The meaning of "entitled to" in s 240(2)
62The Commission construed s 240(2) so that "entitled to" in the definition meant an entitlement established by tribunal or court determination; see most clearly at [130.8(c)], set out at [51] above.
63In my respectful view, the flaw in the Commission's analysis lies in its equation at [130.1] set out at [48] above, of entitlement to receive compensation with determination of claims for compensation under the procedures in the WIM Act. (The more full expression is "injury entitling the worker to receive compensation" - the Commission's reasoning also leaves whether the worker suffered injury within the meaning of the WC Act at all in the exclusive jurisdiction of the Workers Compensation Commission or the District Court.) All of entitlement to make a claim, an undetermined legal right, and a right established by determination were regarded as "co-extensive with the determination of claims for compensation under the 1998 Act". Thus, it was said, entitlement in all those ways fell within the exclusive jurisdictions in s 105.
64That is not borne out by the use of entitlement to receive compensation and its other side of liability to pay compensation, and cognate expressions, in the WC Act and the WIM Act. Throughout the Acts, liability to pay compensation and entitlement to receive compensation are used to express rights or obligations short of those determined by a tribunal or a court. They are used in the sense recognised by the Commission at [130.8(c)] but rejected as a proper construction. It is convenient to repeat in part what the Commission there said -
"The appellant's construction of ss 240(2) and (3) may be taken, on one view, as requiring the words 'entitled to' to be given a meaning akin to a right to or entitlement to compensation, so that the sub-sections may be taken to mean a right or entitlement which subsists in law (because of a certain injury) but has not crystallised by the making of a determination under the 1998 Act. We do not consider that the sub-section, when read in the light of the statutory scheme for workers' compensation, to which we have referred, may be so construed."
65Section 60(1) of the WIM Act provides -
"(1) Provisions relating to a worker's entitlement to compensation, the benefits payable, common law remedies and other matters are contained in the 1987 Act."
66Part 2 of the WC Act is headed "Compensation - liability". Within Pt 2, s 9 provides -
" Liability of employers for injuries received by workers-general
(1) A worker who has received an injury (and, in the case of the death of the worker, his or her dependants) shall receive compensation from the worker's employer in accordance with this Act.
(2) Compensation is payable whether the injury was received by the worker at or away from the worker's place of employment."
67By the definition of "injury" in s 4, the injury must have been personal injury arising out of or in the course of employment. By s 9A, no compensation is payable under the WC Act in respect of an injury "unless the employment concerned was a substantial contributing factor to the injury".
68These provisions set the scene. Although the word "entitled" is not there, a worker who receives an injury is entitled to compensation payable by the worker's employer. If one uses the Commission's words from [130.8(c)], there is "a right or entitlement which subsists in law (because of a certain injury) but has not crystallised by the making of a determination under the 1998 Act".
69Many provisions in Pt 2 then regulate when compensation is payable. They need not be individually noted. The expressions "no compensation is payable", "compensation is payable" or "compensation is not payable" are used frequently. So also are used the language that the employer "has become liable" to pay compensation with corresponding reference to "the liability of the employer" (eg s 18), and of an employer being "liable to pay compensation" and "liability to pay compensation" (eg ss 20, 22, 22A, 22B).
70These provisions contain a distinction between compensation being payable and recovery of compensation, seen most clearly in s 23 which provides that "[c]ompensation under the Act is payable to a person, and proceedings for the recovery of compensation under this Act may be instituted ..."; see also ss 20, 24. Compensation is payable, and there is corresponding liability to pay compensation, by virtue of receiving an injury. Tribunal or court determination of liability to pay compensation is not necessary in order that compensation be payable and there be liability to pay compensation. .
71One then goes to the other side of the coin, entitlement to receive compensation. In s 11A, whereby no compensation is payable for psychological injury caused by the reasonable actions of the employer, s 11A(4) provides that "any entitlement to compensation under this Act" for a certain kind of injury is not affected. Section 18, concerned with insurers' liability in the case of progressive injury, includes in s 18(3) that if each of "the employers who is liable to pay the compensation" is insured and "the entitlement of the worker ... to receive compensation is not disputed", certain results follow. It is plain that entitlement to receive compensation subsists without tribunal or court determination. See also s 22A(8), from which the same is apparent.
72Section 22 deals with apportionment of liability to pay compensation where there is more than one injury. By ss 22(2)(b), liability to pay compensation in the case of a partially incapacitated worker includes "a liability that arises because the worker is entitled to be compensated under this Act as if totally incapacitated". The apportionment need not be by the Workers Compensation Commission, and may be by agreement: s 22(3). This is consistent with entitlement to be compensated subsisting without tribunal or court determination.
73Part 3 of the WC Act is headed "Compensation - benefits". Various kinds of compensation benefits are stated, by way of lump sum, weekly payments, compensation for expenses, compensation for non-economic loss or compensation for property damage. The provisions frequently use the language of compensation payable; the amount of compensation payable by the employer; payment of compensation; liability to pay compensation; the employer being liable to pay expenses; and compensation payable by the employer. They also use the language that "the worker becomes entitled to" payments of compensation (s 34); that "the worker would be entitled" or "is not entitled" to be compensated (s 39); of an existing incapacity "not entitling the worker to compensation" (s 48); of "entitlement to compensation" and "entitled to receive compensation" (s 52A); that the worker is "entitled to receive [weekly payments]" (s 53) or "not entitled [to weekly payments]" (s 58); and that the worker is "entitled to receive compensation" (s 65A, s 66, s 67, s 74, s 75) or "entitled to compensation" (s 87B). This is not exhaustive.
74The various references to entitlement again must include entitlement prior to or without any tribunal or court determination. In particular, in s 34 the first 26 weeks of a worker's incapacity are the period "after the worker becomes entitled to weekly payments of compensation in respect of the incapacity". Section 66A provides for agreement between the worker and the employer or insurer as to compensation "to which the worker is entitled in respect of the injury". It is not necessary to go through the provisions.
75Sections 87D-87K deal with commutation of compensation. What is commuted is "a liability" (s 87F(1)), and there can not be commutation without certification that the worker has been advised on the implications "with respect to any entitlement of the worker under this Act ... " (s 87F(2)).
76The language of compensation payable, an employer's liability to pay compensation and a worker's entitlement to compensation is used elsewhere in the WC Act, for example in Pt 5 dealing with common law remedies. Although without entire uniformity in the language, an employer's liability to pay compensation and a worker's entitlement to receive compensation each express compensation being payable. There is an entitlement to receive compensation by reason of the injury; the entitlement does not arise only when a tribunal or court determines that compensation should be paid.
77The 1926 WC Act had provided in s 7(1), in similar manner to s 9 of the WC Act -
"7(1) A worker who receives personal injury -
(a) in the course of his employment, whether at or away from his place of employment ...
... shall receive compensation from his employer in accordance with this Act."
78The 1926 WC Act had thereafter used the language of compensation payable, the employer being liable to pay compensation, and "shall receive compensation"; "shall be entitled to receive compensation"; "is entitled to receive compensation"; "entitled to compensation under this Act"; "entitled to receive from his employer by way of compensation"; and similar expressions of entitlement (or non-entitlement).
79In Stevens v The Railway Commissioners for New South Wales (1930) 31 SR (NSW) 138 the 1926 WC Act had been amended after the worker's injury. It was held that the worker's compensation should be determined on the law prior to the amendment, because (per Ferguson J at 143, James and Stephen JJ agreeing) -
" ... there was an accrued right to the workman immediately on the happening of the injury to have his compensation determined in accordance with the then existing law, and the Court should not interpret the amending Act as interfering with that right unless the words are so framed that no other reasonable interpretation is possible."
80This passage was taken up in TNT Australia Pty Ltd v Horne (1995) 36 NSWLR 630. In proceedings in the Workers Compensation Commission the worker's executrix claimed benefits under ss 66 and 67 of the WC Act. The employer contended that the entitlement to benefits did not accrue to his estate. Kirby P, with whom Priestley JA agreed generally, said at 637 -
"The workers' compensation legislation of this State was substantially modelled, both in the 1926 Act and in its predecessors, upon the United Kingdom Act which was the subject of the House of Lord's decision in Simpson . In 1930, a question arose as to when a right under the Worker's Compensation Act 1926 accrued to a worker. The answer to the question was important because of an amendment to the Act governing entitlements to compensation and damages. The Full Court of the Supreme Court of this State held, in Stevens v Railway Commissioners for NSW (1930) 31 SR (NSW) 138; 48 WN (NSW) 69, that the worker's right "accrued" immediately upon the happening of the injury. At that instant, the worker had an accrued entitlement to have compensation determined in accordance with the then existing law. A later amending Act, not retrospective in its terms, did not interfere with the accrued right of the worker. He or she was entitled to be paid the amount which had already accrued. The argument recorded in the report (see ibid at 138, 139; 69, 70) shows the alternating use by counsel of the verbs 'vest' and 'accrue' when describing the acquisition by the worker of his entitlements under the Act. Ferguson J (with whom James J and Stephen J concurred) (at 143) observed:
[His Honour set out the passage from Stevens v Railway Commissioners for NSW .]
Upon this reasoning, the deceased worker in the present case likewise enjoyed an 'accrued right' immediately on the happening of his injury to have his compensation determined. The fact that, by pre-occupation with his medical problems, he did not live long enough to enforce that "accrued right" (as theoretically he might by high expedition of his claim and an urgent hearing) did not affect the character of the right. It had "accrued" to him, in the sense that it was available. It had 'vested' in him as a legal entitlement. It had simply not been quantified and enforced. But these deficiencies were unimportant to the nature of the 'right' for succession law. The right which had 'accrued' was a right of property which passed upon the worker's death, as any other right in the nature of a statutory chose in action, to the legal personal representative. It would require clear disentitling legislation to take that right away from the estate to which it had passed".
81The President later said, at 641-2 -
" ... The suggestion that an award of that court is necessary for a "vested" right is unconvincing. Although many claims under s 66 of the 1987 Act must be determined by the Compensation Court, this is not universally so. The Act does not universally require it. To the contrary, the Workers Compensation Act confers rights. Those rights are merely enforced by proceedings in the Compensation Court.
Some claims, such as the total loss of an eye (or one might say cases similar to the present) involve no necessity of litigation at all. The provision of a court and of an award constitute machinery for the quantification and enforcement of disputed claims. But the "right" rests upon the entitlements expressed in the Workers Compensation Act . For a very long time it has been held that such right accrues to the worker upon the happening of the injury."
82The present question is different from the question in these cases, but they provide powerful confirmation of entitlement to receive compensation by reason of the injury, under the 1926 WC Act and under the WC Act alike.
83Marro v Real Estate Institute (NSW) (1988) 27 IR 27 was an application under Pt XV of the IA Act. An issue was whether the injury arose out of or in the course of the worker's employment. Fisher P held that it arose in the course of his employment. His Honour's jurisdiction to do so was not questioned, but the decision carries the weight to the extent that neither the parties nor the very experienced Judge questioned it. Counsel's researches found no other decision in point; we were informed that, while not commonplace, reinstatement applications were made "reasonably regularly", and the weight is not lessened by the passing of more than twenty years before the Full Bench raised the question for itself.
84The Commission's observations concerning Marro v Real Estate Institute (NSW) at [119], that the definition of injured "employee" in the IA Act and the later definitions were materially different. The alternative in the definition in s 154(b) of the IA Act dealing with a dust disease used the language of entitlement to receive compensation, and it is difficult to accept that the two alternatives were intended to have different jurisdictional consequences.
85Respectfully differing from the Full Bench, in my opinion "entitled to" in the definition in s 240(2) of the WC Act does not mean entitlement established by a determination of the Workers Compensation Commission or the District Court, or by decision of the Board. The entitlement is a right subsisting in law when there has been injury satisfying ss 4 and 9A of the WC Act. It may be recognised and given effect without tribunal or court determination, as will commonly be the case.