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[2011] NSWIRComm 15
Industrial Relations Commission (NSW)
2010-11-01
Boland P, Walton VP, Kavanagh J, Staff J, Boland J
Original judgment source is linked above.
Peter Miles (Appellant) SAS Trustee Corporation (Respondent) Representation: T Edwards of counsel (Appellant) T Ower of counsel (Respondent) Harris Wheeler Lawyers (Appellant) SAS Trustee Corporation (Respondent) File Number(s): IRC 528 of 2010 Decision under appeal Jurisdiction: 9105 Citation: Miles v SAS Trustee Corporation [2010] NSWIRComm 69 Date of Decision: 2010-06-07 00:00:00 Before: Staff J File Number(s): IRC 1557 of 2009
BOLAND J 1I have had the opportunity of reading the draft judgment prepared by Kavanagh J. Her Honour has helpfully set out the background to the appeal and analysed the decision at first instance. Accordingly, there is no need to repeat what her Honour has done in those respects except to set out, in brief terms the factual context, in which I have made my findings. 2In reaching those findings I find myself disagreeing with her Honour's conclusion that Staff J erred in upholding the respondent's case at first instance and with the order her Honour proposes upholding the appeal. In my opinion, Staff J was correct in dismissing the appeal. My reasons follow. 3Briefly, the appellant was medically discharged from the Police Force on 5 September 2003. He was certified by the SAS Trustee Corporation ("STC") which is the trustee for the Police Superannuation Fund, as being incapable, from a specified infirmity of body, of personally exercising the functions of a police officer: see s 10B(1) of the Police Regulation (Superannuation) Act 1906 ("PRS Act"). This certification is an important first step in the process laid down in the PRS Act for an officer "hurt on duty" to be eligible to receive a superannuation allowance. The infirmities certified by STC are detailed in the judgment of Kavanagh J, but they were limited to physical and not psychological infirmities. Importantly, Mr Miles made no claim in 2003 that he was incapable of performing the functions of a police officer because of an infirmity of the mind. His claim was limited to the physical infirmities reflected in the certificate issued by STC. 4The appellant did receive a superannuation allowance, which was later increased in 2004 and 2006, the details of which are set out by Kavanagh J. Mr Miles then made application to STC in 2009 to amend the certificate issued in 2003 under s 10B(1) of the PRS Act to add an infirmity of mind, namely, Post Traumatic Stress Disorder ("PTSD"), to the infirmities of body that constituted the original basis of the certificate. That such applications may be made would seem to be implicit in the fact that under s 10(1D) of the PRS Act, STC may "make a determination at any time" of an additional amount of a superannuation allowance under s 10 and may vary any such determination at any time. 5STC subsequently advised Mr Miles by letter dated 21 August 2009 that his application to amend was rejected, as STC had taken the view that there was no "dispute" because the appellant could not have been "aggrieved" by the original decision in 2003 whereby STC had certified all the medical conditions claimed by the appellant at the time. Therefore, if there had been no determination of a dispute, no appeal lies to the Industrial Court 6For these propositions the STC appears to rely mainly on s 23E of the PRS Act and ss 67(1) and 88(1) of the Superannuation Administration Act 1906 ("SA Act"). These provisions are in the following terms: 23E Disputes (1) If STC makes a decision under this Act in relation to a contributor or other person, STC must give to the contributor or other person notice in writing of: (a) the decision, and (b) the right to dispute the decision, and (c) the time within which notice of a dispute must be served on STC. (2) A contributor or other person who is aggrieved by a decision made by STC has a right to dispute that decision and to have the dispute determined under the Superannuation Administration Act 1996. (3) Notice of the dispute must be served on STC within 2 years after the aggrieved person is notified in writing of the right to dispute that decision. (4) This section applies to a decision made before, on or after the commencement of this section, except a decision in respect of which a dispute has been notified to STC before the commencement of this section. (5) This section does not apply to a decision to which section 21 applies. 67 Determination of disputes (1) A dispute under this or any other Act concerning an STC scheme is to be determined by STC or an STC disputes committee, except as otherwise provided by the regulations. ... Note. The rights of a scheme member or other person to lodge a dispute with STC in relation to an STC scheme are set out in the Police Regulation (Superannuation) Act 1906 , section 23E; the State Authorities Non-contributory Superannuation Act 1987 , section 33B; the State Authorities Superannuation Act 1987 , section 54B and the Superannuation Act 1916 , section 85A. 88 Appeals (1) A person aggrieved by a determination of STC or an STC disputes committee under section 67 (relating to determination of disputes) may appeal against the determination to the Industrial Relations Commission in Court Session (the Commission ). ... 7The key to the appeal lies in the interconnection between ss 23E, 67 and 88. As it may be seen, s 23E(2) provides that a contributor or other person who is "aggrieved" by a "decision" made by STC has a right to dispute that decision and to have the dispute determined under the SA Act. Section 67 of the SA Act relevantly provides that a "dispute" arising under the PRS Act concerning an STC scheme, is to be determined by STC or an STC disputes committee, except as otherwise provided by the regulations. Nothing in the regulations bears on the issue. 8Section 88 of the SA Act provides that a person aggrieved by a determination of STC or an STC disputes committee under s 67 may appeal against the determination to the Industrial Court. 9Thus, the scheme in relation to the resolution of disputes arising under either the PRS Act or the SA Act is that a person in Mr Miles' position who may be "aggrieved" by a "decision" made by STC has a right to dispute that decision and to have the "dispute" determined under s 67 of the SA Act. The dispute is to be determined by STC or an STC disputes committee. In the event that a person is "aggrieved" by a "determination" of STC or the disputes committee, the person may appeal to the Industrial Court. 10In the present appeal, the appellant made application to amend the original s 10B(1) certificate. STC made a decision, set out in a letter dated 21 August 2009, rejecting the application "on the basis that there is no dispute because the Applicant cannot be aggrieved by the original decision that certified all medical conditions he claimed." The letter specifically stated that STC was not "obliged to determine a dispute in this matter". 11The first question then is whether it may be said Mr Miles was aggrieved by a decision made by STC. I agree with Staff J that the appellant could not have been aggrieved by the decision to issue the certificate in 2003; Mr Miles received precisely what he asked for. Mr Miles was specifically asked whether the conditions claimed were complete. He answered in the affirmative. He was specifically asked whether he was claiming idiopathic epilepsy. He answered in the negative. All of his originally claimed conditions were certified under s 10B(1) of the PRS Act. What is more, Mr Miles relied upon the terms of the s 10B(1) certificate in his claim before the District Court in 2005-2006 to increase his pension to 85 per cent. 12What Mr Miles is aggrieved about, in my opinion, is the decision conveyed in the letter of 21 August 2009 rejecting the application to amend the original certificate. Whilst that grievance establishes the necessary prerequisite for a dispute to be dealt with in accordance with s 67 of the SA Act, the fact is STC has yet to make a determination in respect of a disputed issue, namely, rejection of the amendment of the 2003 certificate. 13In other words, the sequence was that in 2003 Mr Miles was certified under s 10B(1) as being incapable of personally exercising the functions of a police officer. For the reasons given, Mr Miles could not have been aggrieved by STC's decision in 2003 to issue the certificate and, therefore, no dispute could have existed about that decision. Mr Miles made application in 2009 to amend the 2003 certificate to add an infirmity. STC rejected the application on the basis that there was no dispute because Mr Miles, having been successful in his application for a certificate under s 10B(1), could not have been aggrieved by the decision to issue the certificate. The decision rejecting the amendment was not a determination under s 67 of the SA Act because it was not in relation to any dispute. The dispute only arose once there was a decision rejecting the amendment. STC is yet to make a determination in relation to that dispute. The appeal to this Court against the decision of the respondent to reject the claimed amendment to the 2003 certificate is premature. 14The appellant submitted that by its actions the respondent did not make a determination, as it was required to do under the Act. This was a rejection, it was submitted, which failed to allow the appellant due consideration by STC in its fiduciary role, exemplified by the provisions in s 51 of the SA Act. It, therefore, became a determination to reject his application. 15The submission fails to address the real issue: whether in rejecting the claimed amendment, STC was making a determination in respect of a dispute in accordance with s 67. There was no dispute and, therefore, there was no basis upon which STC could exercise a power to determine a dispute. 16I agree with the respondent's submissions and the findings by Staff J that the principles relating to the obligations of trustees relied upon by the appellant set out in such cases as Tonkin v Western Mining Corporation Ltd [1998] 10 ANZ Insurance Cases 61-397 and Gilberg v Stevedoring Employees Retirement Fund Pty Ltd [2008] NSWSC 1318 are of little assistance in the present matter. STC is not a trustee in the traditional sense (see Swift v SAS Trustee Corporation [2010] NSWCA 182 at [85] per Young JA). It, nevertheless, carries some fiduciary duties (see for example, s 51(1)(c) of the SA Act, which requires STC to ensure that its functions relating to the STC schemes are exercised in the best interests of persons entitled to receive benefits under the STC schemes). However, similar to the approach taken by the Court of Appeal in Swift, I consider the general direction to STC in the SA Act to exercise its functions in accordance with the obligations of a trustee does not fetter the specific requirements under the relevant statutes dealing with how disputes regarding the Police Superannuation Fund are to be processed. 17In Swift , the appellant police officer sustained a work-related injury prior to resignation from the Police Force in 1981. In 2004 he made application to STC for a superannuation allowance, which was granted in 2007 but made payable only from the date of the application. Section 9A(4) of the PRS Act provided that where an annual superannuation allowance is granted under section 10 to a former member of the police force who resigned or retired, the allowance is payable as from the day determined by STC for that purpose. The appellant appealed to the District Court, which upheld STC's decision to pay the allowance from the date of application and not from the resignation date. The appellant appealed to the Court of Appeal where it was claimed the District Court failed to take into account the best interests of the appellant as beneficiary of a statutory trust or to consider the absence of prejudice to other beneficiaries. It was further claimed the District Court penalised the appellant for the delay in making the application and failed to consider the real merits and justice of the case and failed to exercise its discretion in accordance with the purposes the discretion was conferred. 18The Court of Appeal dismissed the appeal. The Court rejected the submissions that the District Court failed to take into account the best interests of the appellant or to consider the absence of prejudice to other beneficiaries. Relevantly, it was held (by Basten JA and Young JA, Allsop P agreeing) that it would be inconsistent with the language of the general discretion in s 9A(4) of the PRS Act to hold that because of a trustee's duty to act in "the best interests of" the appellant as a beneficiary of a statutory trust, the STC had a duty to exercise that discretion favourably to the applicant in backdating the pension. The Court held that the specific form of s 9A(4) was not to be fettered by some general direction to the STC (such as those contained in s 51 of the SA Act) to exercise its functions in accordance with the obligations of a trustee. 19The proposition derived by the appellant from Tonkin that STC had a duty only to act in accordance with the trust and that in accordance with s 51 of the SA Act it must exercise its functions in "the best interests of persons entitled to receive benefits under the STC schemes", does not amount to a licence to ignore the statutory requirements as to what constitutes a dispute and the process by which it is to be resolved. 20It being the case that no determination has been made under s 67, the appellant is now entitled to apply to have his dispute in relation to STC's rejection of the amendment to the original certificate dealt with by STC or the disputes committee. If the determination is adverse to Mr Miles, he may appeal to this Court. Until a determination is made, however, under s 67 of the SA Act in relation to a dispute, no appeal lies. 21The relevant decision by STC was made on 21 August 2009. Although STC did not comply with s 23E(1)(b) and (c) in conveying its decision to Mr Miles, it may be taken that Mr Miles has two years from the date of the decision to serve his notice of dispute on STC: s 23E(3). 22I would grant leave to appeal and dismiss the appeal.
WALTON J 23I have had the advantage of reading the judgments of Boland J, President, and Kavanagh J. I agree with the judgment of Boland J and the orders proposed therein.
KAVANAGH J 24On 1 October 2009, Peter Miles (the appellant), a former police officer who had been medically retired "Hurt on Duty" (with his medical conditions identified in a s 10B(1) Certificate under the Police Regulation (Superannuation) Act 1906 ("PRS Act")), filed for leave to appeal and appeal from a judgment of Staff J of 7 June 2010 ( Miles v SAS Trustee Corporation [2010] NSWIRComm 69). Staff J dismissed Mr Miles' appeal filed pursuant to s 88 of the Superannuation Administration Act 1996 ("SA Act") against a decision of the SAS Trustee Corporation ("STC"), which is the Trustee for the Police Superannuation Fund. 25The decision of Staff J upheld a communication from STC made on 21 August 2009, which said: The application for amendment of the s 10B(1) certificate is therefore rejected on the basis that there is no dispute because the Applicant cannot be aggrieved by the original decision that certified all of the medical conditions he claimed. The communication was on the letterhead of "State Super, SAS Trustee Corporation" and was signed by STC's Solicitor, Manager, Disputes and Appeals. History 26In order to consider the appeal it is necessary to shortly recite the appellant's agreed work and medical history. The appellant was a Police Constable from 5 May 1975 until his discharge on 5 September 2003 as being "Hurt on Duty". Accordingly, he became entitled to the benefits prescribed by the PRS Act. To obtain those benefits he had to obtain, under s 10B(1) of the PRS Act, a certificate identifying the injuries which led to his "Hurt on Duty" incapacity. 27On 15 July 2002, the appellant made application for a s 10B(1) certificate because of the following related injuries: lumber strain/shoulder injury/right knee; lower back strain; dislocated neck/back; lower back/neck; and back. The appellant also declared he suffered from a non-work related condition, "Idiopathic Epilepsy" and he referred to this condition in his application for discharge saying: All injuries claimed have been accepted as work related except for Idiopathic Epilepsy. This condition was classed as not work related in 1984 and not related to my work environment. 28Pursuant to s 10B(1) of the PRS Act, on or about 15 July 2002, STC issued to the appellant a s 10B(1) Certificate. STC certified that as a result of the following infirmities the appellant was hurt on duty and incapable of exercising his functions as a Police Officer: cervical spine - symptomatic degenerative changes; lumbar spine - symptomatic degenerative changes; left shoulder - recurrent dislocation; right knee - symptomatic chondromalacia. 29As authorised by the Commissioner of Police under s 10B(3) of the PRS Act, on or about 4 September 2003, the appellant became eligible for superannuation in the form of a pension granted to a former officer who had been Hurt on Duty. 30Having received his superannuation entitlement at a rate of 72.75 percent, the appellant in June 2004 made application for an increase of his pension to 85 percent (referred to under the Act as a variation). In September 2004, STC granted an increase to 81 percent backdated to September 2003. On 18 March 2005, the appellant filed an appeal in the District Court seeking 85 percent. In February 2006, Neilson DCJ allowed the appeal and increased the pension to 82.55 percent. The maximum pension is 100 percent of the officer's salary if totally incapacitated. 31On 3 July 2008, the appellant made a further application (relying incorrectly on s 10B(2)). He required STC to consider an additional infirmity of Post Traumatic Stress Disorder ("PTSD"). In making the application, the appellant provided to STC evidence in support of his claimed additional infirmity by way of three medical reports from a consultant physician in psychiatry, one psychologist's report and four lay persons' statements. The medical reports provided for a retrospective diagnosis of the condition PTSD. 32The appellant's application regarding PTSD was rejected by STC on 29 October 2008. The application was refused in correspondence under the letterhead of "State Super, SAS Trustee Corporation" not because of the reference to the incorrect section of the Act but for the following reasons: I refer to your client's dispute over the infirmity specified in his certificate of incapacity. Mr Miles applied for a certificate of incapacity on the grounds of injury to his neck, back, left shoulder and right knee. You are now requesting that the certificate be amended to include PTSD. Mr Miles is only entitled to dispute PSAC's decision to the extent that it rejected the conditions he sought in his application. It is not open to him to seek to dispute the decision of PSAC in relation to medical conditions he did not seek as part of his certificate of incapacity at the time of PSAC's decision. In the circumstances, the dispute cannot be taken any further. The letter was signed by Allen Coles, Senior Policy Officer. The reference to the PSAC is a reference to the Police Superannuation Advisory Committee which Committee under s 10B(3)(a) of the PRS Act (as amended) determined his particular injuries were caused by him being hurt-on-duty. The s 10B(1) certificate however to which the appellant asked for amendment was issued by the STC. 33On 1 May 2009, the appellant made a new claim for an amendment to the s 10B(1) certificate issued in 2003 by adding PTSD. 34The thrust of the appellant's relevant application, therefore, was that, at the time of his initial certificate on discharge, he was unaware he had a psychiatric condition. He stated he did not know of this condition because the symptoms of his "Idiopathic Epilepsy" (a condition he declared as non work related) camouflaged the symptoms of his PTSD. He only became aware of the condition after diagnosis by Dr Wade (the consultant physician in psychiatry) who provided three reports each dated 6 May 2008 all arising from one consultation on 31 March 2008. The appellant asked for a consideration by STC that the further infirmity, now identified, be added to his s 10B(1) certificate. 35The letter to the appellant from STC of 21 August 2009 recited the appellant's superannuation history as above, then reasoned: However, given the history of this matter, the question arises: is STC obliged to revisit the certificate issued in 2003? Under s.67 Superannuation Administration Act, 1996 STC is obliged to determine a "dispute" under the scheme. On one view, there is no basis for a dispute to be determined. An examination of the circumstances of medical discharge clearly reveals that the Applicant: a) was given every opportunity to claim all relevant infirmities; b) obtained certification for all infirmities claimed; c) did not claim any psychological condition whatsoever. Further, he relied upon the existing certificate as a basis for his pension increase claim. Arguably, by his actions, he should be estopped from now claiming incapacity on a different basis. The contrary view would be that the "dispute" is constituted by the fact that the Applicant now seeks a further infirmity and STC refuses to either consider that application or, alternatively, rejects the application for whatever reason. However, the context of the present matter is the Police Superannuation Scheme as governed by the Police Regulation Superannuation Act, 1906. Accordingly, the term should be construed consistently with its use elsewhere in the Act. Section 23E, introduced into the Act by the Superannuation Administration Act, 2008, provides considerable guidance as to the meaning of "dispute". Subsection (2) provides that: "[A] contributor or other person who is aggrieved by a decision made by STC has a right to dispute that decision and to have the dispute determined under the Superannuation Administration Act 1996". Therefore, the touchstone of whether there can be a dispute is whether the member can be aggrieved. Here, the Applicant is seeking an amendment of the client's original decision pursuant to s. 10B(1). In view of the fact that he was successful in obtaining certification for all conditions claimed, he cannot be "aggrieved" by that decision. Accordingly, I do not consider that STC is obliged to determine a dispute in this matter. The application for amendment of the s. 10B(1) certificate is therefore rejected on the basis that there is no dispute because the Applicant cannot be aggrieved by the original decision that certified all the medical conditions he claimed. The judgment at first instance 36Staff J identified the issue for determination before his Honour at [22]: The key issue for determination here is whether by its action of rejecting his application, the Trustee has made a determination, and accordingly the applicant is entitled to bring proceedings pursuant to s 88 of the Superannuation Administration Act . His Honour reasoned at [31] - [37]: [31] In my opinion, there is a relatively clear path to a decision on the issue raised in this appeal. In this case, it was common ground that the Trustee certified all of the infirmities claimed by the applicant as relevant to his medical discharge in 2003. The actual terms of the claim were clarified on two occasions before the certificate under s 10B was issued. [32] Importantly, the Trustee was specifically directed by the applicant not to consider the condition of "idiopathic epilepsy". It is now claimed that the symptoms of this condition "effectively camouflaged the symptoms of PTSD" and that "any symptoms of a psychiatric type were effectively understood by the applicant as sequelae to his known epileptic condition." These arguments do not explain why, if the applicant believed he was incapacitated by such symptoms, he did not claim them as such, notwithstanding the lack of formal diagnosis. On the one hand, the applicant cannot claim an infirmity if he is unaware of it, and equally the Trustee cannot certify it if it is not claimed, as was the case here. [33] There is much to be said for the proposition that in this case, once the procedures in s 10B have been followed and have produced a result, that is determinative of the infirmities. True it is that the applicant contends that there is medical evidence and the applicant's evidence that he, on a retrospective analysis suffered from PTSD at the time of his discharge, although such evidence has not been the subject of any assessment. The appeal was argued on the basis that the decision of the Trustee of 21 August 2009, which determined there was no dispute between the applicant and the Trustee, be set aside. The order sought by the applicant was that the application be remitted to the Trustee for proper consideration. [34] Put simply, if a member has certified all of the infirmities that he or she relies upon, then I have some difficulty with how it can be said that a dispute can arise, and on what basis the member could contend that he or she was aggrieved by the decision. Furthermore, the Trustee took an additional step of enquiring of the applicant as to whether there was anything further that he wanted considered. [35] Subsequently, the Trustee was asked to increase the applicant's pension on the determined infirmities, which occurred. The decision of the Trustee was appealed and a further increase was awarded. At no time during these steps was an infirmity of PTSD relied upon. The Trustee was of course obliged to consider the application for an increase in his pension based upon the conclusive nature of both the certificates pursuant to s 10B(1) and s 10B(3)(a). At no time during these steps was it suggested that the applicant was incapacitated by any medical condition, other than those already certified pursuant to s 10B(1). [36] It follows that in these circumstances, the decision in Tonkin v Western Mining Corporation Limited can be distinguished. Essentially, the principles set out by Franklyn J were that a trustee: ... has a duty only to act in accordance with the trust. If it fails to perform the same, the court will compel it to do so or do so for it. It is not bound by any rules as to how it exercises a discretion conferred on it, save such as it is obliged to comply with by the terms of the Deed, provided always that it must act honestly and in good faith, on an informed view of whether or not to exercise its discretion, and exercise the power with due consideration for the purpose for which it was conferred and for no ulterior purpose. [37] Having obtained all that he claimed up to 2 February 2006 (except for a finding of total incapacity) and having specifically relied upon the conclusive nature of the certificate to obtain his increase in pension, in my view, the applicant cannot now be validly "aggrieved" by the terms of the s 10B(1) certificate. To permit the applicant to be "aggrieved", in these circumstances, would be contrary to the statutory scheme and would add a further layer of complexity to an already complicated process, which, in my view, should be avoided: see observations of Wright P in Commissioner of Police v SAS Trustee Corporation (2002) 131 IR 243. 37His Honour then dismissed the appeal. The Appeal 38The Grounds of Appeal pleaded are as follows:
Miles
SAS Trustee Corporation
(2009) 187 IR 338
(2005) 150 IR 263
(1995) 12 NSWCCR 70
(2002) 115 IR 172
(2002) 131 IR 243
(1987) 21 FCR 472
(1999) 95 IR 380
(2002) 126 IR 407
(2000) 97 IR 484