austlii:nsw/NSWPIC/2025/446
General information, not legal advice.
NSWPIC
2025-08-29
Original judgment source is linked above.
Allianz Australia Insurance Limited v Knapton [2025] NSWPIC 446
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; settlement approval; claimant was injured; claimant 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 Injuries Guidelines (version 9.3); settlement approved in the amount of $53,000.00; settlement consisting of nil non-economic loss, past economic loss of $20,000.00, and future economic loss of $33,000.00 by way of a buffer; less $11,984.77 for statutory benefits paid by the insurer.
19 March 2025 and noted the claimant was able to complete her pre-injury duties and all activities of daily living, has an excellent prognosis and expects continued symptomatic and functional improvement in relation to the claimant's injuries. Based on the right knee, right ankle and scarring, Dr Powell assessed the claimant's total WPI at 2% [pages 132 - 140]. 6. On 30 April 2024 the claimant made an application for common law damages [pages 12 - 14]. 7. On 25 May 2025 the insurer partially admitted liability for the common law damages claim, stating there was an entitlement to reduce the damages payable for contributory negligence. [pages 15 - 19]. 8. The insurer made a settlement offer to the claimant to settle her application for common law damages in the amount of $53,000 for past and economic loss and sought a deduction of 20% from the settlement sum for contributory damages (the initial offer of settlement). 9. On 18 July 2025 there was a preliminary conference with the parties on the first return date for the settlement approval, when it was noted there was a misleading statement in the executed deed about the claimant's legal representation (see the deed dated 28 May 2025) [pages 332 - 334]. The insurer was also given an opportunity to reconsider the initial settlement offer and to file an amended deed of settlement, if appropriate. 10. On 21 July 2025 the insurer filed a revised bundle (the supplementary bundle), which included an amended settlement deed dated 18 July 2025, with a settlement offer of $53,000 without any deduction for contributory negligence (the revised settlement) and a revised submissions document identifying the revised settlement offer [supplementary bundle - pages 1 - 9]. 11. The revised settlement signed by the parties also now correctly identifies the claimant is not represented by a legal practitioner [supplementary bundle, pages 7 - 9]. 12. The claimant has accepted the revised offer of settlement. 13. The claimant has executed the amended settlement agreement dated 18 July 2025 [supplementary bundle, pages 7 - 9]. 14. The claimant is not represented by an Australian legal practitioner. 15. The claimant requests the Persona Injury Commission (Commission) to approve the revised offer of settlement.
15 January 2023 [pages 301 - 307]. Subsequently, she was certified with a reduced capacity, allowing her to work five days per week, eight hours per day, from 16 January 2023 to 17 October 2024 [pages 308 - 325].
(a) right knee laceration extending into the knee joint and partial disruption of the vastus lateralis;
(b) bruising to the lumbar spine, and
(c) right ankle wound over the medial malleolus.
12 January 2023, notes that upon examination, the claimant had nearly full range of motion in her knee. He observed that the scar on her right knee appeared to be healing in a keloid fashion and noted that the ankle wound had similarly healed in a keloid manner [page 145]. 4. The claimant subsequently sought an opinion from Professor Anand Deva, who provided a report dated 30 January 2024 [page 150]. Professor Deva noted that the claimant was highly conscious of the visible scar. Examination revealed a stretched hypertrophic scar to the right knee. Professor Anand suggested that the claimant might benefit from a scar revision. However, the claimant apparently elected not to proceed with this recommendation [page 134].
14 March 2025. 2. Dr Powell provided a report dated 19 March 2025. 3. Dr Powell noted her ongoing complaints in relation to her knee:
(a) she localises some discomfort to the anterior and superolateral aspect of her right knee;
(b) this discomfort is aching in character;
(c) this discomfort occurs intermittently and is precipitated by activity;
(d) she experiences hypersensitivity when touching the lateral aspect of her scar;
(e) she is aware of intermittent swelling and the occasional clicking in the knee;
(f) she kneels with difficulty, but can perform a squat, and
(g) she cannot run and describes subjective instability though there is no locking.
(a) she was undertaking a home exercise program, which utilised motion exercise, squats and Therabands;
(b) she was attending Pilates three to four times a week, and
(c) she was walking on a regular basis [page 134].
(a) she is independent in all elements of personal hygiene and grooming;
(b) she can perform all domestic tasks;
(c) she can drive, though with some discomfort, and
(d) she has not returned to running, regular gym or snowboarding [page 135].
The claimant's observations at two preliminary conferences
15 January 2023. Her work capacity increased to full time work from 16 January 2024. 2. The claimant subsequently resigned from Zimmerman in April 2023 and obtained employment at Charter Hall as a personal assistant in a full-time position. 3. The claimant's payroll summary for the period 13 November 2021 to 19 November 2022 identified the claimant was earning a gross income of $2,692.31 per fortnight, a weekly income of $1,092.54 [page 337]. 4. The claimant received from the insurer her full loss of weekly income in the sum of $1,092.54, totalling $10,051.37. In addition to these payments' superannuation of 11% and Fox v Wood were paid, in the total amount of $2,331. The total sum paid by the insurer for this head of damage was $13,488.02. 5. As the recent certificates of fitness indicated there were ongoing restrictions, which possibly indicated the need for further periods of time off work, the insurer has rounded this head of damage to $20,000.
"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 practitioner, or
(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 Motor Accident Guidelines."
(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 Act [since repealed];
(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."
(a) of the amount of the proposed settlement and a breakdown of the amount allowed for each head of damage [supplementary bundle - page 5], and
(b) an executed settlement deed dated 18 July 2025, which identifies the total amount provided for the settlement and the deductions sought to be made from the settlement in the sum of 11,984.77 [supplementary bundle - page 7].
(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 her claim for 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].
Allianz Australia Insurance Limited
Knapton [2025] NSWPIC 446;
(1968) 119 CLR 118