Crown Equipment Pty Ltd v ACN 098 568 702 Pty Ltd & Anor [2013] QSC 24
SUPREME COURT OF QUEENSLAND
CITATION: Crown Equipment Pty Ltd v ACN 098 568 702 Pty Ltd &
Anor [2013] QSC 24
PARTIES: CROWN EQUIPMENT PTY LTD (ACN 000 514 858)
(Plaintiff)
v
ACN 098 568 702 PTY LTD
(First Defendant)
QBE UNDERWRITING LIMITED
(Second Defendant)
FILE NO/S: BS No. 10352 of 2009
DIVISION: Trial Division
PROCEEDING: Application
ORIGINATING
COURT: Supreme Court at Brisbane
DELIVERED ON: 21 February 2013
DELIVERED AT: Brisbane
HEARING DATE: 30 August 2012, further submissions 10, 13 December 2012
JUDGE: Ann Lyons J
ORDERS: 1. The Second Defendant be appointed to represent each
of the members of Names of “DA Constable Syndicate
386” of the Society of Lloyds, the underwriters of
policy XO02418OT/4153 held by the First Defendant,
as insured, from 18 February 2005 at 4pm to 18
February 2006 at 4pm, pursuant to Uniform Civil
Procedure Rules 1999, r 76
2. The answer to the first question in the Application
filed in the Supreme Court on 4 July 2012 is „yes‟
3. The answer to the second question in the Application
filed in the Supreme Court on 4 July 2012 is „no‟
CATCHWORDS: PRACTICE AND PROCEDURE – where separate
determination of issues before trial was warranted under
Uniform Civil Procedure Rules 1999, r 483 – where
representative order was made under Uniform Civil
Procedure Rules 1999, r 76 appointing the managing agent of
an insurance Syndicate as the representative of that Syndicate
INSURANCE – PROFESSIONAL INDEMNITY
INSURANCE – COMBINED PUBLIC AND PRODUCTS
LIABLITY INSURANCE – CONSTRUCTION AND
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INTERPRETATION OF INSURANCE POLICY – where the
insured supplied labour to a third party – where a deductible
applied to payments made under the insurance policy in
relation to injury to an employee of the third party – meaning
of ―principal‖ – meaning of ―worker‖
CONTRACTS – GENERAL CONTRACTUAL
PRINCIPLES – CONSTRUCTION AND
INTERPRETATION OF CONTRACTS
WORKERS‘ COMPENSATION – ENTITLEMENT TO
AND LIABILITY FOR COMPENSATION – alternative
rights for damages at common law or by statutory right of
indemnity – construction and interpretation of Workers’
Compensation and Rehabilitation Act 2003, ss 207B and 270
Law Reform Act 1995 (Qld), s 6(c)
Workers’ Compensation and Rehabilitation Act 2003 (Qld), s
207B, s 270, s 271
Uniform Civil Procedure Rules 1999 (Qld) , r 76, r 483
Advance Traders Pty Ltd v McNab Constructions Pty Ltd and
Anor [2011] QSC 212
Australasian Medical Insurance Limited & Anor v CGU
Insurance Limited [2010] QCA 189
Australian Paper Manufacturers v American International
Underwriters (Australia) Pty Ltd [1994] 1 VR 685
Bosner v Melnacis [2002] 1 Qd R 1
Fox v Wood (1981) 148 CLR 438
Harbour City Real Estate Pty Ltd t/a Re / Max Harbour City
Hickson v Goodman Fielder Limited [2009] HCA 11 at [9]
Real Estate v Cargill No (3) [2009] FCA 669
Lange v Queensland Building Services Authority [2011] QCA
58
McCann v Switzerland Insurance Australia Ltd (2000) 176
ALR 711 at [22]
National Vulcan Engineering Insurance Group Ltd & Ors v
Transfield Pty Ltd [2003] NSWCA 327
Nissho Iwai Australia Ltd v Malaysian International Shipping
Corp, Berhad (1989) 167 CLR 219
Transfield Pty Ltd v National Vulcan Engineering Insurance
Group Ltd & Ors [2002] NSWSC 830
Velvet Glove Holdings Pty Ltd v Mount Isa Mines Ltd [2011]
QCA 312
COUNSEL: K Holyoak for the Plaintiff
E Goodwin for the Second Defendant
SOLICITORS: Bruce Thomas Lawyers for the Plaintiff
DibbsBarker for the Second Defendant
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ANN LYONS J:
This application
[1] This application relates to a dispute as to the interpretation of the terms of a policy
of insurance and whether a special deductible of $50,000 applies to payments made
under that policy.
Background
[2] The Plaintiff, Crown Equipment Pty Ltd (―Crown‖), has a business of supplying,
maintaining and repairing electric lift trucks. Gregory Talbot (―Talbot‖) was
employed as a mechanic at Crown‘s premises at Acacia Ridge. Talbot was injured
at the premises on 10 October 2005 when he stepped and subsequently slipped on a
piece of cardboard covering an oil spill during the course of his employment.
[3] WorkCover Queensland (―WorkCover‖) has paid $138,700.46 to Talbot for the
workplace injury pursuant to the Workers’ Compensation and Rehabilitation Act
2003 (Qld) (―the WCRA‖).
[4] Talbot served a Notice of Claim pursuant to the WRCA dated 12 June 2007
claiming damages in respect of his injuries.
[5] The First Defendant, previously known as RPM Contracting Pty Ltd (―RPM‖),
previously carried on a labour hire business and would hire out labour including
trades assistants and mechanics to other businesses. Crown and RPM entered into
an agreement whereby RPM would supply labour to Crown. RPM employed Chris
Towner (―Towner‖) as a trade assistant. Pursuant to the agreement, RPM supplied
the services of Towner to Crown.
[6] On 15 August 2008, WorkCover issued a Contribution Notice pursuant to s 278A of
the WRCA on RPM. Crown alleges that Talbot‘s injuries were caused or
contributed to by RPM‘s negligence and alleges that Towner had seen the oil spill
and, instead of cleaning it up or informing Crown of the spill, had covered it with
the cardboard.
[7] The Lloyds Syndicate (DA Constable Syndicate 386) had entered into a contract of
insurance in February 2005 with RPM for the period 18 February 2005 until 18
February 2006 in relation to RPM‘s ―Legal Liability to third parties to pay
compensation in respect of ....personal injury and/or property damage occurring
during the period of insurance as a result of an occurrence and happening in
connection with the business.‖1
[8] The Second Defendant, QBE Underwriting Limited (―QBE‖), is the managing agent
of that Lloyds Syndicate.
[9] RPM had been placed in liquidation on 5 September 2006 and was deregistered on
or around 27 December 2009 by the Australian Securities and Investment
Commission (―ASIC‖).
1 Affidavit of Georgina Cissy Wong, dated 29 May 2012, exhibit GCW1, at p 19.
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[10] On 8 September 2008, WorkCover agreed to pay on its own behalf and on behalf of
Crown the sum of $400,000 net of any statutory benefits to Talbot, in full and final
settlement of the claim together with statutory costs of $7,595.
[11] On 18 September 2009, Crown filed a Claim and Statement of Claim in the
Supreme Court seeking damages for negligence, breach of statutory duty and breach
of contract against RPM as tortfeasor pursuant to s 6(c) of the Law Reform Act 1995
(Qld) (―Law Reform Act‖) in the sum of $546,295.46.
[12] RPM was reinstated to the Company Register on 15 March 2010 by ASIC. The
company is otherwise completely wound up and has no assets to satisfy any
judgment Crown may obtain against RPM other than the benefit of the policy of
insurance which it held with the Lloyds Syndicate (―The Policy‖).
[13] QBE claims it is entitled to impose a deductible of $50,000 on any payment made in
respect of claims for: (a) injury to any employee of Crown; and (b) recovery of
payments made under Queensland Workers Compensation Legislation pursuant to
the Contract of Insurance.
[14] The present application is brought for a separate determination before trial of the
following questions pursuant to r 483 of the Uniform Civil Procedure Rules 1999
(Qld) (―UCPR‖):
1. Is QBE entitled to impose a deductible of $50,000 on any payment made by
QBE indemnifying RPM for any liability RPM has for the injury to Crown‘s
employee Talbot, by virtue of endorsement 18(a), exclusion 7.19, condition
8.4 and items 7 and 9 of the schedule of the Policy?
2. Is QBE entitled to impose a deductible of $50,000 on any payment made by
QBE indemnifying RPM for any liability RPM has for the injury to Crown‘s
employee Talbot, by virtue of endorsement 18(b), exclusion 7.19, condition
8.4 and items 7 and 9 of the schedule of the Policy?
Preliminary issues
[15] The Second Defendant is the managing agent of the relevant Lloyds Syndicate and
it is not the insurer. The parties, however, have agreed that it is appropriate that a
representative order under UCPR r 76 be made appointing the Second Defendant as
representative of the Lloyds Syndicate which is the Underwriter of the insurance
policy. The Lloyds Syndicate is not a legal entity.
[16] I am satisfied that the correct course is to make a representative order under UCPR r
76.
[17] The next issue is whether there should be a determination of the questions posed
before trial pursuant to UCPR r 483. I note that the Defendants do not oppose the
construction issues, arising from the Further Amended Defence, being determined
separately and summarily under UCPR r 483. I am also satisfied that, in the
circumstances of this case, and in accordance with the relevant principles
enunciated by Boddice J in Advance Traders Pty Ltd v McNab Constructions Pty
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Ltd and Anor,2 it is appropriate to proceed pursuant to r 483 for a separate
determination before trial. I am satisfied that it is just and convenient to do so.
[18] I also consider that a separate determination will have utility as it will resolve the
question as to which exclusions apply and whether a special deductible of $50,000
applies. Furthermore, I agree with the submission of Counsel for the Applicant
Plaintiff that the settlement of these questions in advance will contribute to the
saving of time and money and is not linked to any contentious factual matters.
The relevant terms of the Policy
[19] Clause 1 of the Policy provides:
―1. Insuring clause
Subject to the terms of this Policy, Underwriters will pay to or
on behalf of the Insured all sums which the Insured shall
become legally liable to pay by way of compensation in
respect of:
1.1 Injury
1.2 Damage
1.3 Advertising Liability
happening during the Period of Insurance as a result of an
Occurrence in connection with the Insured‘s Business.‖
[20] Clause 2.3 of the Policy provides:
――Deductible‖ means the amount payable by the Insured in respect to
each Occurrence and includes all Defence Costs and Additional
Expenses as described under Clause 6 of this Policy.‖
[21] Clause 2.5 of the Policy provides:
――Injury‖ means death, bodily injury, sickness, disease, disorder,
disability, shock, fright, mental anguish and mental injury to any
person.‖
[22] Clause 2.15 of the Policy provides:
―Worker‖ means any person employed by the Insured or deemed to
be employed by the Insured whether pursuant to any Workers‘
Compensation Law or otherwise.‖
[23] Clause 2.16 of the Policy provides:
2 [2011] QSC 212.
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―Workers‘ Compensation Law‖ means any law relating to
compensation for Injury to Workers or employees."
[24] Clause 2.6 of the Policy provides:
――Insured‖ wherever used in this Policy means the Insured named in the
Schedule and,
2.6.1 Any subsidiary company (including subsidiaries thereof) of the
Insured, and
2.6.2 Any other entity controlled by it and over which it assumes active
management.‖
[25] Clause 2.10 of the Policy provides:
――Occurrence‖ means an event, including continuous or repeated exposure
to substantially the same general conditions, which results in Injury and/or
Damage and/or Advertising Liability neither expected nor intended from the
standpoint of the Insured. All events of a series consequent on or
attributable to one source or original cause shall be deemed one
Occurrence.‖
[26] Clause 3 of the Policy provides:
―Indemnity to others
The indemnity granted by this Policy will extend to:
3.1 Any principal in respect of the liability of such principal to
third parties arising out of the performance by the Insured of
any written contract or agreement with the Insured for the
performance of work for such principal but this Policy shall
only indemnify the principal to the extent that the Insured is
required to insure such liability pursuant to such written
contract or agreement, but subject always to the terms of this
Policy.‖
[27] Clause 4 of the Policy provides:
―Cross Liabilities
Subject at all times to the terms of this Policy, each person or party
indemnified is separately indemnified in respect of claims made by
any of them against any other of them provided that the
Underwriters‘ total liability shall not exceed the Limit of Indemnity
for all claims under this Policy.‖
[28] Clause 7 of the Policy provides:
―Exclusions
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This policy does not cover liability directly or indirectly caused by,
arising out of or in any way connected with:
...
7.9 Injury to any Worker.
Provided that if the Insured:
7.9.1 Is required by law to insure or otherwise fund,
whether through self insurance, statutory fund or
other statutory scheme, all or part of any common
law liability (whether limited in amount or not) for
such Injury; or
7.9.2 Is not required to so insure or otherwise fund such
liability by reason only that the Injury is to a person
who is not a Worker or ―employee‖ within the
meaning of the relevant Workers‘ Compensation
Law or the Injury is not an Injury which is subject to
such Law;
then this Policy will respond to the extent that the Insured‘s
liability would not be covered under any such fund, scheme,
Policy of insurance or self insurance arrangement had the
Insured complied with its obligations pursuant to such Law.
7.10 7.10.1 Any Workers‘ Compensation Law;
7.10.2 The provisions of any industrial award or agreement
or determination or any contract of employment or
workplace agreement where such liability would not
have been imposed in the absence of such industrial
award or agreement or determination;
7.10.3 Employment Practices.
…
7.19 The Deductible and/or self-insured retention shown in the
Schedule.‖
[29] Clause 8.3 of the Policy provides:
―This Policy and any endorsements attached to this Policy shall be
read together as one contract and any word or expression to which a
specific meaning has been attached in any part of this Policy or the
Schedule shall bear such specific meaning wherever it may appear.‖
[30] Clause 8.4 of the Policy provides:
―The amount shown within the Schedule as an excess or Deductible
is the first amount for all claims arising out of any one Occurrence
which is to be bourne (sic) by the Insured.‖
[31] The Schedule then provides:
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―7. DEDUCTIBLE $5,000 each and every Occurrence (costs
inclusive)
Except
$50,000 each and every Occurrence (costs
inclusive) in respect of injury to worker
Claims.
....
9. ENDORSEMENTS Additional to Standard Wording
Endorsement 2 – Care, Custody,
Control $100,000
Endorsement 18 – Injury to Worker
Deductible $50,000‖
[32] Endorsement 18 provides:
―Endorsement 18: Injury to Worker Deductible Clause
Endorsement attaching to and forming part of Policy Number:
XO024180T/4153
INSURED: RPM Contracting Pty Limited
ENDORSEMENT EFFECTIVE FROM: 18 February 2005
It is hereby noted and agreed that in respect of any:
a. Injury to any employee of a principal, contractor,
subcontractor or contract labour hire personnel for
which the Insured is held legally liable to pay
compensation; and/or
b. Claims for the recovery of payments made under the
relevant Workers‘ Compensation legislation of any
State or Territory of Australia. The following
Exclusion is added to this Policy:
The deductible is amended to AUD$50,000 each and every
Occurrence.
Other than as amended above, the terms of this Policy shall
continue to apply.
The construction of the Policy to determine the relevant “Deductible”
[33] The question, therefore, is what deductible applies here. The relevant principles in
relation to the construction of contracts of insurance have been set out in some
detail by both Counsel in their submissions and are uncontroversial. I will
summarise those principles as follows:
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1. The insured bears the onus of invoking the primary cover afforded by the Policy
together with any proviso to any exclusion whilst the insurer bears the onus of
invoking the exclusion;3
2. Contracts of insurance are construed in accordance with the same principles that
apply to any commercial contract;4
3. Where special conditions are added to a standard form contract, then, unless
agreed otherwise, the special conditions are given greater weight. Similarly, a
specific provision is usually given greater weight than a general provision;5
4. Clauses in dispute should be interpreted according to their natural meaning. A
deductible clause should be given its ordinary and natural meaning read in light
of the contract as a whole and the object of the contract;6
5. The Policy should be construed in such a way that the deductible clause is not
rendered otiose;7
6. A court is entitled to consider headings and marginal notes when interpreting a
clause, unless there is a contractual prohibition on the use of headings or
marginal notes. However, the wording of the clause must prevail;8
7. The policy is to be read in its commercial setting so as to fulfil and not restrain the
commercial purpose. In McCann v Switzerland Insurance Australia Ltd9 Gleeson CJ
relevantly held;
―A policy of insurance, even one required by statute, is a commercial
contract and should be given a businesslike interpretation. Interpreting a
commercial document requires attention to the language used by the
parties, the commercial circumstances which the document addresses, and
the objects which it is intended to secure;‖ and
8. The contra preferentum rule is to be invoked as a maxim of last resort to remove
ambiguities where other approaches have failed.10
The First Question: Is QBE entitled to impose a deductible of $50,000 on any
payment made indemnifying RPM for any liability it has by virtue of
Endorsement 18(a)?
[34] Pursuant to Exclusion 7.19 and Condition 8.4, the policy provides for a deductible
as set out in the Schedule.
3 Australian Paper Manufacturers Ltd v American International Underwriters (Australia) Pty Ltd
[1994] 1 VR 685.
4 Australasian Medical Insurance Limited & Anor v CGU Insurance Limited [2010]
QCA 189
5 Velvet Glove Holdings Pty Ltd v Mount Isa Mines Ltd [2011] QCA 312.
6 Nissho Iwai Australia Ltd v Malaysian International Shipping Corp, Berhad (1989) 167 CLR 219
7 National Vulcan Engineering Insurance Group Ltd & Ors v Transfield Pty Ltd [2003] NSWCA 327 and
Transfield Pty Ltd v National Vulcan Engineering Insurance Group Ltd & Ors [2002] NSWSC 830.
8 Harbour City Real Estate Pty Ltd t/a Re / Max Harbour City Real Estate v Cargill No (3) [2009] FCA
669.
9 (2000) 176 ALR 711 at [22].
10 Lange v Queensland Building Services Authority [2011] QCA 58.
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[35] The Schedule at Item 7 then provides for two possible deductibles, namely a
standard deductible of $5,000 for each and every Occurrence (costs inclusive) and
an exception of ―$50,000 [for] each and every Occurrence (costs inclusive) in
respect of Injury to worker Claims‖. (my emphasis)
[36] The Schedule at Item 9 refers to Endorsements which are ―Additional to Standard
Wording‖ and refers to ―Endorsement 18 – Injury to Worker Deductible $50,000‖.
Endorsement 18 is then headed ―Injury to Worker Deductible Clause‖. That
Endorsement provides that it is ―noted and agreed that in respect of any (a) Injury to
any employee of a principal, contractor, subcontractor or contract labour hire
personnel for which the Insured is held legally liable to pay compensation‖ the
Deductible is amended to AUD 50,000 for each and every Occurrence.
[37] As previously outlined, ―Insured‖ is defined by clause 2.6 to mean ―the Insured
named in the schedule‖ and is clearly a reference to RPM as it is the only company
which is named in that schedule. The business of RPM is then described in Item 5
of the Schedule as ―Principally blue collar labour hire, property owners/occupiers
and associated activities‖.
[38] I agree with the submission by Counsel for Crown that the reference in Item 7 of the
Schedule to ―worker Claims‖ (as opposed to Worker Claims) must be a reference to
Endorsement 18 as there is no other reasonable interpretation. Specifically, whilst
―worker‖ is not defined in the Policy, it cannot refer to workers generally, as that
would mean that anybody in employment who was injured could be described as a
worker. Item 7 is also unlikely to apply to a ―Worker‖, defined in clause 2.15 to
mean ―any person employed by the Insured or deemed to be employed by the
Insured whether pursuant to any Workers‘ Compensation Law or otherwise,‖ as it
would then be excluded by Exclusion 7.9. I agree with the submission that there is
no point in having a deductible applicable to a claim by a Worker whose claim is in
fact excluded.
[39] Endorsement 18 then refers to two situations which trigger the ―Worker Deductible
Clause‖. In paragraph 18(a), there is a requirement that there is an injury to ―any
employee of a principal, contractor, subcontractor or contract labour hire personnel
for which the Insured is held legally liable to pay compensation‖. None of those
expressions are defined in the policy.
[40] In my view, Crown‘s injured worker, Talbot, cannot be categorised as ―contract
labour hire personnel‖ as he was an employee of Crown. Neither do I consider that
he was a ―subcontractor‖ nor an employee of a subcontractor. Talbot was not an
employee of a ―contractor‖ as there is no doubt that Crown was not furnishing,
supplying or providing anything. Neither could it be said that Crown was rendering
services to RPM. The real question, therefore, is whether the injury to Talbot was an
injury to an employee of a principal. Was Crown a ―principal‖?
[41] There is no doubt that the meaning of the word ―principal,‖ when used as a noun, is
variable and will take its meaning from its context. Whilst there are multiple
authorities where the word ―principal‖ has been considered, Crown submits that the
word has always yielded to the object of the sentence in which it was used or its
context. I agree with Crown‘s contention that the strictly legal meaning of a person
authorising an agent would not cover this situation. However, I do not agree with
the subsequent analysis by Counsel for Crown that the word ―principal‖ should in
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any way be narrowed by the two words which succeed it in Endorsement 18(a),
namely the words ―contractor‖ and ―subcontractor‖. Crown argues that a contractor
or subcontractor describes persons in the chain of performance of contracts ―down
the line‖ whilst the word ―principal‖ refers to the person ―up the line‖. Crown
therefore submits that the true construction of the word ―principal‖ is further
narrowed to the performance of work.
[42] Essentially, Counsel for Crown argues that the key to the meaning of the word
―principal‖ as used in the Policy, which then gives a common thread to the
succeeding two words, appears in clause 3.1, which extends an indemnity to ―Any
principal in respect of the liability of such principal to third parties arising out of the
performance by the Insured of any written contract or agreement with the Insured
for the performance of work for such principal but this Policy shall only indemnify
the principal to the extent that the Insured is required to insure such liability
pursuant to such written contract or agreement‖ subject to the terms of the Policy.
[43] Crown submits that with clause 3.1 in mind, the construction of Endorsement 18(a)
and the commercial object it is intended to serve becomes clearer, particularly when
read in conjunction with the cross liability clause in clause 4 of the Policy.
[44] Accordingly, Crown submits that RPM, as the insured, is only subject to the
$50,000 deductible in Endorsement 18(a) if any of the principal‘s employees are
injured by RPM while RPM is performing work for the principal. It is submitted
that this makes commercial sense because ordinarily, employees of the insured
would be excluded from coverage by Exclusion 7.9 due to the availability of
alternative cover for the risk, that is, WorkCover. As employees of the principal are
not employees of the insured making the claim under the policy, Exclusion 7.9 does
not apply. However, where work is being performed for such a principal, the risk is
analogous and that is underwritten by a higher deductible.
[45] Crown essentially argues, therefore, that the only workers excluded under Exclusion
7.9 are employees of the insured and not employees of a principal, which is entitled
to indemnity under clause 3.1 of the Policy. It is argued that the common thread of
work being performed can be discerned from the categories in Endorsement 18(a),
including a contractor or subcontractor. It is argued that the category of contract
labour hire personnel cannot be a reference to RPM‘s own employees who are hired
out as they are excluded under Exclusion 7.9. Accordingly, Crown argues that it
must refer to contract labour personnel engaged to do work for the principal, the
contractor or the subcontractor and the increased deductible is the price paid for the
coverage of such risks.
[46] Crown argues that none of those constructions extends Endorsement 18(a) to the
injury to an employee of Crown. Crown argues that RPM supplied a worker to
Crown rather than actually performing work for Crown. Therefore, to extend
Endorsement 18(a) to an injury to an employee of Crown would require a broader
reading of the word ―principal‖ than the Policy itself assigns in context. It is further
argued that to do so would not only expand an exclusion (Exclusion 7.19) contrary
to the canons of construction but it would be incompatible with any business object
that could be discerned from the Policy.
[47] Counsel for Crown also contends that for QBE‘s argument to be made good, the
endorsement would have to be read as excluding injuries caused by contract labour
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hire personnel employed by, or injuries to employees of, host employers. Crown
argues against a broad construction being given to the word ―principal‖ where it
appears in Endorsement 18(a) as it could potentially apply to employees of any
person who entered into a contract with RPM by which RPM provided work,
services or any benefit, including RPM‘s capacity as a property owner or occupier,
which would mean that if an employee of a person entered one of RPM‘s properties
under a licence to do so, it would be subject to the $50,000 deductible when there is
no commercial reason for such a claim to be subjected to that deductible.
[48] It is therefore argued that the word ―principal‖ should bear the specific meaning
given to it in clause 3.1 wherever it may elsewhere appear. It is also argued that an
exclusion should be read down and a construction preferred which promotes
coverage, including the width of its application, in the case of ambiguity.
[49] I am not persuaded by this unnecessarily complicated argument. Furthermore,
Crown is not actually seeking to invoke clause 3 which is a clause which extends an
―Indemnity to Others‖. The statement of claim does not in fact plead that clause 3 of
the agreement requires RPM to indemnify Crown. The only reason clause 3 is
referred to by Counsel for Crown is to restrict what I consider to be the clear
intention of Endorsement 18. There is, in fact, no ambiguity.
[50] I consider that the clear and obvious purpose of Endorsement 18(a) is to limit the
liability of QBE for injuries caused to an employee (such as Talbot) of a principal
(such as Crown) by RPM‘s staff (such as Towner). I consider that the drafter has
used the words ―employee of a principal, contractor, subcontractor or contract
labour hire personnel‖ in a fulsome way to try and capture all the possible
contractual relationships that might be formed by RPM and its labour hire clients. I
do not consider that the word ―principal‖ should be restricted in the way argued by
Crown.
[51] In my view, the words used in Endorsement 18(a) are such that they were indeed
intended to cover the circumstances in this case whereby it is alleged that Talbot
was injured by the actions of Towner. Clearly, there is an agreement between
Crown and RPM. In the area of Workers‘ Compensation Law, the principal is
ordinarily the party that hires or employs someone else. In the circumstances of this
case, that party must be Crown.
[52] I agree with QBE‘s observation that, given the nature of RPM‘s business, if
Endorsement 18(a) does not apply to this claim, what sort of claim does it actually
refer to? Indeed, if it does not apply to this claim, then it has very little work to do.
[53] In my view, the answer to the first question is ‗yes‘.
The Second Question: Is QBE entitled to impose a deductible of $50,000 on any
payment made indemnifying RPM for any liability it has by virtue of
Endorsement 18(b)?
[54] Counsel for QBE argues that the deductible applies in this case because it involves a
claim by Crown for the recovery of payments made under the state workers‘
compensation regime. Counsel argues that the total sum of $546,295.46 has not
been calculated in a vacuum and consists of:
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(a) the $400,000 paid under the settlement between WorkCover
Queensland, Crown and Talbot;
(b) $138,700.46 being Worker‘s Compensation payments; and
(c) an amount of $7,595 in statutory costs.
[55] QBE argues that, if Crown succeeds, WorkCover will in fact recover all or part of
the workers‘ compensation payments irrespective of how WorkCover seeks to
characterise the relief sought. QBE argues that this is a claim for recovery of a
payment under a piece of workers‘ compensation legislation. Counsel for QBE
refers in particular to the fact that Endorsement 18(b) does not say ―a claim under a
piece of workers‘ compensation legislation for the recovery of payments made
under the workers‘ compensation legislation‖. Accordingly, it is submitted that the
word ―claim‖ in Endorsement 18(b) is not confined to statutory claims under s 207B
of the WCRA or claims made in the name of WorkCover or another statutory body.
[56] It is clear that Talbot received weekly compensation from WorkCover totalling at
least $138,700.46.
[57] It is also clear that that payment was made pursuant to the WCRA which is
obviously a piece of workers‘ compensation legislation. In any case, Crown did not
make that payment, WorkCover did. Crown, however, now seeks $546,295.46 by
way of indemnity or damages from RPM and further indemnity from QBE.
[58] I accept that WorkCover has agreed not to seek a refund of the workers‘
compensation payments paid to Talbot but that it will, in fact, recover that sum from
any moneys paid to Crown. It may well be that WorkCover will be the recipient of
whatever funds are ultimately paid to Crown.
[59] I also accept that the purpose of the WCRA is to ensure that there is no duplication
or double payment where statutory benefits have been paid and a damages claim is
subsequently made. As Bell J said in Hickson v Goodman Fielder Limited:11
―The Compensation Act manifests a policy against the receipt of
what might be called ―double compensation‖... In a case such as this,
in which a worker recovers, first, compensation and, secondly,
damages from a person other than the employer, s 151Z(1)(b)
provides that the worker is liable to repay out of those damages the
amount of compensation which has been paid in respect of the injury
and that the worker is not entitled to any further compensation.‖
[60] The Second Amended Statement of Claim pleads that there was an agreement
between Crown and RPM and that Towner‘s labour was supplied under that
agreement. Crown argues that there were express or implied terms that the workers
supplied would have certain attributes and training and that those terms have been
breached such that Crown has suffered loss and damage. It is a claim for damages
for breach of contract for the economic loss to which RPM exposed Crown or
11 [2009] HCA 11 at [9].
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alternatively for statutory contribution pursuant to s 6(c) of the Law Reform Act.
The loss claimed as damages is the gross amount of damages paid to Talbot.
[61] There is no doubt that a claim for tortfeasor contribution under the Law Reform Act
cannot be considered to be an action to recover damages or compensation for
personal injuries. As the Court in Bosner v Melnacis12 made clear, it is a claim of an
entirely different character and is in effect a claim for a partial indemnity and in no
sense an action to recover damages for personal injuries, although one of the factors
which must be established is that the person against whom the claim is made is a
person who is or would have been, if sued, liable for the same damage.
[62] Accordingly, in my view, it is not accurate to refer to this action by Crown against
RPM for common law damages as a claim for recovery of workers‘ compensation
benefits. It is a claim for damages and not a claim for the recovery of payments
made or a claim for the recovery of the liquidated sum of $138,700.46.
[63] Counsel for Crown also relies on a comparison with the nature of a claim for
recovery of payments under the WCRA to argue that Crown‘s claim against RPM is
not a claim for the recovery of payments made under workers‘ compensation
legislation.
[64] The relevant sections of the WCRA are in the following terms;
―207B Insurer‟s charge on damages for compensation paid
(1) This section applies to—
(a) an injury sustained by a worker in circumstances
creating—
i. an entitlement to compensation; and
ii. a legal liability in the worker‘s employer, or
other person, to pay damages for the injury,
independently of this Act; and
(b) damages that an employer is not indemnified against
under this Act.
(2) An amount paid as compensation to a person for an injury, to
which there is an entitlement to payment of damages at a time
or for a period before the person becomes entitled to payment of
damages by an employer or another person, is a first charge on
any amount of damages recovered by the person to the extent of
the amount paid as compensation to the person.
(3) An employer or other person from whom the damages are
recoverable must pay the insurer the amount of the first charge
or, if the damages are not more than the amount of the first
charge, the whole of the damages.
(4) Payment to the insurer under subsection (3), to the extent of the
payment, satisfies the liability of the employer or other person
for payment of the damages.
(5) A person can not settle, for a sum less than the amount that is a
first charge on damages under subsection (2), a claim for
damages had by the person independently of this Act for an
injury to which there is an entitlement to payment of damages
without the insurer‘s written consent.
12 [2002] 1Qd R 1.
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(6) If, without the insurer‘s consent, a settlement mentioned in
subsection (5) is made, then to the extent that the damages
recovered are insufficient to meet all payments due to the
insurer under this section—
(a) the insurer is entitled to be indemnified by the employer
or other person who is required by the settlement to pay
the damages; and
(b) to that end, the insurer is subrogated to the rights of the
person who has sought the damages, as if the settlement
had not been made.
(7) If a person who has received compensation has not recovered,
or taken proceedings to recover, damages for the injury from
another person, other than the worker‘s employer—
(a) the insurer is entitled to be indemnified for the amount
of the compensation by the other person to the extent of
that person‘s liability for the damages, so far as the
amount of damages payable for the injury by that person
extends; and
(b) to that end, the insurer is subrogated to the rights of the
person for the injury.
(8) Payment made as indemnity under subsection (7), to the extent
of the payment, satisfies the person‘s liability on a judgment for
damages for the injury.
(9) In addition to all rights of action had by the insurer to give
effect to its right to indemnity under this section, all questions
about the right and the amount of the indemnity may, in default
of agreement, be decided by an industrial magistrate if all
persons affected by the indemnity consent.
(10) In this section—
damages includes damages under a legal liability existing
independently of this Act, whether or not within the
meaning of section 10.‖
―270 When damages are to be reduced
(1) The amount of damages that an employer is legally liable to
pay to a claimant for an injury must be reduced by the total
amount paid or payable by an insurer by way of compensation
for the injury.
(2) However, the amount of damages must not be reduced by an
amount paid under section 193.
(3) This section does not limit the reduction of the amount of the
damages by any other amount that the insurer or the claimant is
legally liable to pay on account of the worker under another
law.
271 Assessment by court of total liability for damages
(1) This section applies if—
(a) damages are awarded for an injury; or
(b) damages are to be paid in settlement of a claim for an
injury.
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(2) To establish the reduction under section 270(1) in damages for
compensation paid, the claimant or insurer may apply to—
(a) the court in which the proceeding is brought; or
(b) if a proceeding has not been started—the Industrial
Magistrates Court.
(3) The court‘s decision is binding on the insurer and all persons
entitled to payment by the insurer for the injury.‖
[65] There is no doubt that there are different characterisations given to payments made
under ss 270, 271 and 207B of the WCRA. Sections 270 and 271 of the WCRA deal
with the damages of a worker being reduced when the claim is against an employer
who is covered by the WCRA. Section 207B, however, deals with a worker who
seeks to recover damages from a non-employer or an employer not covered by the
WCRA.
[66] The effect of s 270 WCRA is that any compensation already paid has to be deducted
from the damages assessed against the employer of the worker. It is argued that a
number of propositions have been established in relation to s 270 and they include:
(a) that the correct method to adopt in arriving at the amount for which
judgment should be entered where a plaintiff has received workers‘
compensation benefits and been guilty of contributory negligence is
to first assess damages, then to reduce the amount assessed by the
appropriate percentage for contributory negligence and from that
balance to deduct the total amount paid by way of workers‘
compensation; and
(b) the initial assessment of damages must be made without regard to
any statutory limits of the court, so that if an assessment exceeds the
jurisdictional limits of a court, but falls within it after deduction of
contributory negligence, the amount of the judgment is the amount
given after deduction of the damages for contributory negligence.
[67] Accordingly, it is submitted that the damages are assessed independently of the
compensation and the final sum is assessed by deduction of any contributory
negligence amounts before the reduction of the damages for the compensation paid.
It is argued that this can only occur if the compensation payment is irrelevant to the
damage assessment.
[68] It is further argued that to ensure that this deduction is equitable, if the worker has
to repay the gross amount of compensation, though the tax has been deducted, and
the worker has only received the benefit of the net amount, then the Fox v Wood13
component representing the tax paid is added back in. It is argued that this also
explains the reasons why expenses paid by WorkCover are treated as damages. That
is because these are actual expenses incurred on behalf of the worker. The statute
requires those amounts to be repaid, even though they were not paid to the worker
but to the service provider. The no fault weekly benefits, however, are treated
differently in the assessment of damages. Where the plaintiff is legally obliged to
repay the collateral amounts received in weekly benefits, out of the damages, the
13 (1981) 148 CLR 438.
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principle of compensation and the rule against double recovery is not thereby
offended. Consequently, it is argued that except where the double compensation
rule is offended, the receipt of benefits is to be disregarded.
[69] It is argued that if there are special damages then they are to be included as special
damages but otherwise the receipt of compensation stands apart from the
assessment of damages which are assessed as gross.
[70] It is therefore argued by Crown that the same approach applies where there is an
action against a non-employer and therefore, it is incorrect to refer to an action
between the worker and an employer of the worker (Crown in this case) for
common law damages as one which is a claim for recovery of workers‘
compensation benefits. That is because the workers‘ compensation benefits are
irrelevant to the assessment, except insofar as they may effect double compensation.
It is also argued that these workers‘ compensation payments are not recovered and
that the claim of the worker against the employer is not a claim for the recovery of
payments under the workers‘ compensation legislation. It is a claim for damages by
that worker to which the no fault compensation benefits are irrelevant but, by reason
of s 270 WCRA, are then deducted once the gross assessment of those damages has
been made.
[71] It would seem to me to be correct that the type of proceeding to which Endorsement
18(b) is addressed is that found in s 207B of WCRA and that the nature of the
action is a statutory right of indemnity to recover the compensation. As I have
already indicated, I do not consider that the statutory right of indemnity can be
equated to the cause of action which the worker would have had had against the
person liable to pay damages to the worker. The right of indemnity is indeed a right
independent of the worker and is a right directly against the wrongdoer.
[72] The deductible provision in Endorsement 18(b) clearly refers to claims for recovery
of payments under the relevant workers‘ compensation legislation. Endorsement
18(b) does not refer to a claim for damages but rather focuses specifically on the
nature of the liability being for the recovery of payments.
[73] Having considered the policy, I consider that the distinction in the language is not
accidental. I accept that a claim against an insured under the policy pursuant to s
207B of the WCRA is a legal liability by way of compensation in respect of injury
because it fastens upon the legal liability of the insured to pay damages for the
injury. However, Endorsement 18(b) is different and the focus is on the form of the
claim, namely the recovery of the workers‘ compensation payments and is therefore
a reference to a s 207B type of proceeding. As such, a proceeding is expressly for
the recovery of the workers‘ compensation payment.
[74] I accept the submission that the commercial intent of Endorsement 18(b) is that,
notwithstanding that a claim under s 207B is for the recovery of payments made
under the relevant workers‘ compensation legislation, they fall within the insuring
clause and are not excluded but rather, a higher deductible is imposed. Accordingly,
the risk involves an injury having been sustained by a worker not excluded by
Exclusion 7.9 and the price exacted for this coverage is a higher deductible.
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[75] It is clear that there is no intention in the Policy that tortfeasor contribution
proceedings or a claim in contract against the insured should be subject to a higher
deductible. It would seem that such proceedings are orthodox between defendants.
[76] In my view, QBE‘s argument about the meaning which should be attributed to
Endorsement 18(b) is not the likely business construction because if a worker sued
both the employer and the non-employer, the higher deductible would not apply to
the liability of the non-employer directly to the worker, but it would apply to any
claim between the non-employer and the employer inter se for tortfeasor
contribution or breach of contract. It would seem, therefore, that two different
outcomes would be achieved depending on the form of the action when it is well
established that the claim for contribution turns on the co-tortfeasors both having an
extant liability to the Plaintiff for the same damage.
[77] I accept the submission of Counsel for Crown that the approach QBE seeks would
require a radical resettling of the current jurisprudence concerning the nature and
treatment of the reduction of the worker‘s claim for damages by the amount of the
workers‘ compensation payment received by the worker and would lead to
incongruous consequences.
[78] I consider that Endorsement 18(b) in relation to ―Claims for the recovery of
payments made under the relevant Workers‘ Compensation legislation‖ Does not
include the claim by Crown against the first and second defendants.
[79] In my view, the answer to the second question is ‗No‘.
[80] Accordingly, there will be the following orders:
1. The Second Defendant shall be appointed to represent each of the members
of Names of ―DA Constable Syndicate 386‖ of the Society of Lloyds, the
underwriters of policy XO02418OT/4153 held by the First Defendant, as
insured, from 18 February 2005 at 4pm to 18 February 2006 at 4pm,
pursuant to Uniform Civil Procedure Rules 1999, r 76.
2. The answer to the first question in the Application filed in the Supreme
Court on 4 July 2012 is ‗yes.‘
3. The answer to the second question in the Application filed in the Supreme
Court on 4 July 2012 is ‗no.‘
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Official source: https://www.sclqld.org.au/caselaw/QSC/2013/024