Judgment
1BASTEN JA: Mr Kevin Joseph Horsell was employed by the University of New South Wales ("the appellant") between October 1965 and February 2004. In the course of his employment he was exposed to asbestos dust. He contracted mesothelioma. In June 2013, he commenced proceedings against the appellant in the Dust Diseases Tribunal. The appellant settled the proceedings without admission of liability. The appellant has brought a cross-claim against Amaca Pty Ltd, presumably as the manufacturer of the asbestos products used at the University, although the details of that claim are not before this Court. The appellant also seeks to recover the amount of the judgment from an appropriate insurer. Before this Court is an application for leave to appeal from an interlocutory (procedural) judgment in the Tribunal in respect of the proposed appointment of the respondent as the "designated insurer" which would bear primary liability, subject to a possible subsequent apportionment.
2The background to the proceedings and parts of the relevant statutory provisions are to be found in the judgment of Ball J and need not be repeated here. Ball J concludes that the Tribunal was correct to reject the application on the basis that there was only one solvent insurer at the time of the hearing.
3I acknowledge the elegance of Ball J's construction, focusing on the language of ss 151AB and 151AC of the Workers Compensation Act 1987 (NSW). However, the conclusion has a curious consequence, namely that a provision allocating liability between insurers can have differential operation from time to time, depending on the solvency of each insurer. Further, that consequence only comes about where there is more than one potentially liable insurer.
4The conclusion that these provisions (and in particular s 151AC) only operate with respect to solvent insurers involves a limitation not expressed in terms. It is no doubt an available implication, but viewing the provisions in their historical context suggests that no such limitation should be implied; the curious consequence is thus avoided.
5The facts of a particular case will be critical to the proper exercise of a discretionary power; however, to determine the scope of the power, a question of statutory construction, by reference to the facts revealed in the particular case, may result in an unduly constrained construction. In the present case, the question of which of a number of insurers might be liable for the damages payable to the worker only arose after the employer had already settled the claim by the worker. It is possible, as a matter of construction, that ss 151AB and 151AC do not apply in such circumstances: however, that was not the basis upon which the appellant's claim was rejected by the Tribunal. Frequently the operation of the provisions will arise shortly after a claim has been made or at least when the scope of any dispute arising from the claim has been identified. The relevant provisions could then be called in aid by the employer seeking to have a relevant insurer defend the claim, or by the worker who has a right of action directly against the insurer pursuant to the mandatory terms of such a policy, where it is not clear which insurer should be joined: Workers Compensation Act, s 159(2).
6Although the worker's claim was for damages, not workers' compensation, the outcome of the proceedings turns on the operation of the Workers Compensation Act. That is for two reasons. First, Pt 5 of the Workers Compensation Act deals with claims for damages brought under the "common law", or, in the language adopted in a number of provisions, in respect of a liability "that exists [or arises] independently of this Act": see, eg, ss 151 and 151AAA(1). Secondly, the Act imposes on an employer an obligation to obtain insurance with respect to the employer's "liability under this Act" and in respect of "the employer's liability independently of this Act", for any injury to such a worker: s 155(1). (The first phrase applies to workers' compensation, the latter to damages.) The term "injury" includes a dust disease and the aggravation, acceleration, exacerbation or deterioration of a dust disease: s 155(1A). The terms and conditions of such insurance are governed by the Act and now by the Workers Compensation Regulation 2010 (NSW), Sch 3.
7Although a claim for damages arises independently of the Act, that is, under the general law, such claims are regulated and "modified" by Pt 5, Div 3 of the Workers Compensation Act. (Modifications of the general law by the Civil Liability Act 2002 (NSW) are excluded: Civil Liability Act s 3B(1)(f).)
8Some injuries, and particularly diseases having a long latency, raise questions as to the date at which liability arises. With respect to diseases "contracted by a gradual process" the Act identifies the time at which the injury is deemed to have happened: s 15. With respect to a policy of insurance issued before 1 September 1995, a liability under the general law is deemed to arise "at the time of injury": s 151AAA. However, special provision is made with respect to any condition identified as "an occupational disease", defined in s 151AB(6). These include dust diseases as defined in the Workers' Compensation (Dust Diseases) Act 1942 (NSW). Mesothelioma is such a disease.
9With respect to occupational diseases, the Act contains "special insurance provisions" in ss 151AB and 151AC. Both of the provisions were introduced after the worker's exposure in the present case. Each provision contains transitional provisions rendering them applicable in the present case, in terms to which reference will be made below.
10The first section is not set out in full by Ball J and reads as follows:
151AB Special insurance provisions relating to occupational diseases
(1) If an employer is liable independently of this Act for damages for an occupational disease contracted by a worker, the following provisions have effect for the purposes of any policy of insurance obtained by the employer:
(a) the liability is taken to have arisen when the worker was last employed by the employer in employment to the nature of which the disease was due, subject to paragraph (b),
(b) if the worker was employed by the employer in employment to the nature of which the disease was due both before and after the relevant commencement, the liability is taken to have arisen both when the worker was last employed by the employer in employment to the nature of which the disease was due before the relevant commencement and when the worker was last employed by the employer in employment to the nature of which the disease was due after the relevant commencement.
(2) In a case in which subsection (1) (b) applies, 2 insurers will be liable under policies of insurance to indemnify the employer (or pay damages to the worker) and the following provisions apply with respect to those insurers (referred to in this subsection as the responsible insurers):
(a) Of the responsible insurers, the one that is the insurer in respect of the employer's liability that arose after the relevant commencement is to be the insurer primarily responsible for the claim.
(b) The responsible insurers can however agree as to which of them is to be primarily responsible for the claim or the court can order that one of them is to be the insurer primarily responsible, and any such agreement or order overrides paragraph (a).
(c) The insurer who is primarily responsible for the claim is to act for both the responsible insurers in respect of any claim for the damages and has sole liability for the claim (that is, it is to indemnify the employer for the full amount of the damages or is to pay the full amount of damages to the worker, without any right to a contribution from any other insurer, except as provided by paragraph (d)).
(d) The insurer who is primarily responsible is entitled to recover from the other responsible insurer half of the amount paid as damages to the worker, half of the amount paid in respect of the worker's legal costs and half of such reasonable amount as the insurer primarily responsible may have incurred in respect of its own legal expenses in the matter.
(3) If 2 or more employers are jointly or severally liable for damages referred to in this section, the provisions of this section apply separately to each employer.
(4) This section does not affect the amount of damages recoverable by a worker.
(5) This section applies to any liability arising before or after the commencement of this Act and to any policy of insurance issued before or after that commencement.
(6) In sections 151AB and 151AC:
occupational disease means a disease of such a nature as to be contracted by a gradual process, and includes:
(a) a dust disease as defined by the Workers' Compensation (Dust Diseases) Act 1942, and
(b) total or partial loss of sight which is of gradual onset, and
(c) the condition known as "boilermaker's deafness" or any deafness of similar origin.
relevant commencement means:
(a) except as provided by paragraph (b)-4 pm on 30 June 1987, or
(b in the case of an employer who was insured under a policy of insurance that was assigned as referred to in clause 10 of Part 15 of Schedule 6 to this Act-the commencement of the period of insurance of the policy so assigned.
11As appears from the chapeau to subs (1), the section makes provision, with respect to the liability of an employer for damages, "for the purposes of any policy of insurance". The first 'special provision' relates to the time at which liability is taken to have arisen. That is said to depend upon two factors, the first of which is the nature of the employment to which the disease was due. (It has been held that this does not require proof of a consequence, but rather "exposure to a risk which may be causative of the disease": Government Insurance Office of New South Wales v Colgate Palmolive Pty Ltd [2001] NSWCA 24; 50 NSWLR 729 at [7] (Heydon JA, Priestley and Sheller JJA agreeing).) In the case of mesothelioma, that is employment in the course of which the worker is exposed to asbestos dust. The section seeks to remove elements of uncertainty by identifying the point at which liability arises as the time when the worker was last so employed. Nevertheless, that point in time is likely to be contentious and contested. With respect to annual policies of insurance, the application of the section may not be known until any relevant dispute is resolved.
12The second 'special provision', upon which the identification of the time of liability turns, is the date identified as the "relevant commencement": par (b). That is, sufficiently for present purposes, 30 June 1987: subs (6), relevant commencement, par (a). (The date is the date of commencement of the Workers Compensation Act, which changed the availability of damages for workplace injuries.) As noted by subs (2), the effect of subs (1)(b) is that two insurers may be liable either to indemnify the employer or, in accordance with the prescribed terms of the policy, to pay damages directly to the worker.
13Where, in accordance with par (b), liability is imposed on two insurers, that which would be liable during the last period of relevant employment (after 30 June 1987) is deemed to have primary responsibility, which means that it has sole liability for the claim (subs (2)(c)), although it can recover half of the damages and costs from the other: subs (2)(d). In addition, the later insurer is required to act for both with respect to the claim: subs (2)(c). Consistently with its purpose, the section applies to any "liability" arising and any "policy of insurance" issued before or after the commencement of the Act: subs (5).
14Section 151AB was inserted in 1991, some seven years prior to its replacement in 1998, at which time s 151AC was inserted. Section 151AC seeks to address the issue which can arise where there is a dispute as to which of two or more insurers is liable to indemnify the employer under s 151AB. However, before turning to the operation of s 151AC (which is central to the present dispute) it is helpful to consider s 151AB in its historical context. On the facts of the present case, that is not an artificial exercise: Mr Horsell alleged that he was exposed to asbestos dust and fibre from October 1965 until the early 1980s. Other evidence indicated that he may have been exposed in October or November 1987. Had his mesothelioma developed prior to 1998, the appellant's entitlement to recover would have been determined under s 151AB as then in force, absent s 151AC.
15Although s 151AB was not included in the Workers Compensation Act when enacted in 1987, it had a precursor in the Workers' Compensation Act 1926 (NSW), s 18, which appeared in Pt III, Insurance. That provision relevantly read:
Compulsory insurance
18 ...
(6B) For the purposes of any policy of insurance or indemnity obtained by an employer ..., the liability of the employer, independently of this Act, for an injury, being an occupational disease, to a worker shall be deemed to have arisen when the worker was last employed by the employer in an employment to the nature of which the disease was due.
In this paragraph "occupational disease" means a disease which is of such a nature as to be contracted by a gradual process ....
16Section 151AB, as introduced by the Workers Compensation (Amendment) Act 1991 (NSW), (the "1991 amendment Act") Sch 4 (5), was in substantially similar terms to the current provision, except that there was no distinction between periods (before and after 30 June 1987) and thus no equivalent to subs (1)(b) and subs (2). The purpose of the section was separately identified in then subs (2) in the following terms:
(2) The purpose of this section is to identify (from among a number of insurers under policies of insurance obtained by a single employer for different periods) one insurer which is to indemnify the employer for the full amount of the damages or which is to pay the full amount of damages to the worker, without any right to a contribution from those other insurers.
17There can be no doubt that, as originally enacted, s 151AB allocated responsibility as between various insurers and policies of insurance, which may well have expired before any proceedings were commenced. In making that allocation, there is no reason to read in a qualification or unstated condition, namely that the insurer thus identified was solvent or still in existence. Such a limitation would potentially create a different scheme for allocating responsibility. It would not have been a critical consideration for either worker or employer, insolvency (which could occur before, during or after the proceedings) being otherwise dealt with.
18The possibility that an insurer might be insolvent or no longer in existence was (and is) separately dealt with in Pt 7 of the Workers Compensation Act. There is provision for an Insurers' Guarantee Fund (created by s 227) under the control of the WorkCover Authority of New South Wales ("the Authority"). Part 7 deals separately with (a) "defaulting insurers", being those which the Minister is satisfied are unable to meet claims and liabilities under policies of insurance issued or renewed by them (s 224B); (b) "insolvent insurers", being those in relation to which an order is in force under s 226 and, (c) "insurers", being licensed insurers, former licensed insurers and self-insurers: s 225(1). The Minister is empowered to declare that an insurer is an insolvent insurer for the purposes of Pt 7, Div 7 if satisfied that a liquidator has been appointed or "that an insurer has been dissolved": s 226(1).
19The Authority becomes the agent of both the employer and the worker under a policy issued by an insolvent insurer: s 231(1). Where an employer, or the liquidator of the insurer, has satisfied a claim or judgment, the Authority is empowered to pay that amount out of the Guarantee Fund, but without obligation to do so: s 232. The Division further provides:
236 Payments of workers compensation when insolvent insurer dissolved
(1) When an insolvent insurer has been dissolved, the payments of compensation under judgments or awards relating to policies of insurance issued by the insolvent insurer which would, but for the dissolution taking place, be payable by the insolvent insurer shall continue and be paid out of the Guarantee Fund by the Authority.
(2) When an insolvent insurer has been dissolved, a person who would have had, but for the dissolution of the insolvent insurer, an entitlement to payment of any amount arising from or relating to any policy of insurance issued by the insolvent insurer ... shall be entitled to payment of that amount out of the Guarantee Fund.
20Although no duty is imposed on the Authority to repay liabilities incurred by the employer or the liquidator of the insurer, the evident purpose of Pt 7, Div 7 is to provide a safety net through the Guarantee Fund, in circumstances where, despite the tightly regulated scheme designed to ensure that workers and employers are covered with respect to workplace injuries, the insurer is unable to meet its liability under its policies. Despite the heading of s 236 (which was taken from the 1926 Act, s 30Z), subs (2) is not limited to awards of compensation, but is apt to cover awards of damages.
21There are two additional points to be made with respect to the operation of s 151AB, as enacted. First, as stated in the explanatory note to the 1991 amendment Act:
"The proposed section applies where a number of insurers may each be partly liable to contribute to the liability of an employer for common law damages to a worker who suffers from an occupational disease. This situation would arise if an employer has, over the period when the worker contracted the disease, obtained policies of insurance from different insurers. The proposed section provides that the insurer which last insured the employer in respect of the worker is liable to indemnify the employer for all the damages and is not entitled to claim contributions from previous insurers."
22In this sense, the original purpose of s 151AB is similar to that underlying s 15: it deems a point in time when liability arises or, in the terms of s 15, when the injury "happened". Perhaps ironically, the explanatory note adopts a description of the test which is closer to that in s 151AC than to that in s 151AB.
23The second additional point is that the operation of the section was limited to the identification of the insurer liable to indemnify the employer. It did not expressly incorporate any procedural consequence. Accordingly, there was no reason to think that this provision, with its lengthy if broken history, operated only in circumstances where the insurer to which liability was allocated was solvent.
24In 1995, subss 151AB(1) and (2) were replaced so as to incorporate the differential operation with respect to exposure before and after 30 June 1987. This amendment introduced subs (2) in substantially the current form, including the provision, now in subs (2)(c), that the insurer primarily responsible for the claim "is to act for both the responsible insurers in respect of any claim for the damages". The new direction as to procedure could imply the need for a solvent insurer. However, it is doubtful that this provision, directed purely to the case where liability arose both before and after the specified date, was intended to change the structure and operation of the provision so as, by a side wind, to limit its operation generally to solvent insurers in circumstances where the primary operation of the provision remained allocation of liability for damages and, as suggested above, no such limitation was to be implied. The preferable view is that the procedural direction was seen as merely consequential on the allocation of liability.
25The explanatory note in the 1991 amendment Act which introduced Div 6A (defaulting insurers) referred specifically to difficulties in reaching agreement in relation to payment into and from the Fund during "the recent failure of NEM Insurance to pay claims". It is implausible that s 151AB, being introduced by the same amending legislation, would not have expressly excluded insolvent insurers, if that had been an intended limitation on the allocation of liability.
26Accordingly, the provisions of s 151AB as enacted should be read as dealing with allocation of liability by reference to a policy of insurance and an insurer as they existed at the relevant time, namely, when liability is deemed to have arisen. The consequences of subsequent insolvency and dissolution are to be addressed under Pt 7, Div 7, as in any case which did not involve a deemed allocation of liability.
27The next question is whether the introduction of s 151AC demands a different approach.
28On one view, it would be surprising if s 151AC changed the operation of s 151AB. It purported to apply "in relation to an employer" who is liable for damages for a dust disease "where there is a dispute as to which of 2 or more insurers ... is liable to indemnify the employer under any of the provisions of section 151AB": s 151AC(1). Thus, the new section addressed the inherent factual uncertainty created by the test adopted in s 151AB, namely the time at which the worker was, for example, last exposed to asbestos dust. The facts of the present case illustrate the difficulty: ignoring the possible exposure in late 1987, Mr Horsell could only say that his exposure ended in "the early 1980s". Between 1 January 1980 and 31 December 1984, the appellant had policies with three separate insurers. The purpose of s 151AC was to identify one as the "designated insurer", pending resolution of the factual issue.
29Section 151AC is a lengthy provision containing 15 subsections. The focus of submissions was the mechanical provisions found in subss (3) and (4). Before addressing those, it is convenient to set out subss (1) and (2), dealing with the application and function of the section:
151AC Further special insurance provisions relating to dust diseases
(1) Application of this section
This section applies in relation to an employer who is liable independently of this Act for damages for a dust disease as defined by the Workers' Compensation (Dust Diseases) Act 1942 contracted by a worker, where there is a dispute as to which of 2 or more insurers in a category of insurers is liable to indemnify the employer under any of the provisions of section 151AB.
(2) Designated insurer to be responsible pending resolution of dispute
For the purposes of section 151AB, and pending resolution of the dispute, the insurer who is the designated insurer in the relevant category under this section is to be treated as being the insurer who is so liable to indemnify the employer. Section 151AB has effect, and is to be construed, accordingly.
30A number of elements should be noted. First, the opening words of subs (1), stating that the section applies "in relation to an employer", reflect the operation of s 151AB, namely that where there is more than one employer potentially jointly or severally liable for damages, the provisions apply separately to each employer: s 151AB(3).
31Secondly, although the provision speaks of an employer "who is liable", it must be understood in its context (namely, unresolved proceedings) to include a person who is claimed to be liable: QBE Insurance Ltd v Bull [1999] NSWCA 185; 18 NSWCCR 169 at [9]. While it is understandable that the provision has been given an expansive operation in this respect, it would be curious if, as the respondent contended, the section had no application once an employer had been found to be liable.
32Thirdly, a similar generic construction should be given to similar language with respect to the insurers. Thus a dispute as to which insurer "is liable to indemnify the employer" must also refer to a dispute as to which insurer is claimed to be liable to indemnify the employer. That the matter is in dispute is a pre-condition to the operation of the section.
33Fourthly, the section does not require, as the respondent contended, a dispute "between insurers". If there are three insurers potentially liable, the fact that each denies liability without implicating any other reveals a dispute as to which is liable, but not a dispute between the insurers. Rather, there is a dispute between the employer and each of the insurers claimed to be liable which denies liability. That situation satisfies the language of the provision, given the context which is the contestability of the period (if any) during which the worker may have been exposed to asbestos dust.
34Fifthly, as expressly stated twice in subs (2), the purpose of the provision is to allow s 151AB to operate effectively and to identify its effect, rather than to create a new and different system for the allocation of liability.
35Sixthly, care must be taken in placing weight on the use of the present tense. Too literal an approach to the language of these provisions can run foul of the flexibility and imprecision with which verb tenses are used in English: see Public Trustee v McKay [1969] NZLR 995 at 1002 (McCarthy J). Thus, in s 151AC(1), in the clause "where there is a dispute" the word "is" is undoubtedly used in the present tense; however, the words "which [insurer] is liable to indemnify the employer" are aptly described as descriptive of the purpose of the provision and are without temporal connotation: see Pye v Minister for Lands for New South Wales [1954] 1 WLR 1410 at 1425 (Lord Porter). The word "is" in such a clause involves "the use of the continuous present": Fardon v Attorney General (Qld) [2004] HCA 46; 223 CLR 575 at [112] (Gummow J). In relation to s 151Z of the Workers Compensation Act, which appears in the same division as the provisions under consideration, the construction proposed here has been adopted, namely that, "[i]n s 151Z(2) the word 'is' refers back to the time when the injury occurred and to the circumstances creating liability to pay damages in respect of such injury": Lapcevic v Collier [2002] NSWCA 300 at [68] (Beazley JA). That construction should be adopted with respect to the identification of liability of an insurer for the purposes of ss 151AB and 151AC.
36Turning to subs (3) and the mechanism for resolving a dispute, the course adopted is to remove the need to identify when the worker was last exposed to (for example) asbestos dust and replace that test with the less contentious test of "the last of those insurers to be the employer's insurer while the worker was employed ... by that employer".
37That simple solution was complicated by the continuing differentiation between the periods before and after 30 June 1987. While s 151AB required identification of the nature of the employment before and after that period, s 151AC referred to "a liability that arose" before or after that date. Again, it is only possible to make sense of the provision by assuming that it refers to a liability that is claimed to have arisen in one or other or both periods. The claim will usually emanate from the employer or worker, although it could arise on a cross-claim between insurers.
38As with s 151AB, it is true that if the section identifies an insurer (in this case described as "designated" rather than "primarily responsible"), which is insolvent or has been dissolved, to the extent that s 151AB requires that insurer to "act ... in respect of any claim for the damages" the provision may be ineffective. But that is not necessarily the practical outcome; s 229 requires that "[t]he liquidator of an insolvent insurer shall, on receiving any claim relating to any policy of insurance issued by the insolvent insurer, forward the claim to the Authority". The Authority has wide powers to act with respect to such claims: see, eg, s 231(5). These are provisions which will apply in any case where a particular policy responded to a claim, without the need for reliance on s 151AB.
39In this case, the respondent is not insolvent: its primary argument is that an "insolvent insurer" is not an insurer which can be "liable" to indemnify its insured, nor one with which a dispute could arise. The essential implausibility of such a construction was sought to be bolstered by arguments about consequential unfairness. It noted that if required to indemnify the appellant as the designated insurer pursuant to s 151AB(1), it would be unable to recover under s 151AC(10) against the insurer ultimately held to be liable, if it were not liable and if the other insurer were insolvent. Its only opportunity for recovery would be against the Guarantee Fund, which would depend on a discretionary decision of the Authority. Whether repayment could be sought under s 232(1) need not be determined; nor is it necessary to decide the likely limits of the "absolute discretion" conferred by s 232(4). In practical terms the respondent's position would be no better if the other insurer were a defaulting insurer (but not "insolvent"), or if it became insolvent shortly after the respondent was appointed the designated insurer: like all creditors, it would have to make a claim in the insolvency.
40The respondent's construction could have a further anomalous consequence: if, to take a variation on the present facts, there were three insurers of which all but the last were solvent at the date of claim, the insurer at the time when liability is deemed to have arisen, being an "insolvent insurer", it will not be liable. Yet the second will be available to be the designated insurer under s 151AC, with no chance of recovery against the third. That is so despite the fact that the employer would have a right to recover from the Fund pursuant to s 236(2).
41The factors outlined above lead to the preferable construction that where a claim is made with respect to the liability of an insolvent insurer, both procedural and substantive outcomes must be determined by applying Pt 7, Div 7, and will not be found within Pt 5 of the Workers Compensation Act.