Free, T.A. v National Mutual Life Association of Australasia Ltd & Anor [1987] FCA 623
Federal Court of Australia
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NOT FOR GENERAL DISTRIBUTION
JUBGMENT No. 023.41
IN ERAL CO OF AUS A)
)
TAS DISTRICT ISTRY ) T. No. G 6 of 1983
)
GENERAL DIVISION }
BETWEEN:
'ONY FRED Applicant
and
ATI LIFE ASSOCIATION
OF AUSTRALASIA LIMITED
and GEOFFREY CREESE Respondents
COURT: NORTHROP J.
DATE : 26 OCTOBER 1987
PLACE: HOBART
MINUTES OF ORDER
THE COURT ORDERS THAT the hearing of the application be
adjourned to 22 February 1988.
(Settlement and entry of Orders is dealt with in 0.36 of the
Rules of Court).
IN ERAL C T_OF 'RALT.
he
MANIA DISTR REGISTRY T. No. G 6 of 1983
GENERAL DIVISION
TONY ALFRED FREE Applicant
and
NATIONAL MUTUAL LIFE ASSOCIATION
OF AUSTRALASIA LIMITED
and GEOFFREY CREESE Respondents
COURT: NORTHROP J.
DATE : 26 OCTOBER 1987
PLACE: HOBART
EX TEMPORE REASONS FOR JUDGMENT
This application was commenced on 16 November 1983
and was listed for hearing today. By his application, the
applicant 15 seeking damages under the Trade Practices Act
1974 based upon non-conformity by the respondents with
sections 52 and 53 of the Trade Practices Act; alternatively,
damages for what is described as negligent misrepresentation,
and alternatively, for an amount due under a contract of
insurance made between the applicant and the respondent,
National Mutual Life Association of Australasia Limited, on
or about 29 August 1979. The application also includes
claims based upon other remedies, but they are not presently
being pursued. The claim is based on one or other or all of
the three claims which I have mentioned.
The contract which 1s the subject of the third
claim is an insurance-type policy under which the respondent,
National Mutual Life Association of Australasia Limited,
agreed, subject to the policy and the terms of the policy,
that 1t would pay to the applicant a specified amount if the
applicant became or suffered total and permanent disablement
as defined in that policy. That phrase is defined in the
policy to mean that the applicant, after the commencing date,
and in the opinion of the Association, and I quote, but I
will change the tense:-
"Became disabled by bodily injury or disease to such
an extent that he or she was at the relevant time,
and had been throughout the immediate preceding
continuous period of six months ... and will be so
disabled for the remainder of his or her life."
The claims based upon the Trade Practices Act and negligent
misrepresentation are based upon alleged statements made by
the agent, the secondnamed respondent, Geoffrey Creese,
during negotiations leading up to the applicant entering into
the policy of insurance.
During the currency of the policy, the applicant
claims to have suffered bodily injury or disease resulting in
total and permanent disablement, and it is here that the
difficulties arise.
Looking at the statement of claim, there 1s room
for some doubt as to the basis of the claim based upon the
breach of contract clause. Clause 12 of the statement of
claim refers to the insurance policy and that the contents
will be referred to at the trial of the application.
Paragraph 13 is as follows:-
"13. Upon a date unknown to the Applicant but
before the 22nd day of September 1982 the
Applicant was physically disabled by illness
and became and remains unable to pursue his
employment as a truck driver."
It should be noted that in the statement of claim there 15 no
specific reference to the other provisions of the definition
of total and permanent disablement as defined in the policy
and as referring to the applicant. Paragraph 17 refers to
the fact that the applicant notified the Association of a
claim in respect of the "aforesaid disablement." Paragraph
18 refers to the fact that the applicant produced to the
Association medical certificates in support of his claim, and
Paragraph 19 alleges that the applicant has complied with the
terms and conditions of the agreement, and paragraph 20
alleges that the Association has neglected and refused to
indemnify the applicant.
There 1s a ocertain degree of ambiguity in those
Pleadings as to whether the applicant is seeking to rely upon
the whole of the definition ef total and permanent
disablement; in other words, whether he is, to use a phrase,
totally and permanently disabled in his profession or
business or occupation, or from engaging i1n any other
business or occupation for which he is fitted by his
knowledge, training, status and ability. The medical reports
which have been supplied by the applicant to the Association
do not assist in the resolution of that ambiguity, since in
the opinions contained in those reports the applicant "was
unfit for full-time work driving a heavy truck." That 1s i1n
one report. In the other report he was said to be
"permanently disabled from driving his truck." There 15
nothing said about doing other work of a kind which the
applicant could perform by reason of his training and
experience.
The matter came to a head when counsel for the
applicant notified counsel for the Association that he
intended to lead oral evidence from the medical witnesses
relating to their opinion as to the capacity of the applicant
to do other work of a kind within his experience, training,
knowledge and skill. In other words, to lead evidence to
prove, or tend to prove that the applicant came within the
definition of suffering a "total and permanent disablement"
as contained in the agreeement.
The matter is highlighted by the fact that at a
directions hearing on 13 July of this year, directions were
given for the exchange of medical reports which were to he
given by the applicant to the respondents within 21 days
after 13 July 1987. They were not given, although after two
letters from the solicitors for the Association, copies of
two medical reports were forwarded under cover of a letter
dated 15 October 1987. Those two medical reports were dated
January 1985 and October 1986 respectively and each of those
contained the opinions which I referred to earlier, and it
was on the basis that there was no expressed medical opinion
directed to the wider meaning to be given to the phrase used
in the policy and to the fact that at a directions hearing
the solicitors for the applicant stated that the only claim
was in relation to the driving of a truck and the inability
to do that, that counsel for the respondents claims that he
has been taken by surprise.
He argues first that the pleadings do not cover the
wider claim and that if the pleadings do cover the wider
claim, then he 1s at a disadvantage and would require further
time in which to prepare and 1f need be, get medical advice
himself as to the condition of the applicant. This is
supported by the first of the two letters written by the
solicitors for the Association seeking the supply of medical
reports which had not by then been supplied. This is
illustrated by reference to the letter of 18 August 1987 when
the solicitors for the Association wrote to the solicitors
for the applicant pointing out the fact that there had been a
non-compliance with the directions of 13 July 1987 and
continuing: -
"We are unsure as to whether we need to call any
medical evidence other than that which was before
our client when the claim was assessed ... may we
please have a proof within seven days?"
The letter eventually forwarding on copies of the two medical
reports makes no reference to the wider meaning to be given
to the definition in the policy.
In my opinion, the statement of claim, on its
proper construction, is sufficient to include within it the
claim being made by the applicant for a breach of the
agreement for the non-payment of the amcunt of the policy in
circumstances where the applicant has suffered permanent and
total disablement within the wider definition as contained in
the policy. The statement of claim is not as clear as it
could be. The reference in paragraph 13 of the statement of
Claim seems to limit the disability of the applicant to he
unable to pursue his employment as a truck driver, but in its
context and the context of the policy itself, a1nall the
circumstances, I am of the opinion that the disability
includes the position of the applicant as the result of his
bodily injury or disease and the extent of that bodily injury
or disease in all its ramifications as contained in the
policy. Accordingly, in my opinion, seeing this is a matter
which comes within the statement of claim, evidence could be
led, and it would be admissible and relevant, as to the
bodily injury and illness condition of the applicant at the
time of the claim and what effect that had on his employment
and whether it comes within the policy. In these
circumstances, I reject the submission on behalf of the
respondents that this claim does not come within the
application and statement of claim.
There remains for consideration whether there
should be an adjournment of the hearing of the application to
enable the Association to prepare its defence.
I am conscious of the length of time which this
case has taken from the time 1t was initiated in December
1983 to taday, just about one month short of four years, and
undicate that delays of that kind in this Court are not to be
countenanced. Under normal circumstances, the matter should
proceed to trial today. At the same time the Court is
concerned that 1t should not force any injustice on a party.
The Court acts impartially and with fairness to all parties
before it. In all the circumstances, I think 1t 1s only fair
that I should grant the adjournment sought. I do so with
reluctance, but having regard to what I said as to fairness
between the parties, I think it is only fair that the
adjournment should be granted, and in this regard I. should
indicate that the fact that counsel for the applicant has not
opposed the adjournment does not affect me any way
whatsoever. Too often practitioners agree to adjournments in
circumstances where adjournments should not be granted and 1t
15 important for the profession to realise that when a date
is fixed for the hearing of a matter, the Court expects the
matter to proceed on that day of hearing. I should indicate
that the last three cases which have been fixed for hearing
in Hobart in this Court have all gone off without resolution.
The Court was ready and able to hear the matter, but for
various reasons the matters were not able to proceed. The
Federal Court operates on the basis of a fixed date being
given for the hearing of a matter and it expects the matter
to proceed on that day. That is something which the
profession in Hobart must understand.
Orders accordingly.
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