[2016] TASFC 2
General information, not legal advice.
Supreme Court of Tasmania (Full Court)
2016-02-18
Wood JJ, Blow CJ, Porter J, Tennent J
Original judgment source is linked above.
CITATION: Allianz Australia Insurance Limited v Mercer [2016] TASFC 2
APPEALED FROM: Mercer v Allianz Australia Insurance Limited (No 3)
Limitation of Actions - Limitation of particular actions - Simple contracts, quasi contracts and torts - Tort actions involving personal injuries - Actions for damages in respect of personal injuries to be brought within three years from date of discoverability - Date of discoverability defined as date when plaintiff knew or ought to have known that personal injury had occurred, was attributable to the defendant, and was sufficiently significant to warrant bringing proceedings - Meaning of sufficiently significant to warrant bringing proceedings.
Limitation Act 1974 (Tas), ss 2(1), 5A(3)(a).
Baker-Morrison v State of New South Wales [2009] NSWCA 35; (2009) 74 NSWLR 454; State of New South Wales v Gillett [2012] NSWCA 83, considered.
Limitation of Actions - Limitation of particular actions - Simple contracts, quasi contracts and torts - Accrual of cause of action and when time begins to run - Torts - Other personal injury cases - Actions against employers - Worker intending to seek damages must lodge an election to claim damages - Worker not to make an election unless degree of permanent impairment agreed by the worker and the employer or determined by a tribunal to be a specified percentage of the whole person - Cause of action does not accrue until degree of permanent impairment agreed or determined - Action to be brought within three years of date of discoverability - Date of discoverability cannot be earlier than the date upon which the cause of action accrues.
Workers Rehabilitation and Compensation Act 1988 (Tas), s 138AB(1) and (2).
Skilled Engineering Limited v Glaxo Wellcome Australia Pty Ltd [2005] TASSC 86; (2005) 15 Tas R 88, followed.
Judgment Number: [2016] TASFC 2
ALLIANZ AUSTRALIA INSURANCE LIMITED v IVAN MERCER
2 Respondent's contention on the point of law upheld.
3 Judgment of Blow CJ in favour of respondent on 22 December 2014 affirmed.
"Would you please conduct an assessment of the permanent impairment Mr Mercer has suffered and in particular, would you please identify the percentage of whole person impairment he has suffered as a result of the injury sustained on the 11th of March, 2008. Please note in this respect the Tasmanian WorkCover Guidelines to Assessing Permanent Impairment apply which essentially adopt the AMA 4th Edition Guides but subject to some variation. To assist you in understanding the variation that applies under the Tasmanian Guides, we enclose for your information a copy of the entire sections of the Tasmanian Guides which deal with spinal and nervous system impairment."
"It is now over three months since the accident occurred and there are some improvements occurring. Nevertheless it seems clear that this man has sustained a very severe spinal injury and it is unlikely that there will be major improvements in his lower limb function. He has been aware of some improvement in his left upper limb function but I am not optimistic that fine finger movement will improve significantly.
It is thus highly likely that this man will be permanently disabled and is likely to require permanent use of a wheelchair. It is likely that there will be significant ongoing dysfunction involving his left upper limb and he is also likely to have ongoing problems with bladder and bowel function.
You should understand that this man's condition is not yet fully stabilized and of course the guidelines require that injuries be assessed when they are stable. Generally speaking spinal injuries can be assessed either from the DRE method of from the neurological tables and in most cases of spinal injury the neurological tables provide a more precise assessment of impairment. There is however a disadvantage in using the neurological tables at this stage as there is likely to be some improvement in various individual items and the impairment provided now is unlikely to be precisely the same as the final bottom line impairment after stabilisation. By contrast the DRE model assesses categories that have broader definitions and it is very likely that the current DRE impairment will also be the bottom line impairment using this method. Thus it is likely that the bottom line impairment will be at least as great as the current DRE impairment but may be greater when assessed in due course at the time of stabilisation using the neurological impairment tables."
Professor Stark then included tables in his report in which he inserted details of his assessments by reference to both the methods he had referred to. He then said after the first table:
"These impairments are combined and thus the current impairment using the DRE system is 84%."
After the second table, which used neurological tables, he said:
"Using the combined values table this method provides a current impairment rating of 92% WP.
Thus it is possible to say that with regard to the spinal injury the current impairment is 92% WP. It is likely that the bottom line impairment will be at least 84% WP."
"We refer to the above matter. Given the nature of Mr Mercer's injuries it is apparent that he will have an entitlement pursuant to Section 71 of the Workers Rehabilitation & Compensation Act.
As a result of the above, I arranged for Mr Mercer to be examined and assessed by Professor Richard Stark, consultant neurologist. I enclose a copy of Professor Stark's report and invite you to pay the maximum sum pursuant to Section 71 of the Act, being 369 units. We have calculated the sum payable to be $222,267.15.
We note that Professor Stark indicates that Mr Mercer's injuries are not yet stable and stationery. Notwithstanding this, you will also note that Professor Stark states that it is likely that the final permanent impairment will be at least 84%. As this is higher than the percentage impairment specified by Section 71(1)(c) of the Act, the maximum number of units being 379 units, is payable."
"The letter from Mr Mercer's solicitors dated 25 July 2008 'invited' Allianz to pay the maximum sum pursuant to s 71 of the WRC Act. On 7 August 2008 the solicitor for Allianz told Mr Mercer's solicitor that he was giving advice to Allianz about the s 71 entitlement. He said, 'without prejudice', that although Mr Mercer's condition was not stable and stationary, it seemed almost certain that Mr Mercer would be left with an impairment that entitled him to the maximum payment; 'It may be that Allianz will be prepared to pay it now even though the injury is not stable and stationary'.
As the trial judge noted, on 29 August 2008 the solicitor for Allianz left a message with the plaintiff's solicitors' office that Allianz had agreed to pay, and on 3 September, Allianz sent a cheque direct to Mr Mercer's solicitors. By letter of 3 September 2008, the solicitors for Allianz confirmed in writing with Mr Mercer's solicitors that Allianz had agreed to pay the sum of $222,267.15 in satisfaction of Mr Mercer's entitlement to a lump sum payment under s 71."
"Would you please take instructions to ascertain if your instructions are to sign the election. In default we will simply apply to the Tribunal on the basis that the degree of impairment has been agreed by the fact of payment."
"Degree of Permanent impairment agreed by Employer"
"I have been assessed as suffering a permanent impairment of ................ percent of the whole person in accordance with assessment conducted pursuant to Section 72 and 73 of the Act."
A blank space was left for the parties to insert the percentage impairment said to have been assessed.
"16 By no later than about 3rd September 2008 the Plaintiff knew or ought to have known that personal injury:-
(b) Was attributable to the conduct of Windsor Agencies Pty Ltd;
(c) Was sufficiently significant to warrant bringing proceedings.
(i) On or about the 16th June 2008 the Plaintiff's solicitors had obtained a medical report of Associate professor Richard Stark which assessed the Plaintiff's whole person impairment as at least 84%.
(ii) On or about the 3rd September 2008 the Defendant agreed the Plaintiff's whole person impairment was greater than 30%.
(iii) On or about the 3rd September 2008 the Defendant paid to the Plaintiff the sum of $222,267.15 as a lump sum payment pursuant to Section 71 of the Workers Rehabilitation and Compensation Act 1988.
"5A Actions in respect of personal injuries incurred on or after commencement day
(1) This section applies only to an action where the cause of action accrues on or after the commencement day.
(2) For the purpose of this section, 'personal injury' includes any disease and any impairment of a person's physical or mental condition.
(3) An action for damages for negligence, nuisance or breach of duty (whether that duty exists by virtue of a contract or a provision made by or under an enactment or independently of any contract or any such provision), where the damages claimed by the plaintiff for the negligence, nuisance or breach of duty consist of, or include, damages in respect of personal injuries to any person, must not be brought after the expiration of whichever of the following periods of limitation is the earlier:
(a) 3 years commencing on the date of discoverability;
(b) 12 years commencing on the date of the act or omission which it is alleged resulted in the personal injury or death that is the subject of the action."
(b) was attributable to the conduct of the defendant; and
(c) in the case of personal injury, was sufficiently significant to warrant bringing proceedings."
"1 The trial judge erred in ordering that judgment be entered for the Respondent and in failing to dismiss the Respondent's action in circumstances where that action was brought after the expiration of 3 years commencing on the date of discoverability and therefore barred by s 5A(3) of the Limitation Act 1974.
(i) the Respondent was able to 'make a strategic decision that to rely solely on his rights under' the Workers Rehabilitation and Compensation Act, or 'whether to sue for damages' ...
(ii) after the Respondent had considered (or was in a position to consider) the extent of the available workers compensation benefits, his chances of establishing that Windsor Agencies was liable for damages for negligence, the amount of damages likely to be assessed, the likely reduction in contributory negligence and past workers compensation payments: ...
(iii) the Respondent knew or ought to have known 'whether he would be better off relying solely on workers compensation benefits and not claiming damages': ...
(iv) the Respondent 'knew or ought to have known of the likely magnitude of the damages for attendant care and expenses', relative to the workers compensation benefits available to him: ...
"In this case, the plaintiff had to make a strategic decision whether to rely solely on his rights under that Act and not sue for damages, or whether to sue for damages. To make that decision, he needed to consider the extent of the available workers compensation benefits, his chances of establishing that Windsor Agencies was liable for damages for negligence, the amount of damages likely to be assessed if an action were successful, the likely reduction for contributory negligence, and the likely judgment sum after reductions in relation to contributory negligence and past workers compensation payments."
"[28] In the light of what has been said in the New South Wales cases, it seems clear enough that the question whether a plaintiff knew or ought to have known that an injury 'was sufficiently significant to warrant bringing proceedings' must be determined with all legislative provisions relevant to the recovery of compensation and damages being taken into account. It would be ludicrous if legislative provisions that were likely to render a damages action fruitless or inadvisable had to be ignored simply because, but for the existence of workers compensation legislation, a significant sum might be recovered by way of damages.
[29] It therefore follows that in this case, in order to determine when the plaintiff knew or ought to have known that his injuries were 'sufficiently significant to warrant bringing proceedings', it is appropriate to take into account all of the factors relevant to a decision whether he would be better off relying solely on workers compensation benefits and not claiming damages."
"• On 16 June 2008, his solicitors obtained a report of Associate Professor Stark which assessed his whole person impairment as at least 84%.
"[32] When the solicitors provided advice to the plaintiff in December 2008, his residential and care arrangements had not stabilised. He had been discharged from hospital at the end of August 2008. He was still living in Hobart. However he and his wife purchased a ground level unit in East Gosford, New South Wales, and moved there early in 2009. It was only after that move that arrangements were made for carers to look after him in his new home, and the care arrangements stabilised.
[33] Until such time as the plaintiff knew or ought to have known of the likely magnitude of the damages for attendant care expenses, I do not think it can be said that he knew or ought to have known that his injury 'was sufficiently significant to warrant bringing proceedings', given that substantial workers compensation benefits were available.
[34] In determining what the plaintiff 'ought to have known', I think it is appropriate to take into account the efforts that the plaintiff made to obtain advice, and the advice that he was in fact given, as distinct from any advice that ought to have been given but was not given. I say that because the relevant provisions in the Limitation Act amount to beneficial legislation, enacted for the benefit of injured plaintiffs. It follows that any ambiguity ought to be resolved in favour of the class of persons intended to be benefited by the provisions. Not treating knowledge that solicitors ought to have had as knowledge that their client ought to have had is consistent with the approach taken by Dawson J in Do Carmo v Ford Excavations Pty Ltd [1984] HCA 17; (1984) 154 CLR 234 at 259, though that case concerned differently worded statutory provisions.
[35] It is clear that, after receiving the letter from his solicitors dated 5 December 2008, the plaintiff did not know how enormous his entitlement to damages was likely to be. As at 3 September 2008 - the date referred to in the relevant paragraph of the defence - he did not know that his injuries were so significant that it would be appropriate to sue for damages rather than relying on workers compensation entitlements. There is no evidence that he knew or ought to have known anything more about the merits of bringing damages proceedings by 21 February 2009, three years before the issue of the writ. I am not satisfied that on or about 3 September 2008, or that at any time more than three years before the issue of the writ, the plaintiff knew or ought to have known that his personal injury was sufficiently significant to warrant bringing proceedings. The limitation defence must therefore fail."
(a) the Respondent's evidence was that, immediately after the accident on 11 March 2008 and prior to the arrival of an ambulance, he 'couldn't feel [his legs] or move them', 'was pretty aware at that stage that something serious had happened' and 'expected [he'd] probably severed the spinal cord ... because [he] couldn't move anything'.
(b) also on the day of his accident, doctors established that the Respondent's spinal cord had been severed and he was diagnosed with quadriplegia. Once 'the opiates wore off' and whilst he was at the Austin hospital, the Respondent 'was told' of his diagnosis: he 'was quite aware' and would have 'been surprised if it was anything else.'
(c) the Respondent agreed that he realised in April 2008, and has remained of the view since that time, that the likelihood was he would never work again. He further agreed that he knew from April 2008 that his injury meant he would never earn income from his labour ever again.
(d) the Respondent was cognisant of his own physical condition, limitations and extensive daily care requirements months before February 2009. This included knowledge that he had no voluntary movement in his legs; that he had no control of his bladder or bowel; and that he required the assistance of others perform [sic] many normal activities of daily life.
(f) the Respondent conceded that by July 2008 he had read Professor Stark's report. He also agreed that in July 2008, he knew of Professor Stark's opinions that:
(i) the Respondent 'sustained a very severe spinal injury and it is unlikely there will be major improvements in lower limb function';
(ii) 'It is thus highly likely that this man will be permanently disabled and is likely to require permanent use of a wheelchair. It is likely that there will be significant ongoing dysfunction involving his left upper limb and he is also likely to have ongoing problems with bladder and bowel function';
(iii) 'It is likely that the bottom line impairment will be at least 84% WP'.
(g) the Respondent admitted knowing, in July 2008, that Professor Stark's WP assessment was significant because he had been told that one had to have a WP impairment of 70% or more to obtain the maximum lump sum compensation under the WRC Act. He acknowledged being aware at the time that he satisfied the impairment threshold for the highest level of lump sum workers' compensation; and moreover that, later in 2008, his solicitor claimed and Allianz paid the maximum amount based on a WP impairment of over 70%.
(h) on about 5 December 2008, the Respondent received and read a written advice from Phillips Taglieri. It included advice to the following effect:
(i) '... you may only proceed with a common law claim against your employer, if you have suffered a 30% whole person impairment. You have suffered this level of impairment, so the only issue is whether you could demonstrate that your injuries were caused by the negligence of Nick Bacic. If "yes", Windsor Agencies Pty Ltd will be liable as Nick's employer and indemnified by the insurer.'
(ii) '... if you succeed in establishing liability at common law, you probably would recover' damages of $1,682,360 to $2,158,700, but after adjustment for a probable finding of 50% contributory negligence and past statutory compensation, the 'Net result' would be $710,265." [Original emphasis]
"(a) there was absolutely no question in the Respondent's mind that his level of impairment exceeded the 30% threshold applicable to common law claims;
(b) when he testified that he thought there was 'no advantage' in proceeding with a civil action, he meant that the amount of money he was likely to be left with at the end of the case was not going to be much more and possibly less than he would receive by way of workers' compensation entitlements.
(c) when he testified that according to later advice, the 'outcome was considered to be ... beneficial' he meant that he was told he was likely to get more money by way of damages than he'd previously been advised;
(d) his decision not to commence proceedings earlier had nothing to do with a belief that his injuries were not serious enough. Moreover, nobody had advised him that he could not commence proceedings at common law because his injuries were not significant enough.
(e) the Respondent's injuries did not materially change after December 2008;
(f) what changed between December 2008 and the commencement of proceedings was the dollar sum that the Respondent thought he had a chance of receiving at common law."
"9 In short, the evidence established that by the end of 2008 the Respondent knew his injury had rendered him a quadriplegic; that he was unlikely to work or earn an income from his labour ever again; that for the remainder of his life he would require the assistance of others to perform most ordinary daily activities; that he had been assessed as having a WP impairment of at least 84%; that there was no question he satisfied the 30% minimum impairment threshold applicable to common law actions; that he did have a common law cause of action against his employer; and that if he proved his injuries were caused by the negligence of his fellow employee, Mr Bacic, he may recover damages of about $710,000 (after reductions)."
"13 ... it is undoubtedly true that [Mr Mercer] had a decision to make and that the considerations identified by the trial judge were relevant to that decision. But the decision fixed upon by his Honour was a decision whether to actually commence common law proceedings. The 'date of discoverability' is not the date by which proceedings must be commenced: it is the date on which the limitation period starts. Once it starts, a personal injury plaintiff has 3 years to make the 'strategic decision' adverted to by his Honour. There is no cogent reason why the limitation period should not even begin until the plaintiff is in a position to make that decision."
"Different considerations arise depending upon whether damage is suffered in consequence of an accident that causes trauma or whether it is suffered in consequence of the contraction of a disease. In the case of an accident, the damage is usually (but not always) suffered immediately or soon after the accident. However, there are cases, such as those involving certain kinds of post-traumatic stress disorder, where the damage can manifest itself many years after an accident. In the case of a disease (such as mesothelioma for instance) damage may also manifest itself many years after negligent conduct. Damage may occur progressively, with the result that a plaintiff may only realise after many years of being subjected to wrongful conduct that significant damage has been sustained ...".
"19 With respect to par (c), the plaintiff argued that the seriousness of the injury was not a matter of objective fact, but was an element in an evaluative judgment requiring the seriousness of the injury to be sufficient to justify bringing an action against the defendant. Given the variety of statutory schemes applicable to personal injury claims, and the various limits placed upon the recovery of damages, it was said to be unlikely that par (c) would be capable of assessment by a plaintiff unadvised, except perhaps in quite severe cases. The problems must be exacerbated in respect of injury to a young child.
20 The material before the Court included an assessment (albeit made in 2005) of the degree of 'whole person impairment' of the plaintiff, although not a criterion relevant under the Civil Liability Act 2002 (NSW). The plaintiff's medical expert considered that there was a whole person impairment of 16%, but the State's expert considered the relevant figure was 1%. This was clearly not a case in which the seriousness of the injury self-evidently justified the bringing of proceedings. Further, the question is whether such a judgment should have been made by the plaintiff's mother within 26 days of the injury occurring."
"41 Although a legal evaluative judgment appears to be required by par (b)[2], that element is even more explicit in par (c). Thus the injury must not only be understood to be serious, but 'sufficiently serious to justify' a course of action. Further, that course is 'the bringing of an action on the cause of action', an objective which would appear to require the exercise of both legal and medical expertise. ...
42 The construction of par (c) which would involve the person obtaining medical and legal advice gains support from the fact that a number of statutory regimes contain floors or caps on recovery of damages, or both: see, eg, Civil Liability Act, s 16. No proper view could be formed about the justification for bringing an action, absent information of that kind.
43 It is also appropriate that s 50D be read in a broader context. Thus, a claim for damages for personal injury, brought by a solicitor, must be accompanied by certification in accordance with the Legal Profession Act 2004 (NSW), s 347. The statement of claim in the present case bore such a certification which read:
'I certify that there are reasonable grounds for believing on the basis of provable facts and a reasonably arguable view of the law that the claim for damages in these proceedings has reasonable prospects of success'." [My footnote.]
"... It is rare that facts will be known in any absolute sense: rather, as a practical matter, the person will have a belief that certain matters can be established, usually on the balance of probabilities, which is sufficient for the purposes of legal proceedings. Such a belief may be held on firm grounds or on shaky grounds. The belief is likely to involve an assessment of various matters, none of which can be readily quantified. Questions involving causation, fault and assessment of damages are all susceptible to these kinds of uncertainty. Nevertheless, the chapeau of the sub-section refers to knowledge of identified facts, and not to an assessment of prospects of success in the prospective proceedings. ...". [My emphasis.]
"[26] In order to know whether the injury is sufficiently serious to justify the bringing of action, a person must know not only that the injury is serious, but also, in approximate terms, whether that injury is sufficient to bring the person over any of the statutory thresholds that now exist."
"27 There are circumstances in which s 50D may only be satisfied where the applicant has taken all reasonable steps to ascertain a fact which may involve medical or legal evaluation. It was not in doubt in Baker-Morrison (and indeed was conceded) that the mother whose child had been injured did not know either that the injury was caused by the 'fault' of the State or that it was sufficiently serious to justify bringing an action, if such knowledge required the application of any degree of professional expertise or assessment: at [24]. Nor was it established that there were any steps that she ought to have taken, but did not, within the period of 26 days following the accident, which was the period in issue in that case.
28 The present case falls into a different category. The period during which the necessary assessment had to be made was a period of some nine months after the date of the accident. The fact that further evidential material might need to be gathered was beside the point, so long as the seriousness of the injury could reasonably have been assessed within that period. Further, the issue was not the threshold in the Civil Liability Act with respect to non-economic loss, but the quantum of the applicant's economic loss. No doubt her prognosis remained somewhat uncertain in April 2004, but the primary judge was satisfied that the impairment of her earning capacity, and the likelihood that it would continue, was known to her at least by early 2004. On the evidence, that finding has not been shown to be open to significant doubt."
"180 It was contended that in the present case Mr Lindsell had no information about the seriousness of the plaintiff's injury in 2004 and early 2005 which would enable him to advise (a) if it was more than the threshold of 15% of a most extreme case (s 16 Civil Liability Act); (b) if an award for future economic loss could be made (s 13 Civil Liability Act); (c) that she had a need for, or an entitlement to, damages for gratuitous or commercial care which exceeded the threshold in s 15 (Civil Liability Act); or that there were reasonable prospects to commence proceedings (s 345 Legal Profession Act).
181 The last point in that submission is at odds with what Basten JA said at [45] of Baker-Morrison - 'the subsection refers to knowledge of identified facts, and not to an assessment of prospects of success in the prospective proceedings'. Sections 50C and 50D are concerned with when a cause of action is discoverable, not with the prospects of success of any proceedings brought in respect of it. It might be patently obvious that an injury and its effects are sufficiently serious to exceed all of the thresholds that have been referred to but the evidence to prove the claim might be entirely deficient. It would be anomalous if it could be said that the cause of action is not discoverable until more evidence became available to satisfy a lawyer that there was a reasonable prospect of success.
182 Moreover, I do not understand Basten JA to have held that all of the heads of damages that might be available must be known to the person. To know that an injury is sufficiently serious to justify the bringing of an action requires legal and medical expertise, as I have earlier referred to his Honour having said. But the degree to which matters within such expertise need to be known with precision will depend upon the circumstances of the individual case. There will be cases in which it will be patently and immediately obvious that an injury is so serious that all of the statutory thresholds will be exceeded without having to wait until the injury has stabilised. There will be cases in which it will be obvious that some thresholds will be exceeded whilst others cannot yet be determined. The nature of the thresholds will then require consideration in order to decide whether it was possible to determine at that point that the bringing of an action is justified, or whether such a determination could only be made at a later point when the position is clearer." [My emphasis.]
"70 It is apparent from [41] that Basten JA considered that a legal evaluative judgment appeared to be required by s 50D(1)(b) and this was even more explicit in s 50(1)(c). His Honour considered this provision required a plaintiff to know (or ought to know) that 'the injury suffered was sufficiently serious to justify the bringing of an action': s 50D(1)(c). In other words, a plaintiff had to know that the defendant's conduct was actionable. This involved the exercise of both legal and medical expertise, given the statutory regimes which placed limitations on the damages recoverable in an action. His Honour considered that a proper view could not be formed about the justification for bringing an action, absent appropriate legal and medical advice in respect of such matters.
71 Basten JA also considered, at [43] 465, that s 50D was to be read in a broader context. One such context was the requirement that a claim for damages for personal injury, in cases where a solicitor acts for a plaintiff, must be accompanied by a certification that the proceedings have prospects of success: the Legal Profession Act 2004, s 347. This supported his Honour's construction of s 50D(1)(b) that a plaintiff had to know, or ought to have known, that a defendant's conduct was actionable."
"131 In Baker-Morrison Basten JA regarded satisfaction of s 50D(1)(c) as dependent upon 'the exercise of both legal and medical expertise' ([41]) and that 'the person have available to him or her relevant legal and medical information to allow an informed professional judgment to be made' ([44]). For a person to be in a situation where he or she knows or ought to know that an injury was sufficiently serious to justify the bringing of an action on the cause of action, they would have to know (or be in a position where they ought to know) that they have sufficient prospects of recovering enough damages for it to be worthwhile litigating. That would require, at the least, knowledge (whether derived from the plaintiff's own knowledge, from friends or acquaintances, or from professional advice) that the injury in question is one for which the law would hold the defendant liable in damages, and that the damages that could be recovered are large enough to be worth the time and trouble of suing. Thus, knowledge of actionability is necessary before s 50D(1)(c) is satisfied. And, because it is involved in there being 'fault', actionability is likewise one of the 'key factors necessary to establish liability' that must be known before s 50D(1)(b) is satisfied." [My emphasis]
"The real meaning of the words used in a judgment must be studied having regard to the subject matter and all the circumstances. No 'court should consider itself fettered by the form of words, as if it were a phrase in an Act of Parliament which must be accepted and construed as it stands'."
(1) Before commencing proceedings in court for an award of damages, a worker who intends to seek damages against an employer must lodge with the Tribunal an election to claim damages.
(2) A worker is not to make an election unless the degree of his or her permanent impairment is agreed by the worker and the employer, or determined by the Tribunal, to be a percentage of the whole person of not less than 30%.
(3) An assessment of the degree of the worker's impairment is to be carried out in accordance with section 72 or 73.
(4) An election is to be in a form approved by the Tribunal.
(5) An election is to be lodged within 2 years after the date on which the claim for compensation is given to the employer of the worker, or person designated by the employer, under section 34.
(6) The Tribunal may extend the period within which an election is to be made if -
(a) there is a dispute as to the level of the worker's impairment; or
"16 In my view there is no reason why that cannot be. It must often happen that an injured worker realises that his or her injury is sufficiently significant to warrant bringing damages proceedings at a stage when he or she has neither reached agreement with the employer as to the degree of permanent impairment nor obtained a s 138AB(2) determination from the tribunal. In fact, except in cases of mental incapacity, it is difficult to envisage any circumstances in which a worker would apply for such a determination without first having realised that his or her injury was sufficiently significant to warrant bringing damages proceedings. Commonly, a worker realises that his or her injuries are sufficiently serious to warrant commencing an action for damages, and thereafter sets about obtaining either agreement from the employer or a determination of the tribunal as to the degree of permanent impairment, after which a writ is issued. In that situation it would simply not make sense to say that, because there was no cause of action prior to the agreement or determination, the worker did not realise the significance of the injury before seeking an agreement or determination.
17 As a general rule, the words of a statutory provision should be given their ordinary literal meaning: Amalgamated Society of Engineers v Adelaide Steamship Co Ltd (1920) 26 CLR 129 at 161-162; Project Blue Sky Inc v Australian Broadcasting Authority (1998) 194 CLR 355 at [78]; Alcan (NT) Alumina Pty Ltd v Commissioner of Territory Revenue [2009] HCA 41; (2009) 239 CLR 27 at [47]. There is no reason to give a special meaning to the words 'sufficiently significant to warrant bringing proceedings' in par (c) of the definition of 'date of discoverability'. The result is that a limitation period can commence to run before a plaintiff has a cause of action. That is a very unusual result that is brought about by s 138AB. But it is not an absurd result. In my view there is no principle of statutory interpretation that warrants a different result."
A date of discoverability before the cause of action accrues?
"(1A) If a person proposing to bring an action to which section 5A applies is a person under a disability when the cause of action accrues or as a result of the cause of action accruing becomes a person under a disability, the period of limitation determined under that section applies when that person ceases to be under a disability or dies, whichever event first occurs." [My emphasis]
When was there an agreement under s 138AB(2)?
"11 ... On 25 July 2008 the plaintiff's solicitors wrote to Allianz as Windsor Agencies' insurer, suggesting that [the maximum] amount was payable pursuant to s 71. On 29 August 2008 the solicitor for Allianz phoned the plaintiff's solicitors' office and left a message that Allianz agreed to pay. On 3 September 2008 Allianz sent the plaintiff's solicitors a cheque for 90% of the maximum amount. The other 10% had to be sent to the Health Insurance Commission. On the same day, the solicitors for Allianz wrote to the plaintiff's solicitors confirming that Allianz had agreed to pay the plaintiff $222,267.15 in satisfaction of his entitlement to a lump sum payment pursuant s 71.
12 It is clear that Allianz accepted in August 2008 that the plaintiff's degree of permanent impairment exceeded 70%. I accept that Allianz was entitled at that stage to act on behalf of the plaintiff's employer, Windsor Agencies, whose deregistration was still years away. However there is no evidence that either Allianz or Windsor Agencies agreed that the plaintiff's degree of permanent impairment was any particular percentage. And there is no evidence that either company at that stage expressly agreed or conceded that the degree of his permanent impairment was 'a percentage of the whole person of not less than 30%', nor that either company made any sort of agreement or concession at all.
13 On 24 February 2010 the plaintiff's solicitors wrote to the solicitors for Allianz, forwarding a form of s 138AB election, and asking them to sign it. Signing it would have indicated agreement by the employer that the degree of the plaintiff's permanent impairment was a percentage of the whole person of not less than 30%. They signed it as 'Solicitors for the Employer/Insurer', and returned it to the plaintiff's solicitors on 26 February 2010 with a covering letter. They said in that letter that they had 'been provided with instructions on behalf of the employer by virtue of Allianz Australia Insurance Limited to agree that Mr Mercer suffers from a whole person impairment of not less than 30%'. The plaintiff contends that the degree of his permanent impairment was agreed for the purposes of s 138AB(2) only then, and not on or about 29 August 2008.
14 I agree. When one analyses what was said and written in 2008, it is clear that money was requested and paid at that time without the employer or anyone on its behalf communicating agreement as to anything. It is one thing to choose to pay rather than getting involved in a dispute or to putting [sic] a claimant to proof. It is another thing both to pay and to acknowledge that there was a right to payment. Allianz took the former course, not the latter.
15 It follows that the plaintiff did not have a cause of action against Windsor Agencies until 26 February 2010, the day when the degree of his permanent impairment was agreed by him and his employer."
(1) An assessment of a degree of impairment is to be undertaken by a medical assessor in accordance with -
(a) any relevant guidelines issued by the Board; or
(b) if there are no such guidelines, the AMA Guides; or
(c) if there are no such guidelines and the AMA Guides are not applicable or are unsuitable, any method as may be prescribed.
(2) In assessing a degree of impairment of an injury -
(a) regard is not to be had to any psychiatric or psychological injury, impairment or symptoms arising as a consequence of, or secondary to, the physical injury; and
(b) the degree may comprise a combination of impairments arising out of the same incident or occurring on the same date assessed together using the combination tables in the AMA Guides; and
(c) if a worker presents for assessment in relation to injuries which occurred on different dates, the impairments are to be assessed separately; and
(d) an impairment arising otherwise than from the injury is to be disregarded."
"I have been assessed as suffering a permanent impairment of not less than 30 per cent of the whole person in accordance with assessment conducted pursuant to Sections 72 and 73 of the Act."
"The proposition that any interlocutory order can be challenged in an appeal against the final judgment in the matter is often stated in unqualified terms. The better view, however, is reflected in the formulation adopted in Spencer Bower, Turner and Handley where it is said that 'on an appeal from the final order an appellate court can correct any interlocutory order which affected the final result'." [Original emphasis]
(1) Before commencing proceedings in court for an award of damages, a worker who intends to seek damages against an employer must lodge with the Tribunal an election to claim damages.
(2) A worker is not to make an election unless the degree of his or her permanent impairment is agreed by the worker and the employer, or determined by the Tribunal, to be a percentage of the whole person of not less than 30%.
(3) An assessment of the degree of the worker's impairment is to be carried out in accordance with section 72 or 73.
(4) An election is to be in a form approved by the Tribunal.
(5) An election is to be lodged within 2 years after the date on which the claim for compensation is given to the employer of the worker, or person designated by the employer, under section 34.
(6) The Tribunal may extend the period within which an election is to be made if -
(a) there is a dispute as to the level of the worker's impairment; or
(7) If there is a dispute as to the degree of impairment, the worker may apply to the Tribunal for a determination of the degree of impairment.
(8) An application under subsection (7) is to be -
(a) accompanied by evidence from a medical practitioner that he or she is of the opinion that the degree of impairment is not less than 30% of the whole person; and
(b) made not less than 21 days before the expiration of the period referred to in subsection (5).
(9) If the Tribunal determines the degree of impairment to be not less than 30% of the whole person, the worker is to lodge his or her election within 21 days after the determination.
(10) The Tribunal may refer the question of the degree of impairment to a medical panel in accordance with Part V.
(11) An election to claim damages does not preclude a worker from receiving compensation under this Act.
(12) This section does not apply to proceedings taken by a personal representative or dependant of a worker who has died as a result of an injury for which compensation is payable under this Act."
"Section 138AB does not impose any formal requirements on the 'agreement' to which it refers. In the present case, the Appellant never disputed and had accepted by early September 2008 that the Respondent's degree of impairment exceeded 70%. In the circumstances, and particularly given it paid a sum of money that both parties knew was only payable if the Respondent's degree of impairment exceeded 70%, the trial judge ought to have found that by early September 2008 they had reached an 'agreement' for the purposes of s 138AB."
"We refer to your letter of 25 July 2008 and enclose our cheque totalling $200,040.43 in settlement of your client's entitlement pursuant to Section 71 of the Act which is equal to the maximum sum being 369 units less the ten percent Advanced Payment ..."
On the same day, the solicitors for Allianz wrote to Mr Mercer's solicitors in terms that:
"We confirm that our client has agreed to pay to Mr Mercer the sum of $222,267.15 in satisfaction of Mr Mercer's entitlement to a lump sum payment pursuant to Section 71 of the Act."
Degree of permanent impairment agreed by Employer".
The form provides that the worker has been assessed "in accordance with an assessment conducted pursuant to Section 72 and 73 of the Act" as suffering a permanent impairment, with space for the percentage impairment of the whole person as assessed to be inserted and for the election form to be signed by both the worker and the employer. The form was completed and the words "not less than 30" inserted, as the percentage impairment, and it was signed by the solicitors for Mr Mercer and Allianz.
"We refer to your letter dated 24th February 2010 and advise that we have been provided with instructions on behalf of the employer by virtue of Allianz Australia Insurance Limited to agree that Mr Mercer suffers from a whole person impairment of not less than 30%."
[1] Section 50D(1) of the Limitation Act 1969 (NSW) provides that "a cause of action is discoverable by a person on the first date that the person knows or ought to know of each of the following facts: (a) the fact that the injury or death concerned has occurred, (b) the fact that the injury or death was caused by the fault of the defendant, (c) in the case of injury, the fact that the injury was sufficiently serious to justify the bringing of an action on the cause of action." [Emphasis added.]
[2] Paragraph (b) requires actual or constructive knowledge of the fact that the injury or death was "caused by the fault of the defendant". [Emphasis added]
[3] This Court was not given formal notice of a challenge to the correctness of Skilled Engineering, with no request being made for a court to be constituted by five judges.
[4] The mechanism satisfying the threshold by agreement was removed by amendment in July 2010. The threshold (currently 20 per cent permanent impairment of the whole person) is now met by a certificate from a medical practitioner, or a determination by the Tribunal.
Allianz Australia Insurance Limited
Mercer [2016] TASFC 2
(2009) 74 NSWLR 454
(2005) 15 Tas R 88
(2013) 273 FLR 459
(2014) 286 FLR 21
(1984) 154 CLR 234
(1989) 25 FCR 226
(1993) 33 SASR 58
(2009) 239 CLR 27
(2011) 242 CLR 573
(2013) 87 ALJR 1082
(1942) 66 CLR 77
(1920) 26 CLR 129
(1998) 194 CLR 355
(1995) 21 MVR 41
(2013) 38 VR 165
(2006) 225 CLR 364
(1973) 47 ALJR 586
(1944) 69 CLR 69
(1968) 121 CLR 432
(1990) 170 CLR 394
(1960) 105 CLR 214
(1988) 164 CLR 234
(1959) 101 CLR 298
(1905) 2 CLR 402
(1987) 10 NSWLR 562
(2002) 209 CLR 478
(2011) 244 CLR 427