You are here:
AustLII >>
Databases >>
Federal Court of Australia >>
2009 >>
[2009] FCA 53
[Database Search]
[Name Search]
[Recent Decisions]
[Noteup]
[Download]
[Help]
Kowalski v MMAL Staff Superannuation Fund Pty Ltd (ACN 064 829 616) (No 3) [2009] FCA 53 (5 February 2009)
Last Updated: 5 February 2009
FEDERAL COURT OF AUSTRALIA
Kowalski v MMAL Staff Superannuation Fund
Pty Ltd (ACN 064 829 616)
(No 3) [2009] FCA 53
PRACTICE AND PROCEDURE – summary
dismissal – Federal Court of Australia Act 1976 (Cth) s 31A –
Federal Court Rules O 20 r 5 – holding a “preliminary”
trial” – application having no reasonable prospects of success.
SUPERANNUATION – grounds for challenging the decision of Trustee
– alleged failure of Trustee to consider an employee’s entitlement
to a total and permanent disablement benefit.
TRUSTS – judicial review of Trustee’s decisions –
circumstances in which Trustee obliged to reconsider the exercise of
a
discretion previously exercised – duty of Trustees to give reasons to
beneficiaries.
CONTRACTS – contract for the benefit of a third party –
settlement of claims against employer in respect of superannuation entitlements
– superannuation Trust not a party to the contract – whether
promises held by employer trust for the benefit of the Trust
– interaction
of contract and trust – intention of contracting parties to create a
trust.
Federal Court of Australia Act 1976 (Cth)
s 31A
Federal Court Rules O 20 r 5
Kowalski v MMAL Staff Superannuation Fund Pty
Ltd (2007) 242 ALR 370 cited
Kowalski v MMAL Staff Superannuation Fund
Pty Ltd (No 2) [2008] FCA 691 cited
Paramasivam v University of New
South Wales [2007] FCAFC 176 cited
Jefferson Ford Pty Ltd v Ford Motor
Co of Australia Ltd [2008] FCAFC 60; (2008) 167 FCR 372 applied
White Industries Aust
Ltd v Federal Commissioner of Taxation [2007] FCA 511; (2007) 160 FCR 298
cited
Jeffrey Guy Baker v Local Government Superannuation Scheme Pty Ltd
[2007] NSWSC 1173 cited
Hay v Total Risk Management Pty Ltd [2004]
NSWSC 94 cited
Sayseng v Kellogg Superannuation Pty Ltd [2003] NSWSC
945 cited
Flegeltaub v Telstra Super Pty Ltd [2000] VSC 107
cited
Minehan v AGL Employees Superannuation Pty Ltd (1998) 134 ACTR 1
cited
Vidovic v Email Superannuation Pty Ltd (unreported, Supreme
Court of New South Wales, Bryson J, 3 March 1995) cited
Karger v Paul
[1984] VR 161 applied
Chammas v Harwood Nominees Pty Ltd [No 1]
(1993) 7 ANZ Ins Cas 61-17 cited
Maciejewski v Telstra Super Pty Ltd
(1998) 44 NSWLR 601 cited
Alcoa of Australia Retirement Plan Pty Ltd v
Thompson (2002) 116 FCR 139 cited
Tonkin v Western Mining Corporation
Ltd (1998) 10 ANZ Ins Cases 61-397 applied
Halloran v Harwood Nominees
Pty Ltd [2007] NSWSC 913 cited
Trident General Insurance Co Ltd v
McNiece Bros Pty Ltd [1988] HCA 44; (1988) 165 CLR 107 applied
Bahr v Nicolay (No 2)
[1988] HCA 16; (1988) 164 CLR 604 cited
Twinsectra Ltd v Yardley [2002] 2 AC 164
cited
Wilson v Darling Island Stevedoring & Lighterage Co Ltd
[1956] HCA 8; (1956) 95 CLR 43 cited
Pacific Carriers Ltd v BNP Paribas [2004] HCA 35; (2004)
218 CLR 451 cited
Lidden v Composite Buyers (1996) 67 FCR 560
cited
Butler LM, “Reviewing Trustees’ Decisions: The Right to
Reasons” (1999) 7 Aust Property LJ 251
Dal Pont and Chalmers, Equity
and Trusts in Australia, 727 ff (4th ed,
2007)
Ford and Lee, Principles of the Law of Trusts,
[17.11010]
Jacobs’ Law of Trusts in Australia, [2303]
(7th ed, 2006)
KAZIMIR KOWALSKI v MMAL STAFF SUPERANNUATION FUND
PTY LTD (ACN 064 829 616) and AMP SUPERANNUATION LIMITED (ACN 008 414
104)
No SAD 11 of 2007
FINN J
5 FEBRUARY 2009
ADELAIDE
|
IN THE FEDERAL COURT OF AUSTRALIA
|
|
SOUTH AUSTRALIA DISTRICT REGISTRY
|
|
|
|
KAZIMIR KOWALSKIApplicant
|
|
AND:
|
MMAL STAFF SUPERANNUATION FUND PTY LTD (ACN 064
829 616)First Respondent
AMP SUPERANNUATION LIMITED (ACN 008 414 104) Second
Respondent
|
|
|
|
|
DATE OF ORDER:
|
|
|
WHERE MADE:
|
|
THE COURT ORDERS THAT:
- The
respondents’ motion be allowed.
- The
application be dismissed.
- The
applicant pay the respondents’ costs including any reserved costs and
costs ordered to be the respondents’ costs in
the cause.
Note: Settlement and entry of orders is dealt with in Order 36 of
the Federal Court Rules.
The text of entered orders can be located using
eSearch on the Court’s website.
IN THE FEDERAL COURT OF AUSTRALIA
|
|
|
SOUTH AUSTRALIA DISTRICT
REGISTRY
|
SAD 11 of 2007
|
|
BETWEEN:
|
KAZIMIR KOWALSKI
Applicant
|
|
AND:
|
MMAL STAFF SUPERANNUATION FUND PTY LTD
(ACN 064 829 616)
First Respondent
AMP SUPERANNUATION LIMITED (ACN 008 414 104)
Second Respondent
|
|
JUDGE:
|
FINN J
|
|
DATE:
|
5 FEBRUARY 2009
|
|
PLACE:
|
ADELAIDE
|
REASONS FOR JUDGMENT
- On
two previous occasions I have refused summarily to dismiss Mr Kowalski’s
application and gave him leave to file and serve
an amended application and
statement of claim: see Kowalski v MMAL Staff Superannuation Fund Pty Ltd
(2007) 242 ALR 370 and Kowalski v MMAL Staff Superannuation Fund Pty Ltd
(No 2) [2008] FCA 691. On the latter occasion I indicated that I was
providing him with his last opportunity to provide an intelligible and
unobjectionable
pleading. I have, though with little optimism, recommended to
him that he obtain competent legal assistance. He has to date demonstrated
little understanding both of the law he seeks to invoke in his own favour and of
how to present, albeit in lay form, a clear statement
of the claim he seeks to
prosecute. My recommendation was not accepted. As he has done in so many
proceedings in this Court and
in other courts and tribunals concerning his
relationship with his past employer, Mitsubishi Motors Australia Ltd (MMAL), he
acted
without legal representation on the motion presently before me. That
motion, brought by the two respondents, again seeks the summary
dismissal of the
proceeding pursuant to s 31A of the Federal Court of Australia Act 1976
(Cth) or else under O 20 r 5 of the Federal Court Rules.
- I
intend to make a summary order under s 31A giving judgment for the respondents
in relation to the whole proceeding.
PRELIMINARY MATTERS
- As
I indicated in both Kowalski (No 1) and Kowalski (No 2), the
actual dispute between Mr Kowalski and MMAL has a long history dating to before
16 March 1994 when his employment with that
company ceased. MMAL Super
(“the Trustee”), a subsidiary of MMAL, was the trustee of the MMA
Staff Superannuation Fund
and was brought into that dispute because of claims Mr
Kowalski has asserted as to his superannuation entitlements consequent upon
the
cessation of his employment with MMAL. It is unnecessary for present purposes
to outline the many proceedings he has brought
against MMAL and the Trustee.
- Though
his complaints in substance relate to defaults of the Trustee, AMP Super has
been joined in this proceeding because by a deed
the trust fund was transferred
to it as trustee on 15 June 2006 and the Trustee was then wound up as a
superannuation entity. The
relief Mr Kowalski seeks includes an order for
payment of a sum of money out of the fund, hence the joinder of AMP Super.
- The
trust rules of the fund that was administered by the Trustee and on which Mr
Kowalski seeks to rely as they relate to his alleged
“entitlements”
provide (Rule C7) that in the event of his retirement “from the employ of
[MMAL] before his Normal
Retirement Date due to his Total and Permanent
Disablement”, he is to be paid a lump sum from the Fund in accordance with
the
relevant rules (“a TPD Benefit”) which lump sum, it is claimed
in his pleading, represented an entitlement of $181,195.00
as at 1 July 1991.
Clause 1(6) of the fund’s Trust Deed defined “Total and Permanent
Disablement” as follows:
“Total and Permanent Disablement” means in relation to a Member
disablement due to illness accident or injury as a result
of which –
(a) he has been continuously absent from employment with the Employer for a
period of at least six months (or such lesser period
as the Trustee may
determine in any particular case); and
(b) he is, in the opinion of the Trustee after consideration of medical evidence
satisfactory to them, incapacitated to such an extent
as to render him unlikely
ever to engage or work for reward in any occupation for which he is reasonably
suited by education, training
or experience.
- As
is not uncommon, the Deed authorises the Trustee to insure any benefit which
might become payable in respect of any member: cl
8. If the Trustee effected a
policy of insurance under which insurance was payable in the event of
disablement of a member, the
Deed’s definition of “Totally and
Permanently Disabled” permits the Trustee in designated circumstances to
modify
the Deed’s definition so as to accord with that of the policy: cl
1. I mention this in passing because, as will be seen,
the Trustee took out
such insurance in respect of Mr Kowalski but allowed it to lapse. Mr Kowalski
seems to consider he was prejudiced
by its so doing.
- The
Rules relating to the benefits to which a member is entitled by virtue of the
circumstances of his or her retirement or resignation
are set out in Schedule C
to the Deed: Rules C3 to C9. While the Rules impose an obligation on the
Trustee to make a prescribed
payment to a member who satisfies the criteria etc
for that payment, as a practical matter it is for the Trustee to be satisfied
that the relevant criteria have been met before a payment of that benefit is to
be made.
- It
is his alleged entitlement to a TPD Benefit that Mr Kowalski seeks to have
enforced, or else to be compensated for not receiving,
in this proceeding.
Given its present significance, I would add that Rule C9(2) provides distinctly
for the payment of a lump sum
to a member of the Superannuation Fund on account
of sickness “not constituting Total and Permanent Disablement who leaves
his employment before his normal retirement date”. In this proceeding
this type of payment has been described as an “ill
health
benefit”.
- I
should also note two further provisions in the Fund’s Deed and Rules.
Rule A7, subject to not presently relevant provisos,
authorises the Principal
Employer (ie MMAL) from time to time to “direct the Trustee to augment the
amount of any benefit payable
pursuant to the ... Rules”. Clause 3(1) of
the Trust Deed provides (inter alia) that:
Except to the extent otherwise provided in the Deed or the Rules the Trustee
have in the exercise or non-exercise or partial exercise
of each and every power
exercisable by the Trustee an absolute and uncontrolled discretion and are not
bound to give to any person
any reason for or explanation of their exercise,
non-exercise or partial exercise of any such power.
- In
Kowalski (No 2) I indicated that Mr Kowalski had by then filed an ever
growing mosaic of evidence covering in the main, a 15 year period. The
documents
filed (often as annexures to submissions) are for the most part
unexplained; their context is often lacking; and if they refer
to annexures,
the annexures are often missing. The re-pleading has only added to the
evidentiary morass.
- While
the respondents have attempted to provide some order to Mr Kowalski’s
material they have for understandable, prudential
reasons limited the Kowalski
material to which they refer (supplemented by documents of their own) to what
can reasonably be said
to be related to Mr Kowalski’s case as now pleaded.
Nonetheless, they have as well dealt with certain matters (concerned primarily
with events in 1998) which, while not founding any claim in the pleading, were
referred to as a cause of complaint in Mr Kowalski’s
filed statement of
issues and formed part of his oral submissions.
- Put
in summary form – and hence somewhat inexactly – Mr Kowalski’s
claims as they emerge from the pleading (as supplemented
by his filed statement
of issues relating to 1998) are fourfold, the first three being founded on
alleged breaches of fiduciary duty
and breaches of trust.
(i) The
Trustee should have considered, but failed properly to do so, his entitlement to
a TPD Benefit at the time he was paid a
resignation benefit in August/September
1994.
(ii) The Trustee should have considered, but failed properly to do so, his
entitlement to a TPD Benefit at the time he was paid his
ill-health benefit in
November 1998.
(iii) The Trustee should have but failed properly to consider his claim for
a TPD Benefit in November 2005.
(iv) The Trustee was negligent in failing to perform its duty to Mr Kowalski
in not making a correct and proper determination of
his entitlement to a TPD
Benefit.
- The
consequential relief sought (I disregard much of what is misguidedly claimed in
the Further Amended Statement of Claim: see paras
23 to 28) is, in substance,
that the Trustee be ordered to pay him his TPD Benefit with interest or else
damages or compensation
for breach of fiduciary duty, breach of trust or
negligence.
- The
final preliminary comment I should make is this. There is a considerable number
of paragraphs in the Further Amended Statement
of Claim that are manifestly
irrelevant or are misconceived: see eg paras 9.1–9.10 and 23–28. I
do not intend further
to identify what is on any view unnecessary in the
pleading. Rather I will only address the sufficiency and prospects of the four
claims I have identified.
- As
the first three arise in chronological order, I will outline them sequentially.
Before doing so it is appropriate to refer both
to the emerging principles
informing the Court’s power to give summary judgment under s 31A of the
Federal Court of Australia Act and to the nature of the obligation of a
trustee or fiduciary to consider the exercise of a power held by virtue of
office.
1. Summary Judgment
- Section
31A, insofar as presently relevant, provides:
31A ...
(2) The Court may give judgment for one party against another in relation to
the whole or any part of a proceeding if:
(a) the first party is defending the proceeding or that part of the
proceeding; and
(b) the Court is satisfied that the other party has no reasonable prospect of
successfully prosecuting the proceeding or that part
of the
proceeding.
(3) For the purposes of this section, a defence or a proceeding or part of a
proceeding need not be:
(a) hopeless; or
(b) bound to fail;
for it to have no reasonable prospect of success.
- This
is not a matter in which it is necessary to consider in detail the varying and
by no means harmonious views that have been expressed
by judges as to the burden
of the “no reasonable prospect of successfully prosecuting” formula
and of the nature of,
and limits to, the assessment it requires be made. As I
have indicated, I have a plethora of evidence before me and the principal
task
it presents is the making of an assessment of it, as a matter of fact, as to
whether Mr Kowalski has no reasonable prospect
of proving each of the facts
necessary to perfect the elements of the causes of action he advances in his
pleading: cf Paramasivam v University of New South Wales [2007] FCAFC
176 at [41]; see also Jefferson Ford Pty Ltd v Ford Motor Co of Australia
Ltd [2008] FCAFC 60; (2008) 167 FCR 372 at [23]. Beyond that, as I will indicate, there is
also a question whether his claims are legally untenable in any event.
- Section
31A is not concerned as such with the bare question whether a person’s
pleading discloses a reasonable cause of action. Its concern
is with substance
and not just form. But as Lindgren J observed in White Industries Aust Ltd v
Federal Commissioner of Taxation [2007] FCA 511; (2007) 160 FCR 298 at [47], while the
existence of a reasonable cause of action and the pleading of a reasonable cause
of action remain distinct concepts –
[a] failure after ample opportunity to plead a reasonable cause of action may
suggest that none exists and therefore that the applicant
has no reasonable
prospects of success.
- It
is well accepted that the moving party bears the onus of persuading the Court
that the applicant has no reasonable prospects of
success. But once that party
has established a prima facie case that the applicant has no reasonable prospect
of success, the applicant
must respond by pointing to specific factual or
evidentiary disputes that make a trial necessary: Jefferson Ford at
[127].
- Importantly
for present purposes, as Gordon J observed in Jefferson Ford at [130]
(citations omitted):
... where there is a real issue of fact relevant to a pleaded cause of action,
it is unlikely that that part of the proceeding has
no prospect of success ...
So, for example, if the pleadings, affidavits, and other materials considered in
connection with the summary
judgment motion, reveal a factual dispute and
that factual dispute must be resolved to determine whether or not the claim
succeeds, it cannot be said that the claim has “no
reasonable prospect of
success” ... On the other hand, if the factual contest is unnecessary to
the resolution of the cause
of action pleaded, then in the absence of other
relevant material, there is nothing to prevent the court entering judgment on
that
claim.
Breach of Trust/Fiduciary Duty
- In
Kowalski (No 2) I set out in relatively short form the principles
governing the review of a decision of a superannuation trustee denying a
member’s
entitlement to a claimed benefit. As I then indicated there is
now a significant body of Australian case law dealing with that matter
and many
of the cases have involved claims for total and permanent disability benefits
having criteria similar to those embedded
in cl 1(6) of the Deed: see eg
Jeffrey Guy Baker v Local Government Superannuation Scheme Pty Ltd [2007]
NSWSC 1173; Hay v Total Risk Management Pty Ltd [2004] NSWSC 94;
Sayseng v Kellogg Superannuation Pty Ltd [2003] NSWSC 945; Flegeltaub
v Telstra Super Pty Ltd [2000] VSC 107; Minehan v AGL Employees
Superannuation Pty Ltd (1998) 134 ACTR 1; Vidovic v Email Superannuation
Pty Ltd (unreported, Supreme Court of New South Wales, Bryson J, 3 March
1995).
- For
present purposes, I accept that the grounds upon which a court will review an
exercise of a superannuation trustee’s discretionary
determination are
essentially those stated by McGarvie J in Karger v Paul [1984] VR 161,
though they have been somewhat elaborated – if not adapted: see Baker
v Local Government Superannuation Scheme Pty Ltd at [8] – in the
superannuation context. They are that (i) the discretion was not exercised in
good faith; (ii) there was not
a real and genuine consideration of the correct
question; (iii) the discretion was not exercised for the purpose for which it
was
conferred; (iv) if the trustee has given reasons for its exercise of
discretion, those reasons were not sound; and (v) if the material
before the
trustee can be identified, that the trustee’s decision was one that no
reasonable person could come to on that material.
- I
note in passing that, while Mr Kowalski has not been hesitant in alleging bad
faith, the challenges he has made in substance seem
addressed to grounds (ii),
(iv) and (v) of the above.
- There
are three additional matters I should emphasise. First, I have
emphasised that it is the review of the Trustee’s decision that is of
present concern. The present is not a case in
which the Trustee was, in
substance, deciding a question that was assigned by the Deed itself to an
insurer: cf Chammas v Harwood Nominees Pty Ltd [No 1] (1993) 7 ANZ Ins
Cas 61-175. Secondly, while both under the general law and under cl 3(1)
of the trust deed the Trustee had no duty to give reasons for a determination
adverse
to Mr Kowalski, a failure to give reasons in circumstances where
explanation might be called for is another matter. As Young J observed
in
Maciejewski v Telstra Super Pty Ltd (1998) 44 NSWLR 601 at 604, in
dealing with the suggestion that because a trustee is not bound to give any
reasons, therefore the
matter is completely unreviewable:
Nothing could be further from the truth. Indeed, whilst trustees do not have to
give reasons in a case where a plaintiff puts forward
a prima facie case that
the trustee’s discretion has miscarried, the absence of reasons and the
absence of any evidence before
the Court as to what happened, will tend to make
that prima facie case a virtual certainty.
This view has been endorsed in many subsequent cases: see Baker v Local
Government Superannuation Scheme Pty Ltd; Hay v Total Risk Management
Pty Ltd; Alcoa of Australia Retirement Plan Pty Ltd v Thompson
(2002) 116 FCR 139 at [37]; Flegeltaub v Telstra Super Pty Ltd; see
also Butler LM, “Reviewing Trustees’ Decisions: The Right to
Reasons” (1999) 7 Aust Property LJ 251. Thirdly, as the Trustee
has considered Mr Kowalski’s entitlement to a TPD Benefit on a number of
occasions and has decided against it,
an issue that presently arises is whether,
if at all, it is obliged to reconsider that matter and, if so, in what
circumstances.
These issues have helpfully been considered by the Full Court of
Western Australia in Tonkin v Western Mining Corporation Ltd (1998) 10
ANZ Ins Cases 61-397 and in a context not dissimilar from the present. In a
judgment endorsed by the other members of the
Court, Franklyn J made
observations which though lengthy are presently relevant in several respects (at
74,270):
In my view, having regard to the terms of the Deed and the relevant definition,
there is no obligation on the trustee, on an application
for the TPD Benefit
supported by evidence inadequate to give rise to the necessary opinion, to seek
out, on its own initiative, evidence
for its consideration and so strain to
obtain evidence relevant to the formation of the necessary opinion, thereby
attempting to
bring within the definition a member not otherwise within its
terms. It may, however, in the exercise of its fiduciary duty and
as a matter
of discretion, if it considers it appropriate, seek and obtain additional
medical evidence. It may also, as a matter
of discretion, require medical
evidence to be submitted to it for the purposes of its consideration. As
trustee, it is not an adversary
either for or against an applicant for the
benefit. Relevantly, it has a duty only to act in accordance with the trust.
If it fails
to perform the same, the court will compel it to do so or do so for
it. It is not bound by any rules as to how it exercises a discretion
conferred
on it, save such as it is obliged to comply with by the terms of the Deed,
provided always that it must act honestly and
in good faith, on an informed view
of whether or not to exercise its discretion, and exercise the power with due
consideration for
the purpose for which it was conferred and for no ulterior
purpose. In the case of powers conferred on it and as to whether it should
do
or refrain from doing something, it must exercise its judgment actively and
honestly and act accordingly. The court will not
control a trustee in the
exercise of its purely discretionary powers unless it is acting mala fide
or has misconceived the nature of its discretion and acted upon that
misconception. When appointed to exercise a trust according
to discretion, a
trustee is not bound to state reasons for any conclusion at which it may have
arrived and on which it has acted,
but again the discretion must be exercised
with an absence of indirect motive with honesty of intention and on a fair
consideration
of the issues. The duty of the court generally is to see that the
discretion of the trustee has been exercised in this manner and
not to deal with
the accuracy of the conclusion at which it may have arrived. See Jacobs’
Law of Trusts in Australia, 5th Ed, p
372-379.
In my opinion, it has at all times been open to the appellant to submit further
medical evidence, including the reports relied on
in para 17.2A to the
respondent for its consideration pursuant to the Deed definition in respect of
the claim for the TPD Benefit.
In such case the respondent is bound to give
them proper consideration. No time limit is fixed or imposed by the Deed for
making
application for the Benefit or for the required consideration of medical
evidence. Whether any statutory limitation might apply
is not relevant to our
consideration as no issue in that respect has been raised. In the event of the
respondent, having considered
medical evidence before it, failing to form the
necessary opinion there is nothing in the Deed or rules to inhibit the appellant
from providing, for its further consideration, further medical evidence relevant
to the formation of that opinion. There is nothing
in the Deed to lead to the
conclusion that, once having failed or refused to form the necessary opinion
after consideration of the
medical evidence then before it, the respondent is
under no obligation to consider further medical evidence relevant to the
formation
of that opinion. Indeed, in my opinion, on the proper construction of
the Deed and having regard to the fiduciary nature of the
trustee’s
obligations, the respondent, if requested to do so, is bound to consider such
evidence relevant to formation of the
opinion as may from time to time be put
before it. Consequently, medical evidence, whether coming into existence prior
or subsequent
to any particular failure or refusal to form the necessary opinion
will necessarily have to be considered if made available by or
on behalf of the
applicant for that purpose.
I should note that for present purposes the respondents have conceded that,
beyond medical evidence, if other material is provided
to a trustee and is of
such character as would lead a reasonable trustee to consider whether or not to
reconsider its former opinion,
that material will have to be considered.
- Finally,
though it is not a matter which it is appropriate for me to enter upon in this
proceeding, I acknowledge that there remains
a real question as to the
appropriateness of applying to superannuation trusts as of course principles of
review evolved in contexts
of settlor bounty and charity – contexts which
are remote from the modern employment relationship: see eg Vidovic v Email
Superannuation Pty Ltd; Baker v Local Government Superannuation
Scheme at [8]; and see generally Dal Pont and Chalmers, Equity and
Trusts in Australia, 727 ff (4th ed, 2007).
THE CLAIMS
(i) The 1994 Claim: FASC paras 14, 16, 29.1 and 30
- The
essence of this claim is revealed in part of the relief sought in para 30 of
FASC.
- The
applicant seeks damages and compensation from the respondents to be determined
by the Court:
“... on the grounds that in April and May 1994 ASL/MMASSF breached its
fiduciary relationship with the applicant of potential
beneficiary and trustee
of a superannuation fund by refusing to make a correct determination of the
applicant’s superannuation
entitlement in accordance with the undisputed
fact that on 16 March 1994 the applicant’s employer had informed him that
as
a consequence of the applicant’s psychological or psychiatric medical
illness his contract of employment with his employed
was frustrated by operation
of law and by refusing to consider Prof AC McFarlane’s medical report
dated 28 April 1993, and
by refusing to determine and/or failing to determine
[his] application for a TPD Benefit dated 3 November 2005, therefore, in 1994
and in 2005 ASL/MMASSF had breached its fiduciary relationship with the
applicant of potential beneficiary and trustee of a superannuation
fund, which
the Plaintiff had entered into with the Respondents on or about 17 March 1970,
breached the Respondents fiduciary obligation
or duty to the Applicant under the
Trust Deed and Rules, was in breach of good faith and the Respondents was
negligence [sic] in
it refusing to perform or in it failing to perform its duty
to the applicant in not making a correct and proper of the applicants
superannuation benefits in April 1994 and in refusing to make a determination or
failing to make a determination on the applicant’s
application for a TPD
benefit dated 3 November 2005.”
- To
understand both the claim itself and the respondents’ challenge to it, it
is necessary to set out briefly the essence of
the relevant factual material
identified in FASC, Mr Kowalski’s affidavits and, to a minor extent, in an
affidavit of David
Smelt who at all relevant times was an employee of the
corporate administrator of the Trustee. In doing this I largely follow as
a
matter of convenience the chronology prepared by the respondents and for which I
am grateful. As I noted in Kowalski (No 2) at [11], I was then unable to
develop any real understanding of the sequence of events since 1991 or of the
relevance or significance
of much of the documentary material.
- (i)
On 7 March 1970, Mr Kowalski joined the MMAL Super Fund. He alleges that on 16
August 1991 he suffered a psychological injury/mental
breakdown at work and that
from that date until 16 February 1992 he was paid “his statutory entitled
sickness benefit”
as a consequence of that injury/breakdown.
- (ii)
On 20 February 1992 Mr Kowalski made a Total Disablement claim. In para 13.2 of
the FASC it said the Trustee commenced paying
him “Totally and Permanent
Disability Benefits”. In contrast, a letter to Mr Kowalski of 28 April
1992 in Mr Smelt’s
affidavit stated (in part):
Further to your request to be considered for Total and Permanent Disability
Benefits, the Trustees have advised that they are still
reviewing your claim,
but in the meantime, they are prepared to consider you for Temporary but Total
Disability Benefits from 19/02/92.
This benefit takes the form of a monthly income, calculated as one twelfth of
12.5% of your Total and Permanent Disablement Benefit
payable to you will be
reduced if necessary (as provided in the Trust Deed) by the aggregate of any
amounts payable under any provision
(statutory or otherwise) for Workers
Compensation and/or Sick Leave.
To enable us to process the payment please complete the enclosed statements for
the period 19/02/92 to 30/04/92 and return to me
at your earliest
convenience.
- (iii)
Because it is a matter of some, albeit unfounded, concern to Mr Kowalski, I note
that as of 31 March 1992, MMA Super Fund terminated
the life insurance policy
for Mr Kowalski that it had in place with SGIC.
- (iv)
On 4 August 1992, the insurer, SGIC informed the Fund’s administrator that
Mr Kowalski would continue to be eligible for
a Total and Temporary Disablement
Benefit (TTDB) but, in light of his treating psychiatrist’s report, he was
assessed as not
“Totally and Permanently Disabled”: his condition
“can only be approximated with Total and Temporary Disablement.
Chronicity of his condition is not implied”. On 18 August 1992, the
Trustee of the Fund agreed to decline Mr Kowalski’s
TPD claim “based
on the evidence provided”. I interpolate in passing that this 1992 TPD
Benefit decision of the Trustee
has not been challenged in this proceeding.
- (v)
Mr Kowalski had been involved in litigation in the South Australian District
Court with MMAL and then in consequential proceedings
over a settlement in the
period 1991–early 1993. In April 1993 MMAL’s solicitor made a
conference note of a meeting
he had with a Dr McFarlane, a psychiatrist, which
recorded (in part):
Dr McFarlane said that the value of an overall settlement in a person’s
rehabilitation should not be underestimated. He said
that he believes Mr
Kowalski’s chances of a productive life are much better if a settlement is
achieved. The possibility exists
that he may become a chronic invalid; for
that reason an agreed settlement would be much more beneficial to him.
(Emphasis added.)
He said that he believes it fictitious to seriously suggest a return to work in
a case like this. He said that it has been demonstrated
in patients with
stress-related conditions that only one out of 32 patients were effectively
rehabilitated back to work. That was
despite the fact that their rehabilitation
was very carefully monitored. Therefore, he does not see rehabilitation back to
his previous
employment as an option with any significant chance of
success.
As the note indicates, Dr McFarlane had not examined Mr Kowalski at the time
of the interview. I would also interpolate that there
is nothing in the
evidence to suggest that this note was supplied to the Trustee at that time.
However, it is clear that by June
2001 the Fund administrator had a copy of the
notes: see letter of that date from David Smett to Colonial. The letter
suggests
the notes were provided by Mr Kowalski at about that time. It can also
be inferred from a file note of Mr Smett of 27 October 1998
that he was made at
least aware on that day of what Mr Kowalski described as “Dr
McFarlane’s report” of April 1993.
- (vi)
Mr Kowalski’s employment contract was terminated by MMAL on 16 March 1994.
The letter notifying him of this which is a
central plank in his claims, stated
insofar as presently relevant:
We have now received a copy of the determination of Review Officer Fender made
on 9th March 1994 in relation to your workers
compensation claim.
During the course of your evidence at the review hearing you stated that you
continue to be incapacitated for work. Since the review
hearing has concluded,
you have continued to provide prescribed medical certificates that certify you
totally unfit for work as a
result of a pathologically intense anxiety
condition. Review Officer Fender made a finding that you did not suffer a
disability
arising from your employment with us. She also made a finding that
even if you suffered an incapacity resulting from the meeting
on 16 August 1991,
that incapacity was temporary in nature and has long since abated. She found
that your incapacity for work has
resulted from the ramifications of the common
law proceedings since, at the latest, 10th July
1992.
As you continue to be unfit for your normal duties with us, your contract of
employment with the company is frustrated. On that
ground, your contract of
employment with the company is now at an end, and accordingly you are no longer
required to report for work.
Again I note in passing that the respondents accept that the letter did not
give an accurate indication of how the parties’
legal relationship came to
be terminated. On 31 March 1994 MMAL informed the Trustee that Mr Kowalski had
“resigned”
from his employment: FASC para 15.
- (vii)
On 22 March 1994 Dr Jagermann, Mr Kowalski’s treating doctor, gave a
workers compensation certificate relating to an examination
of Mr Kowalski of
that date. He certified that his condition had “abated” and that he
was fit for normal duties from
“28.3.94 and continuing”, with
capacities “commensurate with [his] work skills, practice and
experience”.
- (viii)
There does not appear to be any contemporaneous evidence of how the Trustee was
notified of Mr Kowalski’s termination.
A letter written on behalf of the
Trustee to Mr Kowalski in November 1997 suggested that that notification
occurred by means of
an electronic transfer to the Trustee of MMAL’s
payroll which indicated employees who had terminated and the termination dates.
The letter went on: “If no other correspondence is received by the Fund
the superannuation benefit paid is either a normal
resignation or a retirement
benefit, depending on the member’s age.”
- (ix)
On 23 May 1994 Mr Kowalski requested the Trustee to stop processing his
superannuation entitlements until two proceedings were
finalised. The first was
a claim against MMAL for unfair dismissal; the second, an appeal against the
WorkCover ruling of 9 March
1994 which was referred to in the letter notifying
him of his termination.
- (x)
In late August 1994 the Trustee paid Mr Kowalski a resignation benefit of
$27,664.54 under Rule C9 of the Trust Rule.
- The
1994 claim is that, before so doing, the Trustee did not consider the 1993
conference note with Dr McFarlane or any other medical
evidence (unspecified)
available to it at the time “and which was satisfactory to the
Trustee” which proved he was entitled
to be paid a TPD Benefit instead of
a resignation benefit. As I will later indicate, there is no arguable basis at
all for alleging
a breach of fiduciary duty or breach of trust on the
Trustee’s part at that time. The Trustee was not put on notice at the
time that Mr Kowalski’s termination was other than by way of resignation
and it acted accordingly.
THE 1998 CLAIM: (NOT PLEADED)
- The
respondents properly address this matter notwithstanding it has not been pleaded
in the FASC but did appear in its predecessors.
Mr Kowalski has provided
material bearing on it and has clearly relied upon it in his submissions.
- (i)
Sometime in 1997 Mr Kowalski made a claim to the Trustee for an ill-health
benefit pursuant to Rule C9(2)(a) of the Rules. As
earlier noted, this benefit
is payable in circumstances of resignation due to sickness that does not
constitute Total and Permanent
Disablement. On 27 November 1997 he informed the
Trustee he did not wish it “to make a determination in regards to my
entitlement
[to that benefit]” until his claim for unfair dismissal had
been finalised.
- (ii)
Sometime in 1997 Mr Kowalski suffered a heart attack (or attacks). The material
before me suggests both that the heart attack
became the subject of a workers
compensation claim and that it intruded itself in some way into the TPD Benefit
discussions at the
mediation and with Mr Smelt on 27 October 1998. For example,
Mr Kowalski said in his letter of 28 July 2001 to the Trustee
that:
I confirm that on 26 October 1998 my claim for a TPD benefit, after my heart
attack and open heart surgery, was rejected on the basis
of a decision, by an
insurer in 1993, which was a decision that was made prior to my heart attack and
open heart surgery.
- (iii)
On 18 April 1998 Mr Kowalski sent a facsimile to a Mr Breugem in Human Resources
at MMAL. He referred to the letter of 16 March
1994 terminating his employment
which was signed by a Mr Beer and went on:
(2) Mr Beer claimed that because I was “... absent from work on unpaid
leave with a certificate of incapacity extending past
the period of
notice” I had ‘frustrated’ my contract of employment with
Mitsubishi.
(3) In light of the claim by Mr Beer I should have been paid my superannuation
benefits pursuant to Rule C9(2)(a) of “Mitsubishi
Motors Australia Staff
Superannuation Fund”, however, this did not occur because the Fund
Secretary and the Actuarys were not
advised, by Mitsubishi, that Mr Beer of
Mitsubishi claimed that I left on account of sickness.
(4) My family & I request that you correctly inform the Fund Secretary,
Trustees and the Actuarys of the reason that Mr Beer
claimed that I left
Mitsubishi, that is sickness.
(5) My family &I request that the proposed settlement has to include a
resolution of my superannuation entitlements pursuant
to Mr J Beer’s
letter dated 16-3-94 and Rule C9(2)(a) of the Fund.
- (iv)
Later in that year Mr Kowalski and MMAL participated in a mediation before a Mr
Walsh QC. The Trustee was not a participant
in that process. The mediation
occurred on 26 October 1998 and resulted in the signing of Heads of Agreement on
27 October 1998
by Mr Kowalski, his wife and MMAL.
- (v)
MMAL prepared a document for that mediation of what it wished to achieve. It
stated in part:
There are at the present time some 10 actions pending before various courts,
tribunals or review officers and that is without having
regard to appeal
processes which may flow from any decisions on those matters.
Mitsubishi wishes to try to reach a final and overall settlement of all
outstanding matters between itself and Mr Kowalski including
the payment to Mr
Kowalski of Superannuation and taking into account the amounts which are owed by
Mr Kowalski to Mitsubishi for
costs of his unsuccessful claims.
Under the heading “SUMMARY OF MITSUBISHI ISSUES” appeared the
item:
2. Clarifying the amount payable to Mr Kowalski for superannuation.
- (vi)
The mediator, Mr Walsh QC, in turn prepared a document identifying the matters
in dispute. That document was initiated by Mr
Kowalski, Mr Walsh and Mr Breugem
for MMAL. That document identified as an issue:
- Any
entitlement that Kazimir Kowalski has as a result of the termination or
cessation of his employment with Mitsubishi Motors Australia
Ltd including
superannuation, sickness benefits or otherwise.
- (vii)
At 9.00 am on 27 October 1998, Mr Kowalski had a meeting with Mr Smelt. The
purpose of the meeting, according to Mr Smelt’s
file note, was for Mr
Kowalski to discuss his arrangements with MMAL and the benefit he would receive
on reaching agreement with
MMAL. The note recorded:
- He [Mr Kowalski]
went into yesterday’s meeting with a view within himself that he was going
to receive a permanent disablement
benefit even though this had never been
suggested by MMAL.
- He stated that
he believes that he is effectively still employed as Justice Von Doussa stated
that MMAL have not provided formal notice
of termination of employment. He also
stated that as he has been taking action in respect of his employment with MMAL
and unfair
dismissal that under workers compensation legislation his is still
considered to be employed by MMAL and therefore should now be
considered for a
TPD benefit.
- Kaz has a copy
of a report from a Dr McFarlane dated April 93 in relation to his condition
suggesting that he should not return to
work.
- I suggested that
Kaz would not be TPD based on the information within the file held within our
office. I also advised that I was
not aware of the reports considered by SGIC
as the Fund’s insurer when declining him for TPD in August 1992 and
whether McFarlane’s
report was available to SGIC.
- I also advised
that his current situation and his heart and blood pressure condition did not
automatically make him TPD as they have
happened after he ceased employment and
were not a factor in his cessation of employment.
- He again stated
that he felt the trustees had been derelict in their duties as they had not
considered his situation for the correct
benefit. I advised that the trustees
are not always fully aware of each and every case as the Fund Secretary acts as
an agent of
the Fund to ensure that actions occur in a timely manner so the
trustees are not full time on superannuation matters.
- Kaz questioned
the amount of the ill health benefit and how it was calculated. I advised that
I had previously provided a letter
dated 1 May 1998 which provided details of
the amount of the ill health benefit. Kaz stated that he did not have a copy of
this
letter and suggested it had not been provided. I advised that I had
personally delivered it to his letterbox on Saturday morning
the
2nd May 1998.
- I further
explained the ill health benefit and the discount that applies at which point he
advised that the amount that had been agreed
as settlement was confidential and
he shouldn’t talk about it. He did not advise that the total agreement
was confidential
and that he should not be discussing it with me.
- I advised that
in respect of his TPD claim that I would need to contact SGIC which had been
bought by Legal and General and subsequently
Colonial to find out which doctors
reports were considered when he was assessed for TPD but it would take some time
due to the changes
since 1992, the date his claim was originally declined.
- I advised him
that I had spoken to Tony Breugem yesterday and provided copies of pages from
the Fund’s trust deed in respect
to TPD.
- I advised I
would contact Tony Breugem and discuss his case to determine what further
consideration his claim should receive.
- Kaz also
suggested that Tony Breugem was acting as an employer appointed trustee and
therefore making decisions that were in the interest
of the employer. I
strongly disagreed and advised that Tony’s role as a trustee was to act in
the interest of the members.
- My discussion
with Kaz concluded at approximately 10.00 am at which time I contacted Tony
Breugem to discuss Kaz’s concerns.
- (viii)
Sometime on 27 October the Heads of Agreement was signed. It recited that the
parties “have reached an agreement in
relation to the resolution of all
issues” which it recorded as including for present purposes that:
- Kowalski
on behalf of himself and his dependants hereby agrees to accept the sum of
$200,000 in full and final settlement of any entitlements
he may have to
superannuation, sick leave, compensation and damages arising out of or in the
course of his employment with MMAL.
In particular, the said sum to be paid with
a denial of liability, includes payment in full and final settlement of:
...
1.3 Any matters related to the termination of his employment with
MMAL.
1.4 Any superannuation payable by the MMAL Staff Superannuation Fund.
- The
said sum of $200,000 is to be paid to Kowalski as follows:
2.1 The sum of $64,691.43 to be paid from the Superannuation Fund by way of an
ill health benefit being the entitlement with respect
to the period from 7 March
1970 to the date of cessation of his employment.
2.2 The sum of $125,308.57 to be paid by MMAL as an ex gratia payment as
compensation for permanent disability impairing his future
earning capacity
arising from the injuries and disabilities mentioned above.
2.3 The sum of $10,000 to be paid by MMAL in consideration of Kowalski forgoing
any claims or future claims in any way arising from
his
employment.
...
- In
consideration of the matters set out in paragraphs 1 and 2 above, Kowalski and
his dependants agree:
4.1 Not to institute any legal proceedings and or legal complaints with any
Court, Tribunal or body in respect of the matters set
out in paragraph 1 hereof
...
- (ix)
On 3 November 1998, MMAL gave a direction to the Trustee (presumably under Rule
A7) in the following terms:
Mr Kowalski’s termination has now been determined as being as a result of
ill health. Would you please ensure that his benefits
are paid in accordance
with the relevant terms of the Superannuation Trust Deeds.
Further to a telephone call he had with an officer of the Trustee, Mr
Kowalski indicated by facsimile to her that he wished to rollover
the sum paid
by the Fund for the ill-health benefit to another fund. The Trustee paid that
sum to the designated fund on the following
day. On 17 November the Trustee
formally confirmed the decision to admit his claim for an ill-health
benefit.
- As
I will later indicate it is not at all obvious how Mr Kowalski reasonably could
found any challenge to the decision making/actions
of the Trustee in November
1998. .
THE 2005 CLAIM: FASC PARAS 16.1 AND 30
- This
claim mirrors the 1994 claim save that the failures attributed to the Trustee
related to its consideration of an application
for a TPD Benefit made by Mr
Kowalski on 3 November 2005.
- In
dealing with the period 1999 to 2005 I rely on material filed by Mr
Kowalski.
- (i)
It is apparent that by March 1999 Mr Kowalski believed an error had occurred in
relation to the calculation of his superannuation
benefit for the purposes of
the mediated agreement. He was sent a letter from Mr Breugem who signed the
agreement for MMAL indicating
that he participated in the mediation on behalf of
MMAL and not as a director of the Trustee and that he excluded himself
“from
any consideration in regard to the issues involved with respect to
your Superannuation calculation”. Mr Breugem reminded Mr
Kowalski that he
had entered a legally binding agreement in settlement of (inter alia)
superannuation entitlements arising out of
his employment. The agreed total Mr
Breugem stated was made up of components (which included superannuation) which
were specified
and allocated “at your discretion in accordance with your
financial advice”. On the material before me this last observation
seems
incorrect and that the superannuation amount was advised by the representatives
of MMAL. The letter there indicated that while
he understood the Trustee was
considering “your issues”, Mr Breugem indicated that Mr
Kowalski’s concerns should
be dealt with in the context of the Agreement.
He proposed that the matter be dealt with in a meeting with Mr Walsh QC.
- (ii)
By June 2000 Mr Kowalski had lodged a complaint with the Superannuation
Complaints Tribunal in relation to his benefits from
the Fund. The Tribunal
later determined it had no jurisdiction in relation to the matter.
- (iii)
By a letter of 5 June 2001 the Trustee told Mr Kowalski that it was not
authorised to give him a copy of the Heads of Agreement:
it was not a party to
it; only MMAL could authorise its release. The letter went
on:
In addition, the Trustee has no involvement with this agreement and have
therefore had no communication with any person involved
with the agreement other
than to be aware of its existence. Accordingly, any questions relating to this
agreement should be directed
to MMAL.
The letter also indicated that the Fund Secretary had been provided with a
copy of the 27 October 1998 file note where numerous matters
including issues
relating to a TPD claim with the fund were discussed.
- (iv)
Having been asked (seemingly in about June 2000) to review Mr Kowalski’s
1992 claim for a TPD Benefit, the insurer, Colonial
(the successor to SGIC),
advised Mr Smelt by letter of 13 June 2001 of its decision to decline the claim.
On 22 June Mr Smelt sent
an email to Colonial concerning Mr Kowalski and
Colonial’s decision. It stated in part:
You state in your letter that his condition was not chronic but in light of the
fact that Mr Kowalski has not returned to work since
1991, and that he continued
to receive TTD benefits for some 12 months after he was originally declined, we
request that you further
reconsider his TPD claim. After some discussions with
our legal people in Melbourne we believe the fact that these payments continued
for the period they did suggest there is a chronic situation and a full review
of his case is warranted.
This email was sent to Mr Kowalski at his request in February 2003. What I
would note is that it reveals plainly enough both an awareness
on behalf of
those acting for the Trustee of the issue posed by the TPD claim that needed
address and, equally significantly, the
obtaining of legal advice in relation to
the issue.
- On
27 June Mr Smelt again requested Colonial to review Mr Kowalski’s claim
for the benefit and provided Colonial with further
material for that purpose
which included the notes from the meeting with Dr McFarlane of April 1993 and a
report from McFarlane of
16 September 1998.
- (v)
On 3 July 2001 Mr Smelt yet again requested the insurer to reconsider the TPD
Benefit claim. His letter stated in part:
To consolidate and ensure that this TPD claim is properly considered and a
decision reached based on all relevant factors, we reiterate
that the original
decision to decline Mr Kowalski’s TPD claim was made part way through the
maximum 2 year benefit period applicable
to the TTD benefit. Whilst the
decision to decline may have been reasonable at that time, there is nothing on
file from SGIC to
indicate that the same decision was reasonable more than a
year later ie at 19 February 1994 when payment of temporary disablement
benefits
ceased.
SGIC’s liability in relation to Mr Kowalski’s TPD claim did not
cease as a result of the policy termination in early
1992. The incident leading
to the claim occurred whilst SGIC was the insurer on risk and total disability
had been established.
It remained to address the question of whether the
disablement was temporary (as initially assessed) or in reality it was
permanent.
For the TTD benefit to continue for the maximum benefit period of 2 years the
medical information must have indicated that Mr Kowalski
remained totally and
temporarily disabled. The continuance of the TTD benefit would not have been
dependent upon the permanency
of his condition and accordingly it appears the
question of permanency was not again considered. By virtue of the fact that Mr
Kowalski
had not recovered sufficiently to resume any work, without such
reconsideration, it is not clear whether or not he was totally and
permanently
disabled.
Mr Kowalski continues to believe that the decision to decline is TPD claim is
incorrect and he continues to provide further material
in support of his TPD
claim. Until the matter has been concluded one way or the other it is incumbent
upon the insurer and the Trustee
to re-assess his TPD claim in its
entirety.
On 28 July 2001 Mr Kowalski provided the Trustee with further additional
medical evidence which he asked to be considered by the insurer.
That material
was forwarded to Colonial on 31 July 2001.
- (vi)
As appears from a letter of 8 March 2004 from the Trustee’s lawyers to Mr
Kowalski, both Colonial and the Trustee reconsidered
his application for a TPD
benefit “in July August/2001. At that time, Colonial and the Trustee
rejected your application.”
- (vii)
On 16 April 2003, Colonial wrote to Mr Smelt concerning Mr Kowalski and the life
insurance policy relating to him. The letter
stated in
part:
We refer to the claim by Mr Kowalski who was a life insured covered under a
group life insurance policy (“the policy”)
issued by the State
Government Insurance Commission (SGIC) (“now Colonial”) to
Mitsubishi Motors Australia Employees’
Superannuation
Fund.
Mr Kowalski made a claim for Total and Permanent (“TPD”) benefit on
20 February, 1992 claiming that the Life Insured
had been absent from employment
since 16 August, 1991 as a result of emotional stress and pathologically intense
state of anxiety
and that he was TPD.
After considering medical evidence available to it, SGIC denied the claim for
TPD benefits on 4 August, 1992 on the basis that the
evidence supported that the
insured was not TPD. We note that Colonial subsequently re-examined Mr
Kowalski’s claim and affirmed
its decision to deny the claim by letter
dated 13 June, 2001.
We note you subsequently requested that Colonial review the claim on 3 July,
2001 taking into consideration further medical evidence.
Colonial reviewed the
claim at this time and communicated its decision to you via email correspondence
on or about August, 2001.
Mr Kowalski however, alleges that Colonial did not
re-examine his claim as requested. We deny this allegation.
Mr Kowalski has contacted Colonial on a number of occasions regarding his claim
including a recent letter dated 14 February, 2003.
We note that the policy is
between Colonial and the Trustee. Therefore, we are writing to Mr Kowalski
informing him that any future
questions he has about the policy should be
directed to the Trustee and not Colonial.
We have examined our file and provide the following summary of the assessment of
Mr Kowalski’s claim for your information:
The insured’s claim has been assessed by determining whether he was TPD as
at February, 1992. We refer to the policy provisions
for an explanation of the
assessment of the insured’s claim in this way. Under the policy the
period of cover ends on the
earliest to occur of:
- the end of the term of group life policy or its earliest termination, or
- the termination of employment, or
- cessation of gainful employment by the life insured as reflected in the
following provisions of the Group Life Policy.
Clause 4 (Duration of Cover) of the Group Life Policy provides:
“The insurance cover evidenced by this Policy issued pursuant to the
Proposal shall be effective from midnight of the Commencement
Date until
midnight of the same date of the month as the anniversary in which the contract
guarantee period expires.”
“Contract Guarantee Period” in the Group Life Policy is defined to
mean the period from the commencement date to 1st
February, 1992.
Clause 5(2) of the policy provides that “Cover in respect of a Life
Insured ceases at the earliest of the following events”
including:
(ii) termination of service with the employer and
(v) cessation of gainful employment
Accordingly, the insured’s claim must be assessed by determining
whether he was TPD as at February, 1992 or any earlier date
on which the
insured’s employment was terminated prior to this date or the insured
ceased gainful employment prior to this
date.
If you would like us to reassess the life insured’s claim then you should
provide us with documents that you consider relevant
to whether the life insured
was TPD as at February, 1992.
We note that we are already in possession of copies of the following documents:
- Medical Report
of Dr Scanlon dated 28 October, 1991
- Workers
Compensation Medical Certificate dated 23 February 1993 including comments by Dr
Jagerman
- Notes of JA
Fountain, solicitor acting for Mitsubishi Motors Australia Ltd attending Dr
McFarlane dated 29 April 1993.
Please note that we are in possession of several other documents however these
are not relevant to the reassessment of the life insured’s
TPD claim as at
February, 1992 and therefore have not been listed.
Please provide any additional documents, which you consider are appropriate if
you consider that Mr Kowalski’s claim should
be reassessed.
(Emphasis added.)
This letter was copied to Mr Kowalski. There is nothing in the material to
which I have been taken to suggest that the Trustee sought
the reassessment
referred to in the last quoted paragraph or that it disputed the insurer’s
view as to the period of cover.
I should add I have emphasised the paragraph
where Colonial limited its liability to February 1992. While this may have been
the
case insofar as concerned Colonial in respect of any TPD Benefit claim, it
was not the case for the Trustee. From February 1992
until the termination date
in 1994, the Trustee “self insured” in respect of any possible TPD
Benefit claim by Mr Kowalski:
on insuring benefits see Trust Deed cl 8; see
also Halloran v Harwood Nominees Pty Ltd [2007] NSWSC 913.
- (viii)
In mid-2003 Mr Kowalski and others acting on his behalf sought to obtain a copy
of Colonial’s determination of August
2001. The Trustee’s
solicitors denied having a copy of it.
- (ix)
In March and April of 2004 the Trustee’s solicitors wrote to Mr Kowalski
and to his union indicating on instructions that
no formal application for a TPD
Benefit was made to the Trustee in October 1998. In the letter to Mr Kowalski,
the solicitors further
observed that, in consequence, no such application was
considered or rejected at that time.
- (x)
On 3 November 2005 Mr Kowalski wrote to the Trustee:
Re: My formal application for a Total and Permanent Disability
Benefit
I provided you with a copy of a letter from Mr J K Beer, Manager Human
Resources, Mitsubishi Motors Aust. Ltd. Lonsdale Plant, to
myself, dated 16
March 1994, in which he and MMAL informed me that “... As you (I)
continue to be unfit for your (my) normal duties with us, your
(my) contract of employment with the company is
frustrated. On that ground, your (my) contract of employment
with the company is now at an end, and accordingly you are no longer required to
report for work ...”.
I also provide you with a copy of a letter from Senator Grant Chapman to Mr Tom
Phillips dated 19 October 2005. The letter is self
explanatory, however, I draw
your attention to the parts of the letter that I have
underlined.
In view of the above, I formally apply for a TPD Benefit from the MMA Staff
Superannuation Fund on the grounds found in Mr Beer’s
letter to me, dated
16 March 1994, and Senator Grant Chapman’s letter to Mr Tom Phillips dated
19 October 2005.
The letter of Senator Chapman reiterated Mr Kowalski’s grievances and
invited MMAL’s consideration of the matter. The
following day Mr Kowalski
wrote to the Trustee attaching documents to prove that the Trustee was not a
party to the mediation and
settlement agreement and that he was not in 1998 paid
his correct entitlement according to law. Though para 18 of the FASC refers
to
these documents as including “medical” documents, such if any were
not exhibited, or referred to, by Mr Kowalski.
- (xi)
On 20 December 2005 the Trustee through its solicitors indicated it had
“previously considered and declined applications
made by you for a TPD
benefit and that you have been informed of the Trustee’s
decision.”
- (xii)
On 21 February 2006, Mr Smelt wrote to the Fund’s sub-committee that was
to deal with the 3 November application. It
indicated:
The Fund’s insurer, Colonial, have previously advised that they have
completed their assessment of the above member, and have
declined his
claim for Total and Permanent Disablement. Mr Kowalski claims to have lodged a
fresh claim for a TPD claim via Doug Clutterbuck
(as representative of the
Trustee) on 3 November 2005.
Attached for your information is selected correspondence in respect to Mr
Kowalski’s previous application and responses provided
by both the Trustee
and Colonial (as insurer).
Mr Kowalski maintains that he is entitled to a TPD claim on the basis of his
heart attacks suffered in 1997 and that his employment
did not terminate until
he signed a Heads of Agreement to settle all his claims against Mitsubishi on 27
October 1998.
(Emphasis in original.)
The “selected correspondence” is not before me. The same day the
sub-committee confirmed the decision to decline the
3 November 2005 TPD Benefit
claim “as it is not relevant to the date of cessation of employment and
that the claim for TPD
had previously been considered and declined by the
Fund’s insurer and Trustee”.
- (xiii)
On 24 February the Trustee’s solicitors wrote to Mr Kowalski indicating on
instruction that
... the Trustee has previously considered and declined your claim for a TPD
Benefit arising from your employment to 16 March 1994
and including its
cessation on that date. The trustee is of the opinion that your letter of 3
November 2005 and its annexures raise no new issues.
We have again been instructed by the Trustee that we will not be responding to
any matters that you have previously raised and which
have been dealt with. The
Trustee has made its position clear in respect to your entitlement to a TPD
benefit from the Fund in previous
correspondence and this position remains
unchanged.
(Emphasis added.)
It is the Trustee’s adherence to its previous stated position as to Mr
Kowalski’s entitlement to a TPD Benefit which founds
his claim that it has
refused properly to consider his claim and hence its breach of trust or of
fiduciary duty.
CONSIDERATION
- While
Mr Kowalski vigorously disputes the accuracy and often the veracity of much of
the documentary evidence before me, his concerns
have only slight bearing on the
issues I need address. I have little regard for his regular assertions of bad
faith, as freely made
as they are unsubstantiated. And I treat with
considerable reserve his interpretation of the motives of others, his own
evidence
from the bar table and his general narrative of the events. Moreover,
his application and pleading, as will be seen, are as notable
for what they
leave unchallenged as for what they challenge.
- Doing
the best I can with the underlying material which is said to found the
complaints made, and conscious of the opportunities I
have given Mr Kowalski to
propound a cause of action, albeit in lay terms, I have as I have foreshadowed,
concluded that the proceedings
should be summarily dismissed. While it will not
often be the case that a Court will be required to – or should properly
–
conduct as detailed an examination of the materials put on by the
parties as I have, this is not an ordinary proceeding with an ordinary
and
uneventful provenance. The evolving manner in which Mr Kowalski has perceived
his grievances and has formulated them to secure
the relief he has in mind, has
necessitated that I conduct in essence a “preliminary trial”:
Jefferson Ford, at [23].
- I
intend to deal briefly with the factual material chronologically, focussing
primarily upon those matters which have led me to my
conclusion.
- It
is, I consider, important to acknowledge that in 1992 both the insurer and the
Trustee declined Mr Kowalski’s formal application
for a TPD Benefit. The
Trustee’s decision has not been challenged in this proceeding. I mention
this decision because, as
the Trustee later recognised, it did not preclude the
further consideration of whether Mr Kowalski may have been entitled to a TPD
Benefit when his employment terminated in 1994.
- Turning
now to the 1994 claim in the FASC, several matters seem indisputable. First, no
formal application was made of the time of
termination for a TPD Benefit. Mr
Kowalski does not suggest otherwise. Secondly, the Trustee was unaware that it
should consider
Mr Kowalski’s termination entitlements with such a benefit
in mind. It did not inquire into whether there was medical evidence
capable of
supporting such an entitlement. It had no need, or obligation, to in the
circumstances: cf Tonkin, at 74,269. I note that before it could pay a
member a TPD Benefit under Rule C7, the Trustee was required to be of the
opinion
“after consideration of medical evidence satisfactory to them
[sic]” that the member is incapacitated to the extent required
by the
Rule.
- The
Trustee in this matter simply paid a Rule C9 retirement benefit. If the Trustee
was later presented with an application for,
or medical evidence in support of,
a TPD Benefit, the paying of the Rule C9 benefit would not have relieved the
Trustee of its obligation
to consider that application. This is not to say that
the C9 decision was vitiated by some breach of duty on the Trustee’s
part.
Rather, its correctness was examinable because an error may have been made in
providing the member with his or her entitlement
as a member. Under the Rules
of Annex C, the member was entitled to be paid the benefits of the particular
Rule which his or her
circumstances required. The Trustee may have had to be
satisfied that the member met the criteria of a particular rule, but it did
not
have an unfettered discretion to decide which benefit might be provided to a
member. As I will indicate below, the Trustee subsequently
considered and
rejected Mr Kowalski’s claim for a TPD Benefit from the cessation of his
employment in 1994.
- Mr
Kowalski’s 1994 claim proceeds on two false assumptions. The first, is
that the Trustee had, in the circumstances, a duty
to consider whether he had an
entitlement to a TPD Benefit. I need not repeat what I have said above. The
second is that the Trustee
was obliged to consider Dr McFarlane’s
“report” (as the 29 April 1993 interview notes are misdescribed).
There
is no evidence at all that the Trustee was informed of, or provided with
the report, at any time relevant to the determination of
Mr Kowalski’s
1994 retirement benefit. Mr Kowalski does not contend to the contrary.
- Mr
Kowalski’s 1994 claim, in consequence, has no reasonable prospects of
success as formulated or at all. This is irrespective
of whether the Trustee
would otherwise have had a defence to it in any event, a matter referred to
later in these reasons.
- Notwithstanding
their complexity, I will deal with the events between 1994 and 1998 relatively
shortly. It needs to be emphasised
that in 1997 Mr Kowalski made a claim for an
ill health benefit. This benefit, as I have emphasised, was payable in
circumstances
of resignation due to sickness “not constituting Total and
Permanent Disablement”. That he did so is of no little importance
in
understanding the events of 1998.
- I
will later indicate my view of the significance to be attributed to the
mediation agreement of 27 October 1998. What is clear is
that all parties to
the mediation understood that one of its purposes was to clarify and settle the
amount payable to Mr Kowalski
for superannuation. That inquiry was to be made
in a context in which Mr Kowalski had made a claim, reiterated in a facsimile to
Mr Breugem on 18 April 1998, that he left MMAL “on account of
sickness” and was entitled to an ill-health benefit. It
may be the case,
though it is not evident on the material before me (but has been asserted by Mr
Kowalski from the bar table), that
he raised the question of a TPD Benefit
during the mediation on 26 October 1998. What is clear from his conversation
with Mr Smelt
on the following day (as revealed in the file note), is that he
laboured under significant misunderstandings as to what founded his
alleged TPD
Benefit, eg he was then asserting he was still employed by MMAL and should
“now” be considered for a TPD
Benefit. Nonetheless in that
conversation he did discuss the amount of his ill-health benefit. When he
signed the Heads of Agreement,
he must be taken as having done so on the basis
that the ill-health benefit to be paid was “in full and final settlement
of
any superannuation payable” – albeit he had reason to be assured
from what Mr Smelt told him on the same day that Colonial
would be contacted in
respect of his TPD Benefit claim but “it would take some time”.
Unsurprisingly, and in consequence
of MMAL’s direction, the Trustee paid
the ill-health benefit, formally confirming the decision to admit that claim on
17 November
1998. I would interpolate in passing that the figure in question
was, on the material before me, supplied by MMAL’s representatives
as the
appropriate amount for the ill-health benefit.
- Pausing
at this point it is not obvious at all how Mr Kowalski could purport to complain
about the Trustee’s decision-making
on, or prior to, 17 November 1998.
The Trustee did not participate in the mediation. It was not a party to the
Heads of Agreement.
It received and finally confirmed Mr Kowalski’s 1997
application for an ill-health benefit. And it foreshadowed that it would
– and it did – ask Colonial to consider his TPD Benefit claim.
Nonetheless, it is the case that there are a number of
instances in
correspondence by or on behalf of Mr Kowalski (eg from his union) asserting that
he made a “formal claim”
for a TPD Benefit on 26 October 1998.
There is nothing to suggest that such a claim was more than what Mr Kowalski
might have said
at the mediation. Nor is there anything to reveal what was the
basis of the “claim” as, for example, did it relate to
his 1997
heart condition or his then apparent belief he was effectively still employed by
MMAL. As the Trustee later made plain
(see letter of 8 March 2004), it denied
receiving a formal application from Mr Kowalski in October 1998, nor did it
consider and
reject any application at that time.
- No
precise “claim” has been articulated in respect of the
Trustee’s supposed wrongdoing in 1998. I do not intend
to speculate
further on that matter. I can discern no potential basis, let alone one having
reasonable prospects, for a claim for
breach of trust against the Trustee for
its decisions etc in late 1998.
- It
needs to be emphasised that the Trustee did ask Colonial to reconsider its 1992
decision in light of subsequent events. I have
set out in detail the exchanges
between Mr Smelt and Colonial on this matter. To be emphasised, the Trustee on
legal advice considered
a full review of Mr Kowalski’s case was warranted:
“it [was] incumbent upon the insurer and the Trustee to re-assess
his TPD
claim in its entirety”: Smelt letter of 3 July 2001.
- Mr
Kowalski makes no claim in this proceeding in respect of the 2001 decisions of
the insurer and the Trustee rejecting his application
for a TPD Benefit,
although there is a deal of material before me evidencing Mr Kowalski’s
ongoing complaint about not being
supplied with a copy of the
“determination”. Given the absence of any claim in relation to this
matter, the absence
of evidence relating to it is entirely understandable. It
would be unreasonable to draw any inference adverse to the Trustee from
its not
providing further illumination in this proceeding of its then decision. All I
will note is that the correspondence to which
I have referred suggests there may
have been some disagreement between the insurer and the Trustee as to the
significance of the
period of the insurance cover. It also indicates that,
unlike the insurer, the Trustee was not limiting its assessment to the situation
in 1992. I should further note that by that time both the insurer and the
Trustee had copies of Dr McFarlane’s note.
- Turning
finally to the 3 November 2005 application for a TPD Benefit, the material here
suggests some of the confusion as to the nature
and basis of Mr Kowalski’s
claim that began to emerge in 1997 and then later at the time of the mediation.
It is clear from
Mr Kowalski’s 3 November letter that his claim was
related to the time at which he ceased employment with MMAL. To anticipate
matters somewhat, it was the claim directed to that time of cessation that the
Trustee through its solicitors indicated on 24 February
2006 that they had
previously considered and declined. The reasonable inference to draw from this
in light of the material before
me is that the reference to previous
consideration related back to the Trustee’s 2001 reconsideration decision.
Equally, and
despite Mr Kowalski’s assertion to the contrary, there is no
basis for regarding the statement as other than an honest reflection
of what the
Trustee had done.
- It
is, nonetheless, clear from Mr Smelt’s 21 February 2006 letter to the
Trustee Sub-Committee, either that Mr Kowalski may
have advanced additional
bases for his TPD claim – the letter refers to his 1997 heart attacks and
to his belief his employment
did not terminate until the Heads of Agreement was
signed – or else an error was made by Mr Smelt as to the bases he ascribed
to the “fresh claim”. Either may explain why the Trustee’s
decision refers to the claim as not being “relevant
to the date of
cessation”. Be this as it may, the Trustee reiterated that the claim for
TPD had previously been considered
and declined by the Fund’s insurer and
Trustee. While the evidence of the 2001 reconsideration is slight and might
suggest
that the insurer and the Trustee then had different temporal concerns as
to the operative date for Mr Kowalski’s total and
permanent disablement,
there can be no doubt after the 24 February 2006 solicitors’ letter
referred to above either that the
Trustee in 2005 asked itself the correct
question as to the time to which the claim related, ie 16 March 1994, or that it
was that
question that had previously been considered and answered. It equally
is clear from that letter that the Trustee did consider the
annexures attached
to the letter of 3 November. It was reasonably open to it properly to take the
view of those annexures that they
raised no new issues, hence no reconsideration
of the previously rejected claim was necessary. Those annexures I would add
contained
nothing which would be likely to induce a reasonable trustee to take a
different view.
- While
it is a trustee’s duty to act in the interests of its beneficiaries,
absent an express power of dictation, a trustee is
not the pawn of a
beneficiary. As Tonkin indicates, a beneficiary is entitled to seek the
reconsideration of a decision affecting his or her interests unless this is
precluded
by the nature of the decision itself or by the terms of the trust
instrument. But where the decision, as here, requires the Trustee
to form a
particular opinion and that opinion has previously been formed adversely to the
beneficiary, the Trustee is not obliged
to reconsider that opinion absent some
reason for so doing. Where, as here, what is raised by the beneficiary is
matter which the
Trustee has previously had raised before it and dealt with, the
Trustee is entitled to decline to re-entertain that same matter in
the future
unless, because of change of circumstances or otherwise, that decision was not
one that a reasonable person could then
make. Such is not the position here.
- Accordingly,
I am satisfied that having regard to the material underlying Mr Kowalski’s
2005 claim, that claim has no reasonable
prospects of success.
- I
am conscious that in reaching the conclusions I have, I have made no direct
reference to the medical evidence or to issues of causation.
As to the medical
evidence, I accept that there was material before the Trustee in 2001 which both
supported and contradicted Mr
Kowalski’s position. The Trustee in light
of this had to make its own decision. While Mr Kowalski asserts the
Trustee’s
opinion was incorrect, that is not the question with which I am
concerned. Not being aware of all of the material that was before
the Trustee
when it took its decisions in 2001 and 2005, I am left to consider if it can
properly be alleged that there was not a
real and genuine consideration of the
correct question by the Trustee. There is nothing before me reasonably to
suggest such was
the case and hence should be examined at trial.
- A
distinct matter which I consider to be quite unimportant but to which Mr
Kowalski assigns great significance, is the reason given
by Mr Beer in his
letter of 16 March 1994 notifying Mr Kowalski of the termination of his
employment. Mr Beer did not represent
the Trustee nor did he make statements
binding upon it. Whatever Mr Beer intended to convey by describing the contract
as “frustrated,”
he clearly was not speaking with legal exactitude.
It is unnecessary for me to speculate what the letter read as a whole was
intending
to convey as the actual reason MMAL had for the termination. What is
clear is that, when the Trustee was called upon to determine
whether the
cessation of employment in 1994 was caused by Mr Kowalski’s claimed total
and permanent disability, that decision
was, relevantly for present purposes,
for the Trustee when the TPD claim was made. It was neither fettered, nor
determined in advance,
by MMAL’s reason for terminating the employment.
- I
am satisfied there is no basis in the material relied upon by Mr Kowalski that
reasonably suggests a breach of trust or of fiduciary
duty such as has been
alleged in the FASC in relation to the 3 November 2005 claim. The pleaded
assertion that the Trustee had deliberately
and consciously acted in bad faith
lacks any foundation and should never have been made.
- As
I am satisfied that none of the actual or potential breach of trust or,
relatedly, breach of fiduciary duty, claims have reasonable
prospects of
success, not only will I dismiss them, I will also dismiss the negligence claim
which is premised upon the conduct said
to give rise to the breaches of trust
and of fiduciary duty.
CONCLUSION ON THE CLAIMS
- As
I am satisfied that the claims actually made in the FASC as well such claims as
may be said to be immanent in the material informing
the proceeding have no
reasonable prospects of success, I will order under s 31A of the Federal
Court of Australia Act that the application be
dismissed.
THE RESPONDENTS’ DEFENCE
- While
this matter has been heard before the respondents put on a defence, they have
foreshadowed that if they had been required to
do so they would have raised the
mediation agreement as a complete defence to the claim made.
- The
basis of this defence, as I understand it, is that when considered in its
context, it is clear that, while the Trustee was not
a party to the agreement,
it was nonetheless the beneficiary of the promises made by Mr Kowalski that (i)
the sum of $64,691.43 “to
be paid from the Superannuation Fund” was
payment in full and final settlement of any superannuation payable by the
Trustee;
and (ii) that Mr Kowalski would not institute any legal proceedings in
respect of the matter in (i) above.
- I
readily acknowledge that the trust device has in practice proved “a
disappointing and unreliable instrument” for circumventing
the privity
doctrine: see Cheshire and Fifoot’s Law of Contract, [7.44]
(9th Aust ed, 2008). Nonetheless, in this particular
setting both where trust and contract so obviously interact: see Dal Pont and
Chalmers,
at 727; and where the contracting parties intent was, on the face of
the Heads of Agreement, to bring the Trustee within its purview
so both to
benefit and to burden it, the observations of Deane J in Trident General
Insurance Co Ltd v McNiece Bros Pty Ltd [1988] HCA 44; (1988) 165 CLR 107 at 147-148 are
singularly apposite. His Honour observed that the requisite intention of the
contracting parties to constitute a
trust of a promise for a third party should
be inferred:
... if it clearly appears that it was the intention of the promise that the
third party should himself be entitled to insist upon
performance of the promise
and receipt of the benefit and if trust is, in the circumstances, the
appropriate legal mechanism for
giving effect to that intention. A fortiori,
equity’s requirement of an intention to create a trust will be at least
prima
facie satisfied if the terms of the contract expressly or impliedly
manifest that intention as the joint intention of both promisor
and promise.
... If the trustee of the promise declines to institute [proceedings for the
enforcement of the promise or damages for its breach],
the beneficiary can bring
proceedings against the promisor in his own name, joining the trustee as
defendant.
See also Bahr v Nicolay (No 2) [1988] HCA 16; (1988) 164 CLR 604 at 618; Ford and
Lee, Principles of the Law of Trusts, [17.11010]. It is not necessary
that the contracting parties know and understand that they are creating a trust.
It is sufficient
that they intend to create a relationship which, in equity,
conforms to that of a trust: see Twinsectra Ltd v Yardley [2002] 2 AC
164 at [71]; Ford and Lee at [2035].
- While
it is not strictly necessary that I express a concluded view on this
foreshadowed defence, and while I share the view of Fullagar
J in Wilson v
Darling Island Stevedoring & Lighterage Co Ltd [1956] HCA 8; (1956) 95 CLR 43 at 67
that it is “difficult to understand the reluctance which courts have
sometimes shown to infer a trust in such cases”
– a reluctance I
acknowledge – I am satisfied that having regard not only to the text of
the agreement but also to the
known surrounding circumstances and the purpose
and object of the contract: cf Pacific Carriers Ltd v BNP Paribas [2004] HCA 35; (2004)
218 CLR 451 at [22]; a court would readily infer a trust intention in this
matter.
- While
ordinarily MMAL would be a necessary party to the raising of such a defence:
see Lidden v Composite Buyers (1996) 67 FCR 560; see also
Jacobs’ Law of Trusts in Australia, [2303]
(7th ed, 2006); the respondents acknowledge were the
matter to proceed to trial, MMAL could be joined as a party for the purpose of
enforcing
the trust.
- I
should add that, while the Trustee did not seek to insist on its rights for the
purpose of the 2001 reconsideration – and
properly so given Mr
Smelt’s assurance at the time of the mediation agreement that he would
raise the TPD claim with Colonial
– the Trustee has done nothing that
could be said (i) to amount to a renunciation of its rights; or (ii) to found
an estoppel
against it for the future.
- Given
this available defence, I am satisfied it provides a further basis for
concluding that Mr Kowalski’s application has no
reasonable prospects of
success.
CONCLUSION
- I
will order that the respondents’ motion be allowed and that the
application be dismissed.
- I
will order Mr Kowalski to pay the respondents’ costs including any
reserved costs and costs ordered to be the respondents’
costs in the
cause.
I certify that the preceding ninety-eight (98)
numbered paragraphs are a true copy of the Reasons for Judgment herein of the
Honourable
Justice Finn.
|
Associate:
Dated: 5 February 2009
The
Applicant appeared in person.
|
|
|
|
Counsel for the First & Second Respondents:
|
Ms V Heath
|
|
|
|
Solicitor for the First & Second Respondents:
|
Thomson Playford Cutlers
|
AustLII:
Copyright Policy
|
Disclaimers
|
Privacy Policy
|
Feedback
URL: http://www.austlii.edu.au/au/cases/cth/FCA/2009/53.html