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[2025] NSWCATAP 116
NCAT Appeal Panel
2025-05-29
Seiden SC DCJ, Deputy PresidentH Dixon SC, Senior Member
Original judgment source is linked above.
Attorney General of New South Wales v World Best Holdings (2005) 63 NSWLR 557; [2005] NSWCA 261
Attorney-General for New South Wales v Gatsby (2018) 99 NSWLR 1;
Chief Commissioner of State Revenue v Adams Bidco Pty Ltd [2019] NSWCA 34
Citta Hobart Pty Ltd v Cawthorn (2022) 276 CLR 216; [2022] HCA 16
Commissioner of Police, NSW Police Force v FYH [2024] NSWCATAP 176
Commissioner of Police, NSW Police Force v White [2025] NSWCATAP 30
Donohoe v Albulario [2025] NSWSC 9
Drake v Minister for Immigration and Ethnic Affairs (1979) 2 ALD 60
Eberstaller v Poulos (2014) 87 NSWLR 394; [2014] NSWCA 211
Federated Engine-Drivers and Firemen's Association of Australasia v Broken Hill Proprietary Company Ltd (1911) 12 CLR 398; [1911] HCA 31
FZK v Dept of Customer Service [2024] NSWCATAP 185
Gleeson v New South Wales Harness Racing Authority (1990) 21 ALD 515
Hazeldell Ltd v Commonwealth (1924) 34 CLR 442; [1924] HCA 36
LPDT v Minister for Immigration, Citizenship, Migrant Services and Multicultural Affairs [2024] HCA 12
Nursing and Midwifery Board of Australia v Linquist [2019] NSWSC 978
The Owners - Strata Plan 87003 v Raysons Constructions Pty Ltd [2025] NSWSC 66
Tu v University of New South Wales (2003) 57 NSWLR 376; [2003] NSWCA 170
Unique Commercial Group Pty Ltd v Cusumano [2024] NSWCATAP 204
Wilson v Chan & Naylor Parramatta Pty Ltd (2020) 103 NSWLR 140; [2020] NSWCA 213
"This Rider is made part of the Policy to which it is attached. All the provisions, exclusions and limitations of the Policy, not inconsistent with those contained herein, shall apply to this Rider as at the Effective Date of this Rider.
Part 4.7(d) of the Policy shall have no operation in relation to the benefits payable for Total Disability as a result of Sickness and the following additional provision shall apply where the Insured suffers Total Disability as a result of a Sickness.
Notwithstanding the provisions of Part 4.1 of the Policy where the Insured suffers Total Disability as a result of Sickness then the Company will pay a Lifetime Sickness Benefit calculated as follows:
(a) Total Disability up to and including Age 55
Where Total Disability commences prior to the Insured's 56th Birthday, the Company will pay the Monthly Benefit for the lifetime of the Insured subject to the Insured continuing to suffer Total Disability.
Where Total Disability commences on or after the Insured's 56th Birthday but before his or her 65th Birthday, the Company will pay the Monthly Benefit up to the Insured's 65th Birthday and a percentage of the Monthly Benefit beyond the Insured's 65th Birthday for the lifetime of the Insured subject to the Insured continuing to suffer Total Disability. The percentage of the Monthly Benefit payable will be determined by the age at which the Total Disability commenced, in accordance with the following table:
[Table omitted]
No benefits are payable where Total Disability commences on or after the Insured's 65th Birthday."
"4. The Respondent asserts that insofar as they purport to relate to:
a) the life insurance business of registered life insurance companies; or
b) to the policy issued by the Respondent to the Applicant,
ss 49M and 49ZYN of the Act are invalid under section 109 of the Australian Constitution.
(For clarity the Respondent relies on Australian Mutual Provident Society v Goulden [1986] HCA 24; (1986) 160 CLR 330 in this regard)".
"4. The Respondent asserts that insofar as they purport to relate to:
a) the life insurance business of registered life insurance companies; or
b) to the policy issued by the Respondent to the Applicant,
ss 49M and 49ZYN of the Act are invalid under section 109 of the Commonwealth Constitution to the extent that they alter, impair or detract from the Respondents ability to classify risks and fix rates of premium in that business in accordance with its own judgement founded upon the advice of actuaries and the practices of prudent insurers, as required by ss 3, 96, 114, 230A and 230AAA of the Life Insurance Act 1995 (Cth) and prudential standards made thereunder.
(For clarity the Respondent relies on Australian Mutual Provident Society v Goulden [1986] HCA 24; (1986) 160 CLR 330 in this regard)
4A. In addition or in the alternative to paragraph 4, s 49ZYN of the Act is invalid under section 109 of the Commonwealth Constitution to the extent that it is inconsistent with ss 114, 230A and 230AAA of the Life Insurance Act 1995 (Cth) and prudential standards made thereunder requiring that the life insurance business of registered life insurance companies take into account mortality when valuing policy liabilities and protecting the interests of policy owners or perspective policy owners, specifically, Prudential Standard LPS 340 Valuation of Policy Liabilities."
"21 In Burns v Corbett (2018) 265 CLR 304; [2018] HCA 15 (Burns) the High Court made clear that this Tribunal has no jurisdiction to exercise judicial power over a matter within federal jurisdiction. That is because this Tribunal is not a court and, more precisely, not a Court of a State endowed with jurisdiction under Chapter III of the Constitution: Burns at [55] (Kiefel CJ, Bell and Keane JJ), [68]-[69] (Gageler J). This Tribunal does, however, have incidental (or anterior) jurisdiction to decide whether proceedings brought before it are within its limited jurisdiction: State of New South Wales v Kable (2013) 252 CLR 118; [2013] HCA 26; Wilson v Chan & Naylor Parramatta Pty Ltd (2023) 103 NSWLR 140; [2020] NSWCA 213 (Wilson NSWCA); Citta Hobart Pty Ltd v Cawthorn [2022] HCA 16 (Citta).
22 Part 3A of the CAT Act deals with 'Federal Proceedings'. Section 34A defines 'federal jurisdiction' as jurisdiction of a kind referred to in ss 75 or 76 of the Constitution. The Tribunal has no jurisdiction to determine such matters, it not being one of the 'courts of the States' as referred to in s 77 of the Constitution: Burns per Kiefel CJ, Bell and Keane JJ. The "subject matters identified in ss 75 and 76 of the Constitution" include, at s 76(i) and (ii) of the Constitution:
The Parliament may make laws conferring original jurisdiction on the High Court in any matter:
(i) arising under this Constitution, or involving its interpretation;
(ii) arising under any laws made by the Parliament;
23 Section 109 of the Constitution states:
When a law of a State is inconsistent with a law of the Commonwealth, the latter shall prevail, and the former shall, to the extent of the inconsistency, be invalid.
24 The application of s 109 of the Constitution to these proceedings fundamentally involves interpretation of the Constitution. The question of whether section 49M and 49ZYN of the Act are inconsistent with the provisions of the Life Insurance Act 1995 (Cth) is therefore a matter of federal jurisdiction, which this Tribunal can neither consider nor determine.
25 In Citta the High Court held that where there is a 'justiciable controversy' in issue involving the exercise of federal jurisdiction, then a State Tribunal does not have jurisdiction. The High Court specified at [31] that this included 'a defence that is asserted in the course of the controversy':
Amongst the circumstances in which a justiciable controversy answers the description in s 76(ii) of a matter 'arising under' a law made by the Commonwealth Parliament is where a Commonwealth law is relied on as the source of a claim or a defence that is asserted in the course of the controversy (LNC Industries Ltd v BMW (Australia) Ltd [1983] HCA 31; (1983) 151 CLR 575 at 581, [other citations omitted]). And amongst the circumstances in which a justiciable controversy answers the description in s 76(i) of a matter 'arising under' the Constitution is where the invalidity or inoperability of a Commonwealth or State law is asserted in the course of the controversy in reliance on the Constitution.
26 This Tribunal does not need to consider the merits of the constitutional defence raised by the Respondent. As stated in Citta at [45] - [46]:
Whatever the merits of the constitutional defence, there is and could be no suggestion that the constitutional defence was not genuinely raised or is so incoherent as to be insusceptible of judicial determination on those merits.
Together with the claim of the respondent to a remedy under the State Act, the constitutional defence therefore formed part of and gave character to a single justiciable controversy comprising a matter within the description in each of s 76(i) and s 76(ii) of the Constitution. For that reason, the hearing and determination of the claim, no less than the hearing and determination of the defence, was beyond the jurisdiction conferred on the Tribunal by the State Act. The Tribunal was correct so to decide.
27 All this Tribunal can therefore consider in the context of this application is whether the defence is 'genuinely raised' and is not 'so incoherent as to be insusceptible of judicial determination on those merits': Citta at [45]."
(1) There was a breach of procedural fairness in several respects, including the following:
(a) The anterior, jurisdictional, point should not have been heard, as the proceedings were listed so that the appellant could run his substantive case.
(b) The appellant was not given a sufficient opportunity to cross examine the respondent's witnesses or to give his submissions.
(2) The Tribunal erred in concluding it lacked jurisdiction, including for the following reasons:
(a) The policy did not fall within the terms of the Life Insurance Act 1995 (Cth).
(b) The Rider was not "as agreed" but was at the instance of the insurer.
(c) There is a dispute about the terms of the policy and the applicability of the Rider that was not determined.
(d) The Tribunal misstated some facts.
(3) The Decision creates unfairness as it, in practical terms, sets a precedent about the Rider and the ability of persons with a similar rider in their policy, to have their complaints heard in the Tribunal, when the substantive case was not heard and determined.
"It is a fundamental rule of justice that when a tribunal is making an adjudication it must be on evidence which all the members of the tribunal making the adjudication have heard ..."
"steps or decisions of a procedural character. It does not, in my opinion, relate to the ultimate decision when made by a decision-maker who does not have the capacity to exercise the statutory power. Whilst the terminology of 'advisory capacity' may often suggest procedural matters, what happened in this case was that a statutory power was exercised by persons who had no authority of any character to do so. This is a jurisdictional error of a fundamental kind. It is not a procedural irregularity."
(1) Pursuant to s 80(3) of the NCAT Act, the Appeal Panel may decide to deal with an appeal by way of a new hearing, where the grounds of the appeal warrant a new hearing.
(2) The Decision must be set aside.
(3) This leaves the question of whether the Tribunal has no authority to decide the substantive matter because it raises a federal matter. This raises a question of law yet to be determined.
(4) The appeal, insofar as the jurisdiction of the Tribunal is concerned, may be determined on the basis of the documents before the Tribunal at first instance and settled authority as to how to determine the question.
(5) It will save time and costs for the Appeal Panel to determine the jurisdiction issue.
(6) Therefore, the ground of appeal warrants a new hearing.
"Amongst the circumstances in which a justiciable controversy answers the description in s 76(ii) of a matter 'arising under' a law made by the Commonwealth Parliament is where a Commonwealth law is relied on as the source of a claim or a defence that is asserted in the course of the controversy. And amongst the circumstances in which a justiciable controversy answers the description in s 76(i) of a matter 'arising under' the Constitution is where the invalidity or inoperability of a Commonwealth or State law is asserted in the course of the controversy in reliance on the Constitution. In each case, the assertion operates to characterise the totality of the justiciable controversy and continues to characterise the totality of the justiciable controversy even where the assertion is later resolved in the exercise of judicial power or even withdrawn."
"... it is enough that the claim or defence be genuinely in controversy and that it give rise to an issue capable of judicial determination. That is to say, it is enough that the claim or defence be genuinely raised and not incapable on its face of legal argument."
(1) The appellant maintains he did not agree to the Rider and in any event contends it does not apply to his circumstances. Further, there is a dispute as to terms of the policy.
(2) On the other hand, the respondent puts forward the policy with the Rider as being the operative policy and maintains the Rider applies.
(3) The respondent contends that the policy is governed by the Life Insurance Act.
(4) The appellant contends that the policy did not fall within that Act because the actions of the Respondent in applying the Rider "permit alteration to my benefits".
(5) The appellant submits that the benefits may be altered "at the instance of the life company concerned" and relied on s 9A(3) of the Life Insurance Act which provides:
(3) A contract of insurance is not a continuous disability policy if the terms of the contract permit alteration, at the instance of the life company concerned, of the benefits provided for by the contract or the premiums payable under the contract.
(6) On the other hand, the respondent maintained that the benefits under the policy were never altered; and even though the payments reduced, this was in accordance with the terms of the policy.
(1) genuinely raised; and
(2) not incapable, on its face, of legal argument.
(2) The decision of the Tribunal made on 20 December 2024 is set aside.
(3) Proceedings number 2024/00076547 is dismissed for want of jurisdiction.
I hereby certify that this is a true and accurate record of the reasons for decision of the Civil and Administrative Tribunal of New South Wales.
McNally
Resolution Life Australasia Limited [2025] NSWCATAP 116
(2005) 63 NSWLR 557
(2018) 99 NSWLR 1
(2022) 276 CLR 216
(2014) 87 NSWLR 394
(1911) 12 CLR 398
(1924) 34 CLR 442
(2003) 57 NSWLR 376
(2020) 103 NSWLR 140
(1986) 160 CLR 330
(2018) 265 CLR 304
(2013) 252 CLR 118
(2023) 103 NSWLR 140
(1983) 151 CLR 575