Hospitals Contribution Fund of Australia Ltd v Switzerland Australia Health Fund Pty Ltd (trading as Health Australia) [1987] FCA 605
Federal Court of Australia
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'
: JUDGMENT No. LOREM BTeaae
CATCHWORDS
TRADE PRACTICES - Advertisements for health insurance -
Comparative advertising - Statements as to benefits offered by
various funds ~ Accuracy of statements - Claims by respondent
as to "best value" and "higher benefits" - Whether mere
puffing - Form of orders.
Trade Practices Act 1974 ss.52, 80.
NSW G.504 of 1987
HOSPITALS CONTRIBUTION FUND OF AUSTRALIA LIMITED v_ SWITZERLAND
AUSTRALIA HEALTH FUND PTY LIMITED trading as "HEALTH
AUSTRALIA"
Wilcox J
Sydney
4 November 1987
IN THE FEDERAL COURT OF AUSTRALIA
)
)
NEW SOUTH WALES DISTRICT REGISTRY ) No. NSW G.504 of 1987
)
)
GENERAL DIVISION
BETWEEN: HOSPITALS CONTRIBUTION FUND
OF AUSTRALIA LIMITED
Applicant/Cross-defendant
AND: SWITZERLAND AUSTRALIA
HEALTH FUND PTY LIMITED
trading as "HEALTH
AUSTRALIA"
Respondent/Cross-claimant
CORAM: WILCOX J
PLACE: SYDNEY
DATE: 4 NOVEMBER 1987
MINUTES OF ORDER
THE COURT ORDERS THAT:
1. The respondent, Switzerland Australia Health Fund Pty
Limited trading as "Health Australia", its servants
and agents be restrained from publishing or causing
to be published any representation that the
applicant, Hospitals Contribution Fund of Australia
Limited, has the policy of reducing, or will in the
future reduce, hospital accommodation benefits
payable to contributors of the applicant in respect
3.
of days after the expiration of 14 days from the
commencement of hospitalisation without, in that same
representation, clearly stating that the said policy
does not, or that the said future action will not,
apply to persons who are, or who will be, patients in
public hospitals.
The applicant, Hospitals Contribution Fund of
Australia Limited, its servants and agents be
restrained from publishing or causing to be published
any representation that:
(1) the health insurance cover offered by the
said applicant offers the best value
health cover currently available in
Australia; or
(11) the said applicant pays higher benefits
on major health care items without, in
that same representation, clearly stating
that the said representation does not
mean or imply that the said applicant
pays to contributors higher benefits than
any other fund in respect of hospital
accommodation charges assessed at the top
cover rate.
The operation of orders 1 and 2 herein be suspended
until Thursday 12 November 1987.
4. The costs of the Application and of the Cross~-action
be reserved.
5. Liberty be reserved to either party to make
application upon two days' notice to the other in
relation to:
(i) the further suspension of orders 1 and 2
herein or either of them;
(i1) the making of any order for corrective
advertising; or
(iii) the making of any order for costs.
6. Leave be granted to either party to apply to the
Court upon seven days' notice to the other for the
dissolution or variation of any order which, as a
result of any change made after this day, would have
the effect of restraining the making of a
representation which 1s no longer false or
misleading.
Note: Settlement and entry of orders is dealt with in Order
36 of the Federal Court Rules.
IN THE FEDERAL COURT OF AUSTRALIA
NEW SOUTH WALES DISTRICT REGISTRY No. NSW G.504 of 1987
ween
GENERAL DIVISION
BETWEEN: HOSPITALS CONTRIBUTION FUND
OF AUSTRALIA LIMITED
Applicant/Cross-defendant
AND: SWITZERLAND AUSTRALIA
HEALTH FUND PTY LIMITED
trading as "HEALTH
AUSTRALIA"
Respondent/Cross-claimant
CORAM: WILCOX J
PLACE: SYDNEY
DATE: 4 NOVEMBER 1987
REASONS FOR JUDGMENT
To discerning consumers comparative advertising may
be the most persuasive of all advertising. Because a
comparative advertisement purports to state precise facts
regarding the qualities or prices of competing products, 1t 1s
apt to be believed and directly to influence purchasing
decisions. It follows that errors in such advertisements are
especially significant. They have potential to mislead
consumers, to the disadvantage both of the consumers
themselves and of the competitor about whose product the
misstatement 1s made. In the area of comparative advertising
there is little scope for copywriter's licence. I agree with
the comments made by Lockhart J in Stuart Alexander & Co
(Interstate) Pty Limited v Blenders Pty Limited (1981) 37 ALR
161 at p.163 and by Fisher J in State Government Insurance
Commission v_ J M Insurance Pty Limited (1984) ATPR 40-465 at
p.45,362.
This case concerns comparative advertising,
complaints being made by each of the parties about the
accuracy of certain statements made in the other's
advertisements. Both the parties carry on business as health
insurers. Hospitals Contribution Fund of Australia Limited
("HCF"), the applicant in the principal proceeding, has
carried on business as a health insurer since 1932. HCF 1s
based in New South Wales and 1t holds approximately 22% of the
New South Wales market. In contrast, Switzerland Australia
Health Fund Pty Limited, the respondent, 1s a newcomer to
health insurance. That company entered the market in Victoria
on 1 March 1987, trading as "Health Australia" ("HA"). It
commenced operations in New South Wales and in the Australian
Capital Territory early in October 1987; and immediately
launched the advertising campaign which has given rise to this
litigation.
The case itself consists of an Application by HCF
alleging breaches by HA, in connection with both newspaper and
television advertisements, of s.52 of the Trade Practices Act
1974 and seeking injunctive relief under s.80 of that Act. HA
has responded by making similar complaints about HCF''s
advertisements and, by a Cross-claim, seeking injunctions
restraining their future publication. The case illustrates
the point that the risks associated with comparative
advertising do not lie only with the advertiser. A "victim"
of the advertisement, by unsuccessfully challenging what has
been said, may authenticate the competitor's unfavourable
statements about its product.
Before going to the facts, I should record that the
matter has been heard as a matter of urgency. The Application
was filed on Friday 23 October 1987. Pursuant to leave given
by Fox J, 1t was made returnable before me on the following
Tuesday afternoon, 27 October. At that time 1t was apparent
that there were major issues between the parties as to the
accuracy of the advertisements and that 1t would be necessary
to investigate these issues at some depth in order to deal
with the applicant's application for interlocutory orders.
There were substantial arguments of inconvenience on each
side, as HA's advertising campaign was in full swing. [In the
event, the parties agreed to an early final hearing, which
took place on 29 and 30 October. I pay tribute to the
industry of the parties, and of their legal advisers, in
assembling so much information in such a short time.
The marketing strategy of HA appears to have three
main elements. In the first place, 1n respect of each of the
scales of benefits offered by the existing health funds --
generally known as "basic" and "top" -- HA offers insurance at
lower cost. [Whether the benefits offered by HA in respect of
each of these scales is truly comparable with those offered by
HCF in respect of the same scale is a matter which has been
debated in these proceedings and to which I shall return.]
Secondly, HA offers a new intermediate scale, which 1t calls
"private" and which 1s designed to cover the cost of private
ward accommodation in a public hospital, with the advantage of
patient choice of the attending medical practitioners.
Apparently, this scale has not previously been offered by any
health fund; but as nothing presently turns upon this aspect
of the advertising I need say no more about it. Finally, HA
targets what 1t perceives to be a deficiency in the cover
provided by the other funds: a "step down" in the daily
benefit rate after 14 days hospitalisation. This "14 day
rule" provides the second major issue in the case.
It is clear that, except to the extent of any
restraint imposed by an order of the Court, HA will continue
to publish the advertisements complained of by HCF until the
completion of the current advertising campaign, in
approximately two months' time.
The subject newspaper advertisements vary a little,
but their essential features are constant. In each case there
1s a banner heading across the top of the advertisemenht, which
occupies a whole tabloid newspaper page. The standard heading
is "Introducing Health Australia. Saving you up to $364 a
year in sickness and in health". Some of the advertisements
amend this to refer to "at any Soul Pattinson chemist" or "at
any Amcal chemist"; those two pharmacy groups having been
appointed as agents of HA. After the figure $364 there is an
asterisk directing attention to the rate charged by HCF in its
top scale, as shown on the table to which I will refer. The
effect 1s to make 1t plain that the saving of $364 a year may
be made only by substituting the top hospital and ancillary
rate of HA ($17.40 per week) for that of HCF ($24.40 per
week). The advertisement includes two photographs of a man in
bed; in one case in hospital, the other at home, but in each
case wearing a satisfied smile. Underneath the photographs
the following appears:
For years you may have been paying too much for your health
cover. And not getting enough in return.
Not only that, ail the major health funds now reduce your
hospital cover the longer you're in hospital and the more you need it.
it seems grossly unfair to us. So now Health Australia,
Australia's newest health tund, offers you a better value alternative.
Avateble ACT
resusents and other
Non-reasctenta of
NSW and sce
aecunty
Denekcaries wht
ere exempt from
NSW Ambulance
Levy Presse
deduct 408 sungie,
(808 farrety from
above raieg
Lesscost, more cover.
Here's what you get with Health Austraita.
You can save up to $364" a year on top hospital and ancillary
cover compared to H.C.F.
You get up to $160 a day more cover than with Medibank.
Health Australia won't reduce your hospital cover after 14 days.
All the other major funds will! \
(Except for rehabiitation and paycinatric benefits).
With Health Australia you get your full insured hospital cover
for 80 days in the first year of your membership, and 180 days
after the fourth year. And whatever happens, you're Covered for
365 days on our basic hospital table.
(Subpect to the required medical certificate after 36 days).
Qs Heatth Australia is the only mayor heath tund that guarantees
to hold your quoted contribution rates during the period for
which you've paid in advance.
@ = There's no waiting period, so join now. °*
HA has made two television commercials, one of 60
seconds duration and one of 30 seconds. In each case the
visual element shows the same man in a hospital bed, with
varying degrees of bed clothing cover; but only the longer
advertisement speaks of the 14 day question. In that
commercial, a commentator says:
"With every major health fund except Health
Australia something very interesting happens
after 14 days in hospital, they reduce your
cover. Yes, after 14 days HCF, MBF and
Medibank actually reduce your cover. Health
Australia, however, 1S the new health
insurance fund that keeps you covered. With
Health Australia your cover won't shrink after
14 days, and that could save you thousands of
dollars. What's more our rates are so low
you'1l save up to $364 a year on top cover
compared to HCF, for example, and you'll get
up to $160 more hospital cover than
Medibank"".
The commentary on the shorter advertisement 1S confined to the
comparison of prices mentioned in the last sentence quoted
above.
In relation to their treatment of the "14 day"
aspect, the respondents' advertisements are said by the
applicant to be misleading in three respects.
Firstly, HCF points out that the 14 day rule has no
application at all to contributors who are patients in public
hospitals. It is a condition of the applicant's registration
under the National Health Act, 1953 that benefits be
maintained at their initial levels throughout the period of a
patient's hospitalisation in a public hospital. Consequently,
1t 18 said by HCF, the advertisements published by HA require
a qualification so as to exclude public hospitals from the
ambit of the statement being made.
The respondent does not dispute the proposition that
there 1s no reduction in benefits for public hospital
patients. But it resists the claim for relief, upon this
aspect of the matter, by adducing evidence that, as the
benefits payable in connection with public hospitals are
prescribed by government and common to all funds, health
insurers never advertise their public hospital benefits. The
advertisements, it is said, would be read as referring only to
private hospitals.
I do not accept this argument. The proportion of
insured persons who use public hospitals rather than private
hospitals is currently about 50%; there is some dispute about
the exact figure. I accept that funds do not ordinarily
advertise their public hospital benefits; but I do not think
that it follows that readers of the newspaper advertisements,
or viewers of the television commercials, would appreciate
that the level of benefits 1s maintained without reduction in
public hospitals. The rules governing the entitlement to
medical and hospital benefits are extremely complex, and
ever-changing. I suspect that many people have given up the
struggle to remain informed. To a significant proportion of
readers and viewers, at least, the advertisements would convey
the misleading impression that their public hospital benefits
will be reduced after 14 days. An order should be made
requiring an appropriate qualification 1n any repetition of
the advertisements.
The second aspect of the 14 day issue applies only to
the newspaper advertisements, which speak of a reduction "the
longer you're in hospital". The applicant suggests that these
words imply a progressive reduction in the cover, rather than
a single step down at the expiration of 14 days. The
respondent defends the statement, claiming that 1t would be
obvious to a reader of the whole advertisement that reference
is being made only to a single step down after 14 days.
Attention 1s drawn to the third point made under the heading
"Less cost, more cover",
I do not think that, in this connection, the
advertisement should be stigmatised as misleading. The words
above the table are not themselves comparative advertising.
They are mere introductory paragraphs, couched in emotive and
imprecise language, which are designed to attract the reader's
attention to the statements made below. The actual
comparative statement, about reduction of benefits, refers to
a single reduction after 14 days. Taken by themselves, the
words "the longer you're in hospital" are so vague that they
would be unlikely to instil any belief as to the facts, true
or false. Taken in conjunction with what 1s said below, they
are not inaccurate.
The third complaint made about the advertisements'
references to 14 days is more fundamental. The applicant
contends that 1t 1S incorrect to say that it will reduce its
hospital cover after 14 days. HCF does concede that its rules
prescribe a lower rate of private hospital accommodation
benefits for periods extending beyond the first 14 days of
hospitalisation, except 1n the case of psychiatric and
rehabilitation patients where the "step down" is after 42 and
49 days respectively. But HCF makes the point that many
private hospitals reduce their accommodation charges after 14
days, so that the gap between the cost to the patient and the
benefits received 1s not then increased. There may be no qap;
and health insurance operates as an indemnity only. Moreover
HCF points to some other provisions of its rules which have
the result that, 1n the case of many patients, no reduction in
benefits 1s actually suffered after 14 days. The most
important of these provisions is that contained in rule 5.1.6,
which provides daily accommodation allowances "for continuing
high dependency treatment beyond the nominated first days for
a patient, as determined by the Medical Adviser". The amount
of the allowance varies with the category of patient but, in
each case, that amount currently equals the amount of the
"step down" at the expiration of the initial period. It
follows that, 1n the case of certified "high dependency"
patients, there 1s in fact no "step down". The term "high
dependency" is not defined by the rules.
The second provision referred to by the applicant 1s
rule 5.2.15, which provides a benefit "up to $1,000" for
private hospital patients treated in an intensive care un1t.
This benefit 1s available against the cost of accommodation,
theatre fees and intensive care unit charges. Depending upon
the circumstances of particular cases, 1t may serve to offset
any reduction in normal accommodation benefits after 14 days.
10.
During the course of the hearing officers of HCF made
an analysis of the payments made by the fund to contributors,
classified as having been admitted to a private hospital for
"advanced surgery" between 1 March and 2 October 1987. During
that period payments were made to 2,222 contributors. Of
them, 242 contributors were hospitalised for a period
exceeding 14 days. In 74 cases payments were made under rule
5.1.6, so that there was no "step down". In the remaining 168
cases there was a reduction in hospital accommodation
benefits; but 1n 14 cases the effect was offset by other
benefits, either under rule 5.2.15 or under the fund's rule
regarding interstate transfers. This left 154 cases, almost
7% of all claimants, in which there was an effective "step
down" of benefits. In 13 cases it was not possible, within
the time available, to determine whether the "step down" had
left the contributor out of pocket for his or her
accommodation. But, in 103 out of the remaining 141 cases,
the contributor did suffer a loss by reason of the policy of
HCF, as enunciated in its rules, of reducing accommodation
benefits after the first 14 days.
No investigation has been made of the position of
claimants in the other categories affected by the 14 day rule:
surgery/obstetric and medical. A suggestion was made that the
proportion of patients in these categories who remained in
hospital longer than 14 days would be less than the proportion
of advanced surgery patients; but it was accepted that there
would be some such patients.
ll.
The statement about reduction after 14 days is a
general one: "Health Australia won't reduce your hospital
cover after 14 days. All the other major funds will!". [An
exception regarding rehabilitation and psychiatric patients
was acknowledged.] The statement deals with a situation which
arises in only a minority of cases; upon the sample analysed
in the evidence, 11% of advanced surgery cases. But it would
be read in that context, the question being what attitude us
taken -- by HA on the one hand, and by the other funds on the
other -- to patients who are unfortunate enough to be
hospitalised for more than 14 days. No complaint may be made
of the claim that HA will not reduce its hospital cover after
14 days; notwithstanding some untidiness in drafting, this 1s
clearly the effect of the HA rules. No issue is raised about
the falsity of the statement insofar as it relates to funds
other than HCF. The question is whether -- confining the
statement to private hospitals -- it is misleading to say that
HCF will reduce its cover after 14 days. As 1s indicated by
the evidence to which I have referred, that question must be
answered in the negative. A reduction of accommodation
benefits after 14 days is the general principle established by
HCF's rules. It 1s true that, 1n many cases, that reduction
causes no loss to the contributor; either because of some
other available allowance or because of a compensating
reduction in hospital charges. But in a not inconsiderable
proportion of cases -~ in the sample referred to 103 out of
229 analysable cases, 45% -- loss is actually sustained by the
contributor as a result of these rules. In relation to
12.
private hospitals, it is not misleading for HA to inform
members of the public that HCF will "reduce your hospital
cover after 14 days".
In the result, I uphold HCF's complaint on the 14
days question only to the extent of agreeing that 1t 1s a
misrepresentation of the position to make a statement that
cover will be reduced by HCF without confining this statement
to private hospitals.
The second major aspect of HCF's case concerns the
heading "Less cost, more cover". HCF concedes that the
charges made by HA, in connection with each of basic hospital
cover, top hospital cover and ancillary cover are less than
the charges made, in connection with the equivalent scales, by
HCF. But it is argued that the simple statement "more cover"
suggests that the benefits offered by each of the funds are so
similar that a comparison may meaningfully be made between the
two; and that the differences are such that it cannot.
In fact the hospital benefits are readily able to be
compared. In relation to basic cover, the dally rates offered
by HCF are slightly higher than those offered by HA. In
relation to top cover -- even leaving aside the 14 day
question -- HA offers more than does HCF. But it is extremely
difficult to compare the tables of ancillary benefits. HCF
offers some items which HA does not; for example, fitness
courses and funeral benefits. In other cases both funds cover
the particular type of expenditure, but in a different way.
13.
For example, HA offers a flat $22 for a speech therapy
consultation, of whatever length and whether an initial or
continuing consultation. HCF, on the other hand, offers $30
for a first consultation exceeding 60 minutes, $20 for an
initial consultation of less than 60 minutes and $15 and $10
-~- depending on length -~ for follow up consultations. In
relation to speech therapy, HA seems to have the advantage but
in other cases comparison 1s almost impossible. Much must
depend upon the circumstances of individual contributors.
Some will find optical benefits more relevant than hearing
aids; others will be particularly concerned about the level
of dental benefits.
Counsel for the respondent say that the words "more
cover" invite comparison between the HCF''s total "package", of
top hospital cover with ancillary benefits, and that offered
by HA. Accepting that, depending upon the needs of individual
contributors, views might reasonably differ as to the better
schedule of ancillary benefits, counsel say that the clear
superiority of HA as to top cover hospital accommodation
justifies the claim that, considered as two rival "packages",
HA's benefits give "more cover" than those of HCF. The test,
they say, is whether HA provides a more adequate system of
health insurance; in determining which question the range of
items is important, but so 1s depth of cover.
I agree that the relevant comparison 1s between the
top hospital covers, with ancillary benefits, rather than
between basic covers. In the newspaper advertisements the
14.
heading "Less cost, more cover" 1S explained by the words
"Here's what you get with Health Australia" followed by a
series of points. The figures quoted in those points relate
to top cover. Those same figures are stated in the television
commercials. It appears that, consistently with what is said
to be normal practice in the industry, the subject comparative
advertising focusses upon the top cover insurance, which 1s
the most variable as between insurers.
Looking at what 1s offered, by way of top cover with
ancillary benefits, by each of HCF and HA, it seems to me that
HA does present the more attractive package of benefits. This
view is entirely dependent upon the fact that the hospital
benefits offered by HA are markedly superior to those of HCF;
there 1s no objective basis upon which I can choose between
the respective ancillary benefits. But, of course, hospital
accommodation benefits are easily the most important type of
benefit. The table in the newspaper advertisements shows that
each of the five listed funds attributes almost two-thirds of
its total premium to hospital cover, rather than to ancillary
benefits. I am not persuaded that it 1S misleading for HA to
join the claim "more cover" to its uncontestable statement
"Less cost".
The submission that the words "more cover" imply
comparability, so that HA should have indicated in its
advertisements that benefits differ between funds, has caused
me some hesitation. I agree that it is not possible to speak
15.
of "more cover" unless there is, at least, substantial
comparability of items; but I do not think that the words
imply absolute comparability. A reader may be left wondering
whether HA gives benefits in respect of all of the items
covered by the other four funds. However, I do not think that
he or she would take from the heading an assertion that it
did. I think that the correct reading 1s, as counsel for the
respondent suggest, an assertion that -- considered overall --
HA provides a more adequate package of benefits, upon the top
table with ancillary cover, than do its competitors. It would
have been helpful to readers to draw their attention, by an
appropriate note, to the fact that there are differences in
the items covered by particular funds. But I do not think
that, in the absence of such a note, the words "more cover"
are misleading.
The Cross-claim brought by HA also complains of both
newspaper and television advertisements. The print
advertisement, also full tabloid page size, bears a banner
heading "If you want the best health care cover available it's
time you gave your present health fund a check-up". It
includes a picture of a stethoscope being applied to a health
insurance policy. Under the sub-heading "HCF - the healthiest
health fund of them all!" the statement is made:
"When you go looking for the best value health
cover, you'll soon realise that HCF pays
higher benefits on major health care items
than any other fund - and it offers a range of
benefits that just aren't available
elsewhere."
16.
The advertisement includes a number of other general
statements about the health, and value, of HCF's policy;
including the claim made on the cover of an HCF brochure,
reproduced in the advertisement, "The best value health cover
you can buy!".
HA makes three complaints about this advertisement:
the claim that HCF provides "the best value" health cover, the
claim that HCF offers a range of benefits that are not
available elsewhere and the claim that HCF pays higher
benefits on major health items than any other health fund.
As to the first item, treating "value" as involving a
comparison between two products having regard to both costs
and benefits, it is clearly incorrect to say that HCF offers
better value health insurance than does HA. HCF 1s much more
expensive than HA. The percentage differences are: for basic
hospital cover 46.5%, for top hospital cover 38.6% and for
ancillary cover 43.3%. The basic benefit rates are marginally
better than those of HCF, but this small advantage would, for
private hospital patients, be outweighed by the "step down" in
benefits after 14 days. In money terms, the greatest health
risk must be that associated with prolonged hospitalisation.
When one turns to top hospital benefits, HA has a clear
advantage. In all except one of the 18 categories of hospital
benefits -- medical patients in a category "C" accredited
hospital, in respect of which HCF pays $5 per day more than
does HA -- the benefits paid by HA are equal to, or higher
than, those of HCF. In 13 cases HA pays more -- sometimes
17.
much more ~- than HCF; and it does so without the 14 day step
down. In regard to ancillary benefits, as I have said, I
cannot separate the two funds; but HA's price advantage
clearly makes 1t the better value. It is false and misleading
for HCF to claim that it offers the best value health cover
which is currently available.
The submission 1s put on behalf of HCF that a
statement such as "best value" is not a statement likely to
mislead members of the public, that 1t would be seen by
readers as mere "puffing" and dismissed by them from further
consideration. I am unable to accept this argument. I agree
that the terms "value" and "best value" are often used by
advertisers in contexts where they are meaningless, and would
be likely to be dismissed immediately by readers or hearers.
But the claim of "best value" 1s a major theme of this
advertisement, the whole point of which is that readers should
compare their own health insurance policy with that offered by
HCF. That theme comes through the sub-heading "healthiest
health fund of them all", which refers to benefits, not to
reserves. After a section headed "HCF - the healthier
alternative" is one entitled "Some health funds aren't so
healthy"; that is, they do not pay so well. Immediately
before the action line "Join now for Immediate Cover" 1s the
refrain: "So, with HCF, you'll continue to get the best value
health cover - and much more besides". At the very end of the
script the writer returns again to the comparison. Under the
heading "The only choice" are the words: "When you give other
funds a check-up, you'll agree that HCF 1s the only choice for
18.
the discerning, value-seeking buyer. We're the healthiest
health fund of them all". This is followed by the
reproduction of the brochure, with its "best value" claim.
After the bold capital letters "HCF" the text repeats "HCF -
the healthiest health fund of them all". In short, the
advertisement can only be described as one in which the claim
1s seriously made, by an advertiser whose reputation and
length of service to the Australian community is emphasized in
the text, that, upon a full consideration of all available
policies, HCF provides the best value ie, the most favourable
balance of benefits against cost. Not many people are likely
to have the time, the inclination, the information and the
capacity to "give other funds a check-up"; to the point of
making their own judgment on "best value". It seems to me
probable that many people are likely to accept the message of
the advertisement at face value; that, no doubt, is why it
was published. If they do, they will be led into error. An
order should be made to restrain repetition of the "best
value" claim.
The second complaint about the advertisement is its
claim that HCF offers a range of benefits that are not
available elsewhere. I am not satisfied that this claim 1s
incorrect. The range of ancillary benefits -- as distinct
perhaps from their depth and overall adequacy -- offered by
HCF is greater than that of HA; and there is no evidence to
compare HCF with any other fund. It may be true that HCF
offers a range of benefits that are not elsewhere available.
19.
Finally, complaint is made of the statement "HCF pays
higher benefits on major health care items". This 1s defended
upon the basis that HCF 1s shown to pay higher benefits on
some major health care items than does HA. Counsel argues
that the statement does not imply that HCF pays higher
benefits on all health care items.
I accept that the statement under attack does not
imply that HCF pays higher benefits on each and every item
which may fall within the description "major health care
items". But hospital accommodation 1s the most significant
item in health insurance, to insurer and insured alike. To
make an unqualified statement about "major health care items"
which is untrue in respect of the leading health care item is,
at least, potentially misleading.
The HCF advertisement, unlike that of HA, does not
focus attention upon top cover hospital accommodation. What
1s said about "major health care items" may not be untrue of
basic cover; it would certainly be untrue if applied to top
cover. In my opinion the position is not unlike that arising
out of the omission of a public hospital qualification in HA's
advertisements. Because of the way in which they order their
affairs, some people will not in fact be misled. But others
probably will be misled, in connection with a matter of
primary importance to them in considering what cover they
should take. The words are not mere puffing. They make a
specific claim which many people may be expected to take at
face value. The reputation of HCF gives added weight to that
20.
claim. I think that, in saying that it provides higher
benefits on major health care items without any qualification
relating to top scale hospital accommodation, HCF publishes
material likely to mislead a significant proportion of the
public. An order should be made restraining any repetition of
this conduct.
I should add that counsel for HCF tendered an amended
form of the newspaper advertisement. The amended version
omits the words "than any other fund". I accept that, without
the necessity of any order from the Court, HCF would in future
adopt this amended form. But the amendment does not affect
the substance of the claim made. The comparison retained in
the truncated version must be a comparison with what 1s
available elsewhere, that 1s from other funds.
The television advertisement may be disposed of
shortly. The "voice over" commentary in that advertisement
speaks of "your right to choose HCF top cover" "because HCF
top cover gives you the best value health cover for those you
care about". It goes on to refer to "your right to choose the
best", which words are then repeated. It follows from what I
have already said that I am of the opinion that, upon proper
appraisal, 1t cannot truthfully be said that HCF provides the
best value health cover. In particular, it 1s incorrect to
say that HCF top cover 1s "best value". At that level the
value is much inferior to that offered by HA. Although the
television advertisement does not repeat the "best value"
theme so frequently as does the newspaper advertisement, this
21.
1s the sole message in the advertisement; the words "best
value" being reinforced by the repeated reference to viewers'
"right to choose the best". The words are more than puffing.
They constitute a misleading statement in relation to which an
order should be made.
Counsel for the applicant requested me to reserve for
later argument any question of corrective advertising. As
relief 1s to be granted to each party, I reserve liberty to
each of them to apply, on two days' notice, in that
connection. Having regard to practical considerations, it
seems appropriate to defer the operation of the restraining
orders for a short period. Some time will be needed, for the
amendment of the current advertisements and to give
appropriate instructions to the relevant newspaper publishers
and television stations. I propose to defer the operation of
these injunctions for seven days from today. In case it
should be necessary, I will grant liberty to any party to
apply for an extension of that period; but I indicate now
that I would not be disposed to grant such an extension unless
I were satisfied that, notwithstanding all diligence,
satisfactory arrangements cannot be made within that time.
At this stage I make no order as to costs. I prefer
to defer that matter for later consideration in the light of
any submissions which counsel may wish to make, having regard
to the principal orders made. Application may be made in
connection with costs by either party on giving two days'
notice to the other.
22.
Finally, the orders to which I have referred reflect
the current position of the parties in connection with
benefits and costs. That position may change. It would be
wrong to continue a restraint if, as a result of any change,
the relevant statement is no longer misleading. Leave should
be granted to either party to apply to the Court upon seven
days' notice to the other for the dissolution or variation of
any order which, as a result of any change made after this
day, would have the effect of restraining the making of a
representation which 1s no longer false or misleading.
I certify this and the twenty-one (21)
preceding pages to be a true copy of
the Reasons for Judgment of
his Honour Justice Wilcox.
Necoeiates hawt fore
Date: November 1987
Counsel for the Applicant/
Cross-defendant: Mr R V Gyles OC with
Mr M J Slattery
Solicitors for the Applicant/
Cross-defendant: Murphy & Maloney
Counsel for the Respondent/
Cross-claimant: Mr A H Goldberg QC with
Mr P F Esler
Solicitors for the Respondent/
Cross-claimant: Clayton Utz
Date(s) of hearing: 29 and 30 October 1987