Asirifi-Otchere v Swann Insurance
[2020] FCA 1355
At a glance
Source factsCourt
Federal Court of Australia
Decision date
2020-09-25
Before
Gleeson J
Source
Original judgment source is linked above.
Judgment (12 paragraphs)
- Subject to further order, the matters to be determined at the initial trial are: (a) the whole claim of the applicant; (b) the whole claim of any sample group members; and (c) the questions of fact or law common to the claims of the applicant and the group members, and any other questions of substantial commonality, as set out at annexure A to these orders.
- Lindi Glick, Amanda Melvin and Leanne Rea each be appointed as a sample group member for the purposes of order 1 above.
- The respondents pay the applicant's costs of the interlocutory application filed 13 July 2020. Note: Entry of orders is dealt with in Rule 39.32 of the Federal Court Rules 2011.
ANNEXURE A Unless otherwise indicated, defined terms have the meaning given to them in the Further Amended Statement of Claim (FASOC). Swann's Business Model (1) During the Relevant Period, did the Swann business model have one or more of the characteristics described in the FASOC at [14C] and Amended Defence (AD) at [14C] (Swann Business Model)? The Add On Insurance Products (AOIPs) (2) Is the Claims Loss Ratio of an insurance product, such as an AOIP, accepted within the insurance industry as a means of assessing the value of the product to the insured? (FASOC [14B]; AD [14B]) (3) Is a low Claims Loss Ratio an indication that an insurance product is of low or no material value to a customer? (FASOC [14B]; AD [14B]) (4) During the Relevant Period was the Claims Loss Ratio of each of the AOIPs: (a) low; and/or (b) significantly lower, or lower, than the Claims Loss Ratio for other consumer orientated general insurance products? (FASOC [14A]; AD [14A]) (5) Did any one or more of the AOIPs have no or no material financial value, and, if so, which one(s)? (FASOC [31(b)]; AD [31(b)]) (6) Were the Authorised Representatives (ARs) financially incentivised, encouraged, compelled, forced and/or strongly urged by Swann to sell as many insurance products as possible, including AOIPs, to the applicant and the group members? (FASOC [31(c)]; AD [31(r)], [31(s)]) (7) Was the cover provided by the MBI AOIP referred to in paragraph 11(e) of the FASOC unnecessary, or in the alternative potentially unnecessary, given the provisions of the Trade Practices Act 1974 (Cth) (TPA), or after 1 January 2011, the Australian Consumer Law (ACL)? (FASOC [31(f)]; AD [31(t)-(v)]) (8) Were there only limited features of the MBI AIOP referred to in paragraph 11(e) of the FASOC, which provided benefits beyond the existing statutory obligations of the manufacturer or seller of the Motor Vehicle pursuant to the provisions of the TPA, or after 1 January 2011, the ACL, and, if so, what were those limited features? (FASOC [31(g)]; AD [31(t)-(v)]) (9) If a purchaser of AOIPs financed their purchase by way of an interest-charging loan, would the purchaser have paid a greater amount for those AOIPs than they would have paid if they had purchased the same AOIPs for the same price without such borrowing? (FASOC [31(h)(i)]; AD [31(w)-(x)]) (10) May purchasing a single premium policy result in the purchaser (if and to the extent that they financed their premium) incurring greater interest charges in respect of the AOIPs than they would incur should they pay the same premium by cash in instalments? (FASOC [31(h)(iii)]; AD [31(w)-(x)]) Swann Sales System (11) During the Relevant Period, did Swann design, implement and operate a system for the sale of AOIPs comprising one or more of the following elements (Swann Sale System): (a) appointing Motor Vehicle Dealers as ARs under Swann's AFSL to sell AOIPs to their customers using a contractual framework with features referred to in FASOC [16]-[19] (FASOC [15], [16]-[19]; AD [16]-[19]); (b) a commissions and incentive scheme for ARs (and/or their employees or independent contractors) with features referred to in FASOC [19]-[23] (FASOC [15], [19]-[23]; AD [19]-[23]); (c) training and instruction provided to ARs (and/or their employees or independent contractors) with features referred to in FASOC [24]-[27] (FASOC [15], [24]-[27]; AD [24]-[27]); (d) provision of an electronic sales system, known as the "Activ8" sales system, to ARs (and/or their employees or independent contractors) with the features referred to in FASOC [28]-[28A] (FASOC [15], [28]-[28A]; AD [28]-[28A]); and/or (e) a system of targets for sales of AOIPs by ARs (and/or their employees or independent contractors), and for monitoring and enforcing those targets, with the features referred to in FASOC [28C] (FASOC [15], [28C]; AD [28C])? (12) Was the Swann Sales System designed to: (a) satisfy the particular needs of Swann's business created by the Swann Business Model; and (b) increase Swann's market share, revenue and profit, or maintain its market share, revenue and profit, given the nature of the Swann Business Model? (FASOC [15A]; AD [15A]) (13) At all relevant times during the Relevant Period was the income generated by the commissions and incentive scheme referred to in question (11)(b) the most important source, or alternatively a significant source, of profits for ARs? (FASOC [23AA]; AD [23AA]) (14) At all relevant times during the Relevant Period, was the intention or purpose of any of the: (a) commissions and incentive scheme referred to in question (11)(b); (b) the training and instruction referred to in question (11)(c); (c) electronic sales system referred to in question (11)(d); or (d) sales target setting, monitoring and enforcement process referred to in question (11)(e), to: (e) incentivise or cause ARs to sell Swann's products and thereby protect and increase Swann's market share and profits, which were under threat from its competitors during the Relevant Period; ([FASOC [23A(a)], [27A(a)], [28B(a)], [28D(a)]; AD [23A(a)], [27A(a)], [28B(a)], [28D(a)]) (f) incentivise or cause ARs to sell as many AOIPs as possible and, therefore, incentivise ARs to sell products to consumers irrespective of whether they were suitable for a customer's needs; and/or ([FASOC [23A(b)], [27A(b)], [28B(b)], [28D(b)]; AD [23A(b)], [27A(b)], [28B(b)], [28D(b)]) (g) encourage, cause or require ARs to adopt a sales process predominantly focused on generating sales for Swann by emphasising the benefits of products, distracting from the true value of the products to the applicant and group members (if any) and not disclosing the facts in FASOC [31] (FASOC [38A]; AD [38A])? (15) At all relevant times during the Relevant Period, did the commission arrangements pleaded at FASOC [19] to [23] of the, by reason of the matters pleaded in paragraphs 19 to 23AA of the FASOC, make it likely that ARs would not disclose to potential purchasers of AOIPs material information about the AOIPs that was relevant to their decision whether to proceed with the acquisition of AOIPs, especially information that would indicate to potential purchasers that the AOIPs they were considering were not suitable for them or would not represent value for money of them? (FASOC [23A(c)]; AD [23A(c)]) (16) At all material times during the Relevant Period: (a) did the induction training for ARs, or training subsequently delivered to ARs, developed and provided by Swann, include training on how to sell the AOIPs by instructing ARs to present customers with "packages" or "menus" of AOIPs, each involving the sale of at least two AOIPs together; and (b) if so, was this with the intention or effect that this would cause the customer to conclude that they had to buy at least one of the packages or menus offered, including the AOIPs contained in the package or menu? (FASOC [26(b)]; AD [26(b)]) (17) At all material times during the Relevant Period did the induction training for ARs, or training subsequently delivered to ARs, developed and provided by Swann, include training on how to sell the AOIPs, by instructing ARs to create in the customer's mind a perceived need to buy one or more of those AOIPs, by creating in the customer's mind a hypothetical future need or problem which could then be solved by the benefits of one or both of the AOIPs? (FASOC [26(d)]; AD [26(d)]) (18) At all material times during the Relevant Period, did the training referred to in one or more of paragraphs 26(b) to 26(n) of the FASOC make it likely that ARs would not disclose to potential purchasers of AOIPs material information about the AOIPs that was relevant to their decision whether to proceed with the acquisition of AOIPs, especially information that would indicate to potential purchasers that the AOIPs they were considering were not suitable for them or would not represent value for money for them? (FASOC [27A(c)]; AD [27A]) (19) At all material times during the Relevant Period, did the processes referred to in paragraph 28C of the FASOC make it likely that ARs would not disclose to potential purchasers of AOIPs material information about the AOIPs that was relevant to their decision whether to proceed with the acquisition of AOIPs especially information that would indicate to potential purchasers that the AOIPs they were considering were not suitable for them or would not represent value for money for them? (FASOC [28D(c)]; AD [28D]) (20) At all material times during the Relevant Period, did the Activ8 Sales System referred to in paragraphs 28 to 28A of the FASOC make it likely that ARs would not disclose to potential purchasers of AOIPs material information about the AOIPs that was relevant to their decision whether to proceed with the acquisition of AOIPs, especially information that would indicate to potential purchasers that the AOIPs they were considering were not suitable for them or would not represent value for money for them? (FASOC [28B(c)]; AD [28B]) (21) Did the Swann Sales System involve the sale of AOIPs to customers in one or more of the circumstances listed in FASOC [38]? (22) To what extent (if at all) was Swann aware of any of the matters pleaded in FASOC [39] during the Relevant Period? (FASOC [39]) (23) To what extent ought Swann have reasonably known that it was making a statement and/or disseminating information (including through its ARs acting as its agents) to persons buying AOIPs that was materially misleading because it was aware of the matters that were not disclosed to those purchasers, as pleaded in FASOC [31]? (FASOC [42D]; AD [42D]) (24) When Swann sold its AOIPs of the kinds purchased by the applicant, did it care about whether it made statements or disseminated information (including through its ARs acting as its agents) to persons buying AOIPs which were true or false regarding those AOIPs? (FASOC [42E]; AD [42E]) Sale of the AOIPs to the applicant and group members (25) During the Relevant Period, did Motor Vehicle Dealers acting as ARs act as representatives and agents of Swann in connection with persons being offered, applying for or obtaining finance? (FASOC [30]; AD [30]) (26) Did any one or more of the matters in FASOC [31] constitute material information about the AIOPs that would have been relevant, or highly relevant, to the decision of a customer of whether to proceed with the purchase of AOIPs? (FASOC [32], [35], [35A], [42B], [42C]) (27) Were the ARs instructed by Swann to disclose to prospective purchasers of the AOIPs the matters pleaded at FASOC [31]? If so, which matters? (28) To the extent that Swann did not disclose or cause the ARs to disclose to the prospective purchasers of the AOIPs the matters pleaded at FASOC [31], was the failure to disclosure such matters misleading and deceptive, leaving aside any relevant facts which are peculiar to the applicant or a particular group member? (29) To the extent that Swann did not disclose or cause the ARs to disclose to the prospective purchasers of the AOIPs the matters pleaded at FASOC [31], was Swann's failure to disclose or cause the ARs to disclose such matters to prospective purchasers of the AOIPs unreasonable, leaving aside any relevant facts which are peculiar to the applicant or a particular group member? (FASOC [40(c)]; AD [40]) (30) If the ARs sold the AOIPs in accordance with the training pleaded at FASOC [24]-[26] and or using the Activ8 Sales System pleaded at FASOC [28]-[28B], would the ARs have disclosed to prospective purchasers of the AOIPs the matters pleaded at FASOC [31]? If so, which matters? (31) Did Swann engage in unfair tactics in respect of the sale of AOIPs to customers by means of any one or more elements of the Swann Sale System? (FASOC [40(b)]; AD [40]) (32) In the implementation of the Swann Sale System, did the ARs fail to conduct themselves in an efficient, honest, fair and transparent manner in respect of the sale of AOIPs to customers, leaving aside any relevant facts which are peculiar to the applicant or a particular group member? (FASOC [40(f)]; AD [40]) Mistake/unjust enrichment (33) Would group members who purchased one or more of the AOIPs have been mistaken, if at the time of acquiring the AOIPs they held one or more of the beliefs pleaded at FASOC [43]? (34) Did Swann give good consideration to the persons from whom it received the payment of premiums for the purchase of AOIPs and, if so, is Swann therefore not obliged to repay the premium payments received by it? (AD [49]) (35) To the extent that the applicant and group members have made claims on the AOIPs, does the making of such claims constitute unequivocal words or conduct by which they have elected to take the benefit of those policies and, if so, are they not entitled to the repayment of the premiums paid in respect of those policies? (AD [50]) (36) If the mistaken beliefs by the applicants and the group members were reasonably discoverable at the time of, or in the alternative immediately after, or in the alternative within a period of 21 days, 28 days, or 30 days from the date of purchase of the relevant AOIPs, does the delay in bringing the proceedings make it inequitable in the circumstances to require Swann to repay the premiums paid in respect of the AOIPs in whole or in part? (AD [51]) (37) Were any one of more of the matters in FASOC [31] reasonably ascertainable by customers of the ARs at the time of purchase, or thereafter, and, if so, which matters? Contraventions (38) Leaving aside any relevant facts which are peculiar to the applicant or a particular group member, on the facts found in answer to the preceding questions: (a) Did Swann engage in misleading or deceptive conduct or conduct that was likely to mislead or deceive in contravention of s 12DA(1) of the Australian Securities and Investments Commission Act 2001 (Cth) (ASIC Act)? (FASOC [34(a)], [34A(a)]) (b) Did Swann engage in conduct that was liable to mislead the public as to the nature, characteristics and the suitability for their purpose of financial services in contravention of s 12DF(1) of the ASIC Act? (FASOC [34(b)], [34A(b)]) (c) Did Swann engage in conduct in this jurisdiction in relation to a financial product or a financial service that was misleading or deceptive or was likely to mislead or deceive in contravention of s 1041H(1) of the Corporations Act? (FASOC [34(c)], [34A(c)]) (d) Did Swann engage in unconscionable conduct in contravention of s 12CB(1) of the ASIC Act? (FASOC [40]) (e) Did Swann engage in unconscionable conduct in contravention of s 991A(1) of the Corporations Act? (FASOC [41]) (f) Did Swann contravene s 1041E of the Corporations Act? (FASOC [42F]) (g) Did Swann contravene s 12DB of the ASIC Act? (FASOC [42H], [42L]) Loss and Damage (39) What are the principles governing the measurement of loss or damage (if any) suffered by the applicant and group members by reason of any contraventions as alleged in the FASOC which have been established? (FASOC [36], [42]) (40) Are the applicant and the group members entitled to interest to the extent that they were eligible to participate in the remediation program Swann has undertaken in respect of the AOIPs, or to the extent they were entitled to cancel their policy, but did not do so? (AD [52]) Limitations Acts (41) From what date are the causes of action pleaded in the statement of claim statute-barred? (42) From what date do the amendments to the statement of claim (other than the amendment to the group member definition) made by the amended statement of claim take effect, and, accordingly, from what date are the causes of action pleaded in the amended statement of claim statute-barred? (43) From what date do the amendments to the amended statement of claim made by the FASOC take effect, and, accordingly, from what date are the causes of action pleaded in the FASOC statute-barred? Proportionate liability (44) Are the Motor Vehicle Dealers concurrent wrongdoers (within the meaning of that term in the Corporations Act and ASIC Act) in respect of the conduct the subject of the FASOC? (AD [59]) (45) If the answer to question (44) is yes, are the respondents still liable for any conduct by the Motor Vehicle Dealers found to have caused the applicant and group members to suffer losses? (Reply [12]) (46) If the answer to question (44) is yes, is the respondents' liability in relation to each of the applicant's and/or group Member's claims limited by: (a) s 1041N of the Corporations Act in respect of claims under s 1041H of the Corporations Act; and/or (b) s 12GR of the ASIC Act, in respect of claims under s 12DA of the ASIC Act? (AD [59], Reply [12]) Reductions in damages (47) Can, and if so, should, any loss or damage suffered by the applicant and/or group members be reduced by the amount of any input tax credit claimed by the group member in respect of the GST paid on the premium for the AOIPs? (AD [60]) (48) Can, and if so, should any loss or damage suffered by the applicant and/or group members be reduced to the extent they claimed tax deductions or otherwise reduced their taxable income in respect of any amounts they paid referable to the AOIPs? (AD [61]) (49) Can, and if so, should any loss or damage suffered by the applicant and/or group members be reduced to the extent that the applicants and group members received: (a) payments pursuant to the remediation program Swann has undertaken in respect of the AOIPs; (b) amounts or the benefit of any claims paid by Swann; and/or (c) benefits referable to the existence of a potential right to indemnity during the currency of the AOIPs.