Onepath Life Ltd v Standley
[2020] NSWCA 321
At a glance
Source factsCourt
Court of Appeal (NSW)
Decision date
2020-11-13
Before
Macfarlan JA, Meagher JA, McCallum JA, Rein J
Catchwords
- [2010] HCA 36 Suttor v Gundowda (1950) 81 CLR 418
- [1950] HCA 35 TAL Life Ltd v Shuetrim (2016) 91 NSWLR 439
- [2016] NSWCA 68 Water Board v Moustakas (1988) 180 CLR 491
- [1988] HCA 12 Wilkie v Gordian Runoff Ltd (2005) 221 CLR 522
Source
Original judgment source is linked above.
Catchwords
Judgment (17 paragraphs)
[Note: The Uniform Civil Procedure Rules 2005 provide (Rule 36.11) that unless the Court otherwise orders, a judgment or order is taken to be entered when it is recorded in the Court's computerised court record system. Setting aside and variation of judgments or orders is dealt with by Rules 36.15, 36.16, 36.17 and 36.18. Parties should in particular note the time limit of fourteen days in Rule 36.16.]
HEADNOTE [This headnote is not to be read as part of the judgment] The respondent was insured under a life and disability policy issued by the appellant. The respondent was employed as a "customer experience manager" when he sustained physical injuries as a result of a motor cycle accident in August 2015. He returned to work in October 2015. However he had to resign in February 2016 as a result of those physical injuries. The respondent made a claim under the policy on the basis that he was totally and permanently disabled (TPD) as a result of his physical injuries. The relevant TPD definition was satisfied if, as a result of illness or injury, the insured "has been absent from and unable to engage in their 'Own Occupation' for three consecutive months", and "is disabled at the end of the period of three consecutive months to such an extent that they are unlikely ever again to be able to engage in their 'Own Occupation'". In rejecting that claim the appellant assessed the respondent's condition as at May 2016, that being three months after he ceased to be employed in that occupation. The respondent claimed that the date for assessing whether he satisfied the relevant definition need not necessarily be May 2016. The primary judge held that the respondent did not satisfy the TPD definition as at May 2016 due to his physical injuries, but accepted that the definition was satisfied in September 2017 as a result of a psychological condition that developed after May 2016 as a consequence of his physical injuries. The issues in the appeal were: (i) Whether the primary judge erred in finding that on the proper construction of the policy, the respondent could satisfy the relevant TPD definition as at September 2017. (ii) Whether the primary judge erred in finding that on the basis of the medical evidence, the respondent satisfied that definition as at September 2017. The Court (Meagher JA, Macfarlan and McCallum JJA agreeing) held, dismissing the appeal: As to issue (i)