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Wallaby Grip Ltd v QBE Insurance (Australia) Ltd; Stewart v QBE Insurance (Australia) Limited [2010] HCA 9 (30 March 2010)
Last Updated: 31 May 2010
HIGH COURT OF AUSTRALIA
FRENCH CJ,
GUMMOW, HAYNE, HEYDON AND KIEFEL JJ
Matter No S281/2009
WALLABY GRIP LIMITED APPELLANT
AND
QBE INSURANCE (AUSTRALIA) LIMITED & ANOR RESPONDENTS
Matter No S284/2009
IRENE STEWART (AS LEGAL PERSONAL
REPRESENTATIVE OF THE ESTATE OF THE LATE
ANGUS CLUGSTON STEWART) APPELLANT
AND
QBE INSURANCE (AUSTRALIA) LIMITED & ANOR RESPONDENTS
Wallaby Grip Limited v QBE Insurance (Australia) Limited
Stewart v QBE Insurance (Australia) Limited
[2010] HCA 9
30 March 2010
S281/2009 & S284/2009
ORDER
In each matter:
- Appeal
allowed.
- Set
aside the orders of the Court of Appeal of the Supreme Court of New South Wales
made on 3 April 2009 and in their place order
that the appeal to that Court be
dismissed with costs.
- First
respondent to pay the appellant's costs.
On appeal from the Supreme Court of New South Wales
Representation
B W Walker SC with D J Russell SC for the appellant in S281/2009 and the second
respondent in S284/2009 (instructed by Middletons
Lawyers)
D F Jackson QC with D R J Toomey for the second respondent in S281/2009 and the
appellant in S284/2009 (instructed by Turner Freeman
Lawyers)
A J Sullivan QC with G F Little SC and D T Miller for the first respondent in
both matters (instructed by Moray & Agnew Solicitors)
Notice: This copy of the Court's Reasons for Judgment is subject to formal
revision prior to publication in the Commonwealth Law
Reports.
CATCHWORDS
Wallaby Grip Limited v QBE Insurance (Australia) Limited
Stewart v QBE Insurance (Australia) Limited
Insurance – Workers' compensation – Workers' Compensation Act
1926 (NSW) ("Act") s 18(1) required employers to obtain insurance or
indemnity policy from insurer in respect of liability for injury
to any worker
– Act stipulated minimum level of cover in respect of employer's liability
independently of Act – General
terms and conditions of policy referred to
in Act and in Appendix to Workers' Compensation Regulations 1926 (NSW)
("Regulations")
– Where insurance policy lost – Where no evidence as
to level of indemnity in policy – Whether any limitation upon
indemnity
imposed by Act or policy – Whether insurer or insured carries burden of
proving limitation upon indemnity.
Statutory construction – Interaction between Act and Regulations –
Whether Regulations can be used to construe Act.
Workers' Compensation Act 1926 (NSW), ss 18(1), 18(3)(a), 18(5).
Workers' Compensation Regulations 1926 (NSW), Div I, reg 1.
- FRENCH
CJ, GUMMOW, HAYNE, HEYDON AND KIEFEL JJ. On 18 March 2008 Kearns J of the
Dust Diseases Tribunal of New South Wales
gave judgment against each of QBE
Insurance (Australia) Limited ("QBE") and Wallaby Grip Limited ("Wallaby Grip")
in the sum of $356,510
in favour of Mrs Irene Stewart in her capacity as
the legal personal representative of the estate of her late husband, Angus
Clugston Stewart. Mr Stewart had died in October 2007 from the effects of
mesothelioma.
- In
proceedings commenced prior to his death, Mr Stewart alleged that he had
contracted mesothelioma as a result of his exposure to
asbestos dust and fibre
during his employment with Pilkington Bros (Australia) Limited ("Pilkington")
from about 1964 to 1967. Kearns
J found that Mr Stewart had been exposed to a
dangerous concentration of asbestos dust given off by asbestos products used by
him
in the course of his employment. The products had been supplied by Wallaby
Grip[1]. His
Honour's findings of negligence against Pilkington and Wallaby Grip are not in
issue in these appeals.
- At
the time of Mr Stewart's employment it was a requirement of the Workers'
Compensation Act 1926 (NSW) ("the Act") that an employer obtain a policy of
insurance or indemnity from a licensed insurer in respect of the employer's
liability at common law for any injury to a worker. Section 18(1) in
Pt III ("Insurance") of the Act then provided:
"Subject to subsection (1A) of this section, every employer shall obtain from
an insurer licensed under this Act to carry on business
in the State, a policy
of insurance or indemnity for the full amount of his liability under this Act to
all workers employed by him
and for an amount of at least forty thousand
dollars[[2]] in
respect of his liability independently of this Act for any injury to any such
worker and shall maintain such policy in
force".
A failure to comply with the sub-section constituted an
offence[3].
- Although
the sub-section referred to "insurance or indemnity", insurance protection with
respect to a liability to others is a form
of indemnity
insurance[4]. It
will be observed that two kinds of indemnity are referred to in the sub-section.
The first is for an employer's "liability under
this Act". This indemnity is
required to be complete. The liability which could arise under the Act was to
pay compensation to
a worker injured at the
workplace[5] in
the sums specified in the Act with respect to that person's incapacity for
work[6]. Those
provisions were contained in the 1926 Act. In 1953 the obligation to insure was
extended to a second type of indemnity,
an employer's liability "independently
of this Act" for any injury to a
worker[7]. This
indemnity had to be for an amount "of at least three thousand pounds". The
amount was later increased to "at least twenty
thousand
pounds"[8].
- It
was not in dispute in the Dust Diseases Tribunal that, during Mr Stewart's
employment by Pilkington, Pilkington had had a
policy of insurance or indemnity
of the kind required by the Act. At issue in the proceedings before
Kearns J was whether payment
under the policy in question was limited to
the statutory minimum of $40,000. The issue arose because the policy was not
produced
by QBE in response to a notice to produce. The general terms and
conditions of the policy were referred to in provisions of the
Act and contained
in the statutory form of "Employer's Indemnity Policy", which was set out in an
appendix to the regulations to
the Act. However, no evidence was given by QBE
as to what had been contained in the document as to the level of indemnity which
had been agreed upon between Pilkington and its insurer Eagle Star Insurance Ltd
("Eagle Star") as applying to the policy. In the
Further Amended Statement of
Claim Mrs Stewart alleged the existence of a contract of insurance by which
Pilkington was to be indemnified
against its liability for damages arising
independently of the Act. In its defence QBE admitted that Eagle Star was
Pilkington's
indemnity insurer at the relevant time and that it was responsible
to meet any liability of Eagle Star to indemnify Pilkington, but
it did not
admit that the policy extended beyond the statutory minimum.
- In
the course of Mrs Stewart's case Kearns J was requested to rule upon which party
bore the onus of proving what the monetary limit,
if any, of the indemnity was.
His Honour did not consider the statutory requirement, that a policy for the
minimum amount of $40,000
be obtained, to be influential in resolving this
question. His Honour observed
that[9]:
"Not much can be drawn from it because it is well known that when the statutory
minimum requirement of the policy was $40,000 and
at other times policies were
often underwritten for amounts in excess of that or for unlimited amounts. It
seems to me therefore
that it truly does come down to the question of
onus."
- His
Honour expressed the view that an insurer ought to be in a position to produce
some evidence as to the limit for which it is
liable, or evidence as to whether
policies tended to be underwritten for the statutory limit, for more than the
limit or as
unlimited[10].
In any event, his Honour concluded that at least an evidentiary onus lay upon
QBE, because it was asserting a limit to its
liability[11].
- On
appeal by QBE, a majority of the New South Wales Court of Appeal did not agree.
Gyles AJA and Ipp JA (Brereton J dissenting)
held that what was at issue was the
amount of the cover. This was an essential term of the contract of insurance
which, according
to ordinary principles relating to proof, the party asserting
the agreement and its terms was required to
prove[12].
Gyles AJA pointed out that, in accepting it was Eagle Star's successor and
responsible for its liabilities, QBE had not accepted
that the policy of
insurance was for unlimited
cover[13]. In
his Honour's view the only conclusion which could safely be drawn from the
legislation at the relevant time was that "the policy
must have contained
provision for cover for an amount of at least
$40,000"[14].
There was no onus on QBE to negative the possibility of unlimited cover; the
ultimate onus was always carried by Mrs Stewart as
plaintiff, his Honour
held[15].
- In
submissions in these appeals, brought by Wallaby Grip and Mrs Stewart, QBE
sought to give further support to that conclusion
by reference to the
regulations made under the Act and the terms they prescribed for every policy of
indemnity insurance taken in
compliance with the Act. One such term was as to
the amount of the cover; another was as to how alterations to the policy were to
be effected.
- Regulation
1 of Div I of the regulations to the Act provided that "Every policy of
insurance or indemnity shall contain only such
provisions relating thereto as
are contained in the form of policy in the Appendix
hereto."[16]
An insurer was liable to a penalty if it issued a policy otherwise than in the
form
provided[17].
- The
form of "Employer's Indemnity Policy" in the Appendix to Div I recited the
requirement of s 18(1) that, so far as concerned an
employer's liability to
employees for injury independently of the Act, an employer was to obtain a
policy of indemnity insurance
"for an amount of at least forty thousand
dollars". The insurer's obligation to indemnify was stated in the operative
part of the
policy in the following terms:
"NOW THIS POLICY WITNESSETH that in consideration of the payment by the Employer
to the Insurer of the abovementioned Premium ...
IF ... the Employer shall
be liable to pay compensation under the Act to or in respect of any person who
is or is deemed by the Act
to be a worker of such Employer or to pay any
other amount not exceeding forty thousand dollars in respect of his
liability independently of the Act for any injury to any such person,
THEN, and in every such case the Insurer will indemnify the Employer against all
such sums for which the Employer shall be so liable".
(emphasis
added)
It may be observed that the amount of $40,000 was expressed as the maximum
amount payable under the indemnity and that this is not
what s 18(1)
requires.
- The
form of policy further provided that the indemnity was made subject to
observance by the employer of the conditions which were
listed. One condition
was that the policy could not be altered without the consent of the insurer and
an endorsement of the alteration
on the policy, the condition to which QBE
referred in its submissions.
- QBE's
argument was that the regulations provided for a policy of indemnity insurance
in mandatory terms, which fixed the limit payable
at $40,000, and that it should
be presumed that a policy was issued in these terms. As part of the statutory
scheme, the policy
was intended to provide cover up to the specified maximum
amount unless the process of alteration and endorsement was followed.
QBE
conceded that a policy might be taken for a higher level of indemnity, but it
contended that in such a case, s 18(3)(a) required
that a policy first be issued
in the prescribed form and then be subjected to the procedure for variation.
QBE then contended that,
applying principles relating to proof of contractual
provisions, Mrs Stewart, as the party claiming a variation of the contract from
its original form, would be required to prove that a higher level of indemnity
had been agreed upon.
- Relevant
provisions and purposes of the Act do not support the scheme constructed by QBE.
Central to the statutory scheme to which
QBE referred was s 18(3)(a). The
terms of reg 1 were said to reflect the intention of s 18(3)(a), which stated
that:
"Every policy of insurance or indemnity shall, in so far as it relates to any
liability referred to in subsection one of this section,
contain only such
provisions as are prescribed"
although the paragraph went on to provide that a policy may also contain other
provisions concerning the employer's liability at
common law, other than for a
worker's personal injury, and for the employer's liability under other
statutes.
- Other
provisions in s 18(3)(a) assume importance to QBE's argument:
"Every such policy shall provide that the insurer shall as well as the employer
be directly liable to any worker insured under such
policy and in the event of
his death, to his dependants, to pay the compensation or other amount for
which the employer is liable, and that the insurer shall be bound by and subject
to any judgment, order, decision, or award given
or made against the employer of
such worker in respect of the injury for which such compensation or amount is
payable.
In this paragraph the expression 'other amount' means an amount not
exceeding the amount for which the employer has obtained a policy of insurance
or indemnity in respect of his
liability independently of this Act for any
injury to any such worker." (emphasis added)
- The
principal purpose of these provisions was to create a liability in the insurer
to an injured worker or the worker's dependants.
Pursuant to the policy the
insurer was obliged to pay them the compensation "or other amount" for which the
employer was liable.
The "other amount", as its definition made clear, was the
amount to be paid by the insurer with respect to the employer's liability
independently of the Act. It was an amount paid otherwise than for compensation
under the Act. With respect to such liability,
the obligation of the insurer
was to pay to the worker or the dependants the amount for which the employer was
liable under a judgment
or other determination. However, the amount to be paid
by the insurer was not to exceed the amount of indemnity which the employer
had
obtained by way of the policy.
- Section
18(3)(a) assumes importance to the construction of the operative part of the
policy appended to Div I of the regulations
and therefore to the question of
when, and under what conditions, an insurer's obligation arises, a matter dealt
with later in these
reasons. For present purposes it may be observed that s
18(3)(a), and in particular the definition of "other amount", recognised
that
the level of cover was a matter for an employer to determine. Consistently with
s 18(1) it could be for any amount, so
long as it exceeded the minimum set
by that sub-section, and of course the indemnity might not be subject to any
limit, as Kearns J
observed. The insertion of the amount of $40,000 in the
policy could therefore have been intended only as an example of the amount
of an
indemnity agreed upon. The use, for that purpose, of the minimum amount is
understandable, but it could not have been intended
to prescribe it as the
amount for which each policy must issue, nor could it have been intended to
create the presumption for which
QBE contends. Beyond the minimum, the amount
for which a policy of indemnity insurance could be taken was at large.
- A
purpose of the Act, stated in its description, was to "provide for the
compulsory insurance by employers against their liabilities
in respect of
injuries to workers". That purpose was for the benefit of workers. Section 18
gave effect to this purpose and ensured
that workers had recourse to the
indemnity given by the employer's insurer. The amount required by s 18(1) as
the minimum level
of indemnity, from time to time, may have been chosen by the
legislature having regard to factors such as the range and size of businesses
conducted by employers in New South Wales. But, consistent with the Act's
general purpose, it did not impose any limit upon the
indemnity to be obtained,
leaving that to the decision of individual employers.
- Given
that the indemnity could be for any amount, it does not seem sensible to suggest
that the Act required that a policy be first
obtained for the minimum amount
referred to in s 18(1) and then amended by endorsement. It is difficult to see
what purpose, let
alone a statutory purpose, would be served by requiring that a
policy document be issued to each employer, regardless of the level
of cover the
employer required, and that it then be altered to reflect the true agreement
reached with the insurer. It could not
be said to be a step necessary to ensure
the purposes of the Act were achieved. Section 18(5) was the only provision
which provided
for a check upon compliance with the Act. It required that an
employer produce for inspection, on notice, "a policy of insurance
or indemnity
obtained by him and in force at a specified date". If a policy was not
produced, it could be taken that the employer
had failed to comply with s 18(1).
Obviously the amount of the indemnity provided for could be ascertained if a
policy was produced.
But so long as the policy produced met or exceeded the
minimum, the requirements of s 18 were satisfied.
- It
would hardly be surprising that employers may have obtained much higher levels
of cover or even, as Kearns J observed, opted for
a full indemnity. In
submissions for Mrs Stewart on her appeal three examples were given of reported
decisions in the period in
question, in which awards of damages for injuries to
workers, substantially in excess of the statutory minimum, were
made[18].
- A
basis for the statutory scheme for which QBE contends would have to be found in
the provisions of the Act. No such scheme is discernible.
The regulations and
the words of the policy cannot be used to construe, and thereby to alter,
provisions of the Act which created
them[19].
Moreover, the requirement in s 18(3)(a), that a policy contain "only such
provisions as are prescribed", can only refer to
provisions which are required,
permitted or necessitated by the Act, in accordance with the regulation-making
power
given[20]. The
inclusion of a maximum amount for indemnity in all policies first obtained by
employers was neither permitted nor required.
- Regulation
1 and the policy, read conformably with s 18(1) and (3)(a), could not require,
as a term of every contract of insurance
contained within the policy, that the
maximum amount payable under the indemnity was $40,000. QBE's argument that it
can be assumed
that the policy was issued in this form fails.
- The
amount which QBE was obliged to pay under the contract of insurance contained
within the policy was not proved. The question
is, which party had the burden
of that proof and bears the consequences of the failure of proof? That question
is resolved by reference
to how the contract of insurance was intended to
operate and, more particularly, to the circumstances in which, and the
conditions
under which, an insurer's obligation to indemnify arose. These are
matters involving the proper construction of the contract and
the nature of the
insurance provided by it.
- Gyles
AJA considered that it was necessary for Mrs Stewart to prove "the amount of the
cover" because it was "an essential part of
the primary obligation to
insure."[21]
In what follows in his Honour's reasoning it is apparent that his Honour was not
referring to a term which is essential in order
to avoid uncertainty of
agreement. Such a situation would not arise here in any event, since it was
known that the amount to be
paid under the indemnity was at least $40,000.
- His
Honour referred with approval to the judgment of Jordan CJ in Kodak
(Australasia) Pty Ltd v Retail Traders Mutual Indemnity Insurance
Association[22],
where a condition necessary to the accrual of liability of an insurer, a
"condition precedent", was contrasted with one which creates
a particular
exception to the insurer's obligation. The
insured[23]
bears the onus of proving the fulfilment of the firstmentioned condition. It is
well accepted that the insurer must prove that a
loss falls within an
exception.
- Gyles
AJA did not consider the general rule relating to proof of an exception to be
apposite to this
policy[24]. In
his Honour's view:
"Where the extent of cover is defined by a maximum amount it may be said that
cover is limited to that amount but that is not to
categorise that amount as an
exception to, condition of or limitation to cover. It is an essential part of
the primary obligation
to insure."
- Bailhache
J in Munro Brice & Co v War Risks Association
Ltd[25]
referred to a condition of the kind spoken of by Jordan CJ in Kodak
(Australasia) Pty Ltd v Retail Traders Mutual Indemnity Insurance
Association as one which wholly qualified the insurer's promise. In such a
case an insured plaintiff was required to prove such facts as brought
the claim
within the promise and, in that sense, bore the onus of proof. The approach
taken by Gyles AJA placed Mrs Stewart
in that position. However, his
Honour assumed that the "amount of the cover" was bound up with the insurer's
obligation to indemnify.
His Honour did not look to the terms of the insurer's
promise in order to determine whether this was so. As the judgments in Kodak
(Australasia) Pty Ltd v Retail Traders Mutual Indemnity Insurance
Association and Munro Brice & Co v War Risks Association Ltd make
plain, the matter of proof follows largely upon the construction of the terms of
the contract of insurance and the insurer's
promise contained within it.
- In
insurance contract law an insurer promises to pay money to the insured if the
circumstances stated in the policy exist. The insurer's
promise may be equated
with the cover provided by the insurance
contract[26].
The insured must prove such facts as are necessary to prove that the loss was
covered by the
contract[27],
or as Bailhache J said in Munro Brice & Co v War Risks Association
Ltd, the plaintiff must prove such facts as bring the claim within the terms
of the insurer's
promise[28].
- Professor
Malcolm Clarke in The Law of Insurance
Contracts[29]
refers to three elements as ordinarily present in the circumstances necessary to
the performance of the insurer's promise. The first
is the insured event. Much
may turn upon how it is described. The other two elements are the subject
matter, which may be a class
of persons, and the cause of the loss, usually
referred to as the risk. The contract of insurance in this case identifies the
insured
event as the liability of the employer for injury to a worker arising at
common law; the subject matter is workers, of whom Mr Stewart
was one; and the
risk was injury to a worker. Each of these elements was established. The
question then is whether there is any
other circumstance necessary to be
established by Mrs Stewart before QBE could be said to be obliged to
indemnify under the
policy.
- Indemnity
insurance involves payment for the loss actually suffered by the
insured[30].
It may be compared with other forms of insurance, where a value is given with
respect to the subject matter of the policy and the
insured recovers that
amount. As Kitto, Taylor and Owen JJ explained in British Traders' Insurance
Co Ltd v
Monson[31],
the agreement in the case of a valued policy is not as to the amount of the
loss, but as to the value of the subject matter, and
the assessment of the loss
of the insured must proceed on the basis of that agreed valuation.
- It
is said that it is necessary for an insured under a contract of indemnity
insurance to prove the extent or amount of the loss
claimed[32],
but this is because the indemnity concerns only actual loss. The purpose of the
proof required is not to establish that the loss
is within the cover of the
contract of insurance; it is to establish that loss has occurred and to give it
a value. In the circumstance
where there is a limit placed upon the extent of
the indemnity, proof of actual loss does not create "a condition precedent" to
that
obligation[33].
Where an indemnity is limited to payment of a specified, maximum sum, proof of
actual loss will identify whether all or part of
the loss is recoverable, but
that is merely a practical consequence. It does not reflect a condition of the
insurance contract.
- The
word "indemnity" implies payment for the loss suffered, which is to say the
whole loss. Many contracts of indemnity insurance
involve a full indemnity.
Nevertheless something less than payment of the full amount may be provided for
under an insurance contract.
This may be achieved by placing a cap or ceiling
on the amount payable under the
indemnity[34],
which then operates as a limitation upon the amount
recoverable[35].
As was explained by the Privy Council in AMP Fire & General Insurance Co
Ltd v
Miltenburg[36],
with respect to the statutory form of policy here in question, but for such a
limitation, under the terms of the policy the insurer
would be obliged to pay
the sum awarded by a
judgment[37].
- A
consideration of the terms of the policy confirms the correctness of this
approach. Read conformably with s 18(1) and (3)(a),
the operative part of the
policy provided that the indemnity given by the insurer attached to the
liability of the employer. The
indemnity therefore extended to payment of the
amount for which the employer was liable, according to a judgment or other
determination.
There was no qualification upon the insurer's promise, as
discussed in Kodak (Australasia) Pty Ltd v Retail Traders Mutual Indemnity
Insurance Association or Munro Brice & Co v War Risks Association
Ltd. A limitation could be placed upon the extent of that indemnity, so
that the insurer was obliged to pay no more than a specified
sum under the
indemnity, but that did not prevent the obligation to indemnify from arising.
The question is whether such a limitation
was put in place. It is to that
question that matters of proof are directed.
- The
approach taken by the majority in the Court of Appeal proceeded upon an
assumption about the terms of the insurance. It foreclosed
the prospect that
the amount of the cover could only be expressed as a limitation upon the amount
payable under the indemnity, when
regard is had to the terms of the policy and
the indemnity contained within it. Indeed both Ipp JA and Gyles AJA saw the
question
as not involving a limitation on the amount payable.
- QBE
did not raise an exception in its defence, as Gyles AJA observed, but it did
seek to raise a limitation, albeit obliquely. The
difference between the two is
that an exception may prevent an insurer's liability from arising, whereas a
limitation of the kind
here in question operates after the obligation to
indemnify has arisen and upon the amount payable pursuant to it. It limits the
extent of the insurer's liability. What they have in common is the purpose of
limiting an insurer's liability, where the circumstances
necessary for it have
otherwise been shown to exist. In each case the insurer should bear the onus of
proving the limitation.
- In
The
"Torenia"[38]
Hobhouse J observed that the "legal burden of proof arises from the principle:
[h]e who alleges must prove" and that the "incidence
of the legal burden of
proof can therefore be tested by answering the question: [w]hat does each party
need to allege?", by reference
to the contract of
insurance[39].
In the present case it was necessary for Mrs Stewart to establish that a
contract of insurance under the Act was in existence at
the relevant time and
that Pilkington was liable to her husband for his injuries. The first was
admitted, the second was established
by evidence. It followed that the claim
was within the terms of the cover provided and the insurer's obligation arose.
QBE had
to do more than decline to admit that Pilkington was entitled to an
indemnity greater than the statutory minimum, a matter which,
in any event, had
not been raised in the Further Amended Statement of Claim. It was required to
establish what limit, if any, had
been placed upon its liability to indemnify.
It did not do so.
- This
analysis follows upon the construction of the policy of insurance. Looking to
the policy in its statutory setting, it may be
observed that conditioning a
worker's right to recovery to proof of the level of indemnity agreed between the
employer and the insurer
does not accord with the general purposes of the Act.
It creates an obstacle to recovery, when the statutory intention was to
facilitate
claims against insurers. The Act does not provide a means by which a
worker is informed of the arrangements made by the employer.
A worker may never
have seen the policy.
- The
appeals should be allowed and QBE should pay the costs of the appellant in each
appeal. The orders of the Court of Appeal should
be set aside and it should be
ordered instead that the appeal to that Court by QBE be dismissed with
costs.
[1] Stewart v QBE Insurance
(Australia) Ltd [2008] NSWDDT 32; (2008) 6 DDCR 135 at 137 [8]- [10].
[2] Applying the Decimal Currency
Act 1965 (NSW), s 4(2) to the sum of £20,000.
[3] See Workers' Compensation
Act 1926 (NSW), s 18(5).
[4] Clarke, The Law of Insurance
Contracts, 6th ed (2009) at 501 [17-4A1], 502 [17-4A2].
[5] Workers' Compensation Act
1926, s 7(1)(a).
[6] See Workers' Compensation
Act 1926, ss 9-11.
[7] Workers' Compensation
(Amendment) Act 1953 (NSW), s 6(1)(a)(i).
[8] Workers' Compensation
(Amendment) Act 1958 (NSW), s 2(d).
[9] Stewart v QBE Insurance
(Australia) Ltd [2008] NSWDDT 6; (2008) 15 ANZ Insurance Cases ¶61-758 at 76,551
[4].
[10] Stewart v QBE Insurance
(Australia) Ltd [2008] NSWDDT 6; (2008) 15 ANZ Insurance Cases ¶61-758 at 76,551-76,552
[11]- [12].
[11] Stewart v QBE Insurance
(Australia) Ltd [2008] NSWDDT 6; (2008) 15 ANZ Insurance Cases ¶61-758 at 76,551-76,552
[11].
[12] QBE Insurance (Australia)
Ltd v Stewart [2009] NSWCA 66; (2009) 15 ANZ Insurance Cases ¶61-806 at 77,461 [4], [7]
per Ipp JA, 77,469 [48] per Gyles AJA.
[13] QBE Insurance (Australia)
Ltd v Stewart [2009] NSWCA 66; (2009) 15 ANZ Insurance Cases ¶61-806 at 77,469 [49].
[14] QBE Insurance (Australia)
Ltd v Stewart [2009] NSWCA 66; (2009) 15 ANZ Insurance Cases ¶61-806 at 77,469 [49].
[15] QBE Insurance (Australia)
Ltd v Stewart [2009] NSWCA 66; (2009) 15 ANZ Insurance Cases ¶61-806 at 77,470 [50].
[16] Workers' Compensation
Regulations 1926 (NSW), Div I, reg 1(a).
[17] Workers' Compensation
Regulations, Div I, reg 1(b).
[18] Proctor v Shum [1962] SR
(NSW) 511; Teubner v Humble (1963) 108 CLR 491; [1963] HCA 11;
Thurston v Todd (1966) 84 WN (Pt 1) (NSW) 231.
[19] The Great Fingall
Consolidated Ltd v Sheehan [1905] HCA 43; (1905) 3 CLR 176 at 184 per Griffith CJ;
[1905] HCA 43; Australian Coarse Grains Pool Pty Ltd v Barley Marketing Board
[1985] HCA 38; (1985) 157 CLR 605 at 625 per Mason J; [1985] HCA 38; Hunter Resources
Ltd v Melville [1988] HCA 5; (1988) 164 CLR 234 at 244 per Mason CJ and Gaudron J;
[1988] HCA 5; Master Education Services Pty Ltd v Ketchell [2008] HCA 38; (2008) 236 CLR
101 at 112 [26]; [2008] HCA 38.
[20] See Workers' Compensation
Act 1926, s 66.
[21] QBE Insurance (Australia)
Ltd v Stewart [2009] NSWCA 66; (2009) 15 ANZ Insurance Cases ¶61-806 at 77,469 [48].
[22] (1942) 42 SR (NSW) 231 at
234.
[23] In the balance of these reasons
all persons claiming under a policy will be referred to as "the insured".
[24] QBE Insurance (Australia)
Ltd v Stewart [2009] NSWCA 66; (2009) 15 ANZ Insurance Cases ¶61-806 at 77,469
[47]- [48].
[25] [1918] 2 KB 78 at 88.
[26] Clarke, The Law of Insurance
Contracts, 6th ed (2009) at 466 [16-1].
[27] Clarke, The Law of Insurance
Contracts, 6th ed (2009) at 476 [16-3A].
[28] Munro Brice & Co v War
Risks Association Ltd [1918] 2 KB 78 at 88. His Lordship said that proof
was "prima facie"; this has been regarded as incorrect, since proof is on
balance
of probabilities: see Clarke, The Law of Insurance Contracts,
6th ed (2009) at 476 [16-3A]; however, his Lordship may, in context, have been
speaking of a step towards proof.
[29] 6th ed (2009) at 466
[16-1].
[30] British Traders' Insurance
Co Ltd v Monson [1964] HCA 24; (1964) 111 CLR 86 at 92-93; [1964] HCA 24.
[31] [1964] HCA 24; (1964) 111 CLR 86 at 93.
[32] See Clarke, The Law of
Insurance Contracts, 6th ed (2009) at 476 [16-3A].
[33] To use the words of Jordan CJ
in Kodak (Australasia) Pty Ltd v Retail Traders Mutual Indemnity Insurance
Association (1942) 42 SR (NSW) 231 at 234.
[34] Colinvaux's Law of
Insurance, 8th ed (2006) at 9 [1-09].
[35] Halsbury's Laws of
England, 4th ed (2003 reissue), vol 25, par 668.
[36] [1982] 1 NSWLR 393 at 397.
[37] AMP Fire & General
Insurance Co Ltd v Miltenburg [1982] 1 NSWLR 393 at 397.
[38] [1983] 2 Lloyd's Rep 210.
[39] The "Torenia" [1983] 2
Lloyd's Rep 210 at 215.
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