Accordingly, when reinsurance moneys are received, they should be applied to the particular claim. To do otherwise would undermine the fundamental nature of the CEASA scheme.
27 Mr Gee QC and Mr Larkin say that Mr Duncan's approach fails to pay sufficient attention to s 562A(3). It also ignores the fact that under the policies there is no additional premium for the first claim, but for the second to seventh claims an additional reinstatement premium of 50 or 40 percent as the case may be, is payable. Accordingly, where one has only one claim in a year there is no adjustment for reinstatement. Where there are two claims, the first claim is paid without adjustment and the second subject to an adjusted premium and likewise with the third through to the seventh claims. If one was able to trace through to each particular insured and each particular claim under the policy of insurance, the extra premiums would be borne by people other than the person who made the first claim in any loss year.
28 The second defendant's claim was in respect of the claim year 1993. In that year, three claims were made, one unresolved.
29 The method adopted by Mr Duncan really can only be used if the Court exercises its discretion under s 562A(4). In making an order under that section the Court must direct the liquidator to distribute the reinsurance moneys in a way which the Court considers just and equitable in the circumstances. As the standard formula where there is a deficiency is that set out in sub-section (3), one must work out why it is not just and equitable to follow the prescribed formula. The prescribed formula, as I read it, involves taking out of the reinsurance payment all just expenses. One then gives each eligible claimant a fraction of that pool found by taking as the numerator the amount of the claim and the denominator being the total amount of the claims. In my view, that is a fairer way of looking at it than charging the additional premiums against the second and subsequent claims in any particular year and allowing the whole of the fund with respect to the first claim to flow through to the claimant. If one fine-tuned the adjustment by, for instance, averaging out the reinstatement premiums amongst all claimants in the year, one would get so close to the result that one would find if one did not do that exercise, as hardly warranting the making of a special order.
30 Accordingly, in my view there is not sufficient material for me to make a special order under sub-section (4).
31 The choice must therefore be between Mr Gleeson's submissions and Mr Gee QC's. Of the two, I prefer Mr Gee QC's. This is because Mr Gee QC's submissions take into account that with reinsurance, one is looking at an annual contract and that to just average claims over every insurance year where the policies of reinsurance may be on different terms seems to me to produce an arbitrary result just for the sake of simplicity. To my mind, the intent of the section is that "reinsurance payment" in sub-section (3) means a reinsurance payment for a particular claims year and what one does is to work out the net payments received from reinsurers in a particular year, and that each claimant in that year gets the fraction of that money as set out in sub-section (3).
32 Mr Gleeson submits that such a determination runs contrary to what was the answer by Needham J to question 5 in the Saltergate Insurance case at p 744. That might be so, but from the reasoning on earlier pages, it does not appear that the present distinction was one which was put to Needham J in that case.
33 Accordingly, I should make a declaration as per para 1(d) of the issues as stated in paragraph 8 of these reasons.
2-5. The Seerys' cross claim
34 Putting it as simply as I can, Cohen was a consulting engineer insured by CEASA. The Seerys had a house at Moree being built for them. The architect, now known as Jarvan Pty Ltd in liquidation, enlisted the professional assistance of Cohen as consulting engineer. The Seerys' house was built in such a way that it was a complete disaster. The Seerys sued. The builder was found not liable, but the architect was found liable and the architect in due course obtained an order for damages against Cohen which is a claim insured by CEASA. Later, the liquidator of the architect assigned the benefit of its judgment against Cohen to the Seerys. It would seem that the damage to the Seerys' house first was noticed in November 1992 and the claim was notified on 28 June 1993. Thus both events happened within the 1992/3 claims year.
35 The Seerys claim that they have a charge on the reinsurance moneys under s 6 of the Law Reform (Miscellaneous Provisions) Act 1946 (the "1946 Act") and that they are persons "to whom an amount is payable under a relevant contract of insurance" within the meaning of s 562A(4) of the Corporations Law. They apply under that section for a special order to be made so that they will receive the full amount of the reinsurance payment due to Cohen.
36 Mr Gleeson puts that various problems stand in the Seerys' way. First, he puts that the facts as disclosed do not necessarily show that the Seerys come within s 6 at all. He points out that there is authority for the proposition that with a "claims made" policy s 6 does not apply unless the event giving rise to the claim occurred within the same period as the policy which responds to the claim: Capita Financial Group Ltd v Triden Properties Ltd (Cole J, 6 September 1993); Schipp v Cameron (Einstein J, 9 July 1998), but cf FAI General Insurance Co Ltd v McSweeney (1997) 73 FCR 379. In the instant case, it appears that both the event and the claim occurred in the same claims year, but there is not enough material to show that on the balance of probabilities. One just does not know whether the architect got a verdict against the consulting engineer in tort or in contract and there is not the material to show when the contract was breached or when the damage under the tort first occurred.
37 Even if that matter were concluded in the Seerys' favour, the Seerys are not persons "to whom an amount is payable under a relevant contract of insurance". "Relevant contract of insurance" is defined by s 562A(8) of the Law as "a contract of insurance entered into by the company, as insurer, before the relevant date". This means a contract of reinsurance entered into by CEASA before 1 March 1996. The relevant contract of insurance in the Cohen's case was the contract of insurance between CEASA and Cohen for the 1992/3 claims year. The only person to whom moneys are payable under that policy is Cohen.
38 Mr Alexis for the Seerys put that s 6 of the 1946 Act had the effect of putting his clients into the position of a person to whom an amount is payable under a relevant contract of insurance. He took me to the leading cases on s 6 such as National Mutual Fire Insurance Co Ltd v Commonwealth of Australia [1981] 1 NSWLR 400, 403 and Cambridge Credit Corporation Ltd v Lissenden (1987) 8 NSWLR 411, 419-420. See also Ceric v CE Heath Underwriting & Insurance (Australia) Pty Ltd (1994) 122 FLR 123. In the first of these cases, Moffitt P said:
"The legislative purpose of s 6 is to provide for the person to whom the insured is liable direct access to the insurance fund, in those cases where enforcement might be frustrated unless such direct access was available."
39 In the Ceric case, previous judgments of the Australian courts were summarised and the general flavour of the judgments clearly is that where the section is applicable, the applicant has a charge which arises immediately on the happening of the event giving rise to the claim for compensation which can only be enforced when the Court gives leave to enforce it. In an action to enforce the charge, the applicant has the same rights and liabilities as if the action were against the insured.
40 Mr Alexis says that these rights mean that the Seerys, being the assignee of the applicant against the insured, are the persons to whom the amount is payable under the relevant contract of insurance. On the other hand, Mr Gleeson says that the Seerys are people to whom the amount may be payable under s 6, but that does not make it payable under the relevant contract of insurance. Mr Gleeson says that s 562A(4) of the Corporations Law and s 6 of the 1946 Act simply operate in different fields. Section 6 does cut through the veil separating the various parties, but not to the extent to make the person entitled to the charge a person with standing under s 562A(4). Mr Alexis' riposte is that the payment can be both under the statute as well as under the contract.
41 What is "under a contract" has come up for decision in its use in section 82Y of the Income Tax Assessment Act 1936. See also section 82V(2)(a) of that Act. Gummow J considered the expression in that statute in Federal Commissioner of Taxation v Energy Resources of Australia Ltd (1994) 54 FCR 25, 53. Before dealing with what his Honour said, I should note that the problem in the Energy Resources case was considered at first instance by Davies J (1994) 28 ATR 67, thence by the Full Federal Court consisting of Beaumont, Gummow and Hill JJ in the report to which I have already referred, and then by the Full High Court in (1996) 185 CLR 66. The High Court thought that the present matter was irrelevant to the question that had to be decided as did Beaumont J and Davies J at first instance and thus they did not discuss it to any material extent. Accordingly, the only two Judges that considered the phrase "under a contract" were Gummow J and Hill J.
42 Gummow J said at 53 that the words "under a contract" could be used in two principal senses: (a) a strict sense; and (b) a loose sense. In the strict sense "a gain made 'under' an eligible contract suggests that the gain was made in exercise of a right or discharge of an obligation conferred or imposed, as the case may be, by the terms of the eligible contract… gain as a subcontractor would not suffice as a gain under the head contract…". He then said that more loosely "it is enough that the contract is, in a broad sense, a source of the gain made by the party in question". He considered that under the Income Tax Assessment Act the narrower construction was to be preferred to the looser construction.
43 At page 70 Hill J said:
"The expression 'under a contract' must, of necessity, be construed by reference to the context in which it appears."