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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 />

particular circumstances. If you no longer wish to receive this<br />

newsletter please email:<br />

Sydney: unsubscribe_syd@daslaw.com.au<br />

Melbourne: melbourne@daslaw.com.au<br />

Brisbane: publications@daslaw.com.au<br />

Canberra: canberra@daslaw.com.au<br />

Perth: perth@daslaw.com.au<br />

© <strong>2007</strong><br />

Dean Newell | Partner | Sydney<br />

Matthew Seisun | Lawyer | Sydney

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