austlii:nsw/NSWPIC/2026/172
General information, not legal advice.
NSWPIC
2026-03-18
Original judgment source is linked above.
AAI Limited t/as AAMI v Poudel [2026] NSWPIC 172
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; settlement approval; claimant was injured and was working at the time of the accident; claimant is aware no entitlement to future statutory benefits once settlement is approved; settlement complies with clause 7.37 of the Motor Accident Guidelines (version 9.3); settlement approved in the amount of $85,000.00, consisting of nil non-economic loss, past economic loss of $5,000.00, and $80,000.00 future economic loss.
11 June 2023 to the care of the plastics team and for a review with outpatient ophthalmology (p 80). 4. The claimant arrived in Australia about six months before the accident and resided here on a temporary graduate vias (485 post graduate visa - pp 18 and 163) whilst working as a casual warehouse picker and salad maker (at Woolworths Group Limited (Woolworths) and Fishbowl Services Pty Ltd at Rockdale (Fishbowl)). The claimant was working a 36-hour week (for both positions) at the time of the accident (p 167 ff). 5. The claimant made a claim for common law damages (pp 1 - 8) and AAI Limited t/as AAMI (the insurer) has admitted liability for the common law damages claim (p 9). 6. On 30 September 2025 the insurer made a settlement offer for the common law damages claim, in the total sum of $80,000 (non - economic loss (NEL) - nil, past economic loss (PEL) - $5,000, and future economic loss (FEL) - $75,000 (pp 411 - 414) (the initial settlement offer). 7. The claimant accepted the initial settlement offer and signed a deed of release on
7 October 2025 (pp 418 - 419). 8. On 9 February 2026 the insurer revised the initial settlement offer and increased the offer of settlement to $85,000 (the revised settlement offer). The revised settlement offer was accepted by the claimant when she executed a revised deed of settlement dated
9 February 2026 (ALAD pp 1 - 2). The deed identified the deductions sought to be made from the settlement as required by law such as Centrelink and for the weekly payments made to the claimant for past wage loss in the amount of $2,395.17. 9. The insurer has made no allegation of contributory negligence, no amounts have been advanced by the insurer, and the insurer seeks a deduction for weekly payments of statutory benefits paid of $2,395.17. 10. The claimant is entitled to statutory benefits for all her reasonable and necessary treatment expenses related to the motor accident for life, pursuant to the Motor Accident Injuries Act 2017 (MAI Act). 11. The claimant is not entitled to damages for NEL (pp 12 and 411). 12. Since the accident the claimant has moved to Hobart as a condition/requirement of her visa, where she continues to work for Woolworths Group Limited as a store team member (p 22). 13. The claimant is not represented by an Australian legal practitioner. 14. The insurer has acknowledged that it will not deduct from the settlement any amounts refundable to Medicare. 15. The claimant will receive an amount of $82,604.83 clear of deductions after the settlement is approved.
Dr Petros Patroulias - general practitioner (GP) - 24 June 2024
Dr Robin Mitchell (occupational physician) - 25 March 2025
(a) sitting is not challenging;
(b) standing for up to 12 hours;
(c) walking for any distance, and
(d) lifting up to 10kg.
Dr Robyn Mitchell - supplementary report dated 15 July 2025
Dr Grant Walker (neurologist) - 31 December 2025
Allied health treatment - benchmark - initial assessment report - 25 June 2024
(a) the claimant had obtained a bachelor's degree in microbiology from a university in Nepal - "Tribhuvan";
(b) the claimant has not worked as a microbiologist since graduating from Tribhuvan in 2023;
(c) it was her intention to work in the field of microbiology, but she has not been able to secure work in this field, as she has limited experience and possibly the accident has interfered with this along with her recent move to Tasmania;
(d) it was acknowledged by the claimant that obtaining work in the field of microbiology would be challenging and she intends to undertake postgraduate studies in nursing, undertaking a Master of Nursing degree. This course of study will be explored further once her visa application for permanent residency has been granted, when this is likely to occur is uncertain;
(e) she does not intend to work for Woolworths, indefinitely;
(f) she has scar "build up" over the healed wound on her forehead, which appears to be progressing slightly i.e. it was growing;
(g) she experiences pain around the scarring in cold weather, which she experiences once a month. On a self-assessed scale of 1 - 10, this pain is between 5 and 6. She does not generally experience pain in this region in the warmer months i.e. in the hotter season she doesn't get pain often;
(h) when she experiences pain it is not a "throbbing pain", it is more moderate;
(i) she has not seen a GP about the pain since moving to Hobart in March 2025;
(j) she treats the pain symptoms with either bed rest or Panadol, if it happens at work, and
(k) she plans to stay in Tasmania for the next two to five years at the very least, until her visa is sorted.
Dr Walker's report, any amended settlement offer and amended submissions if appropriate. 2. The settlement approval was listed for a further preliminary conference on 9 February 2026. 3. On 6 February 2026 the insurer filed an amended settlement bundle as directed, the insurer had made the revised settlement offer, which considered further contingencies that may affect the claimant's FEL, following the observations made in Dr Walker's report.
(a) the insurer calculated the claimant's pre-injury earnings for both positions at Fishbowl and Woolworths in the amount of $540.94 net per week;
(b) the closed period of four weeks loss of wages was allowed for from dated of the accident to 8 July 2024, including super of 11.5% and Fox v Wood of $210, the total sum was $2,622.41;
(c) a further buffer of $1,500 was allowed to cater for the fact the claimant did not return to work at Fishbowl until 17 July 2024, and
(d) the insurer rounded the sum to be offered from $4,122.41 to $5,000.
(a) the claimant was assessed as having a working life of 41 years before retirement age;
(b) the claimant was working a 35-hour week prior to the accident;
(c) the insurer noted the claimant intended to continue to reside in Australia and to continue working, and
(d) the insurer allowed an "arbitrary" sum for a base wage loss of $80 net per week for 41 years, less 15% for vicissitudes, plus 14% for superannuation, totalling $71,690.50, which was then rounded up to $80,000 to allow for a reduction in the claimant's capacity to engage in employment when she may occasionally experience pain from the scarring and or headaches (p 425).
Deductions sought to be made by the insurer for weekly payments of statutory benefits
"3.40 Effect of recovery of damages on statutory benefits
(1) If a person ('the claimant') recovers damages in respect of the death of or injury to a person caused by the fault of the owner or driver of a motor vehicle in the use or operation of the vehicle then (except to the extent that subsection (2) or (3) covers the case)
(b) the amount of any statutory benefits already paid under Division 3.3 in respect of the injury concerned is to be deducted from the damages (awarded or otherwise paid as a lump sum) and is to be paid to the person who paid the statutory benefits."
"6.23 Restrictions on settlement of claim for damages
(a) the claimant is represented in respect of the claim by an Australian legal
(b) the proposed settlement is approved by the Commission.
(3) The Commission is not to approve the settlement of a claim unless satisfied that the
settlement complies with any applicable requirements of or made under this Act or the
(1) If a claimant, who is not represented by an Australian legal practitioner, and an insurer have agreed to a proposed damages settlement, the insurer must lodge an application for approval of a damages settlement under section 6.23 of the MAI Act, on behalf of both the claimant and the insurer, within 7 days of reaching the agreement.
"Under section 6.23(3) of the Act, before the Personal Injury Commission may approve the settlement of a claim for damages, it must be satisfied that:
(a) the proposed settlement satisfies the timing requirements in section 6.23(1) of the
(b) the proposed settlement is just, fair and reasonable and within the range of likely potential damages assessments for the claim were the matter to be assessed by the Commission, taking into account the nature and extent of the claim and the injuries, disabilities, impairments and losses sustained by the claimant, and taking into account any proposed reductions or deductions in the proposed settlement;
(c) the claimant understands that they are entitled to be represented in respect of the claim by an Australian legal practitioner, and
(d) the claimant understands the nature and effect of the proposed settlement and is willing to accept the proposed settlement."
The Personal Injury Commission's Procedural Directions
(a) a deed of release;
(b) the amount of the proposed damages settlement, including a breakdown of the amount allowed for each head of damage and how each amount allowed has been calculated;
(c) the amount of any reductions in the proposed damages settlement including for contributory negligence or any other reduction, including brief reasons for that reduction and how any reductions have been calculated;
(d) the amount of any advance payments that the insurer has made in advance of the settlement and the dates of those advance payments, including brief reasons explaining why those advanced payments were made, and
(e) the evidence, documents and materials relevant to an assessment of the damages settlement including liability notices.
THE SETTLEMENT APPROVAL CONFERENCE - 9 February 2026
(a) the amount of the settlement is just, fair and reasonable (appropriateness), and
(b) the claimant understands the settlement and its terms and the effect of the settlement in ending his claim for common law damages (the claimant's understanding).
"It is a relationship of the award to the injury and its consequences ... which is to be proportionate ... It is not a matter to be resolved by reference to some norm or standard supposedly to be derived from a consideration of amounts awarded in a number of other specific cases ... The principle to be followed ... is that the amount of damages must be fair and reasonable compensation for the injuries received and disabilities caused. It is to be proportionate to the situation of the claimant ... and not to the situation of other parties in other actions, even if some similarity between their situations may be supposed to be seen. The judgment of a Court awarding damages is not to be overborne by what other minds have judged right and proper for other situations. It may be granted that a judge who is making such assessment will be aware of and give weight to current general ideas of fairness and moderation. But this general awareness is quite a different thing ...The awareness must be a product of general experience and not formed ad hoc by a process of considering particular cases and endeavouring ... to allow for differences between the circumstances of other cases and the circumstances of the case in hand." (Planet Fisheries Pty Ltd v La Rosa (1968)119 CLR 118 per Barwick CJ, Kitto and Menzies JJ at paragraph 11).
AAI Limited t/as AAMI
Poudel [2026] NSWPIC 172;