LEGISLATIVE AND FACTUAL BACKGROUND
6 Mr Clark was born on 29 April 1939. He was due to become entitled to "an age pension" upon reaching the retirement age of 65 years on 29 April 2004.
7 On 31 October 2000, Mr Clark ceased working as a haulage driver for Pasminco Limited (Pasminco) and Mountain Bulk Haulage Pty Ltd (Mountain Bulk) due to his suffering compensable lead and chemical poisoning arising out of his work.
8 In respect of the period 1 December 2000 to 2 November 2001 Mr Clark received "a social security benefit", called a "Newstart" allowance. The amounts he was paid totalled $4,415.67.
9 From 2 November 2001, Mr Clark began to receive periodic compensation payments under the Workers Compensation Act 1987 (NSW) (the WC Act). For the purposes of the appeal, the parties agree that these payments were in respect of the period from 31 October 2000, the date of the injury. The workers' compensation insurer that made the payments was Allianz Australia Workers' Compensation (NSW) Ltd (Allianz). Allianz paid workers compensation totalling $88,082.18 to Mr Clark in respect of the period to 31 October 2000 to 29 April 2005. As to $4,415.67 of this sum, however, Allianz paid it to Mr Clark by refunding it on his behalf to Centrelink on 14 November 2001. Mr Clark was not entitled to receive both workers' compensation and the social security benefit in respect of the same days: see s 1173 of the Act. Mr Clark's receipt and later repayment of the social security benefit of $4,415.67 is therefore only of historical interest: it was "replaced" by the workers' compensation totalling $88,082.18 paid to Mr Clark in respect of the period from 31 October 2000 to 29 April 2005.
10 Section 52 of the WC Act provided that if a person received an injury before reaching the retiring age, being the age at which the person would be eligible to receive an age pension under the SS Act, a weekly payment of compensation under the WC Act was not to be made in respect of any resulting period of incapacity for work occurring after the first anniversary of the date on which the person reached the retiring age. Since Mr Clark received his injury before reaching his retiring age of 65 years on 29 April 2004, a weekly payment of compensation was not to be made to him in respect of any period of incapacity for work occurring after 29 April 2005.
11 Mr Clark sued Pasminco and Mountain Bulk for damages at common law in the District Court of New South Wales. Allianz was the insurer providing indemnity to the defendants in respect of the claim. The action was settled "by consent and without admission of liability" on 10 March 2005 for $280,000.
12 Mr Clark's common law claim included a claim for loss of earning capacity, and Allianz deducted and retained for itself the sum of $88,082.18, leaving Mr Clark with $191,917.82. In substance, the compensation that Mr Clark received for loss of earnings and loss of earning capacity thus came to reside in the lump sum payment of $280,000 alone.
13 In an Amended Statement of Particulars filed in the District Court proceeding on 31 January 2005, Mr Clark gave the following "Particulars of Economic Loss":
Particulars of Economic Loss
At the time of injury the Plaintiff was employed by G. & A. Clark Tipper Hire Pty Ltd. The Plaintiff was a director of that company. The Plaintiff carried out truck driving services.
The Plaintiff's average weekly earnings at the time of the injury were $600.00 gross per week. He has not engaged in gainful employment since October 2000. Since that time he has been unemployable on the open labour market.
The Plaintiff ceased work in October 2000 and has been incapacitated for work since then.
The Plaintiff makes a claim for past loss of income at the rate of $600.00 gross per week from October 2000 to age 65 and loss of superannuation at the rate of $54.00 per week for the same period.
Further or in the alternative the Plaintiff makes a claim for diminution in earning capacity on the open labour market available to him for both the past and the future.
The Plaintiff makes a claim for loss of superannuation for both the past and future.
The Plaintiff makes a claim pursuant to Fox v Wood [(1981) 148 CLR 438].
The claim for diminution in earning capacity is consistent with a claim extending beyond the claim for "past" loss of income.
14 Against the above facts, the relevant legislative provisions and their application to Mr Clark's circumstances may now be considered.
15 Section 17 comprised definitions, the significance of which will now be noted.
16 Section 17(1) of the SS Act defined the expression "compensation affected payment" to mean any one of numerous forms of pensions, payments and allowances that are identified in the definition, including, relevantly, "a social security benefit" and "an age pension".
17 The word "compensation" was defined in s 17(2) of the SS Act to include:
(c) a payment (with or without admission of liability) in settlement of a claim for damages ...;
(d) ...
(whether the payment is in the form of a lump sum or in the form of a series of periodic payments ...) that is made wholly or partly in respect of lost earnings or lost capacity to earn resulting from personal injury.
The expressions "lump sum compensation payment" and "periodic compensation payments" were not defined in s 17, but it is clear from the definition of "compensation" that the amount of $280,000 paid in settlement of Mr Clark's claim for damages was a lump sum compensation payment, and that the payments that Allianz had made to him totalling $88,082.18 were periodic compensation payments.
18 Three other definitions in s 17(1) were as follows:
compensation part, in relation to a lump sum compensation payment, has the meaning given by subsections (3) and (4).
periodic payments period means:
(a) the period to which a periodic compensation payment, or a series of periodic compensation payments, relates; or
(b) in the case of a payment of arrears of periodic compensation payments - the period to which those payments would have related if they had not been made by way of an arrears payment.
receives compensation has the meaning given by subsection (5).
19 Sections 17(3)(a), (4) and (5) of the SS Act provided:
17(3) Subject to subsection (4), for the purposes of this Act, the compensation part of a lump sum compensation payment is:
(a) 50% of the payment if the following circumstances apply:
(i) the payment is made (either with or without admission of liability) in settlement of a claim that is, in whole or in part, related to a disease, injury or condition; and
(ii) the claim was settled, either by consent judgment being entered in respect of the settlement or otherwise; ...
17(3A)...
17(4) Where a person:
(a) has received periodic compensation payments; and
(b) after receiving those payments, receives a lump sum compensation payment (in this subsection called the LSP); and
(c) because of receiving the LSP, becomes liable to repay an amount (in this subsection called the Repaid Periodic Compensation Payment - RPCP) equal to the periodic compensation payments received;
then, for the purposes of subsection (3), the amount of the lump sum compensation payment is:
LSP - RPCP
17(4A)...
17(5) A person receives compensation whether he or she receives it directly or whether another person receives it, on behalf of, or at the direction of the first person.
20 There is no dispute as to the application of these definitions to the circumstances of the present case. Because:
· Mr Clark received periodic compensation payments of $88,082.18; and
· after receiving them, he received on 10 March 2005 a lump sum compensation payment of $280,000 (in subs (4), the LSP); and
· he then became liable to repay the amount ($88,082.18) of the periodical compensation payments (in subs (4), the RPCP - the parties agree that he became so liable by reason of s 151Z(1)(b) of the WC Act);
for the purposes of s 17(3) the amount of the lump sum compensation payment referred to in that subsection is the LSP of $280,000 minus the RPCP of $88,082.18, that is to say, $191,917.82. While the expression "lump sum compensation payment" generally in the Act refers to the whole $280,000, for the particular purposes of s 17(3) the expression refers to only $191,917.82.
21 When this last figure of $191,917.82 is fed into s 17(3)(a), we find that the "compensation part" of the lump sum compensation payment is 50 percent of that amount, that is to say, $95,958.91. As noted at [17] above, the expression "compensation part" is defined in s 17(1) in relation to a lump sum compensation payment as having the meaning given by subss (3) and (4).
22 It is now necessary to turn to Pt 3.14 of the SS Act, which is headed "Compensation recovery". Section 1160, the first section in Pt 3.14, states that the Part operates in certain specified circumstances, relevantly, to "render a person's compensation affected payment", such as the age pension, not payable because of the receipt of compensation.
23 The primary question of law raised by the appeal turns on the construction of ss 1169 and 1170 of the SS Act. Those sections were as follows:
1169(1) If:
(a) a person receives or claims a compensation affected payment; and
(b) the person receives a lump sum compensation payment;
the compensation affected payment is not payable to the person in relation to any day or days in the lump sum preclusion period.
1169(2) In this section:
lump sum compensation payment does not include a lump sum payment:
(a) to which section 1164 applies; or
(b) that relates only to arrears of periodic compensation payments.
1170(1) Subject to subsection (2), if a person receives both periodic compensation payments and a lump sum compensation payment, the lump sum preclusion period is the period that:
(a) begins on the day following the last day of the periodic payments period or, where there is more than one periodic payments period, the day following the last day of the last periodic payments period; and
(b) ends at the end of the number of weeks worked out under subsections (4) and (5).
1170(2) If a person chooses to receive part of an entitlement to periodic compensation payments in the form of a lump sum, the lump sum preclusion period is the period that:
(a) begins on the first day on which the person's periodic compensation payment is a reduced payment because of that choice; and
(b) ends at the end of the number of weeks worked out under subsections (4) and (5).
1170(3) If neither of subsections (1) and (2) applies, the lump sum preclusion period is the period that:
(a) begins on the day on which the loss of earnings or loss of capacity to earn began; and
(b) ends at the end of the number of weeks worked out under subsections (4) and (5).
1170(4) The number of weeks in the lump sum preclusion period in relation to a person is the number worked out using the formula:
1170(5) If the number worked out under subsection (4) is not a whole number, the number is to be rounded down to the nearest whole number.
24 In terms of s 1169(1)(a), Mr Clark claims a "compensation affected payment" because he claims an age pension from 29 April 2004 (see the definition of "compensation affected payment" in s 17(1) of the SS Act discussed at [16] above). It is the refusal of an age pension that has given rise to this proceeding.
25 In terms of s 1169(1)(b), Mr Clark received a lump sum compensation payment of $280,000. Accordingly, a preclusion period applied to any entitlement he might otherwise have had to an age pension as from 29 April 2004. The question is how, and in particular from what date, the preclusion period is to be calculated.
26 Before turning to this question, I will discuss the length of the preclusion period. This preclusion period is expressed as a number of weeks worked out under subss (4) and (5) of s 1170. The "Compensation part of lump sum" which is the numerator in the fraction set out in s 1170(4) is the "compensation part of a lump sum compensation payment" referred to in s 17(3) of the SS Act (set out at [19] above), in Mr Clark's case, $95,958.91. The "Income cut-out amount", which is the denominator in that fraction, is defined in subss 17(1) and (8) of the SS Act, and it is agreed that in Mr Clark's case that amount is $656.63. Accordingly, the formula in s 1170(4) gives 146 weeks. It is common ground that this is the length of the preclusion period in Mr Clark's case.
27 I turn now to the critical subss (1) and (3) of s 1170.
28 The Secretary submits that the circumstances fall within subs (1) because, as a matter of historical fact, Mr Clark received both periodic compensation payments totalling $88,082.18 in respect of the period from 31 October 2000 to 29 April 2005, and (on 10 March 2005) a lump sum compensation payment of $280,000.
29 On this basis, s 1170(1) provides that the preclusion period of 146 weeks began on the day following the last day of the periodic payments period, that is to say, the day following 29 April 2005, that is to say, 30 April 2005. It is not disputed that a period of 146 weeks commencing on that date expires on 15 February 2008.
30 Mr Clark, on the other hand, submits that upon its proper construction, subs (1) of s 1170 applies only where a person receives and retains the benefit of both the periodic compensation payments and a lump sum compensation payment. Mr Clark submits he does not satisfy this description because the periodic compensation payments totalling $88,082.18 were repaid to Allianz out of the sum of $280,000, leaving him with only $191,917.82. Accordingly, Mr Clark submits, subs (1) does not apply and the applicable provision within s 1170 is subs (3). (It was not suggested by either party that subs (2) applies.) According to subs (3), the lump sum preclusion period began on the day on which Mr Clark's loss of earnings or loss of earning capacity began, namely 31 October 2000. On this basis, the preclusion period of 146 weeks expired well before Mr Clark's 65th birthday on 29 April 2004, and any entitlement he has to an age pension is unaffected.