Sentry Life Assurance Ltd v Life Insurance Commissioner [1983] FCA 230
Federal Court of Australia
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CATCHWORDS
2 4
Life Insurance ~- Life insurance company - Stautory funds -
Surplus - Participating and non-participating policies -
Contributions to fund of shareholders' funds - Distribution
of surplus to shareholders - Surplus derived from participating
policies - Meaning ~ Calculation - Real source of surplus -
Proper bases of accounts.
Life Insurance Act, 1945, ss.37, 38, 48, 50, 69
Sentry Life Assurance Limited v. Life Insurance Commissioner
No. G128 of 1982
Morling, Fitzgerald, Beaumont, Jud.
29 August, 1983
Sydney.
.. Za
IN THE FEDERAL COURT OF AUSTRALIA )
)
NEW SOUTH WALES DISTRICT REGISTRY )
)
)
GENERAL DIVISION No. G128 of 1982
ON APPEAL from the Administrative
Appeals Tribunal
SENTRY LIFE ASSURANCE LIMITED
Applicant
LIFE INSURANCE COMMISSIONER
Respondent
ORDER
Judges making order : Morling, Fitzgerald and Beaumont, JJ.
Date order made: 29 August, 1983.
Where made: Sydney.
THE COURT ORDERS THAT:
1. The appeal is allowed.
2. Orders 1 and 2 made by the Administrative Appeals Tribunal
on 21 June, 1982 in proceedings N.81/60 and N.81/175 be set
aside.
3. The decisions of the Life Insurance Commissioner that
the abstracts of the actuary lodged by the applicant with
the respondent for the 1979 and 1980 years are rejected, be
set aside.
4. The directions given by the respondent to the
applicant referred to 1n order 2 of the Administrative Appeals
Tribunal be set aside.
5. The said proceedings N.81/60 and N.81/175 be remitted
to the Administrative Appeals Tribunal to be heard and decided
again, with further evidence if necessary.
6. Make no order as to costs.
7. Publication or disclosure to the public of this judg-
ment and publication or disclosure to the public of any part
of the reasons for this judgment insofar as the reasons may
tend to identify the applicant or disclose its financial or
other circumstances 1s prohibited up to and including
2 September, 1983.
8. Liberty 1s reserved to either party to apply on
twenty four hours' notice for any var1ation of order 7 hereof.
IN THE FEDERAL COURT OF AUSTRALIA
NEW SOUTH WALES
DISTRICT REGISTRY
GENERAL DIVISION No. G128 of 1982.
ON APPEAL from the Administrative
Appeals Tribunal
SENTRY LIFE ASSURANCE LIMITED
Applicant
LIFE INSURANCE COMMISSIONER
Respondent
CORAM: Morling, Fitzgerald and Beaumont, JJ.
DATED: 29 August, 1983.
REASONS FOR JUDGMENT
MORLING AND BEAUMONT, JJ.
This is an appeal, on a question of law, from a
decision of the Administrative Appeals Tribunal brought
pursuant to s.44(1) of the Alministrative Appeals Tribunal
Act, 1975. The decision of the Tribunal was made in an
application to review a decision of the Life Insurance
Commissioner ("the Commissioner") 1n an application made under s.138(8)
of the Life Insurance Act, 1945 ("the Act").
The review and this appeal involve the construction
and operation of s.50(3) of the Act. That provision inhibits,
a
to some degree, the powers of a life insurance company to
deal with surplus funds in one of its statutory funds. It
is convenient to refer, at the outset, to the relevant pro-
visions of the statute before going to the facts of the case.
In doing this, we have adopted, substantially, the analysis
of the Act made by the Tribunal.
Statutory Fund's
Section 37 of the Act provides that a company shall,
at the date on which it commences to carry on life insurance
business in Australia, establish and maintain a statutory fund
in respect of the life insurance business carried on by it.
Section 37(2) provides that a company may establish and
maintain a separate statutory fund in respect of any class or
classes of its life insurance business. A class of life in-
surance. business is defined in s.4(3) and (4) of the Act. In
the absence of a direction from the Commissioner, and there
was none in this case, a class of life insurance business is
life ansurance business (other than superannuation business)
under ordinary policies, life insurance business (other than
superannuation business) under industrial policies and super-
annuation business. Section 37(2) further provides that,
with the consent of the Commissioner, a company may establish
and maintain a separate statutory fund in respect of a part
of any class or classes of its life insurance business.
In the present case, the applicant first established a
single statutory fund in respect of both its ordinary and
superannuation business but subsequently created one fund for
1ts ordinary business and another for its superannuation business.
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The funds covered both participating and non-participating
policies. Wath the consent of the Commissioner, the company
could have established separate statutory funds with respect
to its participating policies and other statutory funds with
respect to its non-participating policies but it did not do so.
Apparentiy, it is not the practice of insurance companies to do
so.
The essential difference between a "participating" policy
and a "non-participating" policy is that, with the former, an
additional premium is charged and, in return for that additional
premium, the policyholder is entitled to participate in the pro-
fits of the life insurance business. Participation in profits
takes the form of periodic additions to the sum insured under
the policy. Once granted, these additions are guaranteed.
Pursuant to s.38, the assets of each statutory fund are
to be kept distinct and separate from all other assets of the
company and the income arising from the investment of the assets
of the fund are to be carried to that fund. All amounts received
in respect of the business to which the statutory fund relates
are to be carried to and become, assets of the fund.
The Act restricts the class of creditors for which
moneys, once carried to a statutory fund, are available.
Section 38(2) provides:
"38 (2) Subject to this Act, the assets of a stat-
utory fund shail not, so long as the com-
pany carries on the class or classes of
life insurance business in respect of which
the fund was established, be available to
meet any liabilities or expenses of the
company other than -
(a) liaabilities or expenses referable to
that class or those classes of life
insurance business; and
(b) liabilities charged on those assets
or any of them immediately prior to the
commencement of this Act,
and shall not otherwise be directly or
indirectly applied for any purpose other
than the purposes of that class or those
classes of life insurance business."
Sections 40 and 40A provide for the transfer of the assets
of an old fund to a new fund which has been established. Section
50(1) otherwise restricts the company in its dealings with the
assets of a statutory fund by providing as follows:
"A company Shall not:
(a) pay, apply or allocate any part of the
assets of a statutory fund -
(i) as dividends or otherwise as profits
to shareholders; or
(ii) as bonuses to policy owners; or
(b) transfer any part of the assets of a
statutory fund to another statutory fund,
except in accordance with this section or
sections 40 or 40A,. "
In the present case, neither s.40 nor s.40A apply. By
s.50(2) the company may deal with surplus funds as follows:
"Tf, as a result of the latest valuation in
respect of a company which 1s either -
(a) a valuation made in pursuance of sub-section
48(1); or
(b) a valuation (not being a valuation in pur-
suance of that sub-section) made in the
course of an investigation into the
financial condition of the company, being
a valuation -
(i) the results of which are made public;
and
(ii) in respect of which the provisions of
sub-sections 48(2), (3) and (4) and
section 49 have been complied with,
the valuation balance-sheet or valuation balance-
sheets in respect of the life insurance business
to which a statutory fund relates discloses or
disclose that the balance of the revenue account
or, if there is more than one revenue account
in respect of that business, the sum of the
balances of the revenue accounts, is greater
than the amount of the net liabilities of the
company in respect of that business, the company
may, with the approval of an actuary and subject
to sub-section (3) of this section, pay, allocate
or transfer the surplus or a part of it in any
manner consistent with the provisions of the
instruments constituting the company and the
articles of association or other rules of the
company."
In the present case, it is common ground that a relevant
surplus existed for the purposes of s.50(2): the question for
decision is whether the proposed dealing offends s.50(3). Under
that provision, restrictions are placed upon the powers of the
company to deal with the relevant surplus as follows:
"(3) The sum of the amount paid or allocated to or
for the benefit of the shareholders of the
company and the amount transferred to another
statutory fund under sub-section (2) in respect
of that part of the surplus which is derived
from participating policies registered in
Australia shall not exceed one-quarter of the
amount paid or allocated to or for the benefit
of the owners of those policies."
By s.50(4), where there were included as a liability
of a company, in the latest valuation made in respect of the
company (being a valuation referred to in paragraph (2) (a) or
(b), bonuses which were attached to policies at the date of
commencement of the Act or became attached to policies as a
result of an allocation of surplus made in pursuance of s.50,
the company may, without regard to the conditions and limit-
ations contained in ss.(2) and (3), pay or apply, in respect
of those bonuses, moneys forming part of the assets of the
statutory fund or part of a statutory fund which relates to
the business in which those policies are included.
Section 69 deals with the position of a statutory fund
in a winding-up of a company as follows:
(2)
In the winding-up of a company, the value of
the liabilities and the value of the assets
of a statutory fund of the company shall be
ascertained separately from the value of any
other liabilities or from the value of any other
assets of the company, and no assets of the
statutory fund shall be applied to the discharge
of any liabilities other than those in res-
pect of that statutory fund except in so far as
those assets exceed the liabilities of that
statutory fund.
In the winding~up of a company, if, when the
liabilities and assets of any statutory fund
of the company have been ascertained, there 1s
found to be a surplus of those assets over
those liabilities, there shall be added to the
liabilities of that statutory fund an amount
equal to that proportion of the surplus so
found as is equivalent to the proportion, if
any, of the profits in the class or classes of
life insurance business to which the statutory
fund relates, allocated to shareholders and
policy owners, which was allocated to policy
owners during the ten years immediately preceding
the commencement of the winding-up, and the
assets of that statutory fund shall be deemed
to exceed the liabilities of that statutory
fund only in so far as those assets exceed
those liabilities after that addition:
Provided that, if it appears to the Court that,
by reason of special circumstances, it would
be inequitable that the amount specified should
be added to the liabilities of any statutory fund,
the amount to be added shall be such amount as
the Court directs."
Thus, when funds have become part of a statutory fund,
the extent to which payments thereout may be made to or for the
benefit of shareholders is, prior to a winding~up and apart
from transfer to another fund pursuant to s.40 or s.40A, limited
to the circumstances provided for by s.50(2) and (3) and, in
the case of a winding-up, to the circumstances specified in s.69.
Statutory Accounts
Section 41 provides that a company shall keep separate
accounts of its receipts and payments in 'respect of each class
of life insurance business. Section 44 provides, inter alia,
for a revenue account in accordance with Form A in respect of
each class of life insurance business and a balance sheet in
accordance with Form D. Those forms appear in the First Schedule.
Form A is a revenue account to be kept in respect of a
class of life insurance business. With respect to that class
of business, the revenue account is to set out the relevant
particulars for the year. The credits include the balance of
accounts at the beginning of the year, the premiums received
during the year, investment income, appreciation of assets and
"Pransfers from Reserves (to be specified)". The expenditure
side of the account provides for amounts paid under the policies,
including bonuses paid in cash and outgoings including commissions,
salaries, travelling expenses, contribution to staff superannuation
fund or scheme, directors' fees, and the like. The expenditures
specified include "Shareholders' Dividends", "Transfers to
Profit and Loss" and also "Transfers to Reserves (to be
specified)".
Form D, the balance sheet, includes, amongst its items,
the balances of revenue accounts and reserve accounts and re-
quires that," (Where)a company maintains more than one statutory
fund in respect of its life insurance business, the amounts of
the items in the balance~sheet shall be shown in separate columns
in respect of each statutory fund in lieu of combining those
amounts in the columns headed 'Life Insurance Business'." (Note 1)
The dispute with the Commissioner
These proceedings arose out of an abstract of the report
of the applicant's actuary prepared pursuant to
s.48(1)(b). Section 48(1) provides that every company shall, at
intervals of five years or such shorter intervals as it notifies
to the Commissioner, cause an actuary to make an investigation
of its financial condition and to furnish a written report of the
results of the investigation and cause an abstract of the report
of the actuary to be prepared in accordance with the provisions
of the Second Schedule and a statement of its life insurance
business to be prepared in accordance with the provisions of
the Third Schedule. Section 48(3) provides that the company
shall cause a separate abstract and a separate statement to
be prepared in respect of each class of life insurance business
carried on by the company.
The Second Schedule requires that there shall be
annexed to every abstract a summary and valuation in accor-
dance with Form I in the Schedule of the policies included
in the class of business to which the abstract relates and a
valuation balance sheet in accordance with Form J of the
Schedule. Form I requires particulars for participating
policies to be shown separately from those for non-partic-
ipating policies. Form J is as follows:
" FORM J
VALUATION BALANCE-SHEET OF (class of life insurance business}
OF (name of Company) AS AT (date)
Total Total
$ $
Net liabilities under Balance of Revenue
policies =< Account
On registers in Deficiency (if any)
Australia or a
Territory
Other
Surplus (if any)
i
The liabilities referred to in the valuation balance
sheet are to be calculated in accordance with s.49 which is in
these terms, so far as material:
(3)
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The basis of valuation adopted shall be
such as to place a proper value upon the
liabilities, having regard to the mortality
experience among the persons whose lives
have been insured by the company, to the
average rate of interest from investments
and to the expenses of management (in-
cluding commission), and shall be such
as to ensure that no policy shall be
treated as an asset.
The value placed upon the aggregate liab-
ilities of a statutory fund in respect of
policies by reason of the adoption of any
basis of valuation shall not be less than
it would have been if it had been cal-
culated on the Minimum Basis in accordance
with the rules set forth in the Fourth
Schedule or, if those rules have been
amended by the regulations, in accordance
with those rules as so amended."
It ig the contention of the
Commissioner that, having regard to the operation of s.50(3),
the abstract tendered by the applicant did not comply with
certain of the provisions of the Second Schedule to the Act.
Part II of the Second Schedule provides that the abstract of the
report of the actuary shall disclose the following information,
inter alia:
(7)
the basis adopted in the distribution of surplus
as between the company and policy owners, and
whether that basis was determined by the instru-
ments constituting the company, or by its
articles of association or other rules, or, if
not, how the basis was determined;
the general principles adopted in the distrib-
ution of surplus among policy owners, including
statements on the following matters:
(a)
whether the principles were determined by
the instruments constituting the company,
ox by its articles of association or other
rules, or, if not, how the principles were
determined;
(b)
(c)
(a)
-ill-
the number of years' premiums to be paid,
period to elapse, and other conditions to
be fulfilled, before a bonus is allotted;
whether the bonus is allotted in respect
of each year's premiums paid, or in
respect of each completed calendar year
or year of insurance or, if not, how the
bonus is allotted; and
whether the bonus vests immediately on
allocation or, if not, the conditions
of vesting;"
It is now common ground that the abstract prepared hy
the applicant does not comply with the foregoing provisions
for reasons not connected with the operation of s.50(3).
The matter of contention springs from the operation,
if any, of s.50(3) upon the provisions of para. (8) of the
Schedule:
the total amount of surplus arising during the
inter-valuation period including surplus paid
away and sums transferred to reserve funds or
other accounts during that period, and the
amount brought forward from the preceding vaiu-
ation (to be stated separately) and the
allocation of that surplus -
(a)
(b)
(c)
(d)
to interim bonus paid;
among policy owners with immediate partic-
ipation giving the number of the policies
which participated and the sums insured
under the policies (excluding bonuses);
among policy owners with deferred partic-—-
ipation, giving the number of the policies
which participated and the sums insured
under the policies (excluding bonuses):
among shareholders or to shareholders'
accounts (any such sums passed through the
accounts during the inter-valuation period
to be separately stated);
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(e) to every reserve fund, or other fund or
account (any such sums passed through the
accounts during the inter-valuation period
to be separately stated); and
(f£) as carried forward unappropriated;".
Finally, reference should be made to s.55(1), which
empowers the Commissioner to instigate an investigation, and
specifically refers to the circumstance that:
"... a valuation balance-sheet annexed to an abstract
prepared in pursuance of Division 5 shows that the
balance of the revenue account in respect of the life
insurance business to which a statutory fund relates,
or in respect of a part of that business, is less than
the amount of the liabilities of the company in respect
of that business or that part of that business, as the
case requires;".
Powers of the Commissioner and of the Tribunal
By s.52(3), if it appears to the Commissioner that any
account, balance-sheet, abstract, statement or return lodged
with him by a company is, in any particular, unsatisfactory,
incomplete, incorrect or misleading, or that it does not com-
ply with the requirements of this Act, the Commissioner may
reject the account, balance-sheet, abstract, statement or
return and give such directions as he thinks necessary for the
variation of any of them.
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Section 138 empowers the Tribunal to review:
"(l) ...
(g) a rejection under sub-section 52(3) of
an account, balance~-sheet, abstract,
statement or return or a direction given
under that sub-section:".
The Facts
The applicant was incorporated on 16 November, 1960.
It has two statutory funds in respect of the life insurance
business carried on by it: one in respect of ordinary life
insurance business and the other in respect of superannuation
life insurance business.
The Tribunal found that experience in the industry has shown
that, during the early years of a fund and during periods of
development of new business, a fund may fall into deficit un-
less moneys from outside the fund are made available to meet
the deficiency. This position arises principally from the cost
of commissions on the sale of new business and other develop-
mental expenses. Some of those expenses can be paid directly
out of shareholders' funds rather than out of the assets
-14-
appropriated to the fund. But, as the Tribunal found, it is
not the practice to adopt that course and the structure of the
accounts established by the Schedules to the Act suggests that
the proper course is to meet expenses relating to the business
of a fund from the assets which have been appropriated to that
fund. Generally, therefore, additional funding is provided
by means of the appropriation of shareholders" funds to the
statutory fund. This 1s contemplated by the Act, for Form A
provides for "Transfers from Reserves", being transfers to the
fund of moneys not otherwise within the fund.
Between September, 1971 and September, 1974, the ap-
plicant effected a number of transfers from reserves to
the statutory funds of significant amounts. In implemen-
tation of the resolutions for transfer, the shareholders'
funds transferred were purportedly appropriated, in "internal"
accounts, to "non-participating" sections of the statutory
funds. The Tribunal found that, at the time, the concept was
in the mind of the applicant that when, in subsequent years,
surpluses were disclosed in the statutory funds, so much of
the surpluses as related to the shareholders' funds so paid
in could be withdrawn, without infringing s.50(3), for the
-i15 -
reason, it was thought, that it could properly be argued that
the surpluses would not be derived from participating policies.
The "internal" accounts had their origin in the follow-
ing resolution of the board of directors of the applicant on
8 March, 1972:
"SPLITTING OF STATUTORY FUND
Ordinary/ The Board also approved of the
Superannuation management decision to split the
statutory fund for year ended
December 31, 1972 and subsequent
years, into separate and distinct
ordinary and superannuation
statutory funds.
With Profit/ These funds in turn to be further
Non Profit split into 'with profit' and 'non
profit' business for the purpose of
correctly ascertaining the contrib-
ution to surplus. This latter split
would be an internal record only and
would not be published."
The principal reason for splitting the statutory fund
was stated by the applicant's managing director, Mr. J. Corbett,
in a report dated 11 April, 1974 on the topic in these terms:
"The principle (sic) point in preparing with profit and
non profit accounts is to enable (the applicant) to
be in a position to demonstrate to the Life Insurance
Commissioner the sources from which surplus has emerged
for (the applicant). In particular it may become
necessary at some time in the future to demonstrate
that although an amount allocated to shareholders is
in excess of 25% of the amount allocated to policy-
holders for that particular year, the actual distrib-
ution to shareholders is nevertheless less than the
sum of 25% of surplus distributed to policyholders
plus 100% of surplus existing in respect of non profit
business. It 1s unlikely that we will need to do this
-16-
for a number of years but unless we have accounts
carefully recorded in the interim we would find
it difficult to establish the distributed situation
at the time the Life Insurance Commissioner questioned
our allocations of surplus.
It would seem sensible to note in the Board Minutes of
(the applicant) that non profit and with profit accounts
had been received and adopted for a particular year.
The passing of any such resolution however should be
deferred until we have the necessary audited accounts
available."
On 6 March, 1978, by Statutory Rule No. 31 of 1978,
the Fourth Schedule was amended to change the "Minimum Basis"
of valuing the liabilities of an insurance company. As a
result of a subsequent revaluation of the liabilities of the
applicant's ordinary life insurance fund, a surplus of
$1,140,000 arose in respect of the year ended 31 December,
1979. The total surplus as at 31 December, 1979 was
$1,572,863, there being a surplus of $417,829 otherwise
arising during the year and a surplus brought forward of
$15,034. Of this surplus, the Board purported to resolve
to distribute $175,406 among policyholders with partici-
pation in profits and $930,000 for the benefit of shareholders.
In respect of the fund relating to superannuation business,
the surplus as at 31 December, 1979 was $243,499 and, of
this, $56,989 was to be distributed to participating polaicy-
holders and $125,000 to shareholders' accounts.
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The "internal" accounts
In most years, in the period from 1972 to 1980, an
amount was transferred from the development reserve, being
part of shareholders' funds, to the "non-participating"
section of each statutory fund. No such transfer took place
an the case of the "participating" section. The transfers
resulted in a significant improvement in the financial position
of the "non-participating" section only.
In each year, the applicant's auditor expressed an
opinion, in similar terms, on the apportionment of certain
items between "participating" and "non-participating" business.
By way of example, the auditor's opinion expressed in res-
pect of the 1979 year was as follows:
""T advise that the attached balance sheet as at
3lst December, 1979 and revenue accounts for the
year ended on that date are in agreement with the
statutory financial statements prepared in accor-
dance with the provisions of the Life Insurance
Act, 1945-1978 on which I reported as auditor,
subject to the division of the revenue accounts
between with profits and without profits business.
I have checked the apportionment of investment in-
come, expenses and other outgo and profits and
losses on sale of assets between with profits and
without profits business and advise that, in my
opinion, it has been made in an equitable manner."
It will be noted that the auditor does not refer to
any possible apportionment of the amount transferred from the
development reserve or any other part of the shareholders' funds.
-18 -
The abstracts
The Commissioner contends that the requirements of
Part II of the Second Schedule to the Act were not complied
with in a number of respects:
First, clause (6) of Part II requires that:
"Every such abstract shall show -
(6) the basis adopted in the distribution of surplus
as between the company and policyowners, and
whether that basis was determined by the instru-
ments constituting the company, or by its
articles of association or other rules , or,
if not, how the basis was determined;".
In respect of this matter, the abstract stated:
"6. The basis of distribution of surplus as between
the company and policyowners was decided by the
Directors, acting on the recommendation of the
Actuary". .
It is agreed that this response did not set out what was
the basis of distribution as between the company and policyowners
nor, save as to stating by whom the basis was determined, did it
state how the basis was determined.
Secondly, clause (7) of Part II requires that the
abstract state:
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"(7) the general principles adopted in the dis-
tribution of surplus among policyowners,
including statements on the following matters:
(a) whether the principles were determined by
the instruments constituting the company,
or by its articles of association or other
rules, or, 1f not, how the principles were
determined;",
The abstract stated:
"7. (a) The principles adopted in the distribution
of surplus among policyholders were adopted
by the Directors, acting on the recommendation
of the Actuary."
Again, it is agreed that this answer did not set out what
were the principles adopted in the distribution of surplus among
policyholders. The applicant does not challenge the Commission's
rejection of the abstract in respect of clauses (6) and (7).
Thirdly, (and this is the issue in the present proceedings),
paragraph 8 of the abstract read:
"8. The surplus arising during the intervaluation
period from 1 January, 1979 to 31 December, 1979
and the surplus brought forward from the previous
valuation was as follows:
Ordinary Superannuation
Business Business
$ $
Surplus arising from change in
valuation basis 1,140,000 307,000
Surplus arising during
year 417,829 (-) 67,710
Surplus brought forward 15,034 4,209
1,572,863 243,499
y
- 20 =
The total surplus shown above of $1,572,863 from
Ordinary business and $243,499 from Superannuation
business was allocated as follows:
Ordinary Superannuation
Business Business
$ $
(a) to interim bonuses NIL NIL
(b) among policyowners with
immediate participation
in profits: 4,844 Ordinary
policies insuring
$50,785,069 435
Superannuation policies
insuring $10,446,753 175,406 56,939
(c) among policyowners with
deferred participation
in profits NIL NIL
(ad) among Shareholders or to
Shareholders accounts 930,000 125,000
(e) to Investment and
Contingencies Reserve NIL NIL
(£) carried forward
unappropriated 467,457 61,510
1,572,863 243,499
(Item (b) equals the new liability arising from the
allocation of bonuses)".
The Gommissioner's directions
The Commissioner contended that this answer showed a
distribution for the benefit of shareholders which was in-
consistent with the provisions of s.50(3). On 13 March, 1981
the Commissioner served upon the applicant a notice pursuant
to s.52(3) reciting that he was of the opinion that the
allocation of surplus among shareholders was unsatis-
factory and incorrect and did not comply with s.50. The
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Commissioner rejected the abstract and purported to give a
direction in these terms:
"T ... direct in pursuance of sub-section 52(3) of
the Act that the company shall within the period of
one month from the date of service of this notice,
vary the allocation of surplus among Shareholders or
Shareholders' accounts shown in paragraph 8(a) so
that an amount not exceeding $278,000 in total shall be
shown as having been derived from non-participating
policies and furnish me with a properly signed Second
Schedule Return to this effect. I also direct that
the allocation among Shareholders or Shareholders'
accounts {$930,000 in respect of Ordinary Business
and $125,000 in respect of Superannuation Business)
shown in the said rejected abstract shall not proceed."
(A similar direction was given in respect of the
1980 year.)
The decision of the Tribunal
The Tribunal was of the opinion that the intent of this
direction was correct. In its view, the resolution of the dir-
ectors purporting to authorise the transfer was in conflict
with s.50(3). Therefore, the Tribunal held, there was no valid
authorisation of the payment or allocation of that sum to or
for the benefit of shareholders. However, in the Tribunal's
view (and this is not challenged), s.52(3) does not empower
the Life Insurance Commissioner in terms to direct that an
allocation of a sum shown in a rejected abstract shall not
proceed. For these reasons, the orders made by the Tribunal
were as follows:
~ 22 -
"], That the Tribunal affirms the decisions of the
Life Insurance Commissioner that the abstracts
of the actuary lodged by Sentry Life Assurance
Limited with the Life Insurance Commissioner
for the 1979 and 1980 years are rejected.
2. The Tribunal sets aside the directions given by
the Life Insurance Commissioner and in substit-
ution therefor directs that:
Sentry Life Assurance Limited lodge with the
Life Insurance Commissioner within two months
of this date abstracts of reports of its
actuary with respect to the 1979 and 1980
years which comply with the provisions of
the Life Insurance Act 1945 including s.50
and the Second Schedule thereof."
In essence, the Tribunal based its rejection of para. 8
of the abstract upon its perception of a fallacy underlying the
keeping of the "internal" accounts. The Tribunal said that,
although the shareholders' funds were all credited to non-
participating business, there was no justification for this:
the sums paid in benefited all policy holders. In truth, the
funds were paid in to meet deficits which could be seen to be
emerging with respect to both participating and non-partici-
pating business. Moreover, the funds were paid in to produce
a surplus adequate to provide bonuses for the participating
policyholders. Therefore, in the Tribunal's view, the share-
holders' funds were paid in for the benefit of the participating
policyholders as well as for the benefit of the non-participating
policyholders. There was no warrant, therefore, for crediting the
funds in the internal accounts solely to the non~participating
business. That step was taken only because it was desired to
achieve a certain result, namely, that if, at any future time,
an adequate surplus emerged, it could, to the extent of the
- 23 -
past shareholders' subsidies, be distributed out to shareholders
without infringing the provisions of s.50(3). But what was re-
quired was a fair and equitable apportionment of the shareholders'
subsidies as between the two parts of the business. Such an ap-
portionment was neither attempted nor achieved (Tribunal's
reasons p.15). This, in the Tribunal's view, vitiated the
abstract to that extent (i.e. para. 8).
The history of s.50(3)
The purpose of the Act is to regulate life insurance
business conducted in Australia, and to protect the interests
of persons who have effected life insurance policies. The ob-
ject of the Act was to consolidate and extend the provisions of
the various enactments of the Commonwealth and State Parliaments
on the subject (see Australia Parliamentary Debates, House of
Representatives, 25 May, 1945, 17th Parliament, 3rd Session,
Vol. 182, p.2144, (Mr. Chifley, Acting Prime Minister and
Treasurer, moving-the second reading speech); cf. T.C.N. Channel
Nine Pty. Ltd. v. Australian Mutual Provident Society (1982) 42
A.L.R. 496 at p.507; Commissioner of Taxation (Cth.) v. Whitfords
Beach Pty. Ltd. (1982) 56 A.L.J.R. 240 at p.246).
The precursor of s.50(3) was s.14 of the Industrial Life
Assurance Act, 1940 (Vic.), which provided that:
"No company shall allocate out of that part of its
surplus which is derived from industrial life assur-
ance business in connexion with participating
policies, more than twenty per centum thereof to
its shareholders."
- 24 -
A "participating policy" was defined (s.2) as meaning:
"an industrial life assurance policy under which the
company agrees, subject to the terms and conditions _
of the policy, to pay to the policy holder a share of the
company's surplus in addition to the sum assured."
The provisions of s.14 of the Victorian Act sprang from a
recommendation made in the report of the Royal Commission on
Industrial Life Assurance appointed by the Victorian Government
in 1938 under the Chairmanship of Mr. T.S. Clyne, as he then was.
In their report, the Commissioners said (at p.12):
"Companies are usually obliged to cause a periodical
investigation to be made into their financial condition
by an actuary, and this investigation shows the extent
of their net liabilities, under their policies, in com-
parison with their assurance funds. Such an investig-
ation should also show whether the operations of the
company have resulted in a surplus or a deficiency.
The valuation basis adopted by the actuary can, and often
does, affect the amount of the surplus available for
a conservative valuation tends to reduce the surplus in
the early years of the policy but to increase it in later
years.
Surplus may arise where one or more of the following
conditions exist:
(a) Where a rate of interest is earned in excess of
the rate assumed;
(b) Where a mortality experience is more favourable
than that assumed;
(c) Where administration expenses are less than those
assumed in calculating office premiums;
(a) Where the premium is loaded for the purposes of
providing bonuses;
and, in certain circumstances, lapses also are a source
of profit.
- 25 -
In Australia, the surplus of the larger companies
appears to be maanly derived from interest.
During the early history of industrial life assurance
policies did not generally participate in distributions
of surplus, but in recent years there has been a
marked tendency in favour of participating policies.
It might be here observed that in the State of Victoria
the great majority of the policies now in force are
with-profit or participating policies.
The existence of surplus and the amount thereof must
necessarily depend upon the efficiency of management
of the particular company. While surplus enures for
the benefit of all the participating policy-holders of a
mutual company, in the case of a non-mutual company the
amount of surplus available for policy-holders
generally depends upon the provisions of its constit-—
ution relating to the distribution of surplus."
The report clearly contemplates the need to protect partic-—
ipating policyholders in the circumstances described. The recomm-
endations of the Commissioners included:
"(£) Every company should distribute to its partic-
ipating policy-holders in respect of each inter-
valuation period, at least 80 per cent. of the
surplus or profits which may be earned by the
company during such period by that part of its
industrial assurance business which relates to
with-profit policies.
(g) If any company can prove to the satisfaction of
the Government Statist that the allocation of
surplus or profits hereinbefore recommended is
unfair to its shareholders, the Governor in
Council may vary such allocation upon the
recommendation of the Government Statist ."
Section 50 of the Life Insurance Act, 1945, as originally
enacted, was different from s.50 in its present form. Whilst there
have been changes in the form and structure of s.50 (Act No. 94,
1953; Act No. 29, 1961), we need not describe them, since they do
not bear upon the construction of the present provision. However,
it is plain enough that s.50(3) was derived from the Victorian
Act which, in turn, had its source in the Royal Commission report.
-~ 26 -
The construction of s.50(3)
Section 50(3) refers to "(the) sum of the amount
paid or allocated ... and the amount transferred in respect
of that part of the surplus which is derived from participating
policies ..." (our emphasis). The provision thus assumes that
it may be possible to establish or, at the least, to attrib-
ute, some nexus between a part of the surplus and the partic-
ipating policies. Section 50(3) seems further to assume that,
in turn, this part of the surplus may be traced into the sum
of the amount paid or allocated to or for the benefit of share-
holders and the amount, if any, transferred to another statutory
fund. For convenience, we shall hereafter refer to the latter
sum as payments to shareholders since, in the present case, no
transfer to another fund is involved.
In other words, on its face, s.50(3) assumes that, in a
given case, it may be possible, andnecessary, to carry out a tracing
exercise which tracks the flow of funds from the revenue gen-
erated by the participating policies into the mixed fund (being
the statutory fund consisting of participating and non-partici-
pating policies), and thereafter out of that mixed fund in the
form of payments to shareholders. Prima facie, there would
appear to be no reason why, as an accounting matter, such an
exercise should not be carried out. We shall deal with this
later, in the context of the operation of s.50(3).
-27 -
So far as the construction of s.50(3) 1s concerned, the
critical element of the provision for present purposes is the
words "that part of the surplus which is derived from partici-
pating policies." In s.4{1), such a policy is defined as mean-
ing "a policy by the terms of which the owner of the policy is
entitled to a share in surpluses or profits which may be dis-
tributed by the company". There would appear to be no distinc-
tion intended to be drawn between "surpluses" and "profits" in
this connection. There 15 no statutory definition of "surplus"
but it is plain enough that the "surplus" referred to in s.50(3)
is the same surplus as that mentioned in s.50(2).
There is no statutory definition of "derived". Its
ordinary meaning is to receive or obtain from a source or
origin or to trace, as from a source or origin (Oxford English
Dictionary). In Commissioners of Taxation v. Kirk (1900) A.c.
588, the extraction of ore from the soil was held to be income
"derived" from certain lands, notwithstanding that the finished
products were sold exclusively outside New South Wales. Their
Lordships (at p.592) attached no special meaning to the word
"derived", which they treated as synonymous with "arising" or
"accruing" (see also Harding v. Federal Commissioner of
Taxation (1917) 23 C.L.R. 119 at p.133).
It has also been held that "derived" covers a wider field
than "received". It connotes the source or origin of, e.g. in-
come rather than its immediate receipt; that 1s, the "originating
cause" of the payment being made and not merely "the quarter
- 28 -
whence the moneys come". It means "flowing", "springing" or
"emanating from" (see Kemp v. Minister of National Revenue [1948]
1 D.L.R. 65 at p.71; Inland Revenue Commissioner v. N.V. Philips'
Gloeilampenfabrieken [1955] N.Z.L.R. 868 at p.883). The
revenue authorities show that consideration of the question
whether an amount was "derived" from a particular source in-
volves looking beyond the immediate point of funding the amount
to what, in practical terms, should be treated as its sub-
stantial source (see Nathan v. Federal Commissioner of Taxation
(1918) 25 C.L.R. 183 at p.189) Further, in Evans v. Deputy
Federal Commissioner of Taxation (1936) 55 C.L.R. 80, Rich,
Dixon and Evatt, JJ. said (at p.101):
",.. The word "derived" does not connote that the profit
must be a realized profit. It is enough at least if it
is an ascertained profit, ascertained by a proper
account."
In our opinion, when s.50(3) speaks of the derivation of
part of the surplus, 1t 1S inviting an inquiry into its real
source, ascertained by a proper account and looked at as a
"practical, hard matter of fact" (cf. Insurance Commissioner v.
Associated Dominions Assurance Society Ltd. (1953) 89 C.L.R.
78 at p.98). The history of the legislation is consistent
with this interpretation.
Inquiries of this type, dealing with a mixed fund, occur
frequently in a wide range of statutory contexts, particularly
in the revenue field (see, for example, Commissioner of
Taxation (N.S.W.) v. Hillsdon Watts Limited (1937) 56 C.L.R.
35 at 51-2 per Dixon, J.; Hughes v. Bank of New Zealand [1938]
A.C. 366; Inland Revenue Commissioners
- 29 -
v. Australian Mutual Provident Society (1947! A.C. 605;
Mutual Life & Citizens Assurance Company Limited v. Commissioner
of Taxation (1959) 100 C.L.R. 537; Australian Mutual Provident
Society v. Commissioner of Inland Revenue i962} A.C. 135;
Inland Revenue Commissioners v. Montgomery [1975] 1 Ch. 266 at
271). So far as concerns the general law, both common law
and equity have always permitted tracing into and out of, mixed
funds in appropriate circumstances (see Keeton and Sheridan,
Equity (1969) at p.521 et seq; Goff and Jones, The Law of
Restitution, 2nd Ed. (1978) at p.48 et seq; pp.57~8). In our
Opinion, s.50(3), on its true construction, calls for an inquiry,
of a practical kind, as to the source of the surplus. In
that inquiry, it is necessary to attribute to the partic-
ipating policies an appropriate proportion, if any, of the
surplus. We do not understand there to be any significant
difference of approach on the part of the applicant and the res-
pondent to the construction of s.50(3) at this general level.
The real point of departure, as we see it, is in the application
or operation of the provision.
The operation of s.50(3)
The respondent submitted that the reasoning of the
Tribunal was correct, involving as it did, a "fair and equitable"
apportionment as between the participating and the non-partic-
ipating sections of the fund of the injections of shareholders'
funds. The applicant, on the other hand, contended that the
Act required no such apportionment: all that s.50(3) called
for was a simple enquiry as to the nexus, 1f any, between the
- 30 -
s.50(2) surplus and the participating policies. In the present
case, the "internal" accounts disclosed that the revenue ac-
count of those policies was in deficit and hence did not con-
tribute to the surplus. It follows that the requisite nexus
could not be established and s.50(3) did not apply. For this
purpose, any transfers from any reserves are to be ignored as
irrelevant: all that is required to avoid the restrictions of
s.50(3) 1s to demonstrate that there 1s a deficit in the par-
ticipating policy business, ignoring for this purpose first, any
transfers from reserves and secondly, any surplus in the non-
participating business. Such a deficit, the applicant submitted,
1s to be ascertained (as here) merely by making up a notional
balance sheet for that business involving a comparison between
a revenue account in that behalf (excluding transfers from res-
serves) and the net liabilities under those policies.
In its terms, s.50(3) requires the ascertainment, on
proper accounts, of the proportion, 1£ any, of the surplus which
should properly be attributed to the participating policies. [In
our opinion, this 1s an accounting question, looking at the
statutory fund as a whole. In any such accounting, the fact
that, at all material times, there was only one statutory fund
for ordinary life insurance business and one for superannuation
business is, we think, of fundamental significance. The
applicant did not seek the consent of the Commissioner under
$.37(2) to partition the fund unto two classes of business
(participating and non-participating) and thus to create two
statutory funds to replace the existing fund in each case.
Hence, the question must be considered upon the footing
that, there being only one fund, all transfers into or out of
the fund, such as transfers from reserves or by way
-31-
of distribution of surplus, should be treated as payments into
or out of the fund as a whole. In other words, in our view, it
wasnot open to the applicant to transfer moneys into the fund
from a reserve and then to purport to appropriate those moneys to
one section only of the fund, viz, the non-participating section.
The making of such an appropriation within a statutory fund is,
in our opinion, prohibited by ss.37 and 38: those provisions
require that, absent the consent of the Commissioner to the
establishment of a new fund in respect of part of that business,
the whole of the assets of the statutory fund are available for
that class of business generally and not only for a specified part
of that business. Ib appropriate the subsidy to part only of the
statutory fund is a "back door" approach and,in truth,is no more
than an attempt to do indirectly what is forbidden to be done
directly (see James v. Eve {1873} LR. @ HL. 335 at p.344;
Oxley County District Council v. Macleay River County District
Council (1964) 65 S.R. 13 at p.28). It lacks validity
accordingly.
Thus, even if the participating policyholders had no
right in equity to have the assets marshalled (see In re
International Life Assurance Society \1875) 2 Ch.D. 476), the
provisions of ss.37 and 38, in our opinion, prohibit any attempt
to appropriate part of the assets of the fund to one section
only of the business of that fund. In any event, initially at
least, the subsidies, being the transfers in question, were
made to the fund as a whole, without any attempt being made, at
- 32 -
that stage, to restrict the benefit of the transfers to the
non-participating business only. The subsequent attempt, ex
post facto, to attribute the subsidy exclusively to non-par-
ticipating business was, for the reasons we have given, with-
out legal effect and should be disregarded. The position
simply 1s that amounts have been injected into the two statut-
ory funds as a whole by way of transfer from a reserve. The
question is then one of determining a proper basis, if any,
for apportionment of the transfers from reserves as between
participating and non-participating business.
Apportionment of the transfers from reserves
There are many purposes of the law for which it may be
necessary to make an apportionment in respect of a payment.
Unless a special appropriation can be made (and by dint of
ss.37 and 38, none was open here), the rule is that a payment
is attributed rateably to each dollar of a fund (see Mutual
Life & Citizens' Assurance Co. Ltd. v. Commissioner of Taxation
(1959) 100 C.L.R. 537 at p.555; Resch v. The Federal
Commissioner of Taxation (1942) 66 C.L.R. 198 at p.230).
It follows, in our view, that when, from time to time
transfers were made of funds from a reserve into the stat-
utory funds, those transfers should be treated as made to
- 33 -
the fund or funds as a whole and apportioned within the
fund or funds by attributing the payment or transfer so
made to each dollar of the fund in the case of both partic~-
ipating and non-participating business. Since no appropri-
ation within the fund or funds of the payment or transfer
is open, the statutory fund or funds is er are advantaged
as a whole and a surplus in the fund as a whole within the
Meaning of s.50(2), is realised accordingly in each year.
The "internal" accounts should therefore be rejected so far
at least as they attributed the subsidies to the non-partic-
ipating segment only.
That part of the surplus which is derived from participating
policies
For the reasons we have given, s.50(3) requires the
carrying out of a practical inquiry, on a taking of proper
accounts, into the real source of the surplus and, in par-
ticular, an inquiry as to whether 1t is proper to attrib-
ute part of that surplus to the participating policy part
of the applicant's business. The starting point is the
preparation of proper accounts.
Proper Accounts
Although it rejected the "internal" accounts, the
Tribunal did not attempt to recast the accounts of the
- 34 -
statutory funds. For the reasons it gave, we agree that it
was inappropriate for the Tribunal to do so. However, whilst
we agree with the rejection of the "internal" accounts, we
share the reservations expressed by Fitzgerald, J. as to the
Tribunal's notion of a "fair and equitable" apportionment of
the subsidies. An apportionment is called for but, in our view,
1t must be effected pro rata. It may be that the Tribunal had
only this in mind in its notion of apportionment but the pos-
ition is by no means clear (cf. the reference to what would be
"inequitable" in the proviso to s.69(2)).
In its approach, the Tribunal seems to have regarded the
outcome of the proceedings as depending upon the acceptance or
otherwise of the "internal" accounts. In that connection, the
Tribunal seems to have assumed that the "internal" accounts some-
how misrepresented the deficits in the participating policies
segment of the fund, independently of the impact of the trans-
fers from reserves. They referred to the ability to pay bon-
uses on participating policies as evidence that, in truth, that
sector of the applicant's business was generating surpluses
whereas the "internal" accounts disclosed deficits in that
respect. However, the Tribunal did not embark upon any detailed
analysis of the accounts for this purpose. We therefore do not
have a specific finding on the point and, in the light of the
conclusion we have reached, it 1s not appropriate for us to
consider the matter further.
The problem was compounded when, in this Court, the
applicant abandoned any reliance on the "internal" accounts,
notwithstanding their central importance to the proceedings
- 35 -
below. The applicant sought before us to ignore the "internal"
accounts and instead to rely upon a deal of primary material
and to use the figures there contained to construct an argu-
ment, largely of a factual nature, that, in the circumstances,
no nexus between the surplus and the section of the fund involv-
ing the participating policies could be perceived: on the
primary material indicated, if earlier transfers from reserves
are ignored, that section was at all material times in deficit;
hence, it could never have contributed to the surplus. Thus,
it was submitted, no part of the surplus was "derived from"
those policies for the purposes of s.50(3).
There are real difficulties in inviting the Court at
this late stage to embark upon a factual enquiry of the kind
now suggested. In the first place, the jurisdiction of the
Court under s.44(1) of the Administrative Appeals Tribunal
Act, 1974 1s limited to a decision on a question of law only.
Clearly, the proper construction of s.50(3) and the question
of apportionment of the transfers from reserves do raise legal
questions: the same cannot necessarily be said of the argu-
ment now put. Secondly, the submission now advanced raises an
issue of a factual kind which, in any event, may already have
been resolved by the Tribunal adversely to the applicant.
We doubt whether, strictly speaking, the submission
now put does raise a question of law. In any event, 1t would
not be appropriate for the Court to explore such a matter in
the absence of specific findings by the Tribunal. In particular,
we think that it is undesirable that we speculate about the
proper inferences to be drawn from the figures, complex as
they are. We do not have the material available to make a
finding of the type now sought even if it were open to us to do
so. We are in no position to recast the accounts ourselves.
The orders made by the Tribunal were framed in general
terms and gave no direction as to the treatment of any specific
item in the applicant's accounts. The matter was thus resolved
in principle and it was left to the parties to resolve the
details to be contazned within the fresh abstract. We agree
that this is the appropriate course to be adopted in the
circumstances. The Tribunal has directed no more than that a
proper account be submitted by the applicant. It has not at-
tempted to determine the details of the account in advance.
In our view, in the absence of a full knowledge of all relevant
details of that account, it would be wrong to seek to isolate,
in the accounts as presently framed, a few items and then
conclude, as the applicant urges, that no nexus has been
established between those items and the participating section
of the business. Such a conclusion can only be drawn from
the accounts as a whole when properly recast along the lines
we suggest.
Relief to be granted
In the circumstances, whilst we are not persuaded that
the applicant is wrong in its submissions on the effect of
the primary Material now sought to be relied upon, we do not
- 37 -
think that it is appropriate that we should now come to any
final conclusions on what are essentially accounting questions.
Those conclusions should only be arrived at after the accounts
have been recast along the lines we suggest and, in particular,
after the transfers from reserves have been properly apportioned
within the funds. Only after the accounts have been rewritten
will it be possible to ascertain whether, in the relevant years,
a proper account discloses that some part, if any, of the
statutory surplus was derived from the participating policies.
At the same time, we should indicate that we agree with
the view expressed by Fitzgerald, J. that, in terms of deriv-
ation of any relevant surplus, a transfer from a reserve should
not be treated as a source of any part of the surplus generated
by the participating policies section of the applicant's
business. In other words, we agree with Fitzgerald, J. that
the transfers from reserves are not, as such, to be attributed
to the participating policies as their source for the purposes
of s.50(3).
We would propose to order that the decision of the
Tribunal be set aside and that the case be remitted to the
Tribunal to be heard again with the hearing of further evidence,
1f necessary. Since neither party has really succeeded in the
appeal, each party should bear its or his own costs.
IN THE FEDERAL COURT OF AUSTRALIA)
)
NEW SOUTH WALES DISTRICT REGISTRY) NSW G128 of 1982
GENERAL DIVISION )
ON APPEAL FROM THE ADMINISTRATIVE APPEALS TRIBUNAL
BETWEEN :
SENTRY LIFE ASSURANCE LIMITED
Appellant
LIFE INSURANCE COMMISSIONER
Respondent
CORAM: Morling, Fitzgerald & Beaumont JJ.
DATE: 29 August 1983
REASONS FOR JUDGMENT
Pitzgerald J.: The question of law raised by this appeal from
the Administrative Appeals Tribunal concerns the interpretation
of the Life Insurance Act 1945 ("the Act") and more particularly
sub-s. 50(3) of the Act. The appellant is an insurance company.
The respondent Life Insurance Commissioner rejected under sub-s.
52(3) of the Act abstracts of actuarial reports into the
appellant's financial condition in the calendar years 1979 and
1980 which the appellant was required to cause to be prepared and
to lodge with the respondent pursuant to sub-ss. 48(1) and 52(2)
of the Act. The respondent's decision was affirmed by the
Administrative Appeals Tribunal on a review under sub-s.138(1) of
the Act. The apellant disputes that there was any deficiency in
the abstracts beyond a non-compliance with paragraphs 6 and 7 of
the Second Schedule to the Act, and, in particular, it calls in
question the other basis upon which the abstracts were rejected,
namely, that paragraph 8 of the Second Schedule was not
satisfied. That issue depends substantially, if not entirely, on
which of the competing views of sub-s. 50(3) of the Act is
correct.
In the material years, the appellant had established and
maintained a single statutory fund in relation to all its
ordinary life insurance business other than superannuation
business and a further single statutory fund in relation to its
superannuation business; that is to say, it maintained a single
statutory fund in each case with respect to both participating
and non-participating policies. By sub-s. 4(1) of the Act, a
"participating policy" is defined to mean, unless the contrary
intention appears, "a policy by the terms of which the owner of
uJ
.
the policy is entitled to a share in surpluses or profit which
may be distributed by the company". Each of the appellant's
statutory funds related to a single class of business within the
meaning of the Act, and the appellant, in acting as it did, was
acting in accordance with the Act and with industry practice.
Part III Division 4 of the Act is headed "Accounts,
Balance Sheet and Audit". Section 41 requires that a company
keep separate accounts of its payments and receipts in respect of
each class of life insurance business. Section 44 provides fora
Balance Sheet in respect of each class of life insurance business
in Form D in the First Schedule to the Act. A note to Form D in
the First Schedule provides that -
"Where a company maintains more than one
statutory fund in respect of its life
insurance business, the amounts of the items
in the balance sheet shall be shown in
separate columns in respect of each statutory
fund in lieu of combining those amounts in the
au
column headed 'Life Insurance Business'".
Section 44 also requires what is somewhat inaptly referred to as
a Revenue Account in respect of each class of life insurance
business. A Revenue Account must be in Form A in the First
Schedule which is as follows:
4.
a
THE FIRST SCHEDULE
Section 44 FORM A
REVENUE ACCOUNT OF THE [aanre of Company] FOR THE YEAR ENDED
[date] IN RESPECT OF [class of Itfe insurance business]
Business Business
mn in
Tespect Tespect
of of
policies policies
Particulars on Other Total Paruculars on Other Total
Tegisters business registers husiness
in fr)
Austraha Australia
ora ora
Territory Tecrnory
s s s $s $ $
Balance of Account at be- Amounts Paid ur Oul-
ganuing of year Stunding under
Policres—
Claims -Death
Insurance Premwums-- Maturiy
Single Premiums Other
Other Prenuums Surrenders (including
Consideration for Annu surrenders of
ties Granted— bonus)
Single Premiums Bonuses paid in Cash
Other Premiums Annuities
Total Premiums, &c Total Policy
Payments,
&e
Business Bustness
nm in
res res
or ar
policies policies
Particulars on Other Toul Paruculars on Other Total
registers business regusters business
m in
Australia Australia
ora ora
Terntory Terntory
$ $ $s $s $ $s
Interest Dividends and Expenses and Other
Rents Outgo—
Less Rates and Taxes Commussion
thereon Salanes ou
Net Interest, &¢
Values allowed on con-
version from other
classes of life insurance
business
Transfers from Reserves
(to be specified)
Appreciation of Assets
Profit on Sale of Assets
Other Income (to be
specified)
Grand Totals
_ ———— —— ——
Travelling Expenses
Contribution to Stull
Superannuation
Fund or Scheme
Directors' Fees
Auditors' Fees
Medical Fees
Legal Expenses
Office Rent
Hire and mainten-
ance af machmes
Advertising
Ponting and Station-
ery
Postage
General Expenses
Taxes (olher thin
those charged on
Interest, Dividends
and Rents)
Shareholders' Divi-
dends
Transfers to Profit
and Lass
Other (to be
specified)
Total Expenses,
&c
Values allowed on con-
verston lo other classes
of hife insurance bust-
ness
Transfers to Reserves (to
be specified)
Depreciation of Assets
Loss on Sale of Assets
Balance of Account at end
of year
Grand Totals
5.
No provision in Division 4 of Part [III expressly
requires separate treatment of participating policies and
non-participating policies which comprise a single class of
business which is the subject of a single statutory fund and, in
my opinion, it is impossible to spell out any such requirement by
implication.
Division 5 of Part III of the Act is headed "Actuarial
Investigations". Paragraphs 48(1)(a) and (b) provide that every
company shall, at specified periods, cause an actuary to make an
investigation of its financial condition and to furnish a written
report of the results of the investigation, and cause an abstract
of the report of the actuary to be prepared in accordance with
the provisions of the Second Schedule. A separate abstract is
required by sub-s. 48(3) in respect of each class of life
insurance business carried on by the company, but no similar
requirement is made in respect of different categories of
business which form part of the same class. The Second Schedule
requires that there be annexed to the abstract a summary and
valuation in accordance with Form [in the Schedule of the
policies included in the class of business to which the abstract
relates. Form I requires particulars for participating policies
to be shown separately from those of non-participating policies.
The Second Schedule also requires that there be annexed to the
abstract a Valuation Balance Sheet in accordance with Form J in
the Schedule. Form J, which makes no provision for details in
respect of participating policy business and non-participating
policy business to be shown separately, is as follows:
fon]
" FORM 3.
VALUATION BALANCE SHEET OF Eclass of life
insurance business] OF Cname of Companyi AS AT
Cdatel
-- Total -- Total
Net liabilities Balance of Revenue
under policies - Account
On registers in Deficiency (if any)
Australia or a
Territory
Surpluses (if any)
The "Net liabilities under policies" referred to in the Valuation
balance sheet fall to be calculated in accordance with s.49 of
the Act, sub-ss. (2) and (3) whereof provide as follows:
"49.(2) The basis of valuation adopted shall
be such as to place a proper value upon the
liabilities, having regard to the mortality
experience among the persons whose lives have
been insured by the company, to the average
rate of interest from investments and to the
expenses of management (including commission),
and shall be such as to ensure that no policy
shall be treated as an asset.
(3) The value placed upon the aggregate
liabilities of a statutory fund in respect of
policies by reason of the adoption of any
basis of valuation shall not be less than it
would have been if it had been calculated on
the Minimum Basis in accordance with the rules
set forth in the Fourth Schedule or, if those
rules have been amended by the requlations, in
accordance with those rules as so amended."
~J
Experience in the industry has shown that, during the
early years of a statutory fund and during periods of development
of a new business, because of the cost of commissions on the sale
of new business and other developmental expenses a deficiency is
likely to emerge in the Valuation Balance Sheet (Form J) in
respect of the fund unless assets are transferred by the
insurance company into the fund. It 1s a practical necessity to
prevent such a deficiency arising ina statutory fund. In order
to do so, sufficient assets must be transferred into the fund to
ensure a credit balance in the Form A Revenue Account with
respect to the fund which is not less than the Net liabilities
under the policies in respect of the business to which the fund
relates. Whilst the appellant's ordinary life insurance and
superannuation business were developing, the business in relation
to participating policies and the business in relation to
non-participating policies each contributed to a need for the
appellant to transfer assets into its respective statutory funds
and the appellant transferred sufficient assets into each fund to
ensure that the Valuation Balance Sheets showed surpluses not
deficiencies. The assets transferred by the appellant were
monies from a share premium account which it had created
consequent upon share allotments to its holding company. The
amounts transferred were recorded as "Transfers from Reserves" on
the credit side of the appellant's Form A Revenue Accounts in
respect of the funds. It is accepted that the course followed by
the appellant was in accordance with the Act and industry
practice.
Pursuant to s.38 of the Act, the assets of each
statutory fund must be kept separate and distinct from all other
assets of a company, and the income arising from the investment
of the assets of the fund must be carried to that fund. All
amounts received in respect of the business to which a statutory
fund relates are carried to, and become assets of, that fund.
Sub-section 38(2) provides:
"38.(2) Subject to this Act, the assets of a
statutory fund shall not, so long as_ the
company carries on the class or classes of
life insurance business in respect of which
the fund was established, be available to meet
any liabilities or expenses of the company
other than -
(a) liabilities or expenses
referable to that class or
those classes of life insurance
business; and
(b) liabilities charged on those
assets or any of them
immediately prior to the
commencement of this Act,
and shall not otherwise be directly or
indirectly applied for any purpose other than
the purpose of that class or those classes of
life insurance business."
Sub-section 50(1) provides -
"B0.(1) A company shall not -
{a) pay, apply or allocate any part
of the assets of a statutory
fund -
Ci) as dividends or
otherwise as profits to
shareholders; or
(ii) as bonuses to policy
owners; or
{b) transfer any part of the assets
of a statutory fund to another
statutory fund,
except in accordance with this section
oer sections 40 or 40A."
Neither s.40 nor s.40A is presently relevant. It is the other
parts of s.50 itself which are the subject matter of the present
disputation.
Sub-sections (2) and (3) of s.50 provide, so far as may
be presently material:
"(2) If, as a result of the latest valuation in
respect of a company which is either -
(a) a valuation made in pursuance of
sub-section 48(1);: or
the valuation balance-sheet or valuation
balance-sheets in respect of the life insurance
business to which a statutory fund relates
discloses or disclose that the balance of the
revenue account or, if there is more than one
revenue account in respect of that business, the
sum of the balances of the revenue account, is
greater Chan the amount of the net liabilities of
the company in respect of that business, the
company may, with the approval of an actuary and
subject to sub-section (3) of this section, pay,
allocate or transfer the surplus or a part of it in
any manner consistent with the provisions of the
instruments constituting the company and the
articles of association or other rules of the
company.
10.
(3) The sum of the amount paid or allocated to or
for the benefit of the shareholders of the company
and the amount transferred to another statutory
fund under sub-section (2) in respect of that part
of the surplus which is derived from participating
policies registered in Australia shall not exceed
one-quarter of the amount paid or allocated to or
for the benefit of the owners of those policies."
Sub-section 50(3) of the Act, which is set out above,
operates by reference to "that part of the surplus which is
derived from participating policies". The judgment of Morling
and Beaumont JJ. traces the sub-section to a report of the Royal
Commission on Industrial Life Assurance appointed in 1938 by the
Victorian Government under the chairmanship of Mr T.S. Clyne (as
he then was), which led to a Victorian statutory provision which
was the precursor of sub-s. 50(3). One of the Royal Commission's
recommendations concerned the distribution by each company to
participating policy-holders of "at least 80% of the surplus or
profits which may be earned ... by that part of the business
which relates to with-profit policies". "Profit", according to
its ordinary meaning in an accountancy context, is frequently and
accurately spoken of as either "earned by" or "derived from" a
business activity, and the two phrases are frequently
interchangeable in that context. It is umnecessary to consider
whether in the Act, for example in sub-s. 4(1), "surplus" and
"profit" are synonymous. What is plain is that, if they are, the
word "profit" is not there used in its ordinary sense. "Surplus"
in the Act is a unique concept measured (as is its statutory
antithesis "Deficiency") by the relationship, according to the
Valuation Balance Sheet (Form J) in respect of a fund, between
~ ll.
the Balance of Revenue Account and the actuarially valued Net
liabilities under the policies to which the fund relates.
"Surplus" bears no necessary relation to profitability. A
Revenue Account in Form A is not confined to revenue and
expenditure, or even to such matters together with increases or
'decreases in respect of investments associated with the insurance
business which is the subject of the fund. A Revenue Account in
respect of a fund may also relate, as it does in this case, to
transfers of outside capital into the fund or to transfers out of
the fund. The surplus in a fund may be improved or (subject to
the Act) reduced by such transfers which are not directly
referable to the business of the fund except in the sense that
such business provides the occasion for the transfers.
By Statutory Rule 1978 No. 31, the "Rules for
Calculation of Value of Liabilities on the Minimum Basis" in the
Fourth Schedule to the Act were changed. The result, upona
further valuation under sub-s. 48(1) of the Act, was a
substantial decrease in the Net Liabilities under the policies,
both participating and non-participating, to which each fund
related, and a substantial increase in the surplus in each fund.
However, I did not understand it to be disputed that, if the
Transfers From Reserves had not been made into each fund, there
would have continued to be deficiencies not surpluses in the
funds. The appellant was entitled to deal with the surpluses in
the funds in accordance with sub-s. 50(2) of the Act, subject, as
sub-s. 50(2) recognizes, -Eo the further limitation which is
12.
imposed by sub-s. 50(3) where it applies. The dispute in the
present case arises from the appellant's contention that sub-s.
50(3) has no application to any part of the surplus in either
fund.
The Net liabilities under a category of policies which
form part only of the business of a fund are readily
ascertainable from the Second Schedule Forms I but there are no
statutory provisions or forms which provide for separate Revenue
Accounts to be prepared in respect of different categories of
policies which form part of a single class of business which is
the subject of a single fund. However, it is not in dispute
that, provided that suitable records are kept, it is feasible to
dissect the items recorded in the Form A Revenue Account in
respect of such a fund. The various revenue and expenditure
items can be apportioned between participating policy business
and non-participating policy business, and a division of
investments and investment income and outgoings can be effected
between participating policy business, non-participating policy
business, and the assets transferred into a fund (and shown in
the Form A Revenue Account as a Transfer from Reserves) or out of
the fund (Transfer tao Reserves). The appellant in fact prepared
internal "Revenue Accounts" which, have served as a distraction
in these proceedings. Those accounts do not have, and were not
suggested to have, any statutory recoqnition or effect. They
were simply documents prepared to reflect the appellant's
contention that no part of the Transfer from Reserves in the Form
A Revenue Account in respect of either fund was relevantly
referable to participating policies. The only possible use of
13.
the appellant's internal accounts might have been as an aid to
demonstrating that, if the appellant's construction of sub-s.
50(3) of the Act is correct, in point of fact no part of the
surpluses in the statutory funds was derived from participating
policies. Regrettably, the appellant somewhat inconsistently
included the entire Transfers from Reserves in internal "Revenue
Accounts" in respect of the non-participating policies, a step
which was quite properly attacked by the respondent and which led
to considerable confusion. It is fundamental to the appellant's
argument that Transfers from Reserves have no comnection for
present purposes with either participating policies or
non-participating policies.
I did not understand it to be in contest that,
notwithstanding that, taking into account the Transfers from
Reserves, there were overall surpluses in the statutory funds and
that these surpluses had been increased by the decrease in the
Net liabilities under all policies consequent upon the
revaluation, the Balance of a "Revenue Account" in respect of
each category of the policies which ignored the Transfer from
Reserves would have continued to be exceeded by the Net
liabilities under the policies in that category. According to
the appellant, it is only when a surplus not a deficiency emerges
from a comparison of a Balance of a "Revenue Account" in respect
of participating policies which has been prepared on that basis
and the Net liabilities in respect of such policies that there is
any part of the surplus which exists in the statutory fund as a
whole which is "derived from" the participating policies. The
respondent's contrary position is that Transfers from Reserves
14.
are to be notionally divided between participating policies and
non-participating policies on a "fair and equitable" basis
calculated by reference to the circumstances at the time at which
the Transfers from Reserves took place, and that separate
"Revenue Accounts" for each category of policies in a fund should
be prepared on that basis. What would constitute a "fair and
equitable" apportionment was not elaborated upon but, given that
a suitable formula might be arrived at, it was not in contest
that separate "Revenue Accounts" might be prepared on the basis
for which the respondent contends. The respondent further argued
that the whole of the surplus which emerged from a comparison of
a Balance of a "Revenue Account" in respect of participating
policies prepared on that basis and the Net liabilities in
respect of such policies was "derived from" the participating
policies within the meaning of sub-s. 50(3) of the Act.
The Tribunal found support for the respondent's view of
the operation of sub-s. 50(3) of the Act in the present
circumstances by reference to, and a comparison with, the
position which it conceived would exist if other alternatives
which it considered that the Act presented were availed of.
Reference was made to "the situation which would arise in the
case of a statutory fund maintained solely in respect of
participating policies on registers in Australia" that contained
a surplus contributed to by "shareholders' funds". Such a fund
might exist because a company's business with respect to that
class of insurance related only to participating policies or
because the company had "pursuant to s.37(1A) or (2), established
is.
a separate fund in respect of apart of a class of its
business". In the Tribunal's opinion, the whole of such a
surplus would be appropriately described as "derived from
participating policies registered in Australia". It 1s
unnecessary to pursue the correctness of the Tribunal's view
that, where a separate statutory fund is established in respect
of a part of a class of business, it is "a necessary inference
from s.38 of the Act" that "all the provisions which refer toa
class of business are to be taken as referring to that part of
the class in respect of which the separate statutory fund is
established and maintained". It may for present purposes be
accepted that perhaps in that situation, but certainly where a
company's business in respect of a class of insurance related
only to participating policies, there would be a full set of
published accounts and records which related only to
participating policy business. Further, in either event, any
transfer of assets by the company to the fund would inevitably be
a "Transfer from Reserves" in respect of a fund related only to
participating policy business. However, in my opinion, the
question would still remain whether all or any of any surplus in
the fund was "derived from" the participating policies. I can
find no indication in the complex statutory provisions dealing
with accounting and actuarial records and reports which qives any
real indication, one way or the other, as to which of the
competing views of sub-s. 50(3) of the Act is correct. To
establish the existence of a statutory obligation under the Act
to produce separate Revenue Accounts in Form A in respect of
participating policies in the form contended for by the
respondent, at least in some circumstances, does not take the
16.
respondent the full distance. The ultimate question remains
whether all or any part of any surplus arrived at by comparing
the Balance of such a Revenue Account with the Net liabilities
under the policies is "derived from" the policies within the
meaning of sub-s. 50(3).
The respondent's argument in relation to what I have
described as the ultimate question really amounted to a
submission that, since the business of a fund and the deficiency
which that business would otherwise produce was the occasion of a
Transfer from Reserves, the Transfer from Reserves arose from the
carrying-on of that business; where the business which
necessitated the Transfer from Reserves was, or included,
business in relation to participating policies, the Transfer from
Reserves, or part of it arose from the carrying on of the
business in relation to participating policies. It follows,
according to the respondent, that when Transfers from Reserves
contribute to a Balance of Revenue Account which gives rise toa
surplus, part of the surplus, comprising or at least reflecting
part of the Transfers from Reserves and income thereon, relates
to the business of participating policies and can therefore be
gaid to be "derived from" the participating policies.
The true operation of sub-s. 50(3) seems to me both
different and simpler. I do not disagree with the view which
commends itself to my brethren that sub-s. 50(3) calls for an
inquiry of a practical nature as to the "source" of the surplus
or that, insofar as there may be any material distinction in the
™
~
context, what is necessary 1s to identify the originating cause,
ty
17.
not the physical source of the surplus. However, in my opinion,
the sub-section does not assume that a surplus which arises under
sub-s. 50(2) must always, even in circumstances such as the
present, have component parts, each of which must be derived from
one or other of the categories of policies in the class of
business to which the fund relates, and which, in the aggregate,
must comprise the whole surplus; it assumes no more than that a
part of a surplus ina fund may be derived from participating
policies. For example, there may be a fund which is in surplus
Which is related only to non-participating policies or a mixed
fund where no Transfer from Reserves was needed because
non-participating policy "surplus" exceeds participating policy
"deficiency". In neither case can it be suggested Chat part of
the surplus in the fund is derived from participating policies.
In a case such as the present, even if some part of the
Transfer from Reserves ought be considered as appropriated to the
participating policy business, so that part of the surplus could
properly be said to consist of that part of the Transfer from
Reserves which is referable to the participating policy business,
I cannot accept that it is possible, without torturing the
language of the sub-section, to describe that part of the surplus
as "derived from" the participating policies. The surplus
consists of, or represents, Che Transfers from Reserves and
income thereon less deficiencies from the business; no part of
the surplus is, according to the ordinary meaning of the words,
"derived from" the business of participating or non-participating
18.
policies if each results in a deficiency considered apart from
the Transfers from Reserves. The source of the surplus is
identified as the Transfers from Reserves and income thereon, not
the insurance business.
No doubt, the policy of ss. 38 and 50 including sub-s.
50(3) is related to the protection of policy-holders and sub-s.
50(3) exhibits particular concern for the holders of
participating policies. However, the immediate object of sub-s.
50(3) is mot the solvency of the fund; restrictions upon
dealings to ensure that a surplus in a fund is not converted into
a deficiency are found elsewhere, e.g in sub-s. 50(2). On any
view of the operation of sub-s. 50(3), the fund must remain
solvent in the sense that surplus must remain. Sub-section 50(3)
merely controls the application of so much of the surplus as it
is elsewhere made permissible to remove from the fund; it limits
the percentage of a part of that portion of surplus which may be
removed which may go to shareholders or another statutory fund,
not participating holders. There is no point of policy, and no
issue of merit or fairness, which I can discern which might lead
to a preference for one of the competing contentions over the
other. The task is simply to give literal effect to the language
of the Act.
An exercise in semantics such as is here called for can
seldom be supported by purely logical considerations. A
preference is formed, in part at least as a matter of impression,
and reasons are developed which tend to circuity. However, in my
opinion, there are two additional matters which may usefully be
19.
ment loned. Firstly, I found difficulty in the respondent's
notion of equitable apportionment of Transfers from Reserves
related to the situation in relation to each category of policies
as it exists at the time of each transfer. Senior Counsel for
the respondent refrained from any attempt to indicate how the
equitable apportionment was to be achieved. and I find it an
elusive concept, and one which seems to introduce an artificial
inflexibility when related to the time at which a "Transfer from
Reserves" takes place, without any accommodation of subsequent
changes in the respective business operations in relation to
different types of policy. Secondly, the Net liabilities under
participating policies are increased by bonuses declared in
favour of policy holders. Although the bonuses increase the
deficiency in respect of such policies considered in isolation,
and thus postpone the point of time at which there will bea
surplus in respect of such policies considered in isolation,
thereby delaying the operation of sub-s. 50(3), policy-holders
are not thereby disadvantaged relative to an insurance company's
shareholders. The bonuses are, of course, themselves a direct
benefit to the policy-holders and reduce the amount which is
surplus and thus distributable at all under sub-s. 50(2) of the
Act. If, as it seems, the Tribunal considered that the
appellant's capacity to pay bonuses on participating policies
evidenced that the participating policy business was producing
surplus, that view was in my opinion demonstrably incorrect.
Surplus can exist in a fund as a whole, so that bonuses may he
declared or paid. although all or any part of the business to
which the fund relates is operating unprofitably.
20.
It remains to add that I have not been influenced by the
evidence, or the Tribunal's views, concerning actuarial
principles and practice, notwithstanding the relevant expertise
possessed by the non-judicial members of the Tribunal. It is
apparent that the actuarial disputation centres entirely upon
conflicting interpretations placed by the actuaries on sub-s.
50(3) of the Act.
I have recorded earlier in these reasons my
understanding that it was not in dispute between the parties on
this appeal firstly that, if the Transfers from Reserves had not
been made into each fund, there would have continued to he
deficiencies not surpluses in the fund, and secondly that,
notwithstanding that, taking into account the Transfers from
Reserves, there were overall surpluses in the statutory funds and
these surpluses had been increased by the decrease in the Net
liabilities under all policies conseguent upon the revaluation,
the Balance of an internal "Revenue Account" in respect of each
category of the policies which ignored the transfer from Reserves
would have continued to be exceeded by the Net liabilities under
the policies in that category. Further, it seems to me that no
issue was raised by the respondent with respect to any element of
detail in the appellant's approach if the appellant was correct
in the construction of sub-s. 50(3) of the Act for which it
contended and I thought that it was common ground that, if the
Court is of opinion that the appellant's construction is correct,
the appropriate course was to allow the appeal, to affirm the
decision rejecting the abstracts, but to vary the form of the
direction with respect to the lodqment of fresh abstracts to
wd,
g 21.
delete any reference to paragraph 8 of the Second Schedule. If
my understanding was correct, it would follow that, for the
reasons which E have given, the appeal should be allowed with
costs. However, Morling and Beaumont JJ. indicate a preference
for a different course and, in the light of their reasons for
doing so which are related to the possibility that there are
unexplored and perhaps disputed questions of fact, Iam not
prepared to dissent without purpose. Accordingly, I do not
disagree with the orders which they propose.
I certify that {> sandibe 2o ocecsang
re et er
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