"We refer to your letter of 9 August 2001 confirming that you act for Mrs Joan Fiakos in relation to the claim made by her to Royal & Sun Alliance Financial Services ("RSAFS") under the Policy.
We acknowledge receipt from Mrs Fiakos of the Death Claim Application, an uncertified copy of the death certificate of the deceased, a copy of the Policy Schedule dated 20 January 1997 and a copy of one page of the renewal statement date 5 December 2000.
We note that we had requested that your client produce the original policy document and this remains outstanding.
RSAFS has also received notice of an alleged interest in the policy proceeds from Mr Hugh Williamson acting on behalf of the estate of the deceased. RSAFS has advised the estate that it will not proceed to making any payment under the policy without allowing the estate five days notice of the intended payment.
RSAFS has also been served with a notice under Section 77A of the Bankruptcy Act by the trustee of the deceased's bankrupt estate. RSAFS has today written to the trustee in relation to the notice seeking clarification from the trustee as to what interest, if any, it may have in relation to the policy. We will contact the trustee by the end of this week to obtain a timeframe as to when the trustee will provide a response.
At the present time therefore until the trustee provides a response RSAFS is not in a position to take any further action in relation to the claim.
RSAFS also requires production of the original policy document (including memorandum of transfer) which had previously been requested but not provided."
Counsel for Royal agrees that the issue concerning the Trustee in Bankruptcy can be ignored for present purposes, as the most that it could indicate was the possibility of a further claim upon the proceeds.
5 The argument (in my opinion, correctly) has proceeded upon the implicit assumption that, in the circumstances of this case, "payment" for the purposes of s 57 of the Insurance Contracts Act includes payment into Court.
6 Counsel for Fiakos submits that by 28 June 2001 Royal had more than adequate information to make it obvious that the provisions of s 202(3) or s 215 of the Life Insurance Act could and should have been availed of. Counsel for Royal submits that a claim in proper form was not received until 24 December 2001 and that the evidence establishes that in the period between then and the time upon which the monies were paid into Court Royal was acting reasonably in obtaining legal advice in order to make a decision as to what ought to be done.
7 Sections 202(3), (4) and (5) and section 215 are as follows:
"202 Effect of notice of trust etc
…
(3) If a life company has received express notice in writing of a trust, right, equity or interest claimed in relation to money payable under a policy, the company may pay the money into the Court.
(4) Payment of the money into the Court discharges the company from liability to any person in respect of the money.
(5) The money is to be paid out in accordance with an order of the Court.
…
215 Power to pay money into Court
(1) A life company may pay into the Court any money payable by the company in respect of a policy for which, in the company's opinion, no sufficient discharge can otherwise be obtained.
(2) Payment of the money into the Court discharges the company from any liability under the policy in relation to the money.
(3) Any money paid into the Court under this section is to be dealt with according to the order of the Court.
(4) This section has effect subject to the Rules of the Court."
8 Clauses 7.1, 7.4 and 7.8 of the policy are as follows:
"7.1 General
These claim conditions must be satisfied before payments from the policy can be made.
…
7.4 Claim Requirements
Payments under the policy will be made when we admit liability and upon receipt of the following in a form satisfactory to us:
· policy document
· proof of claimable event or condition
· proof of age (unless previously provided)
· proof of ownership
· signed discharge from the person entitled to receive payment.
For Income Reserve Plan and Business Expense Plan, if appropriate, it will be necessary to provide proof of your pre-disability earnings, monthly earnings and business expenses.
…
7.8 Payment of Claim
If legally competent to give a valid discharge, all benefits will be paid to the policyowner, or the policyowner's legal personal representative if the policyowner has died.
If the policyowner is alive, but not legally competent, we will pay benefits to the person we reasonably consider should receive them. If we do this in good faith, the policyowner will not be able to hold us liable for any amounts paid."
9 In my opinion, the only point of substance which has been raised by Royal relates to non-production of the original policy. The known existence of claims by two, and possibly three, parties to the proceeds of the policy is precisely the kind of situation which ss 202 and 215 are designed to solve. It must be taken that Royal knew of the terms of those provisions. In any event, the possibility of payment into court was mentioned by the solicitors for the Rostirollas in the first communication from them in May.
10 I accept that insistence upon production of the original policy by Royal before payment would normally be a prudent course and that, in the usual case, compliance with cl 7.4 of the policy may not be a mere formality, as if the owner is unable to produce the policy it may indicate that there are other interests which have been created in the proceeds. However, in the circumstances of this case, it is difficult to see production prior to payment into court as anything but a mere formality. There could be no suggestion that there would be payment out of court without appropriate scrutiny, including production of the original policy or a proper accounting for its absence. It seems to me that once the death of the deceased and currency of the policy was established, absent special circumstances which were not present here, it was unreasonable not to pay the money into court. The statutory procedure safeguards the policy monies against, for example, insolvency of the insurer, and gives the opportunity for the earning of interest upon it. Furthermore, every day of delay enriched Royal at the expense of those entitled to the policy, whoever that may be.
11 It was not argued that the production of the policy was a condition precedent to liability. It is only a claims procedure (cf Weir v The Northern Counties of England Insurance Company (1879) LR 4 CPD 689; Prentice Builders Pty Ltd v Carlingford Australia General Insurance Ltd (unreported, Supreme Court of Victoria, O'Bryan J, 29 April 1988)).
12 I should add that consideration of both the course of correspondence and the evidence of Mr Wright during cross-examination leads me to the view that lack of the policy document was not seen as of any practical significance by Royal until the solicitors' correspondence in early August 2001. The letter from the insurance agent of 28 June indicates that there had been prior contact with Mr Wright concerning that which was required, and Mr Wright accepts that he did not respond to indicate any deficiency in the documents which had been produced. Royal had had since late May to consider its position by the time the formalities were dealt with in the letter from the agent of 28 June 2001.
13 In my opinion, it was unreasonable for the insurer to have withheld payment of the policy proceeds from 28 June 2001 and interest should run from that date.