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Board of Trustees of the State Public Sector Superannuation Scheme v Edington (includes Corrigendum dated 10 February 2011) [2011] FCAFC 8 (1 February 2011)
Last Updated: 11 February 2011
FEDERAL COURT OF AUSTRALIA
Board of Trustees of the State Public
Sector Superannuation Scheme v Edington [2011] FCAFC 8
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Citation:
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Board of Trustees of the State Public Sector Superannuation Scheme v
Edington [2011] FCAFC 8
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Appeal from:
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Parties:
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BOARD OF TRUSTEES OF THE STATE PUBLIC SECTOR
SUPERANNUATION SCHEME v JOSEPH DAVID EDINGTON and SUPERANNUATION COMPLAINTS
TRIBUNAL
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File number:
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QUD 219 of 2010
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Judges:
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KENNY, LANDER & LOGAN JJ
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Date of judgment:
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Corrigendum:
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10 February 2011
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Catchwords:
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SUPERANNUATION – statutory appeal
from the Superannuation Complaints Tribunal - Tribunal affirmed the decision of
the Trustees of the Superannuation
Fund not to pay any insurance benefit to the
applicant who had been assessed as totally and permanently disabled after a
workplace
incident because the disablement related to a pre-existing undisclosed
medical condition SUPERANNUATION COMPLAINTS TRIBUNAL -
consideration of the role of the Tribunal - Tribunal must affirm a decision of a
Trustee if it is satisfied that the decision was
fair and reasonable in relation
to the complainant in the circumstances - hearing of Tribunal is a hearing de
novo - Tribunal able
to make its own findings of fact for the purpose of
determining if it was so satisfied - Tribunal not restricted to the
evidence and material before the Trustees - Tribunal not required to
determine whether the reasoning of the Trustees was
fair and reasonable -
Tribunal's inquiry is directed to answering question of whether the decision of
the Trustees was fair and reasonable
- Tribunal conducted its review in
accordance with the Act QUESTION OF LAW - whether notice of
appeal defective - appeal under s 46(1) of the Superannuation (Resolution of
Complaints) Act 1993 (Cth) limited to question of law - whether notice of appeal
contained a question of law - mixed question of fact and law
is not a
question of law
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Legislation:
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Cases cited:
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Date of last submissions:
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17 November 2010
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Place:
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Brisbane
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Division:
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GENERAL DIVISION
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Category:
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Catchwords
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Number of paragraphs:
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Counsel for the Appellant:
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Mr RN Traves SC with Mr SA McLeod
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Solicitor for the Appellant:
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Crown Solicitor
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Counsel for the First Respondent:
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Mr M Steele
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Solicitor for First Respondent:
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Black & Co Lawyers
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The Second Respondent submitted save as to costs
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FEDERAL COURT OF AUSTRALIA
Board of Trustees of the State Public Sector Superannuation
Scheme v Edington [2011] FCAFC 8
CORRIGENDUM
- In
paragraph 67, line 18 of the Reasons for Judgment, substitute the word
“reasonable” for the word “reasonableness”.
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I certify that the preceding one (1) numbered paragraphs are a true copy of
the Corrigendum to the Reasons for Judgment herein of
the Honourable Justices
Kenny, Lander and Logan.
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Associate:
Dated: 10 February 2011
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IN THE FEDERAL COURT OF AUSTRALIA
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QUEENSLAND DISTRICT REGISTRY
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ON APPEAL FROM THE
FEDERAL COURT OF AUSTRALIA
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BOARD OF TRUSTEES OF THE STATE PUBLIC SECTOR
SUPERANNUATION SCHEMEAppellant
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AND:
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JOSEPH DAVID EDINGTONFirst
Respondent
SUPERANNUATION COMPLAINTS TRIBUNAL Second Respondent
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DATE OF ORDER:
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WHERE MADE:
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THE COURT ORDERS THAT:
- The
appeal be allowed.
- The
orders made on 21 May 2010 be set aside; and, in lieu thereof, order that the
appeal pursuant to s 46 of the Superannuation (Resolution of Complaints) Act
1993 (Cth) be dismissed.
- The
parties file any submissions as to costs on or before 11 February 2011.
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
Federal Law Search on the Court’s website.
IN THE FEDERAL COURT OF AUSTRALIA
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QUEENSLAND DISTRICT REGISTRY
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GENERAL DIVISION
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QUD 219 of 2010
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ON APPEAL FROM THE FEDERAL COURT OF AUSTRALIA
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BETWEEN:
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BOARD OF TRUSTEES OF THE STATE PUBLIC SECTOR SUPERANNUATION
SCHEME Appellant
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AND:
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JOSEPH DAVID EDINGTON First Respondent
SUPERANNUATION COMPLAINTS TRIBUNAL Second Respondent
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JUDGES:
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KENNY, LANDER & LOGAN JJ
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DATE:
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1 FEBRUARY 2011
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PLACE:
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BRISBANE
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REASONS FOR JUDGMENT
KENNY AND LANDER JJ:
INTRODUCTION
- This
is an appeal from a judgment of a Judge of the Court setting aside a decision of
the Superannuation Complaints Tribunal (‘the
Tribunal’) concerning
Mr J D Edington’s entitlement to payment of a total and permanent
disablement benefit (‘TPD
benefit’). Amongst other things, the
Judge set aside the decision and remitted the matter to the Tribunal to be
reconsidered
according to law.
- For
the reasons stated below, we would allow the appeal.
STATUTORY AND FACTUAL BACKGROUND
Statutory Background
- To
appreciate the nature of this appeal, it is first necessary to have regard to
some background matters, which include the Queensland
public sector
superannuation scheme and the relevant federal legislation.
- Pursuant
to the Superannuation (State Public Sector) Act 1990 (Qld), which
“provide[s] the machinery for the establishment of a new superannuation
scheme for the State public sector”,
the State Public Sector
Superannuation Fund “is continued in existence”: see the preamble
and s 10. Pursuant to s 12, the Superannuation (State Public Sector) Deed 1990
(‘the trust deed’) establishes a scheme (‘the scheme’)
for the provision of superannuation, retirement, provident or other similar
benefits payable from the fund (‘the fund’).
The Board of Trustees
of the State Public Sector Superannuation Scheme (‘the Board of
Trustees’) is also established
under the Act: see s 3. The function of
the Board of Trustees is to administer the scheme: see s 4. Section 7(1)
provides that:
The board’s powers and the exercise of discretion by the board are, except
as specified in this Act, to be as set out in the
deed.
Membership of the scheme is limited to State public
sector employees: see s 13.
- The
Superannuation Complaints Tribunal is established under federal legislation, by
s 6 of the Superannuation (Resolution of Complaints) Act 1993 (Cth)
(‘Complaints Act’). Pursuant to s 14, subject to certain presently
immaterial matters, a person may make a complaint
to the Tribunal that a
decision by the trustee of a regulated superannuation fund, in relation to a
particular member or a particular
former member of the fund, is or was unfair or
unreasonable. The fund in this case is a regulated superannuation fund.
- Section
11 of the Complaints Act provides that, in carrying out its functions or
exercising its powers, the Tribunal must pursue
the objectives of providing
mechanisms for (amongst other things) “the review of the decision ... to
which the complaint relates
... that [is] fair, economical, informal and
quick”. Section 12 provides that, if the complaint cannot be resolved by
conciliation,
the function of the Tribunal is to review the decision to which
the complaint relates.
- Section
37 of the Complaints Act provides that:
(1) For the purpose of reviewing a decision of the trustee of a fund that is the
subject of a complaint under section
14:
(a) the Tribunal has all the powers, obligations and discretions that are
conferred on the trustee; and
(b) subject to subsection (6), must make a determination in accordance with
subsection (3).
(2) ...
(3) On reviewing the decision of a trustee, insurer or other decision-maker that
is the subject of, or relevant to, a complaint under
section 14, the Tribunal
must make a determination in
writing:
(a) affirming the decision; or
(b) remitting the matter to which the decision relates to the trustee, insurer
or other decision-maker for reconsideration in accordance
with the directions of
the Tribunal; or
(c) varying the decision; or
(d) setting aside the decision and substituting a decision for the decision so
set aside.
(4) The Tribunal may only exercise its determination-making power under
subsection (3) for the purpose of placing the complainant
as nearly as
practicable in such a position that the unfairness, unreasonableness, or both,
that the Tribunal has determined to exist
in relation to the trustee’s
decision that is the subject of complaint no longer
exists.
(5) The Tribunal must not do anything under subsection (3) that would be
contrary to law, to the governing rules of the fund concerned
and, if a contract
of insurance between an insurer and trustee is involved, to the terms of the
contract.
(6) The Tribunal must affirm a decision referred to under subsection (3) if it
is satisfied that the decision, in its operation in
relation
to:
(a) the complainant; ...
was fair and reasonable in the
circumstances.
- On
10 September 2001, the first respondent, Mr Edington, commenced employment as a
field assistant with the Queensland Department
of Primary Industries (‘the
Department’) in the Fire Ant Eradication Program. In consequence, he
joined the scheme (sometimes
referred to as the QSuper Scheme) and acquired four
insurance units effective from 10 September 2001 and seventeen units effective
from 10 December 2001.
- In
January 2002, in the course of his employment, Mr Edington entered a property in
Brisbane to inspect it for fire ants. In his
reasons for judgment (see
Edington v Superannuation Complaints Tribunal [2010] FCA 504
(‘Edington’)), the primary judge recorded at [4]
that:
There was some dispute about exactly how this incident occurred, but it was
recorded in one of the earlier decisions in the following
terms. While he was
on the property two Rottweiller dogs ran towards him. To escape the dogs, he
ran to the front gate and jumped
over it. In the process, he fell and injured
his back and his right foot. Mr Edington subsequently claimed to have suffered
an
injury to his right foot and either post traumatic stress disorder
(‘PTSD’), or an anxiety disorder, as a result of this
incident.
- Mr
Edington ceased work with the Department on 8 July 2002 and received income
protection payments from 26 July 2002 until 23 June
2003. On 12 February 2003,
he applied to the scheme for a TPD benefit.
- The
trust deed defined “total and permanent disablement” (in s 4) as
“disablement of a degree which, in the opinion
of the board after
obtaining the advice of not fewer than 2 medical practitioners, is such as to
render the member unlikely ever
to be able to work again in a job for which the
member is reasonably qualified by education, training or experience”. The
trust deed further provided (in s 86(1)) that “[t]he board must decide the
terms on which the insurance is provided”
to members.
- Clause
4.4 of the terms of insurance stated that:
An insured member’s death and total and permanent disablement benefit
shall become payable on the insured member’s death
or upon total and
permanent disablement.
Clause 1.2 provided that any
term defined in the trust deed has a corresponding meaning in the insurance
terms unless otherwise defined.
“Disablement” is defined in the
deed as “any mental or bodily injury, illness, disease or
infirmity”.
- Clause
6.2 of the terms of insurance provided that:
No insurance benefit will be paid for a claim
unless:
...
(c) (i) the member has been an insured member for fewer than 10
continuous years; and
(ii) the member did not lodge a personal medical statement at or about the date
on which the member became an insured member; and
(iii) it is established to the satisfaction of the board that the total and
permanent disablement or death or temporary disablement
was not related to a
condition that ought reasonably to have been disclosed had a personal medical
statement been submitted at or
about the date on which the member became an
insured member.
Clause 6.5 further stated that:
Where an insured member increases the number of units of insurance, any increase
in benefit resulting from the increased number of
units will not be paid
unless:
...
(c) (i) the member has held the increased number of units for fewer than 10
continuous years; and
(ii) the member did not lodge a personal medical statement at or about the date
of the increase in the number of units;
and
(iii) it is established to the satisfaction of the board that the total and
permanent disablement or death or temporary disablement
was not related to a
condition that ought reasonably to have been disclosed had a personal medical
statement been submitted at or
about the date of the increase in the number of
units.
- The
subsequent difficulty in determining Mr Edington’s eligibility for a TPD
benefit is principally attributable to the fact
that, prior to commencing his
employment as a field assistant, Mr Edington was diagnosed with schizophrenia.
It was not in dispute
that he continued to suffer from this condition at all
times relevant to this appeal. The Board and the Tribunal dealt with Mr
Edington’s
claim on the basis that Mr Edington had not disclosed that he
suffered from schizophrenia either on becoming an insured member (cl
6.2) or on
increasing his units in the fund (cl 6.5).
- On
26 May 2003, a delegate of the Board of Trustees determined that Mr Edington was
not suffering from a disability that rendered
him incapable of discharging his
duties as a result of the injury to his foot sustained in the incident in
January 2002. The delegate
further determined that, as a result of his
schizophrenia, Mr Edington was unlikely ever to be able to work again in a job
for which
he was reasonably qualified by education, training and experience and
was, therefore, considered to be totally and permanently disabled
for the
purpose of retirement on the grounds of ill health. The delegate further
determined that Mr Edington was not entitled to
be paid a TPD benefit because
the evidence did not establish that his schizophrenia condition was not related
to a medical condition
existing before he became a member.
- Mr
Edington was retired from the Department on 23 June 2003. In 2003 and 2004, Mr
Edington lodged, withdrew, and then renewed, an
application to the Board of
Trustees seeking a review of the delegate’s decision refusing him a TPD
benefit. The Board of
Trustees affirmed the delegate’s decision in August
2004. Mr Edington appealed to the Tribunal against the decision of the
Board of
Trustees and, on 2 October 2006, the Tribunal affirmed the Board’s
decision. Mr Edington appealed to this Court,
which dismissed his appeal on 14
December 2007: see Edington v Superannuation Complaints Tribunal [2007]
FCA 1989.
- In
a subsequent appeal to a Full Court of this Court, the Full Court made consent
orders on 15 May 2008 allowing the appeal, setting
aside the decision of the
Tribunal, and remitting the matter to the Board of Trustees to be determined
according to law: see Edington v Superannuation Complaints Tribunal
[2008] FCAFC 78. The parties to the Full Court appeal agreed (at [3]) that
there had been an error of law on the Tribunal’s part in
that:
... there was no logical basis, having regard to the evidence, for the
Tribunal’s conclusion that a relationship had been demonstrated
between
the appellant’s schizophrenia as a pre-existing medical condition and the
post-traumatic stress disorder, which was
the basis of the claim under the
relevant policy.
The Full Court stated (at [4]) that
it was satisfied that it was “proper to make the orders sought”,
adding that:
The consequence will be that the matter will go back to the Board, at which time
the report of Dr De Leacy that was not before the
Board when it made its
decision, will be before the Board and it can make a decision fully informed
about the evidence relevant to
the appellant’s
condition.
The report to which the Court referred
was the report of Dr de Leacy dated 22 October 2005.
DECISION OF THE BOARD OF TRUSTEES
- On
25 September 2008, the Board of Trustees rejected Mr Edington’s
application for the second time. In a letter of that date
to Mr Edington, the
Board stated that it had determined that:
- Mr
Edington was totally and permanently disabled pursuant to the QSuper Trust
Deed.
- Mr
Edington’s disablement was related to his schizophrenia which should
reasonably hade been disclosed had a personal medical
statement been submitted
at or about the time he became an insured member with 4 units i.e. 10 September
and when he increased his
insurance by 17 units i.e. 10 December 2001.
Therefore, the Board affirmed its previous decision that Mr Edington was not
entitled to the insurance benefit for his 21
units.
- In
a statement of reasons, the Board identified the relevant question as being:
“was Mr Edington’s total and permanent
disablement related to a
pre-existing condition pursuant to the QSuper Insurance Terms?” Under the
heading “Material
Findings”, the Board purported to summarize the
salient points in the reports of the medical practitioners, specifically
referring
to the reports of Dr Butler, treating psychiatrist, dated 13 January
2003; Dr Olsen, consulting physician, dated 2 April 2003; Dr
Reddan, consulting
psychiatrist, dated 3 May 2003; Dr Jamieson, consultant orthopaedic surgeon,
dated 9 May 2003; and Dr de Leacy,
consultant psychiatrist, dated 22 October
2005. The Board also referred to the report of Ms Jooste, treating
psychologist, dated
11 March 2003. The Board concluded that:
- The
Board notes that Mr Edington was extremely defensive about his schizophrenia to
Dr Reddan and apart from admitting that he may
have been hospitalised, once or
twice, he refused to provide any details.
- Dr
Reddan, Consulting Psychiatrist further stated in her report dated 3 May 2003
that Mr Edington had told her that his psychiatric
history was of absolutely no
relevance and that he had only come to Dr Reddan’s evaluation to discuss
his work related injuries.
- Dr
de Leacy, Consultant Psychiatrist, stated in his report dated 22 October 2005
that although Mr Edington’s anxiety symptoms
may result from him being
more susceptible as a result of his schizophrenia, his current symptoms of
stress which had been discussed
in this report were not due to schizophrenia but
due to a severe stress reaction from the dog incident in 2002.
- The
Board notes that when Mr Edington was seeking reemployment, Dr Butler,
Psychiatrist, in his report dated 17 July 2003 stated that
Mr Edington recently
described a considerable improvement in his physical symptomatology and that he
no longer had the marked anxiety
associated with exposure to dogs.
- The
Board noted that when Mr Edington was appealing to the Superannuation Complaints
Tribunal, he was examined by Dr de Leacy, Psychiatrist,
who stated in his report
dated 2 October 2005 that Mr Edington reported an extreme fear of dogs and that
he has a range of symptoms
that fulfilled the DSMIV criteria for post traumatic
stress disorder by having the requisite number of symptoms from each category
of
intrusive symptoms, avoidance symptoms and hyperarousal symptoms.
- Dr
Reddan, Consultant Psychiatrist, stated in her report dated 15 July 2008 that
the dog incident in 2002 was not a severely traumatic
event for a diagnosis of
post traumatic stress disorder. Further, Dr Reddan stated that it was the
schizophrenia which prevented
Mr Edington from successfully maintaining a
longitudinal work history.
- The
Board prefers the reasoning outlined in the medical reports by Dr Reddan,
Consulting Psychiatrist because of the different medical
histories given by Mr
Edington to Dr Butler and Dr de Leacy.
- The
Board believes that Mr Edington’s current disablement was related to his
schizophrenia which was diagnosed before he took
out his 21 units of insurance
and which should reasonably have been disclosed had a personal medical statement
been submitted by
him around the dates he received his insurance units in
September 2001 and December 2001.
- With
respect to Mr Edington’s disablement, the Board is satisfied after having
considered all the evidence that it rendered
him unlikely ever to be able to
work again in a full-time job for which he is reasonably qualified by education,
training and experience.
DECISION OF THE TRIBUNAL
- On
a review, the Tribunal affirmed the Board’s decision on 11 September 2009
upon the basis that it was satisfied that its
operation in relation to Mr
Edington was fair and reasonable in the circumstances. This was the decision
the subject of appeal to
the primary judge.
- In
its statement of reasons, the Tribunal summarised the complaint, procedural
background, provisions of the trust deed and insurance
terms, medical reports,
and the opposing submissions of Mr Edington and the Board of Trustees. Under
the heading “Tribunal’s
Deliberations”, the Tribunal commenced
by saying:
- The
role of the Tribunal is to determine whether the decision of the Trustee to
refuse payment of the TPD benefit because of the Complainant’s
pre-existing illness is fair and reasonable in its operation in relation to the
Complainant in the circumstances. The issue is not
what decision the Tribunal
would have made on the evidence before it. In reaching its determination, the
Tribunal took all of the
evidence and submissions into account.
- The
issue for consideration by the Tribunal in this complaint is whether the
decision of the Trustee that the condition rendering
the Complainant totally and
permanently disabled was related to a pre-existing condition (as that term
appears in sub-clauses 6.2
and 6.5 in the Fund’s insurance terms) operates
fairly and reasonably in relation to the Complainant in the
circumstances.
- The
Tribunal set out its analysis in the following paragraphs:
- The
Tribunal notes there has been considerable variation in the history concerning
the dog incident as provided by the Complainant
to the various reporting health
practitioners. The Complainant’s ‘Claim for income protection
benefits’ lodged
on 13 September 2002 refers only to the right ankle
injury. The claim for permanent disability benefit, received by the Trustee
on
12 February 2003, describes the Complainant’s medical condition as
‘Damaged Body Anxiety Stress Phobic React –
Nerves’.
- With
respect to the Complainant’s ankle injury and his neck and back pain, the
consensus of opinion is that these conditions
would not prevent him from
undertaking semi-sedentary work such as his pre-injury employment. (See the
reports of Dr JO, Dr EL and
Dr DW). Dr JO identified the Complainant’s
schizophrenia as the cause of his total incapacity for work and none of the
above-mentioned
doctors detected physical evidence of an ankle abnormality or a
regional pain syndrome.
- There
is dissent of opinion in the reports of the psychologist and psychiatrists both
to the diagnosis of the Complainant’s
post-injury psychological condition,
although all acknowledge his pre-existing paranoid schizophrenia, and the
psychological cause
of his total incapacity for work. Ms LJ and Dr EdeL have
diagnosed PTSD attributable solely to the incident of 2 January 2002.
- Dr
JB and Dr JR have diagnosed an anxiety disorder and Dr JB also diagnosed a
phobia to dogs. Both rejected the diagnosis of PTSD.
In 2003 the Complainant
told both of these doctors that his ankle was greatly improved and he no longer
feared dogs. The Complainant
expressed a desire to return to work in the Fire
Ant Surveillance Programme and was encouraged to do so or to seek similar
employment,
by both doctors. The history given to Dr EdeL in late 2005 differs
significantly to that given to Drs JB and JR. Dr EdeL reported
an on-going
terror of dogs and florid symptoms meeting all the criteria for a diagnosis of
PTSD, except for some amnesia for the
incident.
- In
mid-2003, Dr JB and Dr JR attributed the Complainant’s incapacity for work
to his pre-existing paranoid schizophrenia. The
Tribunal noted that the
Complainant was paid income protection benefits from 26 July 2002 until 23 June
2003 when his employment
was terminated on invalidity grounds. The date of
termination of employment would appear to have occurred after the Trustee and
Employer received the report of Dr JR.
- After
a short discussion of the status of the Diagnostic and Statistical Manual of
Mental Disorders, 4th Edition, Test Revision
(DSM-IV-TR) and the diagnostic criteria for PTSD, the Tribunal continued:
- Dr
EdeL has reported the Complainant’s symptoms using the exact words of the
various criteria and states that he questioned
the Complainant and the
Complainant and the Complainant endorsed each symptom with the exception of some
amnesia for the event.
This suggests that the Complainant did not volunteer a
description of his symptoms. In addition Dr EdeL has outlined the manner
in
which, in his opinion, the Complainant’s pre-existing schizophrenia has
made ‘him more likely to suffer PTSD’.
- Criterion
A for the diagnosis of PTSD requires that the person experienced, witnessed or
was confronted with an event that involved
actual (that is objective) or
threatened death or serious injury. The hearing of dogs barking does not meet
this criteria. Dr EdeL
alone has described the Complainant’s response to
the event as involving intense fear [Criterion A(2)]. It is to be noted
that
the Complainant had two days off work after the incident and claimed that he
then returned to the ant surveillance programme
and was not on light duties as
directed by his GP.
- The
Tribunal accepts that the Complainant experienced an anxiety reaction/disorder
in response to the dog incident and that his response
may have been exaggerated
by his pre-existing schizophrenia. The majority of the psychiatric evidence
indicates that this anxiety
disorder was temporary and had essentially resolved
by mid 2003 based on the medical history proffered by the Complainant to his
treating psychiatrist at that time. There is no evidence that he was
subsequently re-exposed to a similar or new event which might
have reactivated
his anxiety or caused PTSD. Thus his accepted incapacity for any form of work
arises from his long-standing schizophrenia.
- Based
on the Tribunal’s analysis of the medical reports, the Tribunal is
satisfied that the Trustee’s decision to decline
payment of the TPD
benefit to the Complainant the grounds that, on the balance of probabilities,
the medical condition attributed
to the dog incident, whatever form of anxiety
disorder it was, was temporary and that the Complainant’s TPD was related
to
his pre-existing, long-standing paranoid schizophrenia was fair and
reasonable, given the conflicting psychiatric opinions. The
Tribunal prefers
the opinions of the treating psychiatrist Dr JB and that of Dr
JR.
- Upon
this basis the Tribunal affirmed the decision of the Board of Trustees, being
satisfied that the operation of the decision in
relation to Mr Edington was
“fair and reasonable in all the
circumstances”.
DECISION OF THE PRIMARY JUDGE
- The
matter came before the primary judge under s 46(1) of the Complaints Act, which
provides that a party “may appeal to the
Federal Court, on a question of
law, from the determination of the Tribunal”.
- In
the notice of appeal before the primary judge, the questions of law that were
said to arise were that the Tribunal erred
because:
(a) it failed to apply or properly apply the requirements of the Terms of
Insurance dated 18 December 2001 (“the Terms of Insurance”)
and the
Superannuation (State Public Sector) Deed 1990 (“the
Deed”);
(b) there was no evidence upon which the Tribunal could base its critical
findings of fact to the effect:-
(i) that both Dr Butler and Dr Reddan attributed the Applicant’s
incapacity for work in mid-2003 to his pre-existing schizophrenia;
and
(ii) that in the absence of anxiety disorder at that time the Applicant’s
accepted incapacity for any form of work arose from
his
schizophrenia.
(c) it improperly exercised the powers of review conferred upon it by Section 37
of the Superannuation (Resolution of Complaints) Act 1993 ... in reaching its
conclusions.
- The
notice of appeal identified essentially four grounds. These grounds were:
- The
Tribunal failed to identify the appropriate date for assessing total and
permanent disablement pursuant to the trust deed and
the insurance terms as 8
July 2002, being the date when Mr Edington ceased work and, in consequence,
failed to identify that the
preponderance of the medical evidence supported the
conclusion that his incapacity for work on and from 8 July 2002 was not related
to his pre-existing residual schizophrenia condition.
- The
Tribunal failed to identify that under the trust deed, when determining
pre-injury employability for the purposes of assessing
total and permanent
disablement, Mr Edington’s work capacity as at the date he became a fund
member was to be taken into account
and, in consequence, the Tribunal wrongly
relied on the opinion of Dr Reddan and failed to rely on the opinions of Dr de
Leacy, Lynette
Jooste and Dr Butler.
- The
Tribunal failed to identify that pursuant to the trust deed and the insurance
terms, once Mr Edington was declared to be totally
and permanently disabled, it
was unnecessary for him to identify the cause of the disablement as a
pre-condition to payment of the
benefit but only to show that the disablement
was not related to the pre-existing residual schizophrenia condition; and, in
consequence,
it wrongly assumed that, if it was not satisfied that the cause of
disablement was a post-traumatic stress disorder (‘PTSD’),
then the
cause must necessarily be his pre-existing residual schizophrenia condition, and
failed to recognise that the medical evidence
did not support a finding that by
mid-2003 his accepted incapacity for work arose from his schizophrenia.
- The
Tribunal failed to give any or any real consideration to the matters set out in
Mr Edington’s 28 May 2009 submissions and, in so doing, failed to deal
with the subject matter of his complaint and, as a consequence, did not take
into account relevant considerations, acted unreasonably and in bad faith, and
applied DSM IV diagnostic criteria when no-one on
the Tribunal held any
expertise in psychiatry or psychology and so acted contrary to
law.
- The
learned primary judge held that the Tribunal did not discharge its role under s
37 of the Complaints Act. First, his Honour
held that, in order to determine
whether the decision of the Board of Trustees was fair and reasonable in
relation to Mr Edington,
the Tribunal “must, first, identify how the
Trustees actually came to their decision”, and that this required the
Tribunal
“to identify the reasoning process that the Trustees employed to
reach their decision”: see Edington at [36]. His Honour held that
the Tribunal had not proceeded in this way, saying (at [39]) that:
I consider the Tribunal should have, among other things, considered the
“different medical histories” that the Trustees said Mr
Edington gave to Dr Reddan on the one hand, and to Drs Butler and De Leacy on
the other. Then it
should have determined whether, and how, those different
histories affected the cogency of the various opinions given, to determine
whether it was fair and reasonable for the Trustees to accept and rely upon Dr
Reddan, but not the other two doctors.
- In
holding that the Tribunal did not properly review the decision of the Board of
Trustees, the primary judge also noted (at [41])
that “the Trustees
accepted, and relied upon, Dr Reddan’s opinions in preference to those of
Drs Butler and De Leacy”
whilst “the Tribunal accepted and relied
upon the opinions of both Drs Reddan and Butler”. As to this
difference, his Honour said (at [41]-[42]):
This begs the obvious question, critical to the Tribunal’s review role:
was it fair and reasonable for the Trustees not to
accept Dr Butler’s
opinions when the Tribunal thought they should be accepted and relied
upon?
The Tribunal did not ask, or answer, this question. If it had, it would have
had to resolve a critical difference between the opinions
of Dr Reddan and those
of Dr Butler on the cause of Mr Edington’s total and permanent disablement
for work. For her part,
Dr Reddan was of the opinion that it was Mr
Edington’s schizophrenia that prevented him from working ... However, Dr
Butler’s
opinion on this issue was quite different.
- The
primary judge also observed (at [43]) that the Tribunal and the Board of
Trustees reasoned differently to reach “the same
conclusion on the pivotal
question: was Mr Edington’s total and permanent disablement for work
related to his schizophrenia
condition, ie the causation issue?”
According to the primary judge (at [43]-[45]), this was because, on the one
hand, the
Board of Trustees relied on Dr Reddan, who considered that the dog
incident did not cause Mr Edington to suffer PTSD; and Mr Edington’s
total
and permanent disablement for work was related to his pre-existing schizophrenia
condition. The Tribunal, on the other hand,
accepted the opinions of Dr Reddan
and Dr Butler, to support its findings that the dog incident caused Mr
Edington to suffer an anxiety reaction; that anxiety condition
was resolved by
mid-2003; that there was no re-occurrence of that condition thereafter; and that
Mr Edington’s total and permanent
disablement for work was thus related to
his pre-existing schizophrenia condition. In his Honour’s view, “it
was incumbent
upon the Tribunal to examine whether it was fair and reasonable
for the Trustees to use a different reasoning process to come to
the same
conclusion as it did on this causation issue”: see Edington at
[46]. Further, in his Honour’s view, it was “important ... for the
Tribunal to undertake a thorough and careful review
of the way in which the
Trustees dealt with all of the medical opinions on this causation issue”:
see Edington at [47].
- Finally,
the primary judge considered that there was merit in the submission made on Mr
Edington’s behalf that the Board of
Trustees had not considered Dr
Butler’s report of 15 July 2004, and it was not fair and reasonable to
reject his opinions without
having done so: see Edington at [49]. His
Honour observed (at [49]) that:
[S]ince the Trustees did not mention the opinions expressed by Dr Butler in that
report in their material findings, it must follow
that it was impossible for the
Tribunal to make any proper assessment as to whether, the way in which they
dealt with those opinions,
was fair and
reasonable.
- Lastly,
the primary judge expressed the opinion (at [50])
that:
[T]he way the Tribunal actually went about its task ... also indicates it did
not conduct a proper review focusing on the fairness
and reasonableness of the
Trustees’ decision. Instead, I consider the Tribunal’s reasons
reveal that it actually conducted
a fresh review of the whole of the evidence in
order to ascertain the rights of the parties generally. In the process, it made
most,
if not all, of the necessary findings of fact afresh, as if the
Trustees’ material findings had not been made. In addition,
it made
specific findings of fact that the Trustees had not made, for example, that Mr
Edington had not been involved in a life or
injury threatening experience within
the criteria set out in DSM-IV-TR ... – in my view, this was plainly not a
finding of
fact that was necessary to allow the Tribunal to assess whether the
Trustees’ decision was fair and reasonable. So, in summary,
I consider
the Tribunal’s reasons show that it proceeded to decide afresh what it
thought the correct decision was, and it
then concluded that, because the
Trustees’ decision was to the same ultimate effect as its decision, their
decision must have
been fair and reasonable.
- Having
held that the Tribunal did not properly exercise its powers of review, the
primary judge set aside the Tribunal’s decision
and remitted the matter to
the Tribunal for reconsideration.
THE APPEAL TO THE FULL COURT
- The
appeal against the judgment of the primary judge challenges his Honour’s
central finding that the Tribunal did not properly
exercise its powers and
misconstrued its function when reviewing the decision of the Board of Trustees.
On this appeal, the appellant
contended that his Honour erred in this regard,
whilst the first respondent, Mr Edington, sought to uphold his Honour’s
decision.
The second respondent made no submissions and was content to abide
the decision of the Court.
- We
also consider that there is a further critical issue, namely, whether Mr
Edington identified any question of law of the kind necessary
to found this
court’s jurisdiction under s 46 of the Complaints
Act.
CONSIDERATION
Question of law
- The
jurisdiction invoked by Mr Edington in the proceeding before the primary judge
was that conferred by s 46(1) of the Complaints
Act, which provides that a party
to a proceeding before the Tribunal may appeal to the Federal Court on a
question of law. The jurisdiction is thus a limited one. The appeal for
which s 46(1) provides is a proceeding in the original jurisdiction of
the
Court. The subject matter of an appeal under this provision is the question or
questions of law on which the appeal is brought.
No appeal under s 46(1) will
lie from the Tribunal’s findings of fact, unless those findings were
reached in a manner giving
rise to a question of law: see, e.g., Sharp
Corporation of Australia Pty Ltd v Collector of Customs (1995) 59 FCR 6 at
12 (Davies and Beazley JJ) and at 16 (Hill J). Accordingly, if the question is
whether the decision-maker in answering questions
of fact failed to take into
account a relevant consideration, had regard to an irrelevant consideration,
adopted a wrong approach,
or reached a decision so unreasonable that no
reasonable decision-maker could have come to it, then that question is a
question of
law: see Sharp 59 FCR at 12.
- The
notice of appeal instituting the original proceeding in the Federal Court did
not in fact state any questions of law. Rather,
the appeal notice affirmed
numerous propositions that were said to be the occasion for legal error on the
Tribunal’s part,
including a failure to apply the trust deed and the
insurance terms; an absence of evidence for certain findings; and an improper
exercise of review powers. No proposition actually stated a question.
- The
first and third propositions set out at [26] above asserted that the Tribunal
erred because: (1) it failed to apply the governing
legal instruments; and (2)
it failed properly to exercise its powers of review. Even if transformed into
questions, such broad enquiries
about the operation of statutory provisions and
legal instruments would not amount to the identification of any question of law
within
the meaning of s 46 of the Complaints Act: compare Comcare v
Etheridge [2006] FCAFC 27; (2006) 149 FCR 522 at 528 [19] (Branson J, with whom Spender and
Nicholson JJ generally agreed) applying Birdseye v Australian Securities and
Investments Commission [2003] FCAFC 232; (2003) 38 AAR 55.
- Further,
reference to the grounds as stated in the notice of appeal discloses that, apart
from ground 4(d)(i) and (ii) (failure to
have regard to “many relevant
considerations”, and acting unreasonably and in bad faith), each of the
three propositions
said to identify the questions the subject of the appeal
encompasses matters of mixed fact and law. Thus, if it were open to refer
to
the grounds to understand the stated questions – a matter upon which the
authorities may differ (cf. Ergon Energy Corp Ltd v Commissioner of
Taxation [2006] FCAFC 125; (2006) 153 FCR 551 at 565) – the result would be the
identification of mixed questions of fact and law. A mixed question of fact and
law is not
a question of law within the meaning of s 46: compare Comcare v
Etheridge 149 FCR at 527. The mixed character of the question was
underscored by the manner in which counsel for Mr Edington put the issue
for
determination at the hearing before the primary judge. At this hearing, counsel
for Mr Edington submitted that the question
was whether the Tribunal “took
a mistaken view of its role, or misunderstood what it was supposed to do ...
the only relevant
question [being] whether or not the applicant’s total
and permanent disability was sufficiently related to a pre-existing
condition”.
- We
note in passing that, while grounds 4(d)(i) or (ii) were capable of raising
questions of law, they were presented as bald assertions,
which, in the absence
of particulars, did not give rise to any distinct question of law.
- The
second proposition – that there was “no evidence” to support
certain findings – might, in terms, also
be thought to raise a question of
law: see Military Superannuation and Benefits Board No 1 v Stanger
[2002] FCA 671; (2002) 68 ALD 12 at [20] per Kiefel J; Smith v Club Plus Superannuation Pty
Limited [2004] FCA 1519 at [61] (Jacobson J); Citicorp Life Insurance Ltd
v Smith [2005] FCAFC 102 at [11]- [14] (Wilcox, Gyles and Downes JJ);
Australian Broadcasting Tribunal v Bond (199) [1990] HCA 33; 170 CLR 321 at 355-356
(Mason CJ); and Comcare Australia v Lees (1997) 151 ALR 647 at 652-53
(Finkelstein J). The argument for Mr Edington, both before the primary judge
and on this appeal, made it clear, however,
that Mr Edington was not actually
seeking to advance a “no evidence” ground such as that discussed in
Comcare Australia v Lees 151 ALR at 652-53, but instead he was seeking to
argue that the evidence was insufficient to justify the impugned findings said
to
be made by the Tribunal: see below at [59]. That is, by this route, Mr
Edington was in fact challenging the Tribunal’s findings
of fact – a
challenge that s 46 did not permit him to make.
- For
these reasons, we consider that there were fundamental defects in the proceeding
as it was originally constituted and argued.
Mr Edington’s notice of
appeal failed to state in terms a question of law as required by s 46 of the
Complaints Act. If the
appeal notice were liberally construed so as to give
rise to a question of ‘no evidence’ so that jurisdiction under s
46
of the Complaints Act were attracted, then that question was not pursued because
the challenge was to the sufficiency of the evidence,
rather than its entire
absence.
Did the Tribunal exercise its powers of review in accordance with law?
- No-one
questioned the competency of the proceeding, however, until we raised this
matter with counsel during the hearing of the appeal.
The appellant stated that
the case before the primary judge was run on the basis that the question was
whether or not the Tribunal
had asked itself the correct question and
misdirected itself as to the nature of its powers of review. Mr
Edington’s counsel
did not apparently dispute this. Whilst a question of
this kind would be capable of being characterized as a question of law, as
we
have seen, it finds only limited support in the notice of appeal discussed
above. Notwithstanding our doubts about the constitution
of the appeal,
however, we consider that, on balance, the proceeding below was not entirely
incompetent. Hence, we discuss hereafter,
whether or not, for the reasons his
Honour gave, the Tribunal failed to exercise its powers of review as required by
s 37 of the
Complaints Act.
- Mr
Edington made a complaint to the Tribunal pursuant to s 14(2) of the Complaints
Act, which, as stated above, allows a member of
a regulated superannuation fund
to complain to the Tribunal that a decision made by the trustee of that fund is
unfair or unreasonable.
The role of the Tribunal was to decide whether or not
the decision made by the Board of Trustees to affirm its previous decision
that
Mr Edington was not entitled to an insurance benefit for his 21 units was fair
and reasonable in relation to him in all the
circumstances: see, e.g.,
Vision Super Pty Ltd v Poulter [2006] FCA 849; (2006) 154 FCR 185 at 192 [30] (Young J)
and National Mutual Life Association of Australia Ltd v Jevtovic [1997] FCA 359; (1997)
217 ALR 316 at 321 (Sundberg J). “Unreasonable” and
“unfair” have been said to be “words of broad content”,
which are not readily defined. The use of synonyms and definitions as
interpretational aids has been discouraged: see National Mutual Life
Association of Australia Ltd v Campbell [2000] FCA 852; (2000) 99 FCR 562 at 571 [36] (Black
CJ, Emmett and Hely JJ).
- Various
provisions of the Complaints Act show that, relevantly, a function of the
Tribunal is to conduct a form of administrative
review of decisions made by
trustees of regulated superannuation funds, which are challenged by relevant
persons as unfair or unreasonable:
see, e.g., ss 12, 14, 37, and 41. A hearing
before the Tribunal is a hearing de novo, following which the Tribunal
makes findings of fact relevant to its deliberations: see Attorney-General
(Cth) v Breckler [1999] HCA 28; (1999) 197 CLR 83 at 128 [87] (Kirby J); Lykogiannis v
Retail Employees Superannuation Pty Limited [2000] FCA 327; (2000) 97 FCR 361 at 372 [48]
(Mansfield J), citing Seafarers’ Retirement Fund Pty Ltd v Oppenhuis
[1999] FCA 1683; (1999) 94 FCR 594 at 599 [19]- [23] (Merkel J).
- Under
the Complaints Act, the Tribunal is not called on to make the same kind of
determination as the Administrative Appeals Tribunal
under its governing
legislation. That is, in contrast to the Administrative Appeals Tribunal, the
Tribunal under the Complaints
Act is not called upon to determine whether the
trustee made the correct or preferable decision: see, e.g., Jevtovic 217
ALR at 322; Cameron v Board of Trustees of the State Public Sector
Superannuation Scheme [2003] FCAFC 214; (2003) 130 FCR 122 at 132-133 [38]- [43] (Whitlam,
Kiefel and Dowsett JJ); and National Mutual Life Association of Australia
Limited v Scollary [2002] FCA 695 at [37] (Ryan J). Rather, the Tribunal
stands in the shoes of the trustee and determines, based on all the information
before it, whether
or not a decision taken by the trustee was fair or reasonable
in the circumstances. In Jevtovic 217 ALR at 321, Sundberg J held that
the words “the decision ... was fair and reasonable” in s 37(6) were
directed to
whether the actual decision, rather than the process that led to it,
was fair and reasonable, a proposition that has subsequently
been accepted as
correct: see, e.g., Citicorp Life Insurance [2005] FCAFC 102 at [19]; and
Colonial Mutual Life Assurance Society Limited v Brayley [2002] FCA 1333
at [31] (Branson J).
- If
the Tribunal is satisfied that the decision of the trustee was not fair and
reasonable, the Tribunal makes a decision that is
fair or reasonable in
substitution for the decision of the trustee, always providing that the Tribunal
cannot do anything contrary
to law, the rules of the fund, or the terms of
insurance: see ss 37(3), (4), (5) and 41(3); also Briffa v Hay (1997) 75
FCR 428 at 437; Breckler 197 CLR at 129 [88]; and, recently, Machin v
Board of Trustees of the State Public Sector Superannuation Scheme [2010]
FCA 969 at [82] (Dodds-Streeton J).
- As
Kirby J said in Breckler 197 CLR at 129 [89], with respect to a decision
made by the Tribunal in substitution for that of the
trustee:
The new decision, which might have retrospective operation, will speak from the
time specified in the determination. What is involved
is not a determination
that the trustees misapplied the law to the facts. Nor that they mistook their
powers and obligations under
the governing rules of the fund. Rather it is a
determination by the Tribunal of its own opinion that the trustees' decision is,
or was, unfair, unreasonable or both. It is the reaching of that opinion which
authorises the Tribunal, conforming with s 37(5)
of the Complaints Act, to
exercise its own determination-making power and to substitute a fresh decision.
The object of the determination
is to effect the purpose of removing the
unfairness and unreasonableness which the Tribunal has determined to exist
[Superannuation (Resolution of Complaints) Act 1993, s
37(4)]].
If, however, the Tribunal is satisfied
that, in the circumstances, the decision of the trustee was fair and reasonable
in its operation
in relation to the complainant, it must affirm the decision:
see s 37(2) and (6).
- The
Complaints Act does not specify the considerations that the Tribunal is bound to
take into account in deciding whether or not a decision of the
trustee was fair
or reasonable: see, in this regard, HEST Australia Ltd v Sykley [2005] FCA 1381; (2005)
147 FCR 248 at 261 [49] (Crennan J). These considerations must therefore be
determined by reference to the subject-matter, scope and purpose of the Act:
see
generally Minister for Aboriginal Affairs v Peko-Wallsend [1986] HCA 40; (1986) 162 CLR
24 at 39-40. A purpose of the Act is “to ensure members and beneficiaries
are not adversely affected by unfair and unreasonable
decisions of insurers and
trustees”: see HEST 147 FCR at 261 [49]. Considered in this
light, the governing trust deed and insurance terms will necessarily be relevant
considerations:
see Retail Employees Superannuation Pty Ltd v Crocker
[2001] FCA 1330; (2001) 48 ATR 359 at 366 [28] (Allsop J) and Cameron 130 FCR at
131 [32]. This is because an essential part of the statutory scheme is that a
determination under s 37(3) substitutes the Tribunal’s decision for the
decision of the trustee; and in consequence, the substituted decision must
itself
be one that is authorised by the legal instruments governing the fund:
compare Briffa v Hay 75 FCR at 443 (Merkel J).
- Furthermore,
since the Tribunal hearing is a hearing de novo, the Tribunal is not
“restricted to the documents which were before
the trustee, nor is it
confined to the manner in which the applicant addressed the subject
matter”: see HEST 147 FCR at 259 [40], citing Commonwealth
Superannuation Scheme Board v Dexter [2004] FCA 1434 at [59]- [60] (Gray J),
Crocker [2001] FCA 1330; 48 ATR 359 at 387-388 [132]- [133], and Oppenhuis 94 FCR at
598-599. It must be borne in mind, however, that, notwithstanding the Tribunal
has “all the powers, obligations
and discretions that are conferred on the
trustee” (s 37(1)(a)), the Tribunal is primarily concerned with the
question whether or not the decision of the trustee was fair and reasonable.
The whole
of its inquiry, including its fact-finding, is directed to answering
this question. As Mansfield J said in Lykogiannis 97 FCR at 372
[48]:
Ultimately, whatever findings the Tribunal must make standing in the shoes of
the trustee ... s 37(6) requires the Tribunal to decide whether the decision
under review, in its operation, was fair and reasonable in the circumstances.
The focus of s 37(6) is upon the consequence or outcome of the decision in its
practical operation, rather than upon the process by which the decision
under
review came to be made.
In Hornsby v Military
Superannuation and Benefits Board of Trustees (No 1) [2003] FCA 54; (2003) 126 FCR 484,
Mansfield J also said at 492 [19]-[20]:
[T]he Tribunal may have to make its own findings of fact for the purpose of
determining whether, in its opinion, the decision under
review in its operation
was fair and reasonable in the circumstances. But it is necessary to make such
findings of fact only for
that purpose. It does not decide afresh all findings
of fact of the primary decision-maker as if that decision had not been made.
It
does not, in that sense, simply stand in the shoes of the primary
decision-maker.
Hence, under s 37, although the Tribunal is required to make its own decision in
relation to the complaint, it is required to make only such findings
of fact as
are necessary for its decision. It must do so upon the evidence before it. In
the light of such findings or conclusions
as it has reached, the Tribunal must
consider whether the decision it is reviewing, in its operation, was fair and
reasonable in
the circumstances: Military Superannuation and Benefits Board
No 1 v Stanger [2002] FCA 671; (2002) 68 ALD 12 at 18-19 [21]. Section 37(6) requires that
step. Ultimately the object of the Tribunal’s review is to remove
unfairness or unreasonableness in the decision
under review
...
We agree with Mansfield J’s approach as
stated in these passages.
- We
accept that the Tribunal must make its own assessment of the evidence and other
information with a view to making its own findings
of fact directed to the
fundamental question for determination – whether the decision of the
trustee was fair and reasonable.
The Tribunal may, of course, accept the
findings made by the trustee if it agrees with them, but the Tribunal’s
function is
not discharged merely by forming a view that the trustee’s
factual findings were fair and reasonable. Rather, the Tribunal
must ascertain
the facts for itself upon the material before it and satisfy itself by reference
to these facts whether the trustee’s
decision was fair and reasonable in
the circumstances. Moore J expressed the same idea in Marks v CSS Board of
Trustees [2005] FCA 797 at [23], saying:
[Section] 37(6) of the Complaints Act does not authorise ... the Tribunal simply
reviewing all factual issues and indicating that
findings by the prior decision
maker were fair and reasonable. That subsection is intended to operate on the
ultimate decision made
by the prior decision maker, namely the decision under
review. What the Tribunal must do is form a view about necessary facts,
determine
what the facts are and then by reference to those ascertained facts
determine whether the decision of the prior decision maker was
fair and
reasonable in the circumstances. The facts ascertained by the Tribunal
constitute “the circumstances” by reference
to which the Tribunal
makes that evaluation.
See also Edwards v
Postsuper Pty Ltd [2006] FCA 1380 at [30] (Moore J).
- Having
regard to the relevant provisions of the Complaints Act and the nature of the
review that the Tribunal is to conduct under
that Act, as outlined in the
authorities discussed above, we conclude that the Tribunal conducted the review
of the decision of the
Board of Trustees in accordance with the Complaints Act
and, in particular, s 37.
- Plainly
enough, the Tribunal correctly identified the fundamental question that it was
to answer: see [21] above. As we have seen,
the critical question for the
Tribunal was whether or not it was satisfied that the decision of the trustees
– being the decision
under review – was, in its operation in
relation to Mr Edington, fair and reasonable in the circumstances: see s 37(6).
Nothing
in the Complaints Act expressly required the Tribunal to consider
whether or not the reasoning process adopted by a trustee in reaching
the
impugned decision was fair and reasonable; and no such obligation should be
implied. In so far as the reasons of the primary
judge conveyed a different
view, we consider that his Honour erred. This is because, in the context of s
37(6), the Tribunal is
required to make its own assessment of the evidence and
other information before it, in order to determine whether or not it is
satisfied
that the decision under review was, in its operation in
relation to the complainant, fair and reasonable in the circumstances. The
Tribunal may make its own findings
of fact for this purpose after a de novo
hearing. After this new hearing, nothing may turn on the reasoning process of
the previous
decision-maker, because the Tribunal may or may not, for its own
reasons having regard to the evidence before it, be satisfied that
the
decision under review was fair and reasonable in its operation in
relation to the complainant in the circumstances as it has found them. Thus,
even if
the Tribunal’s factual findings differed from those of the
previous decision-maker, the Tribunal might nonetheless be satisfied
that, in
the circumstances, the decision under review was in fact fair and reasonable in
the relevant way. Plainly enough, in this
event, the process of reasoning
adopted by the Tribunal in determining whether or not the decision under review
was relevantly fair
and reasonable would be likely to differ from the reasoning
that led to the decision under review. The fact that it did would not
necessarily bear on the Tribunal’s satisfaction as to the reasonableness
or fairness of the decision under review.
- Thus,
we do not consider that it was incumbent on the Tribunal to focus on the
reasoning that supported the decision of the Board
of Trustees. In deciding
whether the decision of the Board of Trustees was relevantly fair and
reasonable, the Tribunal was required,
plainly enough, to consider the decision
the Board of Trustees had made; and the Board’s reasoning process, as
outlined in
its written statement, was necessarily part of the information
before the Tribunal. The Tribunal’s own reasons for decision
make it
clear that the Tribunal was well aware of the Board’s reasoning process,
including the fact that the Board of Trustees
preferred the evidence of Dr
Reddan to that of Dr Butler and Dr de Leacy because of the different histories
given to them. However,
the Tribunal undertook its own assessment of the
evidence and information before it, as it was required to do; and, as a
consequence,
made its own findings with a view to determining whether the
decision under review was relevantly fair and reasonable, as it was
entitled to
do. The Tribunal’s findings differed in some respects from those of the
Board and so did its reasoning. Since
the Tribunal was undertaking a hearing de
novo for the purpose of determining for itself whether or not the decision (as
opposed
to the reasoning) of the Board of Trustees was, in its operation in
relation to the complainant, fair and reasonable, the Tribunal
was not obliged
to scrutinize the reasoning process of the Board; but, rather, was required to
make its own decision on the material
before it as to whether the decision made
by the Board was fair and reasonable in its operation in relation to Mr
Edington. In so
doing, it might pursue a process of reasoning that it
considered best took account of the facts as it found them, bearing in mind
the
trust deed, the insurance terms and the law as the Tribunal understood it:
compare the Complaints Act, s 37(5). The Tribunal
was not required to take the
extra step of comparing the Board’s reasoning process with its own.
- The
primary judge was of the opinion that the Tribunal failed properly to consider
the discrepancy between the evidence of Drs Butler
and Reddan, when it accepted
the evidence of both. It may be recalled that the Tribunal found that the
decision to refuse Mr Edington
a TPD benefit on the grounds, amongst others,
that Mr Edington’s total and permanent disablement was related to his
pre-existing
schizophrenia was fair and reasonable, “given the conflicting
psychiatric opinions”. At this juncture, the Tribunal
noted that it
preferred the opinions of Drs Butler and Reddan.
- We
interpolate here that the statement that it preferred the opinions of Drs Butler
and Reddan was originally challenged as part
of Mr Edington’s no-evidence
ground – the other related part of the ground being that there was no
evidence that, in
the absence of an anxiety disorder, Mr Edington’s
incapacity for work arose from his schizophrenia. Effectively, both parts
of
the no-evidence ground focused on the suggested absence of evidence that Mr
Edington’s work incapacity was related to his
pre-existing
schizophrenia.
- We
do not consider, however, that there is any relevant deficiency in the
Tribunal’s approach in this regard. As already noted,
it was common
ground that at all times material to this appeal Mr Edington suffered from
schizophrenia. In reports dated 3 May 2003
and 15 July 2008, Dr Reddan expressed
the opinion that Mr Edington’s ongoing incapacity for work was related to
this pre-existing
condition. Dr Reddan also considered that Mr Edington did not
meet the full criteria for a diagnosis of a Specific Phobia with regard
to dogs.
Dr Butler did not attribute Mr Edington’s incapacity for work to
schizophrenia but (as stated in a report dated 13
January 2003) was of the
opinion that Mr Edington had not suffered from PTSD and (as stated in a report
dated 17 July 2003) that
any phobia that had arisen as a consequence of the dog
incident had dissipated.
- The
opposing view to that of Drs Reddan and Butler was that Mr Edington’s
incapacity for work was the consequence of PTSD arising
out of the dog incident.
This was the opinion of Dr de Leacy: see [19] above. Both Drs Reddan and Butler
rejected this possibility
since both rejected the existence of PTSD.
- The
Tribunal’s conclusion that the medical condition in the nature of an
anxiety disorder attributable to the dog incident
was supported by Dr
Butler’s evidence. Its conclusion that Mr Edington’s incapacity for
work was related to his pre-existing
schizophrenia was supported by Dr
Reddan’s evidence. The Board of Trustees had also accepted Dr
Reddan’s evidence in
this latter regard. In substance, in concluding as
it did, the Tribunal accepted different aspects of the evidence of the medical
opinions given by these two medical practitioners. It was open to the Tribunal
to approach the matter in this way and, on the basis
of Dr Reddan’s
evidence, to find that Mr Edington’s total and permanent disability was
related to a pre-existing condition
of schizophrenia. It was therefore open to
the Tribunal to make the finding it did, and no error of law is disclosed in
this regard.
- It
may be that, as counsel for Mr Edington submitted, the Tribunal mistook Dr
Butler’s evidence when it said (at paragraph
103 of its statement of
reasons) that, in mid-2003, both Dr Reddan and Dr Butler attributed Mr
Edington’s incapacity for work to his pre-existing schizophrenia. As
stated at paragraph [59] above,
this would not support a finding of error of
law. In any case, it is well accepted that there is no error of law
“simply in
making a wrong finding of fact”: see Waterford v The
Commonwealth [1987] HCA 25; (1987) 163 CLR 54 at 77 and Australian Broadcasting Tribunal
v Bond 170 CLR at 356.
- As
noted earlier, the primary judge found that the Tribunal did not carry out its
review properly for reasons that included the Tribunal’s
failure to
consider the effect on the cogency of the various medical opinions of the
different medical histories said to be given
by Mr Edington to the relevant
medical practitioners. We do not agree that the Tribunal failed in this regard,
but if we are wrong
about that, then the failure was one that would only affect
the weight to be given to aspects of the medical evidence. Generally
speaking,
issues of the weight to be given to evidence do not give rise to a question of
law: see Australian Broadcasting Tribunal v Bond 170 CLR at 355-357. In
the present case, as already noted, the findings made by the Tribunal were open
to it.
- For
these reasons too, no error of law is shown in the Tribunal’s failure to
give any detailed analysis of discrepancies between
the Tribunal’s
evidential approach and that of the Board of Trustees, or between the opinions
of Drs Butler and Reddan. To
the extent that the primary judge took a contrary
view, we respectfully disagree.
- In
finding that the Tribunal had not properly fulfilled its reviewing function, the
primary judge also held that the Tribunal failed
adequately to address Mr
Edington’s submission to it that the Board of Trustees had not considered
Dr Butler’s report
of 15 July 2004. We consider that his Honour’s
criticism was misplaced in this respect. The Tribunal expressly referred to
and
summarised Dr Butler’s 15 July 2004 report and made a finding that was
open to it based on that report – namely that
any anxiety disorder
suffered by Mr Edington in connection with the dog incident was temporary. The
Tribunal was not constrained
in any relevant respect by the fact that the Board
of Trustees had not mentioned this particular report. Rather, it was for the
Tribunal to consider for itself the evidence and other information before it,
although (as we have already said) solely for the purpose
of determining whether
or not the decision of the Board of Trustees was fair and reasonable in the
circumstances. Further, the decision
and reasons of the Tribunal do not justify
the conclusion that the Tribunal erred by conducting a review of the whole of
the evidence
in order to ascertain the rights of the parties generally.
- On
the hearing of the appeal, counsel for Mr Edington submitted that the Tribunal
had also adopted a wrong approach by focussing
on the current and ongoing causes
of Mr Edington’s disablement, instead of focussing on the correct question
– the cause
of the disablement at the time of disablement. This
submission had two aspects. The first is reflected in the reasons for judgment
of the primary judge. We discuss the second at [68] below. In expanding on the
proposition that the Tribunal ought to have given
more consideration to the
reasoning of the Board of Trustees, his Honour said (at
[46]):
Furthermore, on this aspect, it will be noted that both the Trustees and the
Tribunal concluded Mr Edington’s schizophrenia
condition was the only
alternative cause of his total and permanent disablement for work. Neither
seems to have turned their minds
to the temporal aspect of this causation issue
raised by Dr Butler in his report of 17 July 2003 ... to the following effect:
if
Mr Edington could obtain work and perform his duties in its satisfactorily up
until he sustained injuries in the dog incident what,
apart from the incident,
would explain his becoming totally and permanently disabled for that work so
soon thereafter?
- Counsel
for Mr Edington not only supported his Honour’s analysis but argued that
the Tribunal’s focus on the current
and ongoing causes of Mr
Edington’s disablement led the Tribunal erroneously to prefer the evidence
of Dr Reddan to other medical
evidence, which indicated that other conditions,
apart from schizophrenia, may have been responsible for Mr Edington’s
disablement.
Further, so counsel for Mr Edington said, “[b]y focussing on
a false process of elimination, the Tribunal has misunderstood
its task”.
For the reasons stated at [67] below, we would reject these submissions.
- Also
on the hearing of the appeal, counsel for Mr Edington advanced two other
submissions in support of its principal contention
that the Tribunal adopted the
wrong approach. Counsel argued “[b]y describing [its] relevant task as
determining whether the
‘condition’ which led to the disablement was
related to the pre-existing condition”, the Tribunal manifested two
errors: (1) the insurance policy required “a causal relationship between
the disablement and the pre-existing condition, not
between the condition
‘rendering’ the disablement and the pre-existing condition”;
and (2) the Tribunal misunderstood
its task because it failed to recognize that
the Board of Trustees did not find that the two conditions were related. We
would also
reject these submissions: see [67] below.
- As
we observed earlier, the Tribunal correctly identified its statutory role at the
outset of its deliberations and correctly stated
that it was to determine
whether the decision of the Board of Trustees to refuse the TPD benefit because
of Mr Edington’s pre-existing
illness was fair and reasonable in relation
to him in the circumstances. Whilst there may be some infelicitous phrasing in
the Tribunal’s
statement of reasons, including the instance at [66] above,
when read as a whole, we are satisfied that the Tribunal did not in fact
mistake
the issue it was to determine, either in its causal or temporal aspects. The
Tribunal addressed this issue in its summary
of its “deliberations on the
medical reports” and, ultimately, in the penultimate paragraphs of its
statement of reasons:
see [23] above. We further accept that, as the appellant
submitted, the Tribunal made a proper assessment of the medical evidence
bearing
in mind the insurance terms and the trust deed. We would not therefore
attribute the posited errors to the Tribunal. In
reaching this conclusion, we
are guided by the well-accepted proposition that administrative decisions should
be read as a whole
and “without an eye keenly attuned to the perception of
error”: see Minister for Immigration and Ethnic Affairs v Wu Shan
Liang [1996] HCA 6; (1996) 185 CLR 259 at 272, affirming the test in Collector of
Customs v Pozzolanic Enterprises Pty Ltd [1993] FCA 456; (1993) 43 FCR 280 at 287. This
proposition is particularly apposite in such a case as this, in which the
Tribunal’s determination as to the
fairness and reasonable of the decision
under review inevitably involves a strong evaluative component that it
essentially a matter
for the Tribunal: see Sadleir v Motor Trades Association
of Australia Superannuation Fund Pty Ltd [2010] FCA 930 at [54] (Lander J);
National Mutual Life Association of Australia Ltd v Campbell [2000] FCA 852; (2000) 99
FCR 562 at 571 [33] (Black CJ, Emmett and Hely JJ); and Mohandoss v AMP
Superannuation Limited [2007] FCA 497 at [23] (Ryan J).
- Also
at the hearing of the appeal, counsel for Mr Edington argued that the Tribunal
failed to focus its inquiry on the date of disablement
as clause 4.4 of the
terms of insurance required. Amongst other things, this argument involved the
proper construction of the terms
of insurance and identification of the date of
disablement. As we noted on the hearing of the appeal, however, the primary
judge
did not rule that the Tribunal erred in failing to consider the situation
as at the date of disablement in accordance with clause
4.4 of the insurance
terms; and there was no notice of contention on Mr Edington’s part seeking
to support his Honour’s
judgment on this ground: see Federal Court Rules,
Order 52, rule 22(3). When the absence of a notice of contention was brought to
counsel’s attention, counsel for Mr Edington
properly conceded that this
issue should not be decided by us. Moreover, we note that there was a lack of
clarity in Mr Edington’s
argument as to the precise date of disablement.
In oral argument, his counsel stated that this date was 26 May 2003 “at
the
latest”, although in the notice of appeal before the primary judge
this date was said to be 8 July 2002.
DISPOSITION
- For
the reasons stated, we would allow the appeal and set aside the orders made by
the primary judge. We are of the provisional
opinion that the first respondent
should pay the appellant’s costs of the appeal and the hearing before the
primary judge.
These are the orders sought in the appellant’s notice of
appeal and in its submissions. We would, however, allow the parties
an
opportunity to make written submissions as to costs, noting that, if none are
received by the due date, then, we would make the
orders as provisionally
indicated.
I certify that the preceding sixty-nine (69)
numbered paragraphs are a true copy of the Reasons for Judgment herein of the
Honourable
Justices Kenny and Lander.
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Associate:
Dated: 1
February 2011
IN THE FEDERAL COURT OF AUSTRALIA
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QUEENSLAND DISTRICT REGISTRY
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GENERAL DIVISION
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QUD 219 of 2010
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ON APPEAL FROM THE FEDERAL COURT OF AUSTRALIA
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BETWEEN:
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BOARD OF TRUSTEES OF THE STATE PUBLIC SECTOR SUPERANNUATION
SCHEME Appellant
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AND:
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JOSEPH DAVID EDINGTON First Respondent
SUPERANNUATION COMPLAINTS TRIBUNAL Second Respondent
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JUDGES:
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KENNY, LANDER & LOGAN JJ
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DATE:
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1 FEBRUARY 2011
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PLACE:
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BRISBANE
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REASONS FOR JUDGMENT
LOGAN J:
- I
have had the privilege of reading in draft the joint reasons for judgment of
Kenny and Lander JJ. I agree that this appeal should
be allowed. I also agree
generally with the joint reasons for judgment, but wish to add some remarks of
my own (adopting for this
purpose abbreviations found in the joint judgment).
- Though
termed an “appeal” by the Complaints Act, an appeal to this Court
under s 46 of that Act invokes this Court’s
original jurisdiction. That
jurisdiction is only invoked if the appeal is, indeed, on a question of
law. The point made a generation ago now by Gummow J (when a judge of this
Court) in TNT Skypak International (Aust) Pty Ltd v Federal Commissioner of
Taxation [1988] FCA 119; (1988) 82 ALR 175 at 178 in respect of the materially
indistinguishable jurisdiction conferred on the Court by s 44 of the
Administrative Appeals Tribunal Act 1975 (Cth) (AAT Act) is no less
applicable to an appeal under s 46 of the Complaints Act. The question of law is
the very subject matter
of such an appeal. Insistence on the formulation of a
question of law is not therefore a matter of semantics in relation to pleading
but goes to the very existence of jurisdiction to entertain the proceeding. The
notice of appeal to the Court from the Tribunal did
not, as is explained in the
joint judgment, pose questions of law. However, as is also explained in the
joint judgment, the proceeding
before the learned primary judge was conducted,
without objection, by reference to issues, some of which at least did arguably
raise
questions of law. The correct course would have been for Mr Edington to
have sought to amend the notice of appeal so as formally
to raise these. In the
circumstances though I consider it is in the interests of justice to approach
the case as if he had.
- The
duty imposed on the Tribunal by s 37 of the Complaints Act is first and foremost
that of “reviewing the decision of a trustee,
insurer or other
decision-maker that is the subject of, or relevant to, a complaint under section
14”: s 37(3). That duty is
subject to the qualification found in s 37(6)
of the Complaints Act.
- The
present state of the authorities concerning the nature of the jurisdiction
conferred upon the Tribunal by s 37 of the Complaints
Act is comprehensively
detailed in the joint judgment. Those authorities include a unanimous judgment
of the Full Court: Cameron v Board of Trustees, State Public Sector
Superannuation Scheme [2003] FCAFC 214; (2003) 130 FCR 122 (Cameron v Board of
Trustees). Neither party to the appeal invited us to reconsider those
authorities.
- Uninstructed
by those authorities and having regard to the text, subject matter, scope and
purpose of the Complaints Act, as well
as to secondary materials as permitted by
s 15AB of the Acts Interpretation Act 1901 (Cth), I not sure that I would
have construed the nature of that jurisdiction to be as narrow as described in
the following passage
from Cameron v Board of Trustees (at
[43]:
[43] A decision under review pursuant to s37 of the Act may, as Allsop J pointed
out in Crocker at [29], be 'one which so involves elements of fact,
degree, opinion or value judgment that different minds can legitimately differ
in reaching a decision'. That is why the Tribunal's task is not to ask itself
whether such a decision was the correct or preferable
decision. The correct
approach was pithily summarized by Allsop J in Crocker (at [31]) as
follows:
'The Tribunal's task is not to engage in ascertaining generally the rights of
the parties, nor is it to engage in some form of judicial
review of the decision
of the trustee or insurer. Rather it is to form a view, from the perspective of
the trustee or insurer, as
to whether the decision of either was (recognising
the overriding framework given by the governing rules and policy terms,
respectively)
unfair or
unreasonable.'
- Section
37 of the Complaints Act took its present form following amendments made to that
Act by the Superannuation Industry (Supervision) Legislation Amendment Act
1995 (Cth) (1995 Amendment Act). A succinct statement of the occasion for
the replacement of the former s 37 of the Complaints Act and
of the other
presently relevant amendments made by the 1995 Amendment Act is offered in the
Bills Digest prepared by the Parliamentary
Research Service within the
Department of the Parliamentary Library and circulated in conjunction with the
Bill which became the
1995 Amendment Act:
A contentious issue in relation to the SCT is the hearing of medical evidence.
This was originally excluded from the SCTs jurisdiction
by the regulations,
which allowed the SCT to hear disability complaints based on procedural
fairness, but not on the basis of medical
evidence to determine if the person is
disabled. In August 1994 the Senate resolved to disallow the regulation
prohibiting the hearing
of medical evidence and in October 1994 the government
announced that it favoured the inclusion of such evidence in the SCTs
jurisdiction.
The hearing of disability complaints was deferred to 1 May 1995 by
a regulation made on 1 November 1994 to allow time for consultation
and the date
for this change was subsequently put back to 1 November 1995. The main concern
about this increased jurisdiction was
the possibility that a trustee would be
ordered to pay a disability benefit and the claim on the fund's insurer would be
rejected.
In such a case, the trustee would have to fund the benefit from other
sources or take legal action against the insurer.
[Within the passage quoted, “SCT” refers to the
Tribunal]
- The
1995 Amendment Act allowed for the joinder of an insurer in a review proceeding
in the Tribunal and for that insurer, as well
as a trustee, to be bound by the
Tribunal’s decision on the review. It also allowed for the review of
disability benefit decisions.
- Reference
to the history of regulations in respect of the reception and consideration of
medical evidence by the Tribunal is also
to be found in the relevant Second
Reading Speech of Mr Elliott, Parliamentary Secretary to the Treasurer, in
respect of the Bill
which became the 1995 Amendment Act (Australia, House of
Representatives, Debates (1995) Vol HR 205, p 3397).
- One
intention of the 1995 Amendment Act was that, in reviewing a decision of a
trustee and any related decision of an insurer, the
Tribunal might receive
further medical evidence. In none of the authorities which have subsequently
examined the nature of the jurisdiction
conferred by s 37 of the Complaints Act
is it suggested that the Tribunal may not do this. Regard to s 37(1) and s 36(3)
of the Complaints
Act confirms that the Tribunal is not limited in its review to
the material which was before the trustee or, as the case may be,
the insurer.
- In
these circumstances, there is a degree of tension between the basis upon which
the Tribunal may permissibly conduct its review
and the description of the
nature of the Tribunal’s jurisdiction found in Cameron v Board of
Trustees. The occasion for that description is Parliament’s statement
in s 37(6) of the Complaints Act that the Tribunal must affirm
the decision
under review if satisfied that the decision, in its operation in relation to the
complainant (or other party to the
complaint) was “fair and reasonable in
the circumstances”. Such a statement was present even in the former s 37.
Quite
what Parliament intended by this statement is not apparent from secondary
materials either in respect of that section as originally
enacted or as
substituted by the 1995 Amendment Act. What is clear from the 1995 Amendment Act
and confirmed by reference to the
related Second Reading Speech is that it was
envisaged that the Tribunal would not be restricted just to material which was
before
the trustee or insurer.
- In
these circumstances, the review jurisdiction conferred on the Tribunal by s 37
(as amended) cannot have been intended to be as
confined as that exercised by a
court when reviewing the decision of a trustee. So far as the examination of
evidence is concerned,
the nature of that jurisdiction was described by McGarvie
J in Karger v Paul [1984] VR 161 at 164 in the following
way:
[In] this case it is open to the Court to examine the evidence to decide whether
there has been a failure by the trustees to exercise
the discretion in good
faith, upon real and genuine consideration and in accordance with the purposes
for which the discretion was
conferred. As part of the process of, and solely
for the purpose of, ascertaining whether there has been any such failure, it is
relevant to look at evidence of the inquiries which were made by the trustees,
the information they had and the reasons for, and
manner of, their exercising
their discretion. However, it is not open to the court to look at those things
for the independent purpose of impugning the exercise of discretion on
the grounds that their inquiries, information or reasons or the manner of
exercise
of the discretion, fell short of what was appropriate and sufficient.
Nor is it open to the Court to look at the factual situation
established by the
evidence, for the independent purpose of impugning the exercise of the
discretion on the grounds that the trustees were wrong in their appreciation of
the facts
or made an unwise or unjustified exercise of discretion in the
circumstances. The issues which are examinable by the Court are limited
to
whether there has been a failure to exercise the discretion in good faith, upon
real and genuine consideration and in accordance
with the purposes for which the
discretion was conferred. In short, the court examines whether the discretion
was exercised, but
does not examine how it was exercised
[Emphasis added]
Later, in Wilkinson v Clerical Administrative & Related Employees
Superannuation Pty Ltd (1998) [1998] FCA 51; 79 FCR 469 (Wilkinson) at 480,
Heerey J quoted with apparent approval a statement made by the primary judge in
that case, Northrop J, with respect to the
basis upon which an exercise of a
trustee's power might be challenged in a court:
Where a trustee exercises a discretion, it may be impugned on a number of
different bases such as that it was exercised in bad faith,
arbitrarily,
capriciously (Re Pauling's Settlement Trusts [1964] Ch 303 at 333),
wantonly, irresponsibly (Lutheran Church of Australia South Australian
District Inc v Farmers' Co-Operative Executor & Trustees Ltd
(1970) [1970] HCA 12; 121 CLR 628 at 639), mischievously or irrelevantly to any
sensible expectation of the settler (Re Manisty's Settlement [1974] Ch
17), or without giving a real or genuine consideration to the exercise of the
discretion (Karger v Paul [1984] VR 161, which includes a survey of the
authorities). The exercise of a discretion by trustees cannot of course be
impugned upon the basis
that their decision was unfair or unreasonable (see
Dundee General Hospitals Board of Management v Walker [1952] 1 All ER
896) or unwise (Gisborne v Gisborne [1877] 2 AC 300 at p 307). Where a
discretion is expressed to be absolute it may be that bad faith needs to be
shown (Gisborne v Gisborne at 305). The soundness of the exercise of a
discretion can be examined where reasons have been given, but the test is not
fairness
or reasonableness (see Re Londonderry's Settlement [1965] Ch 918
at 928-9: Karger v Paul at 165-6).
The correctness of this statement in Wilkinson was not doubted in the
reference to that case in the joint judgment in Attorney-General (Cth) v
Breckler (1999) [1999] HCA 28; 197 CLR 83 at [7] and was expressly approved by Kirby
J in his separate judgment in that case (at [58]).
- One
explanation for the express reference to “fair and reasonable” in s
37 of the Complaints Act may be to make it plain
that the test for review was
wider than that described in the passage quoted, especially having regard to
Re Londonderry's Settlement [1965] Ch 918 at 928-9 and Karger v
Paul at 165-6. That the Tribunal was able to undertake a review of the
exercise of a discretionary power by a trustee in a way in which
a court could
not was, in my respectful opinion, recognised in the joint judgment in
Attorney-General (Cth) v Breckler (1999) [1999] HCA 28; 197 CLR 83 at [24]. That
though would not explain why it is that the Tribunal is permitted to receive
further evidence and, having so done, to reach
its own decision. Further, that
Parliament has by s 8(3) of the Complaints Act required that membership of the
Tribunal be drawn
from those who have knowledge or experience of matters of
kinds in respect of which complaints may be made to the Tribunal suggests
that
the possession of specialist expertise was considered important in the making of
that fresh decision. Just to hold that a trustee
or insurer might fairly and
reasonably have reached a particular decision in its operation to a complainant
might be thought not
fully to utilise that specialist expertise.
- In
respect of legislatively constituted public sector superannuation funds,
judicial review of a trustee’s decision on administrative
law error
grounds is possible under judicial review legislation: see, eg White v Board
of Trustees, State Public Sector Superannuation Scheme [1997] 2 Qd R 659.
The trustee’s decision in the present case is one of that kind. Again,
though, the ability of the Tribunal to receive further
evidence of itself alone
provokes the thought that Parliament intended the type of review it would
conduct under s 37 to be much
wider than review on administrative law error
grounds.
- In
earlier cases concerning the present form of s 37 of the Complaints Act, the
reference in that section to “fair and reasonable”
has been
contrasted with the review jurisdiction conferred on the Administrative Appeals
Tribunal by s 43 of the AAT Act, which has
been described as requiring that
tribunal to reach the “correct or preferable” decision. Yet that
description is judicial,
not legislative, having its origin in the now classic
formulation of that tribunal’s jurisdiction by Bowen CJ and Deane J in
their joint judgment in Drake v Minister for Immigration and Ethnic
Affairs [1979] AATA 179; (1979) 46 FLR 409 at 419. All that s 25(4) and s 43(1) of the
AAT Act expressly contemplate is that the Administrative Appeals Tribunal will
review
a decision where jurisdiction to review is conferred on that tribunal by
an Act. That the role of the Administrative Appeals Tribunal
in conducting a
review is to reach the “correct or preferable” decision is a result
of considering the subject matter,
scope and purpose of the AAT Act.
- Apart
from the reference in the passage in the joint judgment to which I have already
drawn attention, Kirby J in Attorney-General (Cth) v Breckler also found
it necessary to pass comment on the reference in s 37 of the Complaints Act to
“fairness” and “reasonableness”.
His Honour (at [90])
described these criteria as, “so general and controversial that the
trustees’ assessment in a particular
case might be quite different from
that of the Tribunal whose decision alone would resolve the difference”
and observed later
(at [91]) that the “applicable statutory norms are most
imprecise”. These statements, particularly the former, might
be thought to
reflect an understanding of the role of the Tribunal which is quite different to
and wider than that set out in Cameron v Board of Trustees, especially in
the passage quoted. In JC Campbell, “Exercise by Superannuation Trustees
of Discretionary Powers” (2009) 83 ALJ 159 at 179, his Honour,
writing extra-judicially, remarked of s 37 of the Complaints Act that it
“resists easy summarising”.
I respectfully agree.
- Such
is the pervasiveness of occupational superannuation and associated disability
insurance in Australia it is, with respect, unfortunate
that the statement of
Parliamentary intent as to the nature of the external merits review granted by
the Complaints Act is so obscure
and imprecise. Another way of construing the
references in s 37 of the Complaints Act to “fairness” and
“reasonableness”,
in light of the Tribunal’s ability to
receive further evidence and the specialist composition of the Tribunal, may
perhaps
have been that these are used at a very general level of abstraction so
as to describe a form of merits review that does indeed correspond
with that of
the Administrative Appeals Tribunal. As its jurisdiction is explained in
Cameron v Board of Trustees, the Tribunal, with great respect, exercises
a very peculiar form of external merits review indeed. Such though is the
obscurity
and imprecision of the language of the section that it may well be
that the only way in which any difference in understanding by
Parliament as to
its intended meaning when compared to that enunciated in Cameron v Board of
Trustees is to be resolved is by legislative amendment.
- The
point of these remarks is that the learned primary judge faced a difficult task
indeed. Quite apart from the inherent obscurity
and imprecision in the
Parliamentary formulation of the nature of the jurisdiction from which the
appeal lay, the formal notice of
appeal displayed an absence of understanding as
to how the court’s appellate jurisdiction was invoked. His Honour, with
respect,
surely tempered justice with mercy by permitting the case to proceed on
the issues as formulated in the course of the hearing. Further,
if, as his
Honour was bound to follow and we are not asked to question, the
Tribunal’s jurisdiction is as explained in Cameron v Board of
Trustees, it was not, in my opinion, completely irrelevant for the Tribunal
to understand the reasons of the trustee (or an insurer). Nonetheless,
the
position which remained was that the Tribunal was reviewing a decision, not the
reasons for it. And that would be so a fortiori if the nature of its
review jurisdiction were indeed to be assimilated with that of the
Administrative Appeals Tribunal.
- I
agree with the orders proposed in the joint judgment, including that in respect
of costs.
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I certify that the preceding eighteen (18) numbered paragraphs are a true
copy of the Reasons for Judgment herein of the Honourable
Justice Logan.
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Associate:
Dated: 1 February 2011
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