dust disease.”
(a) s 151G — which limits work injury damages to damages for past economic loss due to loss of earnings, and damages for future economic loss due to the deprivation or impairment of earning capacity (i.e. — no damages for non-economic loss); (b) s 151H — which provides a permanent impairment threshold of 15% before damages may be awarded; (c) s 151I — which provides a cap on the damages that may be awarded for loss of earnings or earning capacity, which are limited to the maximum amount of weekly payments of compensation; (d) s 151IA — which limits the recoverability of damages for loss of earning capacity to the pension age; (e) s 151J — which provides a prescribed discount rate of 5% (cf 3% at common law) for the calculation of future economic loss; (f) s 151R — which prohibits the award of exemplary or punitive damages; (g) s 151AD — which prevents a secondary victim from recovering damages for pure mental harm unless they also have a work injury.”
(a) s 11A — which provides for an award of provisional damages; (b) s 12A — which abolishes the limitation period for dust-related conditions; (c) s 12B — which disapplies [section] 2(2)(d) of the Law Reform (Miscellaneous Provisions) Act 1944 where proceedings are commenced prior to the death of a plaintiff;(d) s 25B — which prevents the relitigation or reargument of previously-determined general issues without leave.”
“155 Compulsory insurance for employers (cf former s 18(1), (5), (6))(1) An employer (other than a self-insurer) shall obtain from a licensed insurer, and maintain in force, a policy of insurance that complies with this Division for the full amount of the employer’s liability under this Act in respect of all workers employed by the employer and for an unlimited amount in respect of the employer’s liability independently of this Act (but not including a liability for compensation in the nature of workers compensation arising under any Act or other law of another State, a Territory or the Commonwealth or a liability arising under the law of another country) for any injury to any such worker. -
Maximum penalty — 500 penalty units or imprisonment for 6 months, or both. … (1A) In subsection (1), injury includes a dust disease as defined in theWorkers’ Compensation (Dust Diseases) Act 1942 and the aggravation, acceleration, exacerbation or deterioration of a dust disease as so defined.…”
(1) Silicosis was not one of the industrial diseases covered by the Workmen’s Compensation Act 1916 (NSW): see s 5 and s 12 and Sch 3. However, compensation for silicosis soon came to be separately covered pursuant to s 2 of theWorkmen’s Compensation (Silicosis) Act 1920 (NSW), which empowered the Minister to make provision for schemes of compensation.(2) From 1926, the regime for general workers compensation was governed by the Workers’ Compensation Act 1926 (NSW) (1926 Act). By s 6(1), “injury” was defined expressly to exclude “a disease caused by silica dust”.(3) In 1942, the Workmen’s Compensation (Silicosis) Act was repealed and replaced by theWorkers’ Compensation (Silicosis) Act 1942 (NSW), which was subsequently renamed theWorkers’ Compensation (Dust Diseases) Act , that is, the 1942 Dust Act.(4) Also in 1942, the exclusion of silica dust diseases from the general regime continued when the 1926 Act was amended by the Workers’ Compensation Act and Workmen’s Compensation (Broken Hill) Act (Amendment) Act 1942 (NSW). That Act:(a) by s 2(a)(ii), replaced the definition of “injury” in s 6(1) of the 1926 Act as follows: “ ‘Injury’ means personal injury arising out of or in the course of employment and includes a disease which is contracted by the worker in the course of his employment whether at or away from his place of employment and to which the employment was a contributing factor but does not, save in the case of a worker employed in or about a mine to which the Coal Mines Regulation Act, 1912–1941, applies, include a disease caused by silica dust”; (b) by s 4(b), inserted a new s 18C into the 1926 Act which established the Uninsured Liability Scheme.
(5) Thus, in the same year that the separate dust diseases regime was overhauled by the enactment of the 1942 Dust Act, the very legislation which originally established the Uninsured Liability Scheme confirmed the general exclusion of diseases caused by silica dust from that regime. In that context, the general statements (which did not specifically address dust diseases) made in the course of the parliamentary debates with respect to the establishment of the Uninsured Liability Scheme in 1942 on which Mr Sako relies in his written submissions as suggesting a beneficial legislative intention do not assist him. (6) In its original form, the 1987 Act: (a) by s 4(c), maintained the exclusion of dust diseases from its definition of “injury”; (b) by s 139, constituted the Uninsured Liability and Indemnity Scheme; (c) by s 140(1), made provision for claims under the Scheme “in respect of an injury to a worker”; and (d) by s 149(1), abolished the worker’s right to recover common law damages against the employer “in respect of an injury to the worker for which compensation is payable under this Act by that employer”.
(7) The effect of the exclusion of dust diseases from the definition of “injury” in the 1987 Act was that: (a) common law damages continued to be available for dust disease claims against employers, but dust disease claimants had no access to the Uninsured Liability and Indemnity Scheme; and (b) by contrast, common law damages were not available for other claims against employers, but non-dust disease claimants had access to the Scheme.
(8) Also in 1987, the Workers’ Compensation (Dust Diseases) Amendment Act 1987 (NSW) amended the 1942 Dust Act by inserting a new s 8(5A), which provided: This corresponded functionally with s 155(1A) of the 1987 Act in its current form. It facilitated the consolidation of an employer’s compulsory insurance cover in the one policy. But (and notwithstanding any conceptual dichotomy) it did so in circumstances in which dust disease claimants were excluded from the Uninsured Liability and Indemnity Scheme.“The regulations under the [1987 Act] may require a policy of insurance under that Act to contain provisions in respect of the employer’s liability independently of that Act for an injury (being a dust disease) to a worker under this Act.” (9) Section 155(1A) itself was inserted into the 1987 Act by the Workers Compensation (Benefits) Amendment Act 1989 (NSW). That Act also restored the right to common law damages in general (that is, non-dust disease) claims. It was not suggested at the time that the insertion of s 155(1A) opened the door to the bringing of dust disease claims against the Scheme under s 140.
(a) did not oppose an order that it pay Mr Sako’s costs of the application for leave to appeal and of the appeal; and (b) did not seek to disturb the costs order made below, which was that costs of the motion be costs in the cause.
(1) Grant leave to appeal with respect to Ground 2 in the draft notice of appeal and direct the applicant to file a notice of appeal within seven days. (2) Appeal allowed. (3) Order (2) made by Scotting J on 11 June 2024 be set aside. (4) In lieu thereof, order that the plaintiff be refused leave to file the draft Amended Statement of Claim annexed to his notice of motion. (5) The applicant pay the respondent’s costs of the application for leave to appeal and of the appeal. (6) The application for leave to appeal otherwise be dismissed.
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