The Nominal Defendant v Gabriel & Anor [2007 ... - DibbsBarker
The Nominal Defendant v Gabriel & Anor [2007 ... - DibbsBarker
The Nominal Defendant v Gabriel & Anor [2007 ... - DibbsBarker
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Insurance<br />
Case Note<br />
April <strong>2007</strong><br />
<strong>The</strong> <strong>Nominal</strong> <strong>Defendant</strong> v <strong>Gabriel</strong><br />
& <strong>Anor</strong> [<strong>2007</strong>] NSWCA 52<br />
Keywords: Section 81 notice | admission of liability |<br />
denial of liability | estoppel | prejudice<br />
Hodgson, Basten and Campbell JJA<br />
Overview<br />
An insurer’s Section 81 notice admitting liability does not<br />
preclude a subsequent denial of liability, CARS exemption and<br />
a Defence in court proceedings that places liability in issue.<br />
A Section 81 notice admitting liability, that is followed by a<br />
denial of liability, has no greater evidentiary or procedural<br />
significance than an out-of-Court admission.<br />
Where a claimant alleges that it relied on a section 81<br />
admission so that a subsequent denial of liability gives rise to<br />
estoppel, this allegation must be dealt with via a Reply<br />
pleading estoppel that is considered at the trial, or via the<br />
application of Uniform Civil Procedure rule 14.28 (no<br />
reasonable cause of action; estoppel, embarrassment or<br />
delay; abuse of process) which can be dealt with via<br />
interlocutory application. <strong>The</strong> existence of a section 81<br />
admission is not of itself sufficient to ground striking out under<br />
rule 14.28.<br />
Facts<br />
<strong>Gabriel</strong> was a passenger in a vehicle that struck a telegraph<br />
pole. She claimed that an unidentified vehicle performed a<br />
hazardous overtaking manoeuvre that contributed to the<br />
accident. A claim was accordingly filed against the <strong>Nominal</strong><br />
<strong>Defendant</strong>.<br />
<strong>The</strong> first defendant (the driver of the vehicle in which the<br />
plaintiff was a passenger) denied liability by way of Section 81<br />
notice. <strong>The</strong> second defendant (the <strong>Nominal</strong> <strong>Defendant</strong>)<br />
issued a Section 81 notice admitting liability. An amended<br />
Section 81 notice denying liability was issued 3 years later<br />
(after solicitors were instructed). A Defence consistent with<br />
this denial of liability was filed thereafter.<br />
<strong>The</strong> plaintiff filed a Motion applying to have the Defence struck<br />
out on grounds that it was inconsistent with the Section 81<br />
notice and leave had not been granted for withdrawal of the<br />
notice.<br />
<strong>The</strong> plaintiff’s motion was successful and the <strong>Nominal</strong><br />
<strong>Defendant</strong> appealed from that decision.<br />
Court of Appeal Judgment<br />
Campbell JA delivered the leading judgment. He, along with<br />
Hodgson JA, allowed the appeal. Basten JA delivered a<br />
dissenting judgment.<br />
Campbell JA determined that an admission of liability<br />
pursuant to section 81 does not preclude a Defence that<br />
controverts this admission.<br />
Character of a Section 81 Admission and its Affect Upon<br />
Subsequent Proceedings<br />
Campbell JA ascribed to the Section 81 notice the character<br />
of a procedural pre-litigation device that is solely relevant to<br />
provision of medical and rehabilitation services (pursuant to<br />
section 83) and to a timely determination of whether or not an<br />
exemption from CARS is available.<br />
Once an exemption from CARS is obtained and litigation is<br />
on foot, the contents of and amendments to pleadings are<br />
governed by the UCP Rules in isolation of the effects of<br />
section 81.<br />
Campbell JA observed that prior to <strong>Gabriel</strong> the applicable law<br />
was to be found in Government Insurance Office of New<br />
South Wales v Phillips (NSW Court of Appeal 27 August 1992<br />
unreported). In that matter the Court of Appeal’s findings (in<br />
relation to section 45 of the Motor Accidents Act 1988) were<br />
consistent with those enumerated above. Campbell JA<br />
observed that Ness v Graffen (2003) 60 NSWLR 549 was<br />
recently distinguished from Phillips on grounds that the<br />
insurer in Ness had failed to demonstrate that additional<br />
evidence was adduced between issuing the Section 81 notice<br />
and filing its Defence. For this reason McLoughlin DCJ<br />
refused to permit a Defence that was inconsistent with a prior<br />
section 81 admission. Campbell JA expressly disagreed with<br />
this approach and found that it is not necessary for an insurer<br />
to demonstrate a reason for its change in position. <strong>The</strong><br />
Defence stands on its own and is exclusively subject to the<br />
rules that govern pleadings.<br />
Section 81 notice as Evidence at Trial<br />
Section 81 has no ramifications beyond the commencement<br />
of litigation other than in a manner consistent with the rules of<br />
evidence. <strong>The</strong> notice can serve as evidence that the insurer<br />
at one time believed that liability ought to be admitted and<br />
that evidence to this effect presumably existed. As such, an<br />
insurer defending a matter where a section 81 admission has<br />
previously been made ought to be equipped to demonstrate<br />
at trial why that admission is no longer applicable.<br />
Where Claimant Alleges Estoppel<br />
Campbell JA foresaw that allegations of estoppel could arise<br />
in circumstances where a claimant alleged reliance on a<br />
section 81 admission. Estoppel, he found, can be alleged in<br />
these circumstances via 2 mechanisms. Firstly, by way of<br />
estoppel. Campbell JA found that allegations of an estoppel<br />
are properly raised by a Reply to the Defence, so that issues<br />
raised in the Reply, as part of the pleadings, are<br />
subsequently determined at trial. Secondly, via UCPR rule<br />
14.28 whereby the Section 81 notice is a part of the basis, but<br />
not of itself an entire basis, upon which one of the matters
Insurance Case Note April <strong>2007</strong><br />
that ground peremptory striking out by application of that rule<br />
are established.<br />
Campbell JA found that the Act makes no allowance for an<br />
Amended Section 81 notice, other than to move from denial<br />
to admission. Whether or not an Amended Section 81 notice<br />
is served, its predecessor remains of evidentiary value in the<br />
proceedings.<br />
Application to CARS<br />
An Amended Section 81 notice nevertheless remains of value<br />
in terms of the insurer’s communication to CARS that it<br />
denies liability for purposes of exemption.<br />
<strong>The</strong> Claims Assessment Guidelines do not specifically require<br />
that the Principal Claims Assessor decides whether to<br />
exempt a matter on the basis of a Section 81 notice.<br />
Arguably, the insurer can convey a denial (or an allegation of<br />
contributory negligence greater than 25%) by any means.<br />
Paragraph 7.1 of the Guidelines states that the PCA must<br />
make its decision as to exemption on the basis of the<br />
insurer’s denial or admission “at the time of the assessment”.<br />
It is thus arguable that the PCA has no authority to make a<br />
determination predicated on a prior Section 81 admission<br />
when a later denial of liability (however conveyed) is before it<br />
at the time of its decision.<br />
As an amended Section 81 notice is of no consequence<br />
beyond communicating to the PCA that an exemption is<br />
appropriate, the only utility of the amended notice is to permit<br />
litigation. <strong>The</strong> judgment offers no guidance as to the effects of<br />
an amended notice in circumstances where the insurer<br />
prefers to remain at CARS.<br />
Conclusion<br />
An insurer is at liberty to deny liability that has previously<br />
been admitted by a Section 81 notice without providing<br />
reasons. <strong>The</strong> insurer can then obtain an exemption and file a<br />
Defence that is independent of the effects of the prior<br />
admission.<br />
<strong>The</strong> claimant can challenge the withdrawal of admission via<br />
an allegation of actual estoppel. This may be framed as an<br />
estoppel, which must be pleaded in Reply and dealt with at<br />
trial, or via the application of UCPR rule 14.28, which can be<br />
dealt with via interlocutory application. <strong>The</strong> existence of a<br />
section 81 admission is not of itself sufficient to ground<br />
striking out under rule 14.28.<br />
Where a matter proceeds to trial on the basis of a denial of<br />
liability, and liability was at an earlier time admitted by a<br />
Section 81 notice, the insurer ought to present evidence as to<br />
why that admission was erroneous or inappropriate.<br />
For further information, please<br />
contact a member of our National<br />
Insurance Team.<br />
SYDNEY<br />
Dean Newell | Partner<br />
Level 8 Angel Place 123 Pitt Street Sydney NSW 2000<br />
Tel 61 2 8233 9717 Fax 61 2 8233 9555<br />
Email dean.newell@daslaw.com.au<br />
MELBOURNE<br />
Peter Moriarty | Special Counsel<br />
Level 4 575 Bourke Street Melbourne VIC 3000<br />
Tel 61 3 8080 3658 Fax 61 3 8080 3599<br />
Email peter.moriarty@daslaw.com.au<br />
BRISBANE<br />
Kelli Stallard | Partner<br />
Level 14 120 Edward Street Brisbane QLD 4000<br />
Tel 61 7 3100 5112 Fax 61 7 3100 5001<br />
Email kelli.stallard@daslaw.com.au<br />
CANBERRA<br />
Keith Fleming | Partner<br />
Level 6 Canberra House<br />
40 Marcus Clarke Street Canberra ACT 2600<br />
Tel 61 2 6201 7270 Fax 61 2 6257 4011<br />
Email keith.flemimg@daslaw.com.au<br />
PERTH<br />
Brett Ablong | Partner<br />
Level 6 553 Hay Street Perth WA 6000<br />
Tel 61 8 9265 6001 Fax 61 8 9218 8264<br />
Email brett.ablong@daslaw.com.au<br />
www.daslaw.com.au<br />
<strong>The</strong> material contained in this publication is no more than<br />
general comment. Readers should not act on the basis of the<br />
material without taking professional advice relating to their<br />
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© <strong>2007</strong><br />
Dean Newell | Partner | Sydney<br />
Matthew Seisun | Lawyer | Sydney