Consideration of Metlife's No Relevant Award Rights Contention
50As it may be seen, cl 10 of the Award contemplates the establishment by the NSW Police Force of an insurance scheme with FTC to be known as the First State Super Insurance Scheme. The Scheme was established in or about the time of commencement of the Award: Crown in right of the State of NSW v Maund / Maund v FSS Trustee Corporation [2013] NSWSC 183 at [6]-[7].
51When a police officer suffers injury or illness, the Award relevantly specifies an entitlement to a benefit for total and permanent disability: cl 7.1. If a police officer who is subject to the Award receives payment of a partial and permanent disability benefit under cl 9 of the Award and then seeks and obtains payment of a TPD benefit (the higher sum), the police officer is obliged to refund the partial benefit. When the partial and total benefit is paid, the police officer is required to enter into a deed agreeing to repay that benefit should the TPD benefit be recovered.
52Under the terms of the Scheme, FTC was entitled to effect insurance coverage in respect of the benefits payable (see Rule 11.2 of the Scheme). At the time of commencement of the Award, FTC effected an insurance policy with Metlife for the purposes of covering the obligation to pay the disability benefits as set out in the Award. As it was noted in Maund at [5], the terms of the Award were within the contemplation of both FTC and Metlife at the time that Metlife issued the policy (that is, December 2005).
53As I stated earlier, each of the applicants made a claim for payment of the TPD benefit, but none of the applicants have received a payment of the TPD benefit. It appears that, at least as far as Hahn is concerned, Metlife determined that the applicant was not TPD in accordance with the policy definitions, which appear to be largely the same as that contained in the Award, with one major exception, namely, that in cl 6 to the First Schedule of the policy, in the case of an "Insured Member" whose normal hours are 15 hours each week or more at the time of the "Insured Event" giving rise to the claim:
The Insured Member having been absent from their Occupation with the Employer through injury or illness for six consecutive months and having provided proof to our satisfaction that the Insured Member has become incapacitated to such an extent as to render the Insured Member unlikely ever to engage in any gainful profession, trade or occupation for which the Insured Member is reasonably qualified by reason of education, training or experience. (emphasis added)
54As I earlier explained, the second respondent relies on the Police Amendment (Death & Disability) Act and the amendments it made to the Police Act to contend the Award has been rescinded with retrospective effect and, therefore, it has no further legal effect and no longer regulates the rights of the parties to the Award, subject to certain exceptions.
55Section 199l of the Police Act is clear in its terms. It states that the Award is rescinded. The applicants submitted, however, that in the absence of a clear indication to the contrary, s 199l would not be construed to affect rights and obligations that arose prior to that provision commencing. Presumably, they were relying on cases such as Maxwell v Murphy; Fisher v Hebburn [1960] HCA 80; (1960) 105 CLR 188 at 194 per Fullagar J.
56It was further submitted the entitlement or right of a police officer under the Award to a lump sum payment is determined by cll 7 and 8. Thus, the "right" to a lump sum payment arose in the event of an on duty or off duty injury resulting in death or total and permanent disablement. In each case it was submitted the applicants' rights accrued prior to the commencement of the Police Amendment (Death & Disability) Act: see Stevens v The Railway Commissioners for New South Wales (1930) 31 SR (NSW) 138 at 143 per Ferguson J (James and Stephen JJ agreeing); TNT Australia Pty Ltd v Horne (1995) 36 NSWLR 630 at 637 per Kirby P (with whom Priestley JA agreed generally); and Speirs v Industrial Relations Commission of New South Wales & Anor [2011] NSWCA 206 at [77]-[85] per Giles JA (with whom Allsop P and Hodgson JA agreed).
57Whilst Maxwell v Murphy and the other authorities cited were concerned with amendments to statute law, it seems to me the principles there referred to regarding the accrual of rights apply equally to awards, which are legally binding instruments made pursuant to the IR Act.
58The second respondent submitted, nevertheless, there were indications in s 199K of the Police Act and r 131B of the Police Regulation that the intention was to cause the Award to have no further legal effect (subject to exceptions) on and after the commencement of the Police Amendment (Death & Disability) Act. The indications, according to Metlife, were (i) that s 199K(3) provided that in certain circumstances provisions of the Award which relate to payments for "temporary and partial incapacity" continue to apply despite the rescission of the Award; and (ii) r 131B provides that the Award provisions which relate to payments for "partial and permanent disability", continue to apply for a limited period. It appears to have been submitted that because specific exceptions are mentioned, this reinforced the correctness of a construction that other than these specific exceptions the Award no longer had any force on or after commencement of the Police Amendment (Death & Disability) Act.
59Additionally, it was submitted the Note to s 199K(3) ["Note. See subsection (8) for preservation of entitlements relating to death or permanent and total incapacity under insurance policies taken out pursuant to the award"] makes it plain that insofar as entitlements relating to death or permanent and total incapacity were concerned the Award ceased to apply upon commencement of the amending Act. This was because s 199K(3) was concerned with the provisions of the Award relating to payments for temporary or partial incapacity and does not mention permanent and total incapacity. The Note, however, does address the question of permanent and total incapacity by referring to s 199K(8), which in turn provides that s 199K does not affect any entitlements under an insurance policy that has been taken out on behalf of police officers before the commencement of this Part. The asserted implication was that the Note to s 199K(3) indicated that entitlement to benefits for total and permanent incapacity were not to be derived from the Award, but rather from an insurance policy that had been taken out on behalf of police officers before the commencement of Pt 9B of the Police Act. That is to say, preservation of entitlement to benefits for total and permanent incapacity was a matter to be determined by the insurance policy and not the Award.
60Metlife submitted further support for its position could be found in r 131B of the Police Regulation (applied by s 199K(10)) in that the regulation specifically provides that the provisions of the Award relating to payments for "temporary or partial incapacity" (not a phrase used in the Award) continue to apply, despite the rescission of the Award, in respect of the disability of a police officer in certain defined cases. The implication, it appears, that the second respondent wishes the Court to accept is that as no similar provision is made in the Regulation for the preservation of Award provisions relating to total and permanent disability, those Award provisions have been rescinded with retrospective effect.
61The first thing to note about this aspect of the second respondent's submission is that s 199K(3) and the Note that goes with it have no application. Regulation 131B(2) provides that r 131B(1) applies instead of the provisions of section 199K (3) of the Act, and those provisions cease to have effect. Indeed, it seems s 199K(3) never came into effect, as r 131B commenced operation on the same day as that section, namely, 9 December 2011. That leaves s 199K(8) and r 131B(1) to be considered.
62Section 199K(8) is a savings provision that makes clear that any entitlements under existing insurance policies are not impacted upon by the new laws. It says nothing specifically about whether the entitlements under the Award relating to TPD survived the transitional provisions, although the accompanying Note indicates that existing insurance policies taken out with First State Super cover police officers for death and for total and permanent incapacity and will continue to apply until replaced by coverage under an approved death and disability insurance policy.
63As I have stated, r 131B(1) has the effect of saving the provisions of the Award relating to payments for "partial and permanent disability" (which is not a phrase used in the Award) in certain cases if the police officer had not been discharged from the NSW Police Force before the commencement of Part 9B of the Act. Regulation 131B says nothing specific about TPD.
64 It does not seem to me that the exceptions referred to by the second respondent in s 199K and the Regulation, neither of which relate to total and permanent disability, even taken together with s 199l, are of such a nature as to, of themselves, make it 'reasonably certain' (see Maxwell v Murphy) that the legislature's intention was to change the law to extinguish any right or entitlement of a police officer under the Award in respect of total and permanent incapacity. Neither the Explanatory Notes nor the second reading speech relating to the Police Amendment (Death & Disability) Bill throw any light on the issue.
65The applicants, moreover, relied in particular on s 199K(9) to contend that provision preserved an entitlement to payment under the Award where a police officer was discharged prior to the rescission of the Award as a consequence of an on duty injury that resulted in the police officer suffering total and permanent disablement. Section 199K(9), it will be recalled, is in the following terms:
(9) The rescission of the former death and disability award does not affect any entitlement to payments under that award in relation to the death or discharge of a police officer from the NSW Police Force before the rescission of the former award.
66It was submitted for the applicants that the reference in s 199K(9) to "former death and disability award" is a reference to the Award: see s 199K(1); each of the applicants suffered illness or injury whilst on duty; each of the applicants was medically discharged from the NSW Police Force before the rescission of the Award; each received payment of a partial and permanent disability benefit from the NSW Police Force in accordance with cl 9 of the Award; and under cll 7 and 10 of the Award an officer is entitled to a lump sum payment in the event that an on duty injury results in the police officer suffering total and permanent disablement. It is the entitlement under cll 7 and 10 that each applicant now seeks.
67Metlife submitted in reply, however, that a textual analysis of s 199K(9), combined with its contextual analysis of ss 199I, 199K(8) and r 131B, showed that the provision did not achieve what the applicants claimed. Metlife submitted the text revealed that in order for the subsection to apply, three conditions must all be satisfied: (i) the relevant claim was made under the Award; and (ii) the claims were in relation to the death or discharge of the relevant claimant; and (iii) an entitlement to payment had occurred before the rescission of the Award, that is, by 9 December 2011. Metlife submitted none of these conditions were satisfied.
68In my view the question raised by s 199K(9) is whether any of the applicants had an entitlement to payment under the Award, they each having been discharged before the rescission of the Award. I do not think that can be answered in the affirmative.
69It is true that cl 7.1 of the Award provided that police officers who contribute under cl 5 shall be entitled to a lump sum payment in accordance with Schedule A to the Award in the event that an on duty injury relevantly resulted in a police officer suffering total and permanent disablement. However, the critical question arises as to whether the police officer suffered TPD as a result of an on duty injury in order to be so entitled. Clause 10.8 of the Award provided that entitlement to receive a lump sum benefit from the First State Super insurance scheme shall be assessed in accordance with the terms of the First State Super Trust Deed and Policy Document. That assessment, including an assessment of whether the former officer suffered TPD in accordance with the definition in cl 6 to the First Schedule of the policy, was for Metlife to make, subject to certain dispute resolution procedures that were to be followed in the event of a dispute. In relation to the applicants, Metlife had apparently determined either that no TPD was suffered or it was yet to undertake an assessment.
70In those circumstances, it could not be said in respect of the applicants that there was entitlement to payment subsisting in relation to discharge prior to rescission of the Award. The entitlement only arises once the police officer has been determined as TPD and in none of the cases before the Court had that been determined prior to the rescission of the Award.
71In relation to the word "discharge", contrary to the second respondent's submissions, I do not think anything turns on it. Clause 1.2.1 of the Award relevantly provides that the "intentions and commitments" of the Award are to provide benefits on medical discharge in the event that an on duty injury results in total and permanent disablement of a police officer. So that under s 199K(9) any entitlement to payments under the Award "in relation to the discharge" of a police officer, was an entitlement in the event that an on duty injury resulted in total and permanent disablement of that officer and the officer was consequently discharged from the Police Force.
72My view as to how s 199K(9) is to be construed is that the rescission of the Award did not affect an entitlement to payments under the Award in relation to the discharge of a police officer from the NSW Police Force in the event that it had been determined that an on duty injury had resulted in total and permanent disablement of that officer and where, as a consequence, the officer had been discharged before the rescission of the Award. Section 199K(9) would also have work to do in relation to an entitlement to payment for partial and permanent disability under cl 9 of the Award where the responsibility for payment of any benefit falls on NSW Police. Indeed, I think s 199K(9) is primarily directed to payments under cl 9 of the Award.
73The fact that the Award provided that an assessment as to entitlement for TPD was to be carried out in accordance with the terms of the First State Super Trust Deed and Policy Document did not alter the fact that the entitlement to payment may have arisen under the Award. The entitlement clearly arose under cl 7.1; the assessment process owed its existence to the Award (see cl 10.8); it was authorised by the Award; the Award provided for the tribunal that made the Award to have any dispute as to entitlement to receive a lump sum payment from the First State Super insurance scheme to be referred to it for final determination (see cl 10.8). In the present proceedings, however, no entitlement to payment existed before rescission of the Award because no determination had been made in accordance with the process prescribed by the Award that the officer suffered TPD as a result of an on duty injury thus giving rise to the entitlement. Consequently, s 199K(9) is of no assistance to the applicants.
74The following considerations, taken together, lead me to the conclusion, and I so find, that no accrued right exists under the rescinded Award to pursue claims for benefits in relation to an on duty injury that was alleged to have resulted in a police officer suffering total and permanent disablement, such officer having been medically discharged prior to 9 December 2011:
(1)The Award was rescinded with effect from 9 December 2011.
(2)Regulation 131B of the Police Regulation makes provision for the Award relating to payments for partial and permanent disability to continue to apply, despite the rescission of the Award, in respect of the disability of a police officer in certain defined cases if the police officer has not been discharged from the NSW Police Force before the commencement of Part 9B of the Police Act. No comparable savings provision exists in the Act or the Regulation in relation to total and permanent disability.
(3)Section 199K(8) provides that s 199K does not affect any entitlements under an insurance policy that had been taken out on behalf of police officers before the commencement of this Part. The Note to s 199K(8) seeks to avoid doubt by stating, "Existing insurance policies taken out with First State Super cover police officers for death and for total and permanent incapacity and will continue to apply until replaced by coverage under an approved death and disability insurance policy."
(4)The existing insurance policies taken out with First State Super to cover police officers for death and for total and permanent incapacity are those policies referred to in the Award. Whilst the Award prescribed an entitlement to a payment for TPD, assessment of the entitlement was to be in accordance with the terms of the First State Super Trust Deed and Policy Document. That was not done prior to the Award's rescission. The benefits payable under the insurance policy for TPD are the same as those prescribed in Annexure A to the Award. There would seem to be little utility in the legislature saving entitlements under an insurance policy and, in addition, preserving what were, in effect, the same entitlements available under the Award.
(5)Section 199K(9) provides that the rescission of the Award did not affect any entitlement to payments under the Award in relation to the death or discharge of a police officer from the NSW Police Force before the rescission of the Award. Whilst it may be accepted that an entitlement to payments had accrued to a police officer in relation to TPD before the rescission of the Award, it is significant that a right to claim an entitlement to payment under the Award was not preserved. Preservation of such a right would, in practice, be superfluous in light of s 199K(8).