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You are here: BAILII >> Databases >> Irish Law Reform Commission Papers and Reports >> Deductibility of Collateral Benefits from Awards of Damages, Consultation Paper on (LRC CP 15-1999) [1999] IELRC 2 (1st August, 1999) URL: http://www.bailii.org/ie/other/IELRC/1999/2.html Cite as: [1999] IELRC 2 |
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1 Insurance
2 Charitable Payments
Benefits other than the Traditional Non-Deductible Exceptions
1 Pensions
2 Sick Pay
3 Redundancy Payments
The Special Treatment Afforded to Social Security Benefits
1 Statute Law
2 Common Law
CHAPTER 5 PROPOSALS FOR REFORM IN ENGLAND AND WALES: LAW COMMISSION
CONSULTATION PAPER
Option 1: Deduction of All Collateral Benefits
Option 2: Deduction of All Collateral Benefits Except Charitable
Payments
Option 3: A General Rule of Deduction with an Exception for Benefits
Intended to be in Addition to the Plaintiff's Damages
Option 4: No Change Except for the Law Relating to Disablement
Pensions
Option 5: A Blanket Rule of Non-Deductibility
Option 6: No Change Whatsoever
PART III
CHAPTER 6 COLLATERAL BENEFITS IN COMPARATIVE LAW
Common Law Variations: Countries which Subscribe to the Rule of
Deduction
Scotland
Canada
Australia
Common Law Variations: A Rule of Non-Deduction
United States of America
Common Law Variations: No-Fault Liability
New Zealand
Scandinavian Law System: Social Compensation with Limited Role for
Subrogation
Sweden
Norway
General Observations
Summary
Common Law Variations
Civil Law Systems
Scandinavia
General Observations on the Treatment of Collateral Benefits in Comparative
Law
PART IV
CHAPTER 7 THE GENERAL PRINCIPLE OF DEDUCTIBILITY UNDER IRISH LAW
The Legislative History of Section 2
Backdrop to Section 2 - The Evolution of a Principle of Non-Deductibility with
Respect to Damages for Fatal Personal Injuries
The Scope of Section 2
The Effect of Section 2 on Particular Collateral Benefits
Section 2 and Insurance Payments
Charitable Benefits
Pensions
Sick Pay
Social Welfare Benefits
The Five Year Rule
The Problem with Section 2
CHAPTER 8 POLICY OPTIONS FOR REFORM
Option 1: Non-Deductibility and Cumulation of Remedies
Arguments in Favour of Option 1
Evaluation of the Arguments on Non-Deductibility Option
Option 2: A General Rule of Deduction
a) Benefits Designed to meet the same Loss as Damages
b) Benefits which have the Effect of meeting the same Loss as Damages
Arguments in Favour of Option 2
Arguments against Option 2
Evaluation of the Arguments on a Policy of Deduction
Option 3: Deductibility with Reimbursement of the Collateral Benefit
Provider
1 Repayment of the Collateral Benefit by the Plaintiff
2 Recoupment of the Collateral Benefit from the Defendant
Arguments in Favour of Option 3
Arguments against Option 3
Evaluation of a Policy of Reimbursement
Provisional Recommendation
CHAPTER 9 INDIVIDUAL COLLATERAL BENEFITS:
Insurance Payments
Arguments against Deductibility
Arguments in favour of Deductibility
Provisional Recommendation
Charitable Payments
Arguments against Deductibility
Arguments in favour of Deductibility
Provisional Recommendation
Pensions
Arguments against Deductibility of Pension Payments
Arguments in favour of Deductibility of Pension Payments
Provisional Recommendation
Sick Pay
Arguments in favour of Deductibility
Arguments against Deductibility
Provisional Recommendation
Social Welfare Payments
Arguments in favour of Deductibility
Provisional Recommendation
The Five Year Rule for Deduction of Benefits
Submissions
CHAPTER 10 PROVISIONAL RECOMMENDATIONS
1. The Need for a Move to a General Rule of Deductibility
2. Collateral Benefits that do not meet a Loss Covered by Damages are not
Covered by the Broad Rule of Deductibility
3. Any Exceptions to the Broad Rule of Deductibility should be regulated by
Statute and not left to Judicial Discretion
4. Considerations of the Public Interest Require Two Heads of
Exception
5. The Deductibility of Pensions
6. Sick Pay
7. The Deductibility of Social Welfare Payments
8. The Impracticability of the Reimbursement Option at Present under
Irish Law
LIST OF LAW REFORM COMMISSION'S PUBLICATIONS
1. On 12th December 1997, pursuant to section 4(2)(c) of
the Law Reform
Commission Act,
1975,
the then Attorney-General, Mr David Byrne, SC,
requested the Law Reform Commission to review section 2 of the
Civil
Liability (Amendment) Act, 1964
, which provides as follows:
"In assessing damages in an action to recover damages in respect of a wrongful
act (including a crime) resulting in personal injury not causing death, account
shall not be taken of:
a. any sum payable in respect of the injury under any contract of insurance,
b. any pension, gratuity or other like benefit payable under statute or
otherwise in consequence of the injury."
Under the terms of the Reference, the Commission was asked to address the
question of repealing or amending this provision "with a view to ensuring that
a plaintiff does not receive double compensation in respect of the same
loss"
,
and to submit to the Attorney-General such proposals for reform
as the Commission thinks appropriate.
2. In essence, section 2 lays down the rule that certain payments which individuals may receive in connection with personal injury (e.g., insurance payments) shall not be deducted from any subsequent award of damages that they may receive as plaintiff in a civil suit from the defendant-tortfeasor. These external payments have come to be termed "collateral benefits". The general rule of non-deductibility contained in section 2 means that these collateral benefits are additional to an award of damages. It is in this sense that it may be said that a plaintiff is allowed to "cumulate his remedies". To the extent that these collateral benefits compensate for the loss met by awards of damages in tort they lead to double compensation for the same loss. For reasons elaborated later in this Consultation Paper a system which permits double compensation is contrary to the public interest since it is objectionable in principle as well as wasteful and inefficient It is therefore a matter of some considerable importance to identify where double compensation occurs and to eliminate it as much as possible from the system.
3. At issue in this reference are five related questions to be explored in
depth in this Consultation Paper.
i. What constitutes a collateral benefit? This question of definition is
important since some benefits may not be considered collateral. If not, then
the whole question of double compensation cannot by definition arise.
ii. Under what circumstances may it be said that a collateral benefit
compensates for a loss that is compensable under tort law? It is only those
collateral benefits that perform a compensatory role similar to that of an
award of damages (and hence give rise to double compensation) that are the
subject of this Consultation Paper.
iii. With respect to collateral benefits that compensate and thus perform a
role similar to one of the heads of compensatory damages, then what is the
appropriate departure point of the law as a matter of principle; deductibility
as at present under section 2 or non-deductibility?
iv. If a move away from non-deductibility to deductibility is contemplated then
what kinds of public interest exceptions, if any, are justified? To which
collateral benefits would these exceptions apply? If such exceptions are
contemplated then we should be as clear as possible as to their precise
rationale, for this, in turn, helps determine the outer limit of these
exceptions.
v. In light of the above what refinement and amendment of section 2 would be
appropriate?
The Law Reform Options
2. Four general law reform options arise in the context of section 2 as
follows:
1. Retain Non-Deductibility as the General Rule
The first option is to maintain, or even broaden further, the general rule of
non-deductibility as contained in section 2. Bearing in mind principally the
need to curtail the possibility of double compensation, this option does not
appear to us to be in the public interest.
2. Move to a General and Strict Rule of Non-Deductibility
The second option entails moving away from a general rule of non-deductibility
to a general rule of deductibility for all collateral benefits with no
exceptions, and suggesting an appropriate amendment to section 2 to reflect
this. This option does not appear to us to be in the public interest since it
is not sufficiently sensitive to the extent to which certain collateral
benefits may not in fact be compensatory, nor does it appear sufficiently
sensitive to the wider functions sometimes served by certain collateral
benefits which may justify their exception from a deductibility rule on the
grounds of public policy. Such public policy exceptions may arise even in cases
where the benefit is admittedly compensatory.
3. Move to a General Rule of Non-Deductibility Subject to Public Interest
Exceptions
A third option entails adopting a general rule of deductibility for all
collateral
benefits (as per option 2 above) but with certain carefully defined exceptions
which are justified in the public interest and to suggest an appropriate
amendment to section 2 refining its scope to reflect this. This option is the
one provisionally favoured by the Law Reform Commission.
4. Move to a General Rule of Deductibility with a Right of Reimbursement
for the Provider of the Collateral Benefit
A fourth option entails adopting a general rule of deductibility subject to
certain carefully defined and justified exceptions (as per option 3 above) but
with a right of reimbursement for the provider of the collateral benefit
against either the defendant, where the benefit has been deducted from an award
of damages, or the injured plaintiff where there has been no such deduction.
This would require an amendment to section 2 of the 1964 Act to reflect this
and indeed wider changes in Irish law to facilitate such reimbursement. However
attractive in principle, this option does not appear to us to be practicable at
this point in time in Ireland.
5. The Law Reform Commission provisionally recommends that there should be a move away from a general principle of non-deduction toward a principle of deduction of those collateral benefits which serve to compensate for the same loss for which damages are awarded, subject to certain well defined exceptions (as per option 3 above) and that section 2 should be amended accordingly.
6. In advocating a move from the current norm of non-deductibility to one of
deductibility, the Commission attaches considerable importance to simplicity,
clarity and certainty in the rules governing the assessment of damages in
claims for personal injury. This is essential in order to obviate the
litigation of additional issues, extraneous to the accident, arising from the
source or nature of the collateral benefit. The extensive role of settlements
in the personal injury system is also recognised and a concurrent wish not to
unduly complicate this is expressed.
Outline of this Consultation Paper
This Consultation Paper is divided into four parts.
* Part I (introduction and chapter 1) situates the debate about damages and
collateral benefits into a broader framework of reference concerning the
primacy of tort law as a mechanism of compensating for loss. The relationship
between collateral benefits and awards of damages is a matter of considerable
importance not only because our system of compensation relies so heavily on
tort law, but also in the light of the proliferation of a variety of collateral
benefits. This proliferation is occurring because of increased prosperity which
enables people to make better financial arrangements to cover their future
contingencies and also because of the general growth in social security
provision. This debate is conducted quite differently in legal systems that do
not rely so heavily on the traditional role of tort law in the redistribution
of loss.
* Part II (chapters 2-5) examines the treatment afforded to collateral benefits
in England. The relevant law in England is based on the common law, there being
no English equivalent to section 2. However, given that section 2 was only
enacted in 1964, before which the common law governed the position in Ireland,
it is helpful to consider the position obtaining in England under the common
law. This Part looks at the origins of the rule of deductibility, at the
exceptions which have traditionally been regarded as legitimate and at the
various rationales provided by the English courts for non-deduction. It also
notes the recent provisional recommendations of the Law Commission of England
and Wales to the effect that the deductibility principle should be reaffirmed
and made clearer and that the various items of non-deductibility should be
further narrowed.
* Part III (chapter 6) looks at the various approaches adopted in common and
civil law jurisdictions around the world. As will be seen, even in common law
systems the overall trend is towards a general regime of deductibility subject
to certain well defined exceptions. The issue does not arise to the same extent
in civil law jurisdictions as the increased role of social insurance in
protecting individuals against the consequences of injury is accompanied by
less reliance on the compensatory function of damages through tort law.
* Part IV (chapters 7-10) examines the treatment of collateral benefits in
Irish law. Section 2 of the
Civil Liability (Amendment) Act, 1964
provides for a wide rule of non-deductibility which arguably leads to double
compensation in certain cases. The background of the section and its effects,
including the possibility of
unjustified double compensation are
examined in chapter 7. Chapter 8 outlines the various general options in the
field. As will be seen, the Commission favours a move toward the principle of
deduction. In light of this general shift from non- deductibility to deduction,
chapter 9 proceeds to analyse particular collateral benefits with a view to
establishing whether the Commission finds any public policy argument justifying
their non-deduction and, if so, to what extent. Finally, chapter 10 summarises
the Law Reform Commission's provisional recommendations.
The Consultation Process
8. The Law Reform Commission acknowledges that its provisional recommendations
would reverse the general rule encapsulated in section 2. It is therefore keen
to obtain submissions on the main question of principle: whether such a
reversal of presumption serves the public interest. It also seeks submissions
as to which exceptions may be justified in the public interest and to what
extent. Following this consultation process the Commission will make
recommendations in its Final Report on the topic.
In order to ensure that
the Commission's final recommendations can be made as soon as possible those
who wish to make submissions are invited to so in writing no later than 17
December 1999.
1.01 The debate about the fate of collateral benefits does not occur in a
vacuum. It is in fact implicated in much broader debates which are worthy
subjects in their own right. This chapter foregrounds those broader discussions
in the interests of clarifying the issues at stake as well as the various law
reform choices open to the Oireachtas. We do not attempt to resolve these
higher order debates here; they are articulated in order to give greater
structure and meaning to the more immediate question concerning collateral
benefits.
The Inevitability of Accidents and the Need to Compensate for Loss
1.02 Accidents are inevitable. Modern society implicitly recognises that they will happen and accepts the omnipresent risk of accidents as an inherent element of progress and daily activity. For example, the sanctioning of the motor car entails an acknowledgement that some people will suffer as human error and mechanical failure cannot always be avoided. On balance, societies make judgments about the social and economic utility of allowing or even encouraging certain behaviour notwithstanding the inevitability of accidents.
1.03 To assert the above is not to relieve society of responsibility to take
measures to reduce the incidence of accidents to the absolute minimum. Rather
it is to assert that an implicit social calculus is at play according to which
a balance is determined between encouraging and facilitating the occurrence of
generally beneficial economic activity on the one hand and a realisation on the
other hand that any such calculus is accompanied by a certain level of
predictable risks.
1.04 The recognition that accidents are inevitable gives rise to the need for
an adequate and comprehensive mechanism for compensating for loss when it
occurs. It is important to realise that the victims of loss are often not only
victims of identifiable tortfeasors but are also in a real, albeit indirect,
sense the victims of a system that implicitly endorses a certain level of risk
as socially acceptable. This particular higher order debate is relevant to the
issue of where the burden of the losses caused by accidents legitimately lies.
For example, a frequent objection to deductibility is that it relieves the
tortfeasor of some of the consequences of his or her actions. However if one
considers that society by making a car legal, recognises that some people will
cause accidents and others will be injured, then society as a whole must bear
some of the responsibility for the accident, hence the objection to the
tortfeasors immediate burden being lightened carries less weight. It can also
be argued that if one recognises that society as a whole bears some of the
responsibility then all of society has a duty to protect against loss. The
prevalence of extensive social insurance is just one manifestation of this
collective mechanism for addressing the consequences of contingent events.
Two Systems of Compensating for Loss: Fault and Non-Fault Based
1.05 There are quite pronounced differences in the way various legal systems regulate the relationship between collateral benefits and awards of damages. While all legal systems provide for some mechanism that compensates for loss they do not do so in a uniform way. In the context of this debate the differences can be seen as tending to reflect different decisions as to who should bear the brunt of the losses caused by accidents - society or the individual implicated.
1.06 The tort system which we have inherited from our common law tradition is fault-based. It rests on the implicit assumption that the individual is normally to be considered morally responsible for his or her behaviour as well as risk taking and ought therefore be affixed with full legal liability to compensate for any ensuing loss. This is so notwithstanding the reality that the community generally accepts a certain level of risk taking as socially acceptable. Indeed, it is so notwithstanding the fact that social mechanisms for handling the results of accidents such as health insurance and social welfare have developed alongside the tort system and perform at least some of the functions formerly handled exclusively by it. It follows that the main mechanism for providing for loss is focused on the culpability of individual behaviour and is routed through the adversarial process provided by the courts. One clear implication of direct relevance to this paper follows: if individuals are assessed on the basis of fault and if their primary liability is to compensate for actual loss then any collateral benefit that also plays a compensatory role should be automatically deducted. Logic alone points to a principle of deductibility in a tort-based system.
1.07 An important caveat needs to be entered with respect to the above characterisation; in reality much of the costs of accidents are met by means that exist outside the traditional tort system. A considerable amount of potential liability to cover the costs of accidents is insured either as a matter of prudence or as required by law. Although our traditional tort law requires the finding of fault by an individual, in reality it is more often than not the insurance company who pays. While it can be countered that the individual tortfeasor will pay in the form of higher insurance premia, the costs of accidents are more likely to be borne by the insured population through higher insurance costs. Likewise, a considerable amount of the cost of accidents is financed by the social welfare system. There is, in other words, a considerable gap between the myth-system of tort that sees tort as central and the operations-system which in reality depends heavily on these collateral sources. Clearly both the tort system and the alternative mechanisms of providing for loss need to be brought into a closer alignment to, primarily for our purposes, avoid any possibility of double compensation, but also bearing in mind the wider context of loss redistribution and the public interest in the optimum use of resources.
1.08 Some legal systems - most notably those of continental Europe - have moved away from the primacy of the fault-based system of traditional tort law. This is an inevitable progression given the prevalence of wide networks of social insurance which fulfil a lot of the functions of tort law. The social insurance network encompasses mechanisms which protect the individual against the adverse consequences of accidents at a more immediate level than tort law, so by the time a tort case reaches the courtroom the losses that a plaintiff has actually suffered are considerably decreased or indeed eliminated. Once the plaintiff is compensated, any further payments result in a so-called "windfall". The cost of this is ultimately borne by all of society which is deprived of the benefits to be gained by a more optimal use of resources and must pay higher insurance premiums as a consequence of the higher costs of accidents. On this view these higher costs are artificial not being the true measure of the losses incurred.
1.09 There are several important factors relevant to the debate about
collateral benefits and its interplay with the higher order debate of loss
redistribution which emerge more clearly when looking at some of the
continental systems.
* Social insurance networks require that those who can afford to contribute,
(i.e. the employed) to the collective mechanisms for protecting citizens
against future contingencies in life such as injury, unemployment, old age,
must do so.
* The foregoing assertion implicitly recognises that each individual bears some
collective responsibility because they profit from society; this is confirmed
by the fact they can afford to pay. Specific illustrations of this theory can
be found in the imposition of strict liability for accidents in certain spheres
of activity. Thus the manufacturer of a product is liable where it is defective
without the plaintiff consumer having to show fault as the manufacturer profits
most from that activity and this stronger position carries with it more
responsibility.
* While the assumption of a portion of the collective responsibility relieves
the particular tortfeasor of some liability and hence the role of tort is
marginalised, individuals can bear moral responsibility for undertaking risks
that go beyond what society is prepared to live with or fund. Thus for example
in Germany and France a tort action is only brought against employers where the
accident was caused by an intentional act. The persistence of the "fault"
concept is evidenced by the existence of subrogation rights i.e. the provider
of the collateral benefit has a right to sue the defendant for the amount he
has paid to the plaintiff. Moreover the statutory compensation schemes do not
cover all losses so that in order to recover for pain and suffering, for
example, tort law remains the only option.
1.10 Some Scandinavian countries follow through more consistently with the
logic of social provision by eliminating or severely constricting the right to
pursue a claim through tort law. One clear implication in Scandinavia is that
the deductibility of collateral benefits is not as important or urgent a
question since compensation is provided generally through social mechanisms. In
effect, what is considered collateral here becomes central in such systems.
Further Tensions within the Tort System
1.11 The contrast between the civil and common law systems in this respect is worthy of consideration in its own right and is background to the debate concerning collateral benefits and awards of damages. The deductibility or otherwise of collateral benefits becomes much less of an issue if the focus of liability for loss is society rather than a defendant who must compensate for actual loss.
1.12 For the foreseeable future one might reasonably assume that the tort system will retain its primacy as the dominant means of compensating for loss in Ireland. This is so despite the fact that, rhetoric to one side, liability is heavily insured and the defendant seldom pays in full. In the eyes of some it may well appear that the differences between the actual operation of the Irish legal order and those of continental Europe are sufficiently few to permit the adoption of similar solutions to the problem of collateral benefits i.e. avoid double compensation by affixing, depending on the sphere in which the accident occurs, society as a whole or the class of defendant (via insurers) with the cost. This `pull' toward continental Europe further augments the argument for a principle of deductibility under Irish law.
1.13 Interestingly, there is a further tension within traditional tort theory between the principles of liability in tort and the function of compensatory damages which is relevant to the debate over collateral damages.
1.14 Liability in tort is predicated on personal fault. A focus on the underlying moral basis of tort law - namely the fault or moral culpability of the defendant - sets the initial departure point. Many who feel uneasy about a principle of deductibility on the basis that it lets the defendant off unduly lightly are apt to rest their argument on notions of fault and just deserts. The danger of double or over compensation is considered more palatable than providing the defendant with a windfall or with a degree of liability that does not adequately match his moral culpability. This does not address the reality that, as in a system heavily reliant on insurance, it is not the actual defendant who benefits. If, on the other hand, one looks to the function of compensatory damages in tort law then the initial point of departure in the debate is altered. The function of such damages is, perforce, to compensate for actual loss. It follows that the defendant is only liable to the extent that loss actually occurs. If the normal spread of loss is reduced by a collateral benefit then it is logical to assume that the defendant is only liable for the reduced amount. That is, a principle of deduction of collateral benefits would appear to apply. This ensures that the defendant's liability is neatly and exactly matched to actual loss. It also ensures that the plaintiff does not receive double-compensation. The fact that the defendant ends up paying less becomes irrelevant if the focus is on the actual loss and the plaintiff is compensated for it.
1.15 For our part, we are inclined to the view that an understanding of the
function of compensatory damages is most important. Thus our terms of departure
in the debate about collateral benefits inclines us to adopt a general
principle of deduction subject to whatever exceptions may be justified in the
public interest.
The Common Law Approach: A Principle of Deduction of Benefits subject to
Exceptions
1.16 It is important to emphasise that the main, if not the sole, aim of damages in tort law is to compensate the plaintiff for his loss by placing him in the position that he would have been in had the tort not occurred. The corollary of this principle is that damages must only compensate the plaintiff for the actual loss he has suffered. It follows that if a collateral benefit compensates for loss then it must be taken into account in determining the actual level of compensation required through an award of damages. Hence, one might expect that the general rule under the common law would be one of full deductibility of any collateral benefit that has the aim or effect of compensating for a loss. Indeed, this has been consistently stated as the bedrock principle of the common law courts.
1.17 However, the attitude of the common law has been somewhat more nuanced: in particular two categories of exception have been carved out from the general rule of deduction. First, insurance payments were deemed non-deductible on a variety of grounds including a notional sense of the moral and or contractual entitlement of the plaintiff, a desire to encourage people to anticipate and prepare for future contingencies and an unwillingness or uneasiness to allow defendants (persons deemed by the legal order to be morally responsible and legally liable) to reap the benefit of the plaintiff's foresight. It may be said therefore that the functional approach has been qualified by sound social policy, which seeks to encourage self-reliance and thrift on the part of the plaintiff as well as recognising an element of fault and moral liability on the part of the defendant.
1.18 Second, charitable gifts were deemed non-deductible by the courts on a variety of grounds including the need to encourage public giving as an expression of spontaneous social solidarity and sympathy coupled with a desire not to allow defendants to escape with a reduced amount of liability because of such donations.
1.19 The attitude of the common law courts to collateral benefits beyond the
above two categories has developed in an
ad hoc
manner. Declarations of
non-deductibility were generally made, if at all, on the basis of analogy with
the rationales justifying the two main exceptional categories above. This
position was summarised by Lord Wilberforce in the House of Lords in
Parry v
Cleaver
as follows:
"The injured plaintiff .... may be protected by an elaborate structure of
social welfare arrangements entitling him to industrial injuries benefit,
unemployment pay, sickness benefit and other payments of constantly changing
nature and amount. Apart from any private insurance he may have taken out, he
may be covered by an `insurance' scheme in his employment. This may be
voluntary or compulsory, contributory or non-contributory; it may be partly
transferred from a previous employment and may be transferable to a future
employment; the true element of insurance in the arrangements may be
considerable or very slight. If he is injured in a large scale catastrophe, and
sometimes even when he is not, a fund may be raised by public subscription out
of which he may receive very large sums indeed. He may receive help from
private benefaction .... In many cases even now, and possibly in most cases in
the future, the whole of his loss, so far as measurable in money terms, may be
covered, independently of any claim against the `wrongdoer'."
1.20 The English courts have shown no great enthusiasm for extending the range
of items of non-deductibility. Indeed, the Law Commission for England and Wales
has provisionally recommended that the common law categories be narrowed even
further.
The Public Interest in a General Principle of Deductibility subject to
Exceptions
1.21 The Law Reform Commission is of the provisional view that the overriding public interest at stake in the context of this Reference is to provide a mechanism to compensate for loss that is adequate and effective and eliminates double compensation and the accompanying unjustifiable windfalls for the plaintiff. Such a system would remove the adverse effects of double compensation on legitimate economic activity and therefore serve the public interest. At present and for the foreseeable future the tort system with its focus on individual fault and liability is likely to remain the main mechanism of providing for loss. Tort law must be brought into meaningful alignment with other existing mechanisms for compensating for loss. What this means in effect is that any amount payable by way of damages should be adjusted by reference to the amount of collateral benefits payable where such benefits compensate for the same loss. Hence, the Law Reform Commission is provisionally of the view that a move toward a general principle of deductibility is warranted in the public interest.
1.22 In our view the purpose of the collateral benefit may not be decisive in trying to determine whether it actually compensates for a loss. The ostensible purpose of a collateral benefit may well be non-compensatory yet it nevertheless has the effect (whether intended or otherwise) of compensating for a loss. If so, then it follows that the quantum of the collateral benefit in question should be deducted from the award of damages which compensates for the same loss unless there are overriding public policy exceptions for not doing so.
1.23 There may be some collateral benefits which neither intend to or in fact have the effect of compensating for a loss for which damages may be awarded. If so the collateral benefit in question should be deemed non-deductible as it does not give rise to the possibility of double compensation. Where a collateral benefit has the effect (if not the purpose) of compensating for a loss there may nevertheless be sound public policy arguments which justify its exception from the general rule. A threshold question of procedure arises in this context. Should courts, on the one hand, be afforded statutory discretion to interpret the public interest as they see fit and adjudge particular collateral benefits accordingly or should statute law provide explicitly for the items of non-deductibility deemed legitimate in the public interest? We provisionally favour the latter approach since it fosters certainty and predictability in the development of the law.
1.24 As to the substance of any possible public interest exception, we envisage
at least two headings. First, it is surely in the public interest to encourage
individuals to provide for their own future contingencies through private
insurance; we therefore support treating such collateral benefits as
non-deductible. Second, the maintenance and encouragement of social solidarity
is of such importance that charitable payments should also be deemed
non-deductible.
The Practicability of a Principle of Deduction with Reimbursement of the
Collateral Benefit
1.25 Subject to the permitted exceptions, a move to a general principle of deductibility means that a defendant will only be required to compensate for actual loss which is the full loss less any collateral benefit that has a compensatory aim or effect. This may appear to shift the windfall gain from the plaintiff (who under a rule of non-deductibility may be doubly compensated) to the defendant who is financially liable to pay less where collateral benefits are deducted. In a system such as ours, that is still premised on individual fault as the basis of liability, this may appear to burden the defendant with less liability than his degree of moral fault might otherwise indicate. To meet this objection some systems have introduced mechanisms which allow the provider of the collateral benefit recoup the value of the benefit. Where same has been deducted the collateral benefit provider is subrogated to the injured party's claim i.e. he has a legal right to sue the defendant for the amount paid out by way of collateral benefit.
1.26 The exercise of subrogation rights entails the further transfer of the
costs consequent on an accident from the source which immediately absorbed
them, the provider of the benefit, to the defendant. In practice it requires
complex cost-sharing arrangements between commercial insurance companies and
social insurance providers if additional court cases are to be avoided. Such
arrangements do not exist in Ireland, at least on the scale provided elsewhere
(especially in Continental Europe) and on the scale needed to make subrogation
work. Therefore, although attractive in the abstract, the concept of
subrogation in this context might not work in Ireland and it is for that
practical reason that the Law Reform Commission does not presently favour this
variant on the option of deductibility.
2.01 It is well established under the common law that damages are intended to
be mainly if not solely compensatory in nature, restoring the injured plaintiff
to the position that he enjoyed prior to the accident occurring. Even if the
law of damages encompasses aims that are non-compensatory (e.g., exemplary,
punitive or aggravated damages awards), it can still be maintained that the
core aim of damages is to compensate for loss. The compensatory function of
damages was clearly expounded by the courts in the House of Lords' decision in
British Transport Commission v Gourley:
"The broad general principle which should govern the assessment of damages in
cases such as this is that the tribunal should award the injured party such a
sum of money as will put him in the same position as he would have been in if
he had not sustained his injuries."
2. This has been endorsed time and again both by the House of Lords and by
courts in other jurisdictions. Therefore, if an injured plaintiff receives
collateral compensation which meets the same loss as his award of damages, this
results in double compensation contrary to the above well-established
principle. In effect, such a collateral payment defeats the purpose of damages,
rendering the award superfluous to the extent that compensation from another
source has already restored the plaintiff to the position he was in prior to
the accident. While it would seem to be a straightforward matter of deducting
any such collateral benefit from a plaintiff's compensatory damages, the
English courts have often refused to do so.
Two Traditional Common Law Exceptions: Insurance Payments and Charity
2.03 In the seminal collateral compensation case of
Parry v Cleaver,
the
majority of the House of Lords distinguished
Gourley
on the basis that
it only reaffirmed the rule that a plaintiff cannot recover more than he has
lost, but did not deal with the issue of payments which came to the plaintiff
as a result of the accident, and which he would not have received but for the
accident. Lord Reid explained as follows:
"Two questions can arise. First, what did the plaintiff lose as a result of the
accident? And secondly, what are the sums which he did in fact receive as a
result of the accident but which he would not have received if there had been
no accident? And then the question arises whether the latter sums must be
deducted from the former in assessing the damage.
British Transp
o
rt
Commission v Gourley
did two things. With regard to the first question it
made clear, if it had not been clear before, that it is a universal rule that
the plaintiff cannot recover more than he has lost.... But
Gourley's
case had nothing whatever to do with the second question. It did not arise.
Before
Gourley's
case it was well established that there was no
universal rule with regard to sums which came to the plaintiff as a result of
the accident but which would not have come to him but for the accident. In two
large classes of case such sums were disregarded - the proceeds of insurance
and sums coming to him by reason of benevolence. If
Gourley's
case had
any bearing on this matter it must have impinged on these classes. But no one
suggests that it had any effect as regards sums coming to the plaintiff by
reason of benevolence, and I see no reason why it should have made any
difference as regards insurance."
2.04 Therefore, the majority reasoned that, as there remained two classes of collateral payment which the common law had consistently excluded from account when assessing damages, the principle expounded in Gourley could not be of relevance to any collateral benefit which the plaintiff may receive. In effect, the courts attempted to build on the two exceptions a general rule of non-deductibility of much broader application.
2.05 This interpretation of Gourley has, however, been criticised on the ground that the House of Lords failed to sufficiently analyse the problem before them. Atiyah comments that to classify the Gourley decision as being concerned with defining the plaintiff's loss and that in Parry as being concerned with what a plaintiff gains as a result of his injury is to ignore the fact that the elimination or reduction of a liability is as much of a benefit as the actual receipt of a cash payment.
2.06 However, since
Parry
the House of Lords has seemed to place more
reliance on the principle expounded in
Gourley
in the context of
collateral benefits. In
Hussain v New Taplow Paper Mills Ltd
Lord Bridge
quoted the above passage from the judgment of Lord Reid in
Parry
and
reiterated the general rule. He then added a cautionary note:
"This dichotomy, however, must not be allowed to obscure the rule that
prima
facie
the only recoverable loss is the net loss. Financial gains accruing
to the plaintiff which he would not have received but for the event which
constitutes the plaintiff's cause of action are
prima facie
to be taken
into account in mitigation of losses which that event occasions to him.... But
to the
prima facie
rule there are two well established exceptions.
First, where a plaintiff recovers under an insurance policy for which he has
paid the premiums, the insurance moneys are not deductible from damages payable
by the tortfeasor.... Second, when the plaintiff receives money from the
benevolence of third parties prompted by sympathy for his misfortune, as in the
case of a beneficiary from a disaster fund, the amount received is again to be
disregarded."
2.07 Hence, Lord Bridge accepted the two categories of benefit, recognised by Lord Reid in Parry , that have been consistently ignored by the common law in the assessment of damages: insurance payments financed by the plaintiff himself and charitable payments. Although Lord Bridge admitted that this amounts to sanctioning double recovery, he felt that the common sense of these two exceptions was obvious: The defendant should not benefit from either the premiums which the plaintiff has paid to insure himself against some contingency or money donated by a third party with the sole intention of benefiting the injured plaintiff.
2.08 In
Hodgson v Trapp
Lord Bridge elucidated the nature of these
exceptions to the general rule of deductibility by commenting:
"To the basic rule there are, of course, certain well-established, though not
always precisely defined and delineated, exceptions. But the courts are, I
think, sometimes in danger, in seeking to explore the rationale of the
exceptions, of forgetting that they are exceptions. It is the rule which is
fundamental and axiomatic and the exceptions to it which are only to be
admitted on grounds which clearly justify their treatment as such."
2.09 After having stated the two "classic heads of exception" outlined above,
Lord Bridge expressed the opinion that the courts have justified the
non-deduction of collateral benefits which exist outside of the two established
categories by employing arguments based on the same common sense rationale as
that outlined above. With this in mind, it is necessary to ascertain if there
is a general rule governing the treatment of collateral benefits in English
law.
Is a General Rule Governing the Treatment of Collateral Benefits
Discernible?
2.10 There is no legislative equivalent in English Law to s.2 of the Civil Liability (Amendment) Act, 1964. Thus the position has developed under the common law. There is no discernible universal principle as to the deductibility, or otherwise, of collateral benefits at common law. Whilst various benefits accruing to an injured victim have been taken into account in the assessment of damages, certain others have been ignored by the courts, prompting the English Law Commission to comment that in the absence of a single principled test for determining whether a collateral benefit is to be deducted or not it is necessary to look separately at the treatment afforded to each type of collateral benefit.
2.11 The
ad hoc
approach that has developed under the common law has
been expressly recognised and endorsed by the House of Lords. In
Parry v
Cleaver
, Lord Wilberforce commented that:
"it is impossible to devise a principle so general as to be capable of covering
the great variety of benefits from one source or another which may come to an
injured man after, or because, he has met with an accident."
In that case Lord Reid, referring to the fact that there was no universal rule,
commented that the common law has treated this matter as one depending on
justice, reasonableness and public policy. That this is a somewhat nebulous
test has been admitted by the House of Lords in subsequent decisions. In
Hussain v New
Taplow Paper Mills Ltd.
Lord Bridge said:
"Given the inevitable divergencies of judicial opinion as to what justice,
reasonableness and public policy require, it is not surprising that courts in
different common law jurisdictions should sometimes have solved similar
problems in this field in different ways, nor that, in the leading case of
Parry
v
Cleaver
itself, this House should have reversed
the Court of Appeal by a majority of three to two..."
2.12 Essentially, in interpreting what is dictated by "justice, reasonableness
and public policy," the courts have employed a variety of rationales to justify
decisions as to whether the collateral benefits outside of the two "classic
heads" of exception are deductible or not. These general rationales are
considered in the next chapter.
3.01 If the law of damages remains the main method of compensating for loss and
if the initial departure point is one of deductibility of any collateral
benefit that compensates for or otherwise meets a loss then on what basis can
non-deductibility be justified and to what extent? One complicating factor is
the language used by the courts to address the issue. Lewis comments that
instead of looking squarely to the policy considerations that lie behind the
treatment of collateral benefits, the courts have tended to analyse the matter
in a formulaic way. The error of legal formalism has always been that it tends
to mask the true ground of decision and the policy rationale or rationales that
underpin the same from full view. Hence it is sometimes unsafe to rely
completely on the stated ground in the case law. Lewis states that the
courts
"... have frequently merely reformulated the problem of whether or not to
deduct benefit by using the language of causation, or by focusing upon the
meaning of the word `collateral,' or simply by asking what is fair, just and
reasonable. They have preferred to apply principle rather than policy. That is,
they have preferred the formal language of legal rules and concepts to
discussion of more pragmatic considerations. This has hindered rational
discussion of the subject."
3.02 Such systematic analysis as there has been has emanated from academic
commentary rather than from the courts. Ogus has detected and systematised four
justifications based on principle which have been employed by the courts to
justify the non-deduction of various collateral benefits. These are as
follows:
*
The Punitive/Deterrent Theory
: This rationale concentrates on what the
defendant should pay rather than on what the plaintiff should receive. It looks
to the moral culpability of the plaintiff rather than to the loss of the
defendant that requires compensation. On this rationale the fact that there may
be double compensation is not relevant.
*
The Causation Theory
: This rationale looks to the (separate) causes of
collateral benefits and awards of damages. It is used where a court considers
there is an insufficient causal nexus between the tortious action of the
defendant and the collateral benefit received by the plaintiff: by this
reckoning the collateral benefit is deemed to have been triggered separately.
This rationale is also impervious to the double compensation argument since it
ignores the effect of the collateral benefit.
*
The Source of the Benefit Theory
: This rationale looks to the source
of the benefit and justifies treating the relevant collateral benefit as
non-deductible on that basis. If, for example, the source of the benefit was
the plaintiff himself (i.e., the benefit was paid for or earned by the
plaintiff) then it is considered that he should not be deprived of the fruits
of his own thrift and foresight. This rationale effectively looks to theories
of moral entitlement as well as the public policy interest in encouraging
thrift and investment on the part of the plaintiff. In support of the rationale
is a general uneasiness about allowing defendants to enjoy the benefits of the
plaintiff's prudence. But this uneasiness alone does not fully account for the
`source of the benefit' theory.
*
The Purpose of the Benefit Theory
: According to this rationale, if the
purpose of the collateral payment was either expressly or impliedly to benefit
the plaintiff in addition to any right of action he may have against the
tortfeasor, then a court should ignore it in assessing the award of damages. By
focusing on the purpose, or stated purpose or a fairly imputed purpose of the
collateral benefit, the effect of same is deemed largely irrelevant or at least
outweighed by the purpose. An example might be a charitable donation toward the
victims of a disaster.
3.03 These theories converge and diverge in the caselaw. They are extremely important since if one is to allow exceptional items of non-deduction one ought to be clear as to their underlying justification. Furthermore, such clarity is vitally necessary when it comes to identifying which collateral benefits are to be deemed non-deductible and, just as important, to what extent.
3.04 It is helpful to examine and critically evaluate the basis and coherence
of the various rationales in further detail. In what follows, reference is made
to the views of the commentators on each of the theories adumbrated above.
1 The Punitive/Deterrent Theory of Non-Deductibility
3.05 Implicit in the rationale for ignoring certain collateral benefits is the belief that the civil law has a role to play in the punishment and deterrence of tortious acts. The emphasis is on the liability of the defendant which should not be alleviated by a fortuitous payment which the plaintiff may receive. To allow the defendant to benefit from the existence of collateral payments would be to reduce the deterrent effect which an award of damages has on the future conduct of potential tortfeasors, and also to lessen the punishment which is due to the defendant as the natural consequence of his actions.
3.06 This reasoning is well illustrated in
Redpath v Belfast and County
Down
Railway
in the context of benevolent payments:
"Why, one may well ask, should the defendants' burden be lightened by the
generosity of the public? It is for the party who is in default to pay for such
damage as he has caused and which is directly occasioned by his negligence
without bringing into the account in reduction of his liability any moneys
which may be received by the injured party without legal right from a fund
voluntarily subscribed from charitable motives by third parties after the
damage has accrued."
3.07 Ogus has commented, however, that this reasoning "cannot survive closer examination and has been abandoned in the more recent decisions" such as British Transport Commissioners v Gourley. That is, if the function of damages is just to restore the plaintiff to his pre-accident position, then any mitigating collateral payment must be taken into account. Consequently, compensatory damages cannot have a punitive function due to the possibility that the plaintiff's loss could be met in toto from such a collateral source. McGregor argues, following Gourley , that there should be a general rule of deduction of collateral benefits.
3.08 In the Court of Appeal in
Browning v War Office
, Diplock LJ
discredited the existence of any punitive function in an award of damages.
Referring to actions for negligence, he posed the following question:
"...whether the policy of the common law in these types of actions is to
provide restitution for the plaintiff or to visit retribution on the
defendant?"
In answering this, Diplock LJ employed careful terminology, preferring to use
the word `defendant' to that of `wrongdoer' or `tortfeasor'. He considered
that,
"...the emotions with which these latter expressions are charged tend, I think,
to obscure not only the realities of the situation in the modern world but also
the principle of law involved in actions of these types.... A person who acts
without reasonable care does no wrong in law; he commits no tort. He only does
wrong, he only commits a tort, if his lack of care causes damage to the
plaintiff."
3.09 His Lordship said that to view a defendant as appropriating to himself, or
benefiting from, a fortuitous circumstance which accrues to the plaintiff and
which reduces the injury he suffers is an erroneous approach to this
problem:
"Implicit in such a statement is the tacit assumption that there is some norm
of damages which a defendant who has acted without reasonable care ought to pay
for his careless act, even though, owing to some circumstance for which the
defendant is not directly responsible (
res inter alios acta
), the
plaintiff has not in fact suffered a loss corresponding to the norm."
3.10 This reasoning is faithful to the compensatory function of damages, in that a defendant is only liable for the loss actually sustained by the plaintiff as a consequence of the negligent act or omission of the former. Moreover it supports the view that in the discussion of the deductibility of collateral benefits from awards of damages, there is no `windfall' as the defendant is only liable from the outset for the net loss suffered by the plaintiff.
3.11 McGregor has also discredited the punitive theory of compensatory damages. He argues that a defendant is entitled to be lucky and have his damages reduced by a fortuitous circumstance which lessens the plaintiff's loss. For example, if the defendant injures the plaintiff as a result of a tort, he may be fortunate to only slightly injure him, or injure a " man with an iron constitution rather than an egg-shell skull, a well dressed pauper rather than a shabby millionaire." Moreover, following an accident, the plaintiff may be fortuitous in having his injuries treated by a brilliant surgeon who cures him, whereas the absence of such skill would have left him with serious disabilities. Therefore, in such circumstances, the defendant is not liable for the injury which the plaintiff would have suffered had he not been treated by the specialist, but only for the actual damage he caused. This argument is developed by Fleming who comments that the award of damages made against the defendant does not correlate with his guilt. Rather, his liability extends only to the amount of damage done.
3.12 Fleming advances four criticisms of the deterrent aspect of damages. First, the tortious act of the defendant was probably the result of a momentary inadvertence so that the prospect of legal sanctions would have made little, if any, difference. This point has been further developed by Lewis who argues that certain accidents occur in circumstances where the tortfeasor is not even aware that he is involved in a risky activity. In such circumstances no deterrent purpose could be served. Consequently, as it is difficult to characterise the wrongdoing as morally bad, it would not seem fair to `punish' the tortfeasor through civil liability.
3.13 Second, even if one were to accept that damages did serve a deterrent function, the deduction of a collateral benefit from the award would hardly reduce their deterrent effect - the receipt of the benefit is too speculative to affect an advance judgment on the part of the defendant as to whether the risk is worth taking.
3.14 Third, any deterrent aspect of damages that there may be is rendered
completely ineffective by the widespread use of liability insurance: the
Pearson Commission have estimated that insurers deal with 88% of all tort
claims and pay 94% of the total damages. It may be argued, however, that this
deterrent aspect is still encountered by defendants through the effect that
their negligence may have on their future liability insurance premiums.
However, Atiyah has commented that future premiums are, in fact, unlikely to be
affected by a defendant's negligence. This is due to the manner in which they
are calculated; employers' premiums are assessed by grouping them into
categories according to the particular activity they carry out, and not
according to their previous accident rate. Lewis further discredits the
punitive/deterrent rationale on the basis that even where the defendant is
financially burdened with the cost of an award of damages, it does not actually
have a deterrent effect. Rather,
"People take care to avoid causing injury not because of fear of civil
liability, but because they wish to reduce the risk of injuring themselves,
their property or other people. Self-preservation and a natural concern for the
safety of others are the important motivating factors."
3.15 Finally, as the liability of the tortfeasor is entirely dependent on causing an injury to the plaintiff, and not on the fault of the defendant, the unpredictability of this, as with the speculative nature of a collateral benefit, renders the deterrent function of damages obsolete.
3.16 The English Law Commission argue that empirical evidence illustrates that
there is no deterrent function in compensatory damages. They cite the
discussion by Harris of research carried out into medical injuries and
malpractice in the State of New York. Harris commented that:
"The signal sent by tort law to the medical profession is that occasionally, in
a symbolic way, they may be held liable for negligence, but that 94% of the
instances of negligence will not lead to liability."
Moreover, the following findings of the survey, as quoted by the Law
Commission, are relevant in refuting the deterrent function of compensatory
damages:
* the doctors surveyed did not consider the tort system to be an influence on
the manner in which they treated their patients, rather, they considered it to
be a distraction;
* the doctors surveyed did not modify their practices following a malpractice
suit;
* nor did they believe that the tort system could play a role in preventing
medical mishaps.
2 The Causation Theory of Non-Deductibility
3.17 This theory is premised on the assumption that the accident was not the cause of the payment, rather some other collateral event. It is of no moment that the collateral benefit may in effect compensate (or indeed doubly compensate) for a loss. A variety of terminology has been employed by the courts: the accident was the "occasion rather than the cause" of the payment; the "causa sine qua non" rather than the "causa causans" of the payment; the payment was "res inter alios acta" or "completely collateral;" the payment was just "too remote." Although this rationale was one of the first to be used by the courts in justifying the non-deductibility of benefits, such as insurance payments, it has been largely discredited in recent times. Cooper notes that even prior to Parry the old causal arguments had already been much criticised. In Parry v Cleaver all of the Law Lords, with the exception of Lord Pearson, rejected this approach.
3.18 The existence of a causal link between the accident and the receipt of the collateral payment is however relevant to whether account is to be taken of the benefit in the assessment of damages. It is necessary that some causal link must exist for the benefit to be a collateral benefit within the meaning of the term, i.e. there must be factual causation. For example, should the plaintiff win the lottery after sustaining an injury through the tortious action of the defendant, there is obviously no factual causation between the two occurrences thus the question of deduction does not arise. This is clearly stated in the Irish legislation whereby only those payments which arise `in consequence of an injury' fall to be considered.
3.19 Thus, however strong the causation arguments may be, remoteness in the
sense of forseeability is not at issue, i.e. legal causation is of no
assistance in determining the deductibility of a collateral benefit. Lord Reid
made this point clear in
Parry
where he said:
"Remoteness from the defendant's point of view is a familiar conception in
connection with damages. He pays damages for loss of a kind which he might have
foreseen but not for loss of a kind which was not foreseeable by him. But here
we are not dealing with that kind of remoteness. No one has ever suggested that
the defendant gets the benefit of receipts by the plaintiff after his accident
if they are of a kind which he could have foreseen, but not if they are of a
kind which he could not have foreseen, or vice versa."
3.20 Furthermore, Atiyah has commented that "the attempt to answer the legal or
policy question in causal terms is clearly doomed to failure." The distinction
between
causa sine qua non
and
causa causans
does not rest on a
logical basis and Ogus argues that it is so vague as to hardly justify the
different treatment afforded to sick-pay and pensions. Finally, McGregor is of
the opinion that resort to considerations of causation conceals what are
basically policy decisions.
3 The `Source of the Benefit' Theory of Non-Deductibility
3.21 The essence of this rationale is that as the plaintiff has either financed, or earned, the collateral payment, he should not be deprived of the fruits of his own thrift and foresight. Furthermore, it could be argued that the plaintiff had a reasonable expectation of receiving the collateral payment in addition to his damages. Ogus has commented that this is the "most popular" justification advanced by the courts for ignoring collateral benefits and, traditionally, this reasoning was employed in cases concerning the receipt of payments under an insurance policy for which the plaintiff had paid the premiums, or where his employer has paid the premiums in lieu of a higher wage. This reasoning has also been extended by the House of Lords to apply to pension schemes; an analogy was drawn in Parry v Cleaver between insurance and pensions in order to justify the non-deduction of the latter from the plaintiff's damages.
3.22 The theory can however, be criticised. First, it is incapable of being applied to other types of collateral benefit. For example, it provides no rationale for the non-deduction of charitable payments received from a third party.
3.23 Moreover, the argument may lose much of its force when one looks for the
existence of thrift on the part of the plaintiff only to find this element
lacking.
* The premiums for the policy under which the plaintiff receives the collateral
payment may have been financed by a third party. Lewis gives the example of
employers arranging medical or disablement insurance for their employees.
However, in such a case the employee may argue that he has received the
insurance protection in lieu of a higher wage, and has therefore `paid for' the
premiums indirectly through his work - although Lewis considers this to be a
weaker justification than if he had actually paid the premiums himself.
* Participation in the insurance scheme may have been compulsory for the
plaintiff. Here Lewis gives the example of a plaintiff taking out compulsory
accident insurance as part of a holiday package - any payments that he may
receive thereunder pursuant to an accident could hardly be said to be the
result of prudent planning on his part. However, as against this it could be
argued that the plaintiff had nevertheless paid the insurance premium and,
therefore, should not be deprived of his own investment. Indeed, this seems to
be implied from the decision in
Parry.
* The Law Commission of England and Wales have commented that the purchase of
insurance does not necessarily indicate thrift on the part of the plaintiff.
Rather, prudence would dictate the contrary if the policy did not represent
value for money.
3.24 Furthermore, Lewis contends that the foresight element of this rationale may also be lacking in certain cases. Although the motive for purchasing the insurance will be the desirability of protection in the event of a contingency occurring, the plaintiff would not have been gambling on the prospect of double-recovery should the accident also be the result of a tort.
3.25 Ogus argues that if payments received under pension schemes are not
deductible, as under
Parry
, then why should wages and sick-pay not be
similarly ignored as the same argument can be applied to them - the employee
earns them through his work just as with a contributory or non-contributory
pension.
3.26 McGregor argues that this rationale cannot justify the non-deduction of
payments under an accident insurance policy. In the case of property insurance
it has never been sustained: any payment which a plaintiff receives is solely
due to his thrift and foresight, yet the insured is always held to an indemnity
and no more. Lewis adds to this argument the fact that the receipt of insurance
monies can affect the entitlement of the plaintiff to welfare benefits and
payments under another contract of insurance. Therefore, why should the receipt
of such a collateral benefit not affect the plaintiff's `right' to tort
damages? McGregor further points out that even if the insurance payment is
deducted, the plaintiff's thrift and foresight shall not have been in vain:
* the insurance company shall have been on risk at all times;
* the insurance policy may cover numerous accidents not caused by a tort;
* the tortfeasor may be insolvent, uninsured and therefore unable to meet an
award of damages;
* the plaintiff may prefer to simply keep the insurance payment rather than to
proceed with all the trouble and expense that is entailed with litigation
against the tortfeasor;
* regardless of whether a tort action is instituted, the immediate payment of
insurance monies can be used to meet medical and other expenses incurred
following the accident.
3.27 Atiyah states that what is at issue in this context is the quantum of
damages and not the plaintiff's right to the collateral benefit. The question
to be determined by the court is how much more tort damages should the
plaintiff receive in addition to the collateral benefit? For one to argue that
the plaintiff has "paid for" his insurance monies is irrelevant when it is not
the quantum of the insurance monies which are at issue. Indeed, it might be
more correct to ask whether the plaintiff has "paid for" his right to commence
an action in tort, to which Atiyah says there can be only one answer.
4 The `Purpose of the Benefit' Theory of Non-Deductibility
3.28 According to this theory, the benefit conferred on the plaintiff by a
third party is to be deducted unless its purpose, express or implied, is to
provide the plaintiff with assistance in addition to any claim which he may
have against the tortfeasor. The High Court of Australia
in
National
Insurance Company of New Zealand v Espagne
has held that the intention
behind the benefit is of paramount importance in determining whether benefits
should be deducted. Windeyer J explained that when assessing damages for
personal injuries, the benefits that a plaintiff has received or is to receive
from any source other than the defendant are not to be regarded as mitigating
his loss where: (a) they emanate from a pre-accident contract and were intended
to be provided regardless of any rights of action the plaintiff might have; or
(b) they are the product of benevolence again intended to be enjoyed in
addition to damages. The test to apply in the determination was stated as
follows:
"In both cases the decisive consideration is not whether the benefit was
received in consequence of, or as a result of the injury, but what was its
character: and that is determined, in the one case by what under his contract
the plaintiff had paid for, and in the other by the intent of the person
conferring the benefit. The test is by purpose rather than by cause."
3.29 Hence, it has often been employed by the courts to justify the disregarding of charitable donations received by a plaintiff in the assessment of his damages. On the grounds that the donor intended to convey his sympathy and condolences to the plaintiff rather than to compensate him for any actual pecuniary loss.
3.30 Once again, however, this rationale may be criticised. First, it may be hard to ascertain the exact intention of the collateral benefit provider. Indeed, when the court invokes this justification, it is often hard to resist the conclusion that it is a cloak for unstated policy considerations. Second, and most importantly, it can be argued that it is not the intention behind the benefit that is relevant, but rather its effect. After all, what is at issue is the receipt by the plaintiff of monies which have the effect of compensating the pecuniary loss he has sustained. Clearly, in such a case, the intention of the payer is irrelevant. However, as against this criticism it can be argued that the effect of a benefit may be unascertainable as the plaintiff is unlikely to earmark the moneys received from one particular source and spend them specifically on relieving a particular loss. Furthermore, it should be remembered that the court in assessing damages does so according to particular heads which it intends to be compensated.
3.31 McGregor also criticises this justification on the ground that, although
the third party did intend to come to the aid of the plaintiff, it can hardly
be asserted that he intended him to receive double compensation. His arguments
as to the benefits accruing from an insurance policy notwithstanding its
deduction set out at paragraph 3.26
supra
are also apposite here.
Conclusion
3.32 In order to evaluate further the cogency and coherency of the above
arguments for, or theories of, non-deductibility, it is necessary to move from
the level of theory to the realm of practice by looking at how they have been
applied by the courts and to what effect. Thus, the various items that are
considered non-deductible by the courts on account of the above rationales (or
a mix of the same) are examined in detail in the next chapter. There then
follows in chapter 5 a brief overview of the provisional recommendations of the
Law Commission of England and Wales which propose a return to the first
principle of deduction and a consequent narrowing of the availability of
non-deductibility under English law.
4.01 In the previous chapter we looked at four common rationales used by the
English courts to justify the non-deductibility of certain collateral benefits.
In this chapter we take a closer look at how the various collateral benefits
are in fact treated by the English courts. In particular we consider the
following:
* the treatment of the two traditional categories of non-deductibility -
namely, insurance payments and charitable payments;
* the treatment of other collateral benefits by analogy with insurance and
charity;
* the treatment of social security benefits.
The Traditional Categories of Non-Deductibility
1 Insurance
4.02 In
Bradburn v Great Western Railway Company
it was held that
payments under an accident insurance policy were to be ignored in the
assessment of damages for personal injury. Pigott B said:
"The plaintiff is entitled to recover the damages caused to him by the
negligence of the defendants, and there is no reason or justice in setting off
what the plaintiff has entitled himself to under a contract with third persons,
by which he has bargained for the payment of a sum of money in the event of an
accident happening to him. He does not receive that sum of money because of the
accident, but because he has made a contract providing for the contingency; an
accident must occur to entitle him to it, but it is not the accident, but his
contract, which is the cause of his receiving it."
4.03 In
Shearman v Folland
Asquith LJ commented that the reason for the
decision in Bradburn was:
"If the wrongdoer were entitled to set-off what the plaintiff was entitled to
recoup or had recouped under his policy, he would, in effect, be depriving the
plaintiff of all benefit from the premiums paid by the latter and appropriating
that benefit to himself."
4.04 The rationale for the decision was, therefore, two-fold: First, although the plaintiff may be doubly compensated, he had paid the insurance premiums himself and the defendant should not reap the rewards of the plaintiff's thrift and foresight, i.e the source of the benefit justification. Second, the cause of the payment was not the accident but the contract with the insurance company, i.e. the causation argument. This decision has been upheld by the House of Lords in a number of subsequent cases and McGregor has commented that "[t]he matter is clearly now incontrovertible."
4.05 The law is not, however, clear where the plaintiff has not actually paid
the insurance premiums himself. In
Parry v Cleaver
Lord Reid stated the
"real and substantial" reason for not deducting the insurance payments in
Bradburn
as follows:
"that the plaintiff has bought them and that it would be unjust and
unreasonable to hold that the money which he had prudently spent on premiums
and the benefit from it should inure to the benefit of the tortfeasor."
4.06 However, Lord Reid considered this rule to be of a general nature,
applicable even where the plaintiff had not paid the premiums. His Lordship
gave the following example to illustrate this:
"... where a man and his employer agree that he shall have a wage of £20
per week to take home... and that between them they will put aside £4 per
week... it cannot matter whether the man's nominal wage is £21 per week so
that, of the £4, £1 comes from his `wage' and £3 comes from the
employer, or the man's nominal `wage' is £23 per week, so that, of the
£4, £3 comes from his wage.... His employer is willing to pay
£24 per week to obtain his services, and it seems to me that he ought to
be regarded as having earned that sum per week."
This broad interpretation of
Bradburn
has been followed in several
decisions. In
Cunningham v Harrison
Lord Denning MR in the Court of
Appeal said:
"It is an established principle of our law that the damages awarded to an
injured person are not to be reduced by reason of any insurance moneys received
by the injured person."
4.07 In Cunningham , Lord Denning held that a voluntary ex gratia pension paid and payable by the employer to the plaintiff was not to be deducted from the award of damages, i.e. the fact that the plaintiff had not contributed to the pension was in his view irrelevant.
4.08 On the other hand, however, there is considerable authority which suggests the contrary, i.e. that in order for a payment under a policy of insurance to be deducted, the plaintiff must have paid the contributions himself. In Hussain v New Taplow Paper Mills Ltd Lord Bridge referred to the well established exceptions of insurance and benevolent payments.
4.09 An indication therefore as to why the law is unclear in this area is
gleaned from the use of different rationales by the Law Lords to justify the
non-deduction of insurance payments. Those who advocate a general rule of
non-deduction, irrespective of whether or not the plaintiff has actually paid
the premiums himself, justify it on the broader punitive consideration that the
benefit from the collateral source should not enure to the defendant. However,
proponents of the `source of the benefit' argument, such as Lord Bridge, would
only permit the non-deduction of insurance payments on the narrow ground that
the plaintiff should reap the fruits of his own foresight and thrift, which
thus necessitates the latter having paid the premiums himself.
2 Charitable Payments
4.10 Following the decision of
Redpath v Belfast and County Down Railway
charitable payments are deemed non-deductible in the assessment of damages. The
salient facts of the case were that following a railway disaster a public fund
was set up to provide assistance to the victims and dependants of the deceased.
Andrews LJ's rationale for not deducting these charitable donations from the
plaintiff's damages was three-fold.
* First, he stated that the generosity of the subscribers acted as a
novus
actus
interveniens
and it was this benevolence which led to the
payment and not the tort. This reasoning reflects the causation theory.
* Moreover, he said that the payments were made "purely as a compassionate
allowance to mitigate distress" and there was "no evidence to show that they
were paid solely in respect of or to satisfy
pro tanto
" the plaintiff's
loss of earnings. Consideration of the purpose of the benefit and the
intentions of the providers of the benevolence was therefore relevant.
* Finally, Andrews LJ stated that it would be startling to subscribers if they
discovered that their donations were really made for the benefit of the
wrongdoer and felt that the inevitable consequence of deduction in such a case
would be the drying up of the "springs of private charity." Therefore, both the
punitive effect of the award of damages and the public policy in encouraging
such benevolence on the part of the general public were taken into
consideration. Andrews LJ concluded that deduction of charitable payments in
such circumstances would be contrary to "common sense and natural justice."
4.11 Gratuitous benefits in kind have also been held to be non-deductible. In Liffen v Watson the plaintiff, injured by the negligence of the defendant, suffered pecuniary loss in the form of wages and board and lodgings which had been provided by her employer. The Court of Appeal held that damages ought to include a sum in respect of the loss of board and lodgings regardless of the fact that the plaintiff had, since the accident, been in receipt of same from her father. The Law Commission have commented that although this case was decided on the basis that the defendant should be liable for all the damage which naturally flows from his wrongdoing, irrespective of whether a collateral source has fully compensated the damage, it is consistent with the common law rule that charitable payments should be ignored in the assessment of damages.
4.12
Ex gratia
payments from employers have similarly been ignored by
the courts in assessing the plaintiff's damages. In
Cunningham v
Harrison
Lord Denning in the Court of Appeal said:
"...a voluntary
ex gratia
pension paid and payable by the employer is
not to be taken into account. It is an uncovenanted benefit coming to the
plaintiff over and above the compensation recoverable at law."
It seems that Lord Denning based his decision on considerations of policy as he
said that:
"I can find no sound principle for saying what matters should or should not be
taken into account in reduction of damages. As each new point comes up, it is
decided by the courts according to what is considered the best policy to adopt;
and thenceforward it governs subsequent cases."
4.13 The law is not clear, however, where the provider of the charitable
payment is the defendant tortfeasor. In contrast to the cases outlined in the
preceding paragraphs, the Court of Appeal in
Hussain v New Taplow Paper
Mills Ltd
held that public policy dictated that employer-defendants should
be encouraged to make such
ex gratia
payments and deduction from the
award of damages would serve to promote this practice.
Benefits other than the Traditional Non-Deductible Exceptions
1 Pensions
4.14 McGregor has commented that between insurance monies which are
non-deductible and salaries which are deductible, fall pensions. This area of
the law can be divided into three sections:
a. deduction of a disability pension from damages for loss of earnings
b. deduction of a retirement pension from damages for loss of earnings
c. deduction of either a disability or a retirement pension from damages for
loss of retirement pension, i.e. due to incapacity, an injured plaintiff may
receive a pension earlier than planned with the result that by reason of paying
less contributions the retirement pension he eventually receives is diminished.
a) Deduction of a Disability Pension from Damages for Loss of
Earnings
4.15 Until the House of Lords considered the matter in Parry v Cleaver this area of English Law was in a state of confusion following a series of earlier Court of Appeal decisions.
4.16 In Payne v Railway Executive the Court of Appeal held that the plaintiff's disability pension was not deductible. Two different reasonings, however, were expounded by the Court. Cohen LJ stated that the pension was indistinguishable from insurance monies paid to the victim of an injury as it was funded by the plaintiff's work, i.e. the plaintiff received the pension in lieu of a higher wage. Although Singleton LJ was prepared to adopt this reasoning, he preferred to ground his decision on the fact that the pension could cease at some stage in the future. Hence, the uncertain nature of the pension rendered it non-deductible. The third judge, Birkett LJ, said that he agreed with both judgments.
4.17 This uncertainty as regards the ratio decidendi of Payne permitted the Court of Appeal in Browning v War Office to disregard it as a binding precedent and hold a disability pension deductible. Diplock LJ was of the opinion that the ratio of Payne was to be found in Cohen LJ's judgment but as it was inconsistent with the subsequent decision of the House of Lords in British Transport Commission v Gourley he considered it was not binding on the Court. Lord Denning, however, favoured the reasoning of Singleton LJ and consequently was able to distinguish it on the basis that the disability pension in Browning was an entitlement under United States legislation and could not be reduced (except within certain limits) or stopped under any circumstances. Accordingly, following Browning , voluntary disability pensions were non-deductible, whereas disability pensions receivable as of right were deductible.
4.18 However, pursuant to the decision of the House of Lords in Parry v Cleaver , a policy of non-deduction was revived. The plaintiff policeman had been injured at work due to the defendant's negligence. He was subsequently discharged from work, received a police ill-health pension and commenced other employment at a lower wage. The majority of the House, by drawing an analogy to payments under a private insurance policy, were able to bring the pension within this established exception thereby rendering it non-deductible. Thus the reasoning of the Court of Appeal in Payne was favoured over the decision in Browning .
4.19 Lord Reid, after expressly recognising that charitable payments and private insurance payments were the traditional classes of benefit ignored in the assessment of damages, gave three reasons for holding that a pension is equivalent to a form of insurance. First, in the case of a contributory pension, where an employer agrees to pay an employee a certain sum each week to obtain his services, he ought to be regarded as having earned that sum. Any money paid out of this sum to the pension fund constitutes delayed remuneration for current work, i.e. payments under a pension are wages for work already done. Second, under a pension, the employee does not necessarily receive the accumulated sum. Rather, like other forms of insurance, what he gets back depends on how events turn out, i.e. he may never suffer an injury or may die before normal retirement age and, consequently, never reap the rewards of his investment. Third, a pension is intrinsically different from a wage which is "a reward for contemporaneous work." A pension, on the other hand, is "the fruit, through insurance, of all the money which was set aside in the past in respect of past work". Lord Reid also found support for his reasoning in the English Fatal Accident Acts. He considered that if public policy as interpreted by Parliament required all pensions to be disregarded in cases of fatal accidents, then they could not possibly be deducted in common law actions for non-fatal injury.
4.20 Lord Wilberforce reasoned that as the plaintiff's disability pension was payable even if he were to secure other employment and irrespective of his income from such employment, it could not be designed to compensate him for loss of earnings.
4.21 Lord Pearce felt that one must start with the firm basis that
Bradburn
v
Great Western Railway Co
was correctly decided and that benefits
from a private insurance policy received by the plaintiff are not to be taken
into account. Consequently, he considered that there was no justification to
except from this principle pensions which are derived from a man's contract
with his employer.
"These, whether contributory or non-contributory, flow from the work which a
man has done. They are part of what the employer is prepared to pay for his
services. The fact that they flow from past work equates them to rights which
flow from an insurance privately effected by him. He has simply paid for them
by weekly work instead of weekly premiums."
4.22 As with Lord Wilberforce, Lord Pearce considered that the nature of the policeman's pension supported this reasoning, i.e. that it was not intended to be a substitute for the capacity to earn. Lord Pearce concluded that the plaintiff's pension was, therefore, a personal benefit in addition to anything he may be able to earn by way of wages.
4.23 Finally, Lord Pearce echoed the reasoning of Lord Reid when he considered
that the provisions of the
Fatal Accidents Act, 1959
by implication
supported his decision. He said:
"...Parliament excluded the taking into account of pensions because it thought
that the principle of exclusion laid down in common law cases was fairer and
more in accordance with public policy and that, therefore, cases under Lord
Campbell's Act should be brought into line with it."
4.24 Lord Morris dissented. He emphasised that in calculating monetary loss an
injured person should receive the amount of money required to put him in the
same position as he would have been in had he not suffered the injuries. He
commented as follows:
"As money is the reward of work the relevant comparison of like with like
involves taking, on the one hand, the money that the appellant would in respect
of his work have received had he remained in the police force and, on the other
hand, the money that he has received and will receive in respect of his work in
the period since he left the police force."
After setting out the payments at issue in detail, he continued:
"Where what is being ascertained is the amount of a loss which has been caused,
this means that the net loss is to be ascertained. If, instead of a monetary
income called pay, there is substituted a monetary income called pension, then
normally and unless there is some statutory provision the amount of the loss is
the difference between the two figures."
4.25 Lord Pearson also dissented on the basis that the pension was not "too remote" to be ignored in the assessment of damages. He considered the concept of causation to be an important factor in determining whether an item is too remote or not, although he did accept that aspects of fairness and public policy also have a bearing.
4.26 It should be noted that contributions to the pension scheme from the employee's pay are not a requirement for non-deductibility. The House made this clear in Parry where Lord Pearce spoke of how it "would be unreal" to draw a dividing line between contributory and non-contributory pensions.
4.27 The principle of non-deductibility of disability pensions in the assessment of damages has since been affirmed by the House of Lords in Smoker v London Fire and Civil Defence Authority . Lord Templeman however, extended this principle to situations where the employer was also the tortfeasor, despite the dicta of Lord Pearce in Parry to the contrary. Lord Templeman considered this triple position of the defendant as employer, tortfeasor and insurer to be irrelevant as the plaintiff had still paid for the pension himself.
4.28 In light of this case-law, the Law Commission of England and Wales has
concluded that, under English law, a disablement pension is ignored in the
assessment of damages for loss of earnings, irrespective of whether it is paid
by the tortfeasor or a third party.
b) Deduction of a Retirement Pension from Damages for Loss of
Earnings
4.29 Following
Hewson v Downs
and
Hopkins v Norcos PLC
retirement
pensions are not deductible under English law from a plaintiff's damages for
loss of earnings. In
Hopkins
, Staughton LJ cited the decisions in
Parry v Cleaver
and
Smoker v LFCDA
as authority for this
principle. The Law Commission have commented that it is implicit from Staughton
LJ's judgment that he considered that a retirement pension should be treated in
the same way as a disablement pension, i.e. the plaintiff had paid for the
pension himself and it should not, therefore, be deducted from his award of
damages.
c) Deduction of Disability or Retirement Pensions from Damages for Loss of a
Retirement Pension
4.30 In
Parry v Cleaver
the majority of the House of Lords held that the
disability pension should be deducted from the damages awarded for the
plaintiff's lost retirement pension. The rationale expounded by the Law Lords
was that the pension could not be deducted from damages for loss of earnings as
this was not to compare like with like; however, the disability pension could
be deducted from the plaintiff's damages for loss of retirement pension as this
was to compare like with like. Lord Reid explained as follows:
"...in the earlier period we are not comparing like with like. He lost wages
but gained something different in kind, a pension. But with regard to the
period after retirement we are comparing like with like. Both the ill-health
pension and the full retirement pension are the products of the same insurance
scheme; his loss in the later period is caused by his having been deprived of
the opportunity to continue in insurance so as to swell the ultimate product of
that insurance from an ill-health to a retirement pension. There is no question
as regards that period of a loss of one kind and a gain of a different
kind."
4.31 The issue came to be considered again in Longden v British Coal Corporation . The plaintiff had received a lump sum and annual incapacity pension as a result of an accident in the defendants' employment. The defendants contended that in assessing loss of pension rights the Court ought to take into account the lump sum and all the annual payments received and receivable in the future. This argument failed at both trial and the Court of Appeal. In the House of Lords it was agreed that after normal retirement age his claim for loss of pension could be no greater than his net loss of pension arrived at after setting off the incapacity pension against the normal retirement pension he would have received. The issue to be decided was whether in calculating the net loss the total of the pension benefits received and receivable were to be taken into account.
4.32 Lord Hope reiterated the general compensatory function of damages and
quoted the dicta of Lord Bridge in
Hus
s
ain v New Taplow Paper
Mills
and
Hodgson v Trapp
to that effect. In relation to
Parry v
Cleaver
he found that the particular issue at hand had not been argued in
that case and he therefore went back to the nature of the loss being claimed in
order to decide the matter. His analysis of this is worth quoting as it sheds
much needed light on a complex area:
"Although the incapacity pension is not an indemnity against the disabled man's
wage loss, its purpose is to provide him with a source of income which he can
use to support himself and his family during the period of his disability. The
same may be said of the retirement pension in regard to the period after his
normal retirement age. What the plaintiff is seeking in his claim for pension
loss is a sum of money to recompense him for the loss of the retirement pension
which would otherwise have been available to enable him to support himself and
his family after his normal retirement age. It is of no help to him to be told
that the money to compensate him for this loss is already being paid to him and
that it will continue to be paid to him during the period when he is unable to
earn wages because of his disability. He cannot reasonably be expected to set
aside the sums received as incapacity pension during this period in order to
make good his loss of pension after his normal retirement age."
4.33 Essentially, to take the pre- normal retirement age payments into account
would extinguish compensation for this loss. It is also of note that his
Lordship was of the opinion that it was irrelevant whether the pensions at
issue were derived from the same scheme or not.
2 Sick Pay
4.34 Sick pay arises where an employer by virtue of the terms of a subsisting
contract of employment with the plaintiff is obliged to pay the whole or part
of the plaintiff's salary or wages of such employment during a period of
incapacity due to illness or injury. McGregor notes:
"...it is fully accepted today that, where an injured plaintiff continues to be
paid his wages by his employer as of right, or part of his wages, and whether
under the name of sick pay or otherwise, these sums fall to be deducted from
the damages for loss of earnings."
4.35 This proposition is borne out in the English case-law. In
Turner v
Ministry
of Defence
Lord Denning clearly endorsed this principle
and, more recently, the issue was considered by the House of Lords in
Hussain v New Taplow Paper Mills
. In that case the defendant-employers
had insured against their liability to pay sick pay to their employees after
thirteen weeks of incapacitation. Lord Bridge found these payments to be
indistinguishable from those made in the first thirteen weeks and held that the
payments were to be deducted on the following basis:
"...they are payable under a term of the employee's contract by the defendants
to the employee
qua
employee as a partial substitute for earnings and
are the very antithesis of a pension, which is payable only after employment
ceases."
4.36 The plaintiff argued that the payments he received from his employer
should be ignored as they were insured against by his employer's scheme and
therefore should come within the "classic head of exception" of insurance
payments and were non-deductible. This submission was premised on the argument
that the plaintiff had indirectly paid for the premiums by taking a lower wage.
This is an extension of the `source of the benefit' argument outlined above and
is also called the social wage theory. Lord Bridge, however, rejected this
argument on the ground that there was no evidence to suggest that the
plaintiff's wage would have been higher if the insurance scheme did not
exist.
37. Hussain
was followed at both first instance and in the Court of
Appeal in
Page v Sheerness Steel Plc
. The plaintiff was entitled to
half-pay for life under a sick pay insurance scheme taken out by the
defendant-employers and contended that the payments fell within the insurance
exception. Dyson J in the trial court rejected this argument holding that the
facts were indistinguishable from
Hussain
. It was the benefits which
were insured and not the plaintiff: the existence of the policy in fact made no
difference to the nature of the payments. Furthermore he held that the
plaintiff had made no contribution to the insurance premiums and thus an
essential requirement of the insurance exception was lacking.
4.38 The difficulty which can arise in relation to the treatment of sick pay
stems from the different forms which such pay can take, hence the frequent
attempts to argue that payments are non-deductible by analogy with the
insurance exception. This line of reasoning has enjoyed success in Canada. The
case law to date does not necessarily indicate how for example a lump sum
insurance payment designed to cover incapacity during illness would be treated.
In
McCamley v Cammell Laird
Shipbuilders Ltd
a lump sum payable
to the injured plaintiff was not deductible. It was held to be a benevolent
payment, although the means used to effect it were an insurance policy taken
out by the defendant employers for the benefit of their employees. The Law
Commission have commented that the position in relation to payments other than
traditional sick pay may arguably be open to different treatment, but that to
ignore sick pay in any form would be virtually irreconcilable with
Hussain
which as a House of Lords decision takes precedence.
3 Redundancy Payments
4.39 An employee receives a redundancy payment on the termination of his employment. In order to qualify for such a payment, his employment must have ceased to exist and the statutory requirements must be satisfied. It can be argued that in practice redundancy payments fulfil a number of functions. They not only compensate for lost earnings consequent on losing a settled job, but are a reward for past services and compensation for the trauma and stress of being left without employment. However, in determining whether a redundancy payment is deductible from an award of damages obviously the function attributed to the payment is of the utmost relevance.
4.40 In Wilson v National Coal Board the House of Lords held that a redundancy payment is not compensation for a loss of future earnings but rather for the loss of a settled job. The fact that the payment is unaffected by a person immediately obtaining another job was considered pertinent. Accordingly, the House held that normally a redundancy payment should not be deducted from the plaintiff's damages for loss of earnings. In effect, a redundancy payment would not fall to be deducted at all as loss of a settled job would not be a usual head of damages in a personal injuries claim. However, the law lords considered in the instant case, where it was common ground that if the accident for which the plaintiff was claiming damages had not occurred the plaintiff would not have been made redundant, the payment was deductible. Essentially the payment which in the ordinary course would not arise for consideration in the assessment of damages as it was not a collateral benefit implicitly became one as it was a direct consequence of the accident. In the absence of the application of considerations which justify exception from the general rule of deductibility, as with disability pensions and charitable payments, the redundancy payment fell to be deducted. Not only were there no policy reasons to justify non-deductibility, but the House found that public policy dictated that deduction was warranted; the reason being that to deduct in such circumstances would actually encourage employers to make redundancy payments to injured employees rather than just dismiss them on the grounds of ill-health. This policy is evidently only referable to situations where the employer is the defendant tortfeasor.
4.41 Wilson involved somewhat "peculiar and exceptional circumstances". In a later Court of Appeal decision in Colledge v Bass Mitchells & Butlers Ltd the redundancy payment also fell to be deducted as it was found on the facts that the plaintiff would have been unlikely to have been made redundant but for the accident. Therefore, according to Sir Donaldson MR, it fell into the category of sums received as a result of the accident described by Lord Reid in Parry v Cleaver . Sir Donaldson's judgment illustrates the difficulty in relating the function of redundancy payments to the issue of deductibility. If one considers the plaintiff suffered a head of damages described as "loss of a job" and the redundancy payment exclusively compensated for this, it would then follow that every workman who loses his job in consequence of an accident but is not made redundant should receive compensation for "loss of a job". This is not the case. Sir Donaldson concluded however that the only foreseeable instance where the payment would not be deductible would be where the plaintiff would have been made redundant regardless of the accident.
4.42 In effect then, where a redundancy is caused by an accident it will be
deductible from damages for loss of earnings, and therefore is implicitly
deemed to compensate for this, notwithstanding that it may serve to compensate
for other losses when it is not received as a consequence of an accident. This
is not as inconsistent as it may first appear if one considers that a plaintiff
made redundant due to an accident will be less likely to obtain another job or
at least equivalent one, than someone who has simply been made redundant.
The Special Treatment Afforded to Social Security Benefits
1 Statute Law
4.43 In English law, the deductibility of most social security benefits is currently governed by statute. Following the report of the Monckton Committee in 1946, s.2(1) of the Law Reform (Personal Injuries) Act, 1948 was enacted. This provided that half of certain social security benefits paid or likely to be paid in the five years from when the cause of action accrued should be deducted from damages for loss of earnings. Other payments, which were not listed as deductible, fell to be considered by the common law with the possibility of either being ignored or deducted in full from the damages. This was the position of English law until 1989. The enactment of the Social Security Act, 1989 resulted in a fundamental change in the treatment of social security benefits paid after that date. The relevant provisions of this Act are now contained in the Social Security Administration Act, 1992 and the Social Security (Recovery of Benefits) Act, 1997 which made important changes to the former.
4.44 The 1992 Act provided for the same five year limit for the deduction of the benefits, but stated that the payments were to be deducted in full from the damages. In addition the value of the benefit paid to the plaintiff was to be reimbursed to the State by the tortfeasor. The application of this statutory scheme was subject to two limitations. First, in order to be deductible, the particular benefit had to be included in the list of "relevant benefits" set out in paragraph 2(1) of the Social Security (Recoupment) Regulations 1990 . Second, the total benefits had to have a value in excess of £2,500. The maximum period of deduction under the 1992 Act is five years, running from the date of accrual of the cause of the action. However, if damages are paid before the period has elapsed, then only those benefits actually paid before the granting of the award of damages shall be deducted.
4.45
The Social Security (Recovery of Benefits) Act, 1997
repealed Part
IV of the 1992 Act including the small payments limit and the stipulation that
benefits be deducted from damages in general. Under the 1997 Act damages for
pain and suffering are ring-fenced and Schedule 2 lists the various heads of
compensation and the types of benefits which may be deducted from them. The new
list of benefits is much wider than that which existed under the 1948 statutory
scheme. This reflects the growth in the range of social security benefits now
available to the victims of injury. However, the deductibility of any benefit
not included as a "relevant benefit" still falls to be determined by the common
law.
2 Common Law
4.46 As mentioned above, the treatment of those social security payments not listed in the legislation is governed by the common law. Like the situation in Irish law, it is difficult to envisage how any other benefits such as widow's payment, or statutory maternity pay, for example, would fall to be considered in a claim for damages. State retirement pensions are not included in the list and have been dealt with at paragraph 4.29 above. As regards any other benefits which may fall to be considered, the Law Commission opined in their Consultation Paper that Hodgson v Trapp provides a clear indication as to how this issue should be approached.
4.47 That case concerned the plaintiff's receipt of attendance and mobility allowances under the Social Security Act, 1975 and whether they were deductible from the award of damages for past and future expenses. Lord Bridge, after emphasising the compensatory nature of damages, restated the two "classic heads of exception" to the general rule of deduction of collateral benefits and stated that other exceptions were usually based on analogy with the reasons sought to justify the primary exceptions.
4.48 Consequently, Lord Bridge considered that the House had to examine whether
it was appropriate to treat statutory benefits as analogous to private
benevolence, thus bringing them within the `classic heads of exception' and
rendering them non-deductible from the plaintiff's damages. In this regard, his
Lordship was of the opinion that the main support for the contention that the
welfare payments in question constituted a form of `public benevolence' was the
judgment of Lord Reid in
Parry v Cleaver
where he stated in relation to
why private benevolent payments are not deducted:
"We do not have to decide in this case whether these considerations also apply
to public benevolence in the shape of various uncovenanted benefits from the
welfare state, but it may be thought that Parliament did not intend them to be
for the benefit of the wrongdoer."
4.49 Lord Bridge then referred to the fact that such benefits are invariably
funded by the taxpayer and provided for by legislation with a view to
mitigating the severity of the unfortunate circumstances of the disadvantaged
regardless of how these circumstances came about. He pointed out that that
Parliament could always provide that certain benefits be discounted in the
assessment of damages as it had done in the case of section 2 of the
Law
Reform (Personal Injuries) Act, 1948
and where no such provision is made he
could see no principle in support of the aforementioned opinion of Lord Reid.
He then came to the following conclusion:
"In the end the issue in these cases is not so much one of statutory
construction as of public policy. If we have regard to the realities, awards of
damages for personal injuries are met from the insurance premiums payable by
motorists, employers, occupiers of property, professional men and others.
Statutory benefits payable to those in need by reason of their impecuniosity or
disability are met by the taxpayer. In this context to ask whether the
taxpayer, as the `benevolent donor', intends to benefit `the wrongdoer', as
represented by policy holders, seems to me entirely artificial. To allow double
recovery in such a case at the expense of both taxpayers and insurers seems to
me incapable of justification on any rational ground. It could only add to the
enormous disparity, to which the advocates of a `no-fault' system of
compensation constantly draw attention, between the position of those who are
able to establish a third party's fault as the cause of their injury and the
position of those who are not."
4.50 Therefore, it seems that any social security benefits not listed in the
legislation would nevertheless fall to be deducted from a plaintiff's damages
under the common law.
5.01 The rather
ad hoc
manner in which the treatment of collateral
benefits in English law has developed has prompted discussion of reform of the
law in that jurisdiction. The English Law Commission published a Consultation
Paper on this issue in July 1997 and it is proposed to summarise the options
for reform which they set out in this Chapter.These are as
follows:
* deduction of all collateral benefits;
* deduction of all collateral benefits except charitable payments;
* a general rule of deduction with an exception for benefits intended to be in
addition to the plaintiff's damages;
* no change except for the law relating to disablement pensions;
* a blanket rule of non-deductibility;
* no change whatsoever.
5.02 The Law Commission links options 1 and 2 and states that they flow from
the "proposition underpinning the deduction options" which is that unless the
collateral benefit provider has a right to recover the value of the benefit,
collateral benefits which meet the same loss as damages should be deductible;
collateral benefits which compensate a different loss than the plaintiff's
award of damages should not be deducted. This proposition is based on the
conclusions that
"the `compensatory principle' dictated by `corrective justice' dictates
deduction, that empirical evidence of the workings of the tort system can be
seen as supporting deduction, and that it is open for debate whether the policy
arguments put for non-deduction of some collateral benefits withstand close
scrutiny..."
It is envisaged that the remaining four options will only be of appeal to those
who reject the aforementioned proposition underpinning options 1 and 2.
Option 1: Deduction of All Collateral Benefits
5.03 Under this option all collateral benefits which a plaintiff receives
consequent to an injury should be deducted from his damages. Insurance payments
and charitable payments would be deducted from the total award of damages while
the other collateral benefits (sick-pay, pensions, redundancy pay) should be
deducted from the plaintiff's damages for loss of earnings. This option is
subject to two provisos:
* where the collateral benefit is expressed to be on account of a particular
loss, it should only be deducted from damages for that loss;
* where the provider of the collateral benefit has a right of recoupment
(either against the plaintiff or against the defendant) in the form of
subrogation, the collateral benefit should not be deducted from the plaintiff's
damages as over-compensation is unlikely in such a situation.
5.04 The enactment of this option would entail changing English law to provide
that the full amount of personal accident insurance is deducted and also that
all social security benefits are deducted without time limits. The Law
Commission asks for views on the approach of the American Law Institute which
suggests that insurance payments should be deducted net of the premiums which
had been paid during the two years prior to the accident. Indemnity insurance
would still be ignored as this would come under the second proviso outlined
above. Under this option charitable payments would be deducted from the
plaintiff's damages.
Option 2: Deduction of All Collateral Benefits Except Charitable
Payments
5.05 Under this option, charitable payments would continue to be ignored in the assessment of damages. The justification for maintaining this exception is that charitable payments do not meet the same loss as an award of damages, or at least that sometimes they do not and, therefore, to avoid attempting to ascertain the intentions of the individual benefactors, it would be preferable to assume that all charitable payments do not meet the same loss as damages and thus should be ignored.
5.06 In favour of option 2 it is noteworthy that the policy of non-deduction of charitable payments and other gifts is "practically universal" in other jurisdictions. This is the case even in France and Germany, where double-recovery is generally rigorously avoided.
5.07 Adoption of this approach would however necessitate the Court having to
ascertain exactly what constitutes a charitable payment which may be difficult
in the context of payments from employers. Moreover, it remains a "matter of
debate" whether charitable payments from the defendant tortfeasor should be
deducted by the Court. If charitable payments are deemed not to meet the same
loss as damages, then all such payments should be ignored; against this one can
argue that defendants should be encouraged to make charitable donations and
that deduction would promote this practice.
Option 3: A General Rule of Deduction with an Exception for Benefits
Intended to be in Addition to the Plaintiff's Damages
5.08 The Law Commission comments that apart from this option facilitating the double recovery of the plaintiff, should the provider of the collateral benefit intend him to receive it in addition to his tort damages, it may leave the law in an uncertain state as it would involve the court in the arguably artificial exercise of trying to identify the intention of each provider of collateral compensation where it is not expressed.
5.09 However, the Commission accepts the possibility of employing one of two
rebuttable presumptions in order to avoid this uncertainty: either that with
regard to certain types of collateral benefit, the provider always intends them
to be received by the plaintiff in addition to his damages or always intends
them to be received instead of the damages.
Option 4: No Change Except for the Law Relating to Disablement
Pensions
5.10 Under this option disablement pensions would be deducted from damages for
loss of earnings save for the two provisos as outlined above in option 1. The
Law Commission comments that the main advantage of this change is that the most
serious anomaly in English law is resolved, i.e. that although sick-pay and
disablement pension compensate for the same loss, the former is currently
deducted while the latter is not.
Option 5: A Blanket Rule of Non-Deductibility
5.11 Option 5 entails no deduction whatsoever of any collateral benefit
received by the plaintiff from his award of damages i.e. it allows for the
cumulation of the plaintiff's remedies. The Law Commission comments that this
has the advantage of bringing consistency and certainty to the law. However,
cumulation is contrary to the compensatory aim of damages in tort law and the
Commission provisionally recommends that this option should be rejected.
Option 6: No Change Whatsoever
5.12 This option is self explanatory and would entail the acceptance of the
courts as the appropriate forum to continue developing this difficult area of
the law in a case by case fashion which has the advantage of flexibility. It
may be however, the Law Commission notes, that the resolution of the complex
policy issues involved are best dealt with by way of statutory reform which is
consistent with their aim to render the law cheaper, simpler and fairer.
6.01 The purpose of this chapter is to examine some of the alternative
treatments of collateral benefits in tort law which prevail in a sample of
other common law and some civil law jurisdictions. In order to identify the
distinctive fundamental approaches, the various countries examined have been
grouped according to the general system of law they subscribe to, although
there is of course inevitable diversity. Where relevant, additional information
as to the rules and practice of a regime is given to complete the picture
indicating priorities of allocation and control of expenses. The jurisdictions
which are grouped together in approximate categories are as follows:
* Common Law Variations:
1. Tort Law System of Compensation with a General Rule of Deduction (subject to exceptions of varying breadth founded on public policy): Scotland, Canada, Australia.
2. Tort Law System of Compensation with a General Rule of Non-Deductibility: The collateral source rule - a principle of non-deductibility in the United States.
3. Non-Tort Law System of Compensation: No-Fault Liability regime in New
Zealand.
Civil Law Systems - Deductibility with Subrogation: The Western European
countries of Germany, France and Belgium which subscribe to a general social
compensatory theory, the practical application of which is facilitated by a
strong social security system supported by private insurance and extensive
subrogation rights.
* Scandinavian Law Systems - Social Compensation: The jurisdictions in
Scandinavia demonstrate a system which has substantially reworked the function
of tort law and rules of tort liability in response to the increased role of
public and private insurance.
Common Law Variations: Countries which Subscribe to the Rule of
Deduction
Scotland
6.02 Subsequent to a Law Commission report recommending reform of the law on
collateral benefits, the
Administration Act, 1982
was passed, section 10
of which applies subject to any agreement to the contrary. The common law still
applies to those situations not covered by statute and the general experience
of same is one of deductibility. The underlying principle of the law is that
damages are intended to be compensatory and double recovery unacceptable. This
theory is subject to the exceptions of insurance and charitable donations as
already discussed in relation to England and which obtain in most common law
jurisdictions with the notable exception of New Zealand.
Insurance
6.03 Section 10(a) provides that no contractual pension or benefit will be
deductible; this encompasses payments from private insurance policies. Apart
from indemnity insurance, subrogation rights will only exist where specifically
provided for in the contract. Essentially all private sources of collateral
benefits are treated alike.
Charitable Benefits
6.04 Charitable payments to the injured person or any of his relatives are not
deductible except where they are received directly from the tortfeasor. The
justification (accepted only after the memorandum stage by the Law Commission)
for the express exception of payments from the tortfeasor from the general rule
of non-deductibility, was the danger of discouraging those who feared they
might be liable from making any payments prior to an award of damages.The rationale for a general rule of non-deduction with regard to such
payments is the widely accepted one of not wishing to discourage philanthropy,
influenced to a degree by the arguments in
National Insurance Company of New
Zealand v
Espagne.
Pensions
6.05 Contractual pensions are not deductible, therefore a disablement pension
payable pursuant to an occupational scheme will be non-deductible,
notwithstanding that the employee has not made direct contributions.
Furthermore, s.10(b) provides that any pension from public funds is not to be
taken into account. An analogy with the insurance exception was felt to be
applicable, the Law Commission commenting that:
"even if the person did not obtain the benefit by virtue of a contract in which
he himself assumed obligations, his entitlement to the pension depended
ultimately on his own work and his participation in the pension scheme."
Another relevant factor was that rarely would a state retirement pension accrue
as a consequence of an accident giving rise to a claim for damages. In practice
however, pension payments received are taken into account in the calculation of
damages for the loss of pension rights.
Sick Pay
6.06 Sick pay is deducted on the basis that the employee cannot be regarded as
having suffered a loss when he is in receipt of such payments. The exception
however, recommended by the Commission and enacted in section 10(e), is where
the employee is under an obligation to repay the monies, in which case no
account is taken of them. The rationale for the exception is the clear `social
advantage' in not discouraging employers from providing interim benefits for
employees.
Redundancy Payments
6.07 Redundancy payments are not deductible pursuant to section 10(d). However,
severance pay was not considered to be equivalent to redundancy pay in the case
of Duncan v Glacier Metal Co Ltd and therefore it was not specifically excluded
from deduction. In making this recommendation the Law Commission was of the
opinion that as the amount of a redundancy payment is calculated according to
the length of service and the age of the employee, the rationale for the
general exclusion of payments arising from private means was applicable:
"... namely that what is to be compensated is what is lost as a result of the
accident, and the fact of the redundancy for a different reason neither
increases nor decreases that loss."
Thus the Commission did not see the payments as being for loss of earnings.
Social Security Payments
6.08 Under the terms of section 10(c) (iii)
of the 1982 Act, any
social security benefits payable after the award are not deductible but
benefits received before the date of the award will be deducted. The Law
Commission in its report rejected the option of providing subrogation rights
for social security benefits on the grounds of the expense attached to their
administration. The Commission preferred the solution that "where possible,
there should be no overlap between the compensation provided by delict and by
social security." The report further recommended that if section 2(1) of the
Law Reform (Personal Injuries) Act, 1948
was to remain, then it should
be amended to the effect that only those benefits accrued or likely to accrue
during the period of loss of earnings should be deducted. This was in order to
rectify an anomaly within the section which resulted in the value of benefits
over five years being taken into account in
Bond v British Railways
Boar
d, although the accident only resulted in loss of earnings over five
months.
Canada
6.09 The governing theory is compensatory, subject to the usual exceptions of
charitable benefits and private non-indemnity insurance. As has been the case
in varying degrees in other common law jurisdictions, the rationale upon which
the exceptions are based has been used to justify the non-deductibility of
other benefits. In 1987, the Ontario Law Reform Commission issued a report on
Compensation for Personal Injuries and Death
in which they made the
following recommendations:
a. where the injured party is indemnified for a particular pecuniary loss, then
the damages in respect of same ought to be held on trust for the collateral
benefit provider;
b. the tortfeasor should be entitled to pay such damages directly to the
collateral source and be discharged of liability to that degree;
c. neither a or b should apply until the injured party's entire loss has been
fully indemnified.
These recommendations followed on the conclusions that the fundamental
principles of tort law required full compensation but not double compensation.
Further "the goal of deterrence, as well as a general sense of justice and
fairness," was advanced by holding the tortfeasor liable for the entire cost of
his negligence. The recommendations were also aimed at facilitating the process
of subrogation which the Commission found was not widely exercised due to,
inter alia
, cost, inconvenience and negative implications for labour
relations. It would seem that none of the recommendations of the Commission
were implemented.
Insurance
6.10 Private non-indemnity insurance payments will be ignored unless the
contract specifically provides for a right of subrogation. Within the field of
insurance, one area is treated differently from the norm described above:
section 267(1) of the
Insurance Act, R.S.O.
1990, provides that damages
awarded to a person for loss arising out of an automobile accident are to be
reduced by all payments that the person has received or that were or are
available in respect of statutory accident benefits or any payments for loss of
income including payments under an income continuation benefit plan or sick
leave plan. Some recent cases, however, indicate a restrictive interpretation
of this provision. Waddams remarks that although the legislation is contrary to
the trend of common law developments and most social security legislation, it
is justified on the ground that the same insurers carry both first party
accident and third party liability insurance, so subrogation would simply shift
the costs from one insurer to another. While he does not mention the additional
factor of the administrative costs involved in applying subrogation this was
undoubtedly a guiding consideration. The following rationale is offered:
"Reduction of liability, rather than subrogation, may be regarded as having
been accepted by the Legislature as an economical method of resolving disputes
within the insurance industry. In either case the defendant's activity
(automobile driving) still bears the full cost of the accidents."
Charitable Benefits
6.11 In treating charitable benefits the courts have followed the reasoning in
Redpath v Belfast & County Down Railway
and such benefits are
generally non-deductible with the exception of those made before the award by
the tortfeasor. Voluntary payments of salary will also be deducted. Waddams
observes that acceptance of the reasoning in
Redpath
does not
necessarily resolve the position between the donor and donee, so in order to
prevent overcompensation where the terms of the benefit do not require that the
donor be reimbursed, the court may imply reasonable terms requiring at least
that the donor be offered repayment depending on the circumstances. In Canada,
an accepted method of preventing overcompensation is the requirement that the
reimbursement be held on trust for the provider. The case of
Thornton v
Prince George School Board
expressly followed
Cunningham v Harrison
where Lord Denning imposed such a trust. Alternatively, depending on the
circumstances, the Court may oblige the plaintiff to repay the benefit provider
as in
Rawson v Kasman
where the plaintiff was directed to reimburse her
son who had paid her medical costs.
Pensions
6.12
Pension schemes are treated as analogous to insurance and
therefore an exception to the general rule of non-cumulation applies.
Furthermore, disability payments are included among the state benefits which
have been classified as gratuitous under statute, so any disability retirement
pension would be non-deductible on this basis.
Sick Pay
6.13 One would expect the application of the compensatory theory to lead to the deduction of sick pay as, to the extent that it has replaced earnings, the plaintiff cannot claim a loss, however the Canadian approach has been somewhat more generous to the injured employee than the other common law countries examined. In Chan v Butcher the British Columbia Court of Appeal classified payments from an employer's fund as insurance as opposed to wages and therefore non-deductible. However in Ratych v Bloomer the attempt to apply the same analogy failed, on the basis that unless the plaintiff could prove loss of earnings he was not entitled to damages for same i.e. the indemnity principle was strictly applied. The analogy with insurance was dependent upon proof of contributions made by the plaintiff to a fund failing which he could not claim the payments were non-deductible. The limitations on benefits falling within the insurance exception applied in this case were however virtually abrogated in Cunningham v Wheeler.
6.14 In
Cunningham
v Wheeler
the majority held that the insurance
exception applied to disability benefits paid by the employer pursuant to a
collective bargaining agreement; the lack of direct contribution was not
decisive. Cory J. explained that the disability payments,
"were bargained for and obtained as a result of a reduction in the hourly rate
of pay. These benefits were therefore obtained and paid for by the plaintiff
just as much as if he had bought and privately paid for a policy of disability
insurance."
The learned judge opined that to draw a distinction between private insurance
where actual premiums are paid to an insurance company and schemes established
in a different manner for example, a collective bargaining agreement would
create `barriers that are unfair and artificial'. The decision in
Ratych
was explained on the basis that no evidence that the plaintiff had paid for the
disability benefits was adduced.
6.15 However McLachlin J disagreed with this extension of the insurance exception on the grounds that the terms of Bradburn v Great Western Rail Co. applied to non-indemnity insurance benefits exclusively; thus as the payments in the instant case were of an indemnitory nature, the plaintiff could not prove actual loss. This interpretation strictly adheres to the compensatory theory. McLachlin J noted that the rule in common law countries was one of deductibility subject only to the exceptions of charity and non-indemnifying personal insurance and that the Canadian court had followed suit in Ratych, which she interpreted as affirming the rule against double recovery and only allowing a claim for damages where the plaintiff can demonstrate actual loss.
6.16 The majority decision represents the status quo which permits the plaintiff to retain the benefits without deduction where he satisfies the evidentiary requirements in Cunningham which in essence simply require that the benefits formed part of the collective bargaining process. Where evidence is adduced that the plaintiff directly or indirectly contributed to the fund from whence the payments emanate, any employment benefits received will be deducted from damages for loss of earnings, unless the provider of the payments is entitled to be reimbursed. The criterion for deciding whether to impose a trust or obligation to reimburse is whether the judge is satisfied that this is both necessary and appropriate in the interests of justice.
6.17 Where the plaintiff does not fall within the perimeters of the
Cunningham
exception, the injured party who has been paid while on sick
leave will not be able to prove loss of earnings. However, they will have used
up all or part of their entitlement to a certain amount of paid sick leave per
annum. In Canada and also in Australia where this leave is not used up the
employee can cumulate it and sometimes it can be claimed as a lump sum upon
leaving an employment; to this extent the plaintiff will have suffered a loss
which requires compensation. The practical application of this was recently
illustrated in
Robert v Earthy.
In this case the Supreme Court of
British Columbia held that the injured person was entitled to recover the value
of cumulated sick leave which was calculated on the basis that until the end of
his employment the injured person would use approximately 75% of the
accumulated days; thus he was awarded 75% of the cost of replacing those days
placing him in as close a position as possible to the pre-accident situation.
This was deemed to fit into the second exception to the non-cumulation of
benefits rule i.e. that where an employee can establish that he or she
continued to receive wages while off work and at the same time had to give up
something to receive those wages, that is compensable.
Social Security
6.18 Welfare payments payable under statute are not deducted as they are
considered to be independent of the cause of action, the purpose of the
payments being to assist people in need and not to benefit the wrongdoer. Most
regional workers' compensation legislation provides a right of subrogation for
the compensation tribunal. Additional to the usual exception of charitable
benefits certain state benefits have been categorised as gratuitous under
statute rendering them non-deductible; these include Canada Pension Plan
disability payments, survivor payments and Health and Welfare payments.
Australia
6.19 In Australia the general principle governing damages in tort is
compensatory. Two main exceptions to this principle apply and were explained by
Windeyer J. in the authoritative case of National Insurance Company of New
Zealand Ltd. v Espagne as follows:
"In assessing damages for personal injuries, benefits that a plaintiff has
received or is to receive from any source other than the defendant are not to
be regarded as mitigating his loss, if: (a) they were received or are to be
received by him as a result of a contract he had made before the loss occurred
and by the express or implied terms of a contract they were to be provided
notwithstanding any rights of action he might have; or (b) they were given or
promised to him by way of bounty, to the intent that he should enjoy them in
addition to and not in diminution of any claim for damages.... In both cases
the decisive consideration is, not whether the benefit was received in
consequence of, or as a result of the injury, but what was its character: and
that is determined, in the one case by what under his contract the plaintiff
had paid for, and in the other by the intent of the person conferring the
benefit. The test is by purpose rather than by cause."
In
National Insurance Company of New Zealand v Espagne
an invalid
pension for permanent blindness under the
Social Services Act, 1947
was
disregarded in the assessment of damages. This case has been applied many times
and in
Redding v Lee
Gibbs C.J. in the High Court of Australia commented
with regard to the test that despite its lack of precision:
"it is difficult to suggest a more exact criterion once it is accepted, as it
must be, that justice requires that certain benefits must be disregarded in the
assessment of damages notwithstanding that they would not have been received
but for the injuries for which the plaintiff sues and notwithstanding that in
fact they have mitigated the plaintiff's loss."
Insurance and Pensions
6.20 Following the above statements insurance proceeds are not deductible,
although indemnity contracts will usually contain subrogation rights.
Disability pensions from an employer insurance fund are not deductible by
reason of an analogous treatment with insurance. Likewise, retirement pensions
are non-deductible regardless of the contributor.
Charitable Benefits
6.21 Charitable benefits fall within Windeyer J's second category of
exceptions, with the possible exception of when they emanate from a defendant
employer in which case the position is somewhat ambiguous, although it has been
suggested that they ought to be deducted. Support for this assumption can be
found in the passage quoted above as the learned judge describes the type of
benefits to be excepted as emanating from "any source other than the
defendant". Moreover, since the test of whether to deduct a payment or not from
an award of damages is the purpose of the payment, the courts are open to the
suggestion that the defendant's purpose is to mitigate liability.
Sick Pay
6.22 Contractual sick pay is deducted unless it is paid on the condition that
it be repaid upon recovery of damages. Where it is deductible the plaintiff may
still recover for the loss of cumulated sick leave.
Redundancy Payments
6.23 In Clay v Freda a redundancy payment which was not a consequence of the plaintiff's accident was held non-deductible. King CJ interpreted the payments as being "in consequence of an entitlement under the award arising from his years of service." In Black v Brimbank City Council, a case in the Federal Court of Australia, Moore J said that the principle in Clay was applicable to "any case where there is a payment which is apparently based on past service and which does not fetter the plaintiff's entitlement to seek alternative employment forthwith"
6.24 The nature of the payments in
Black
were different however and
provide some guidance as to the position where redundancy payments are directly
related to the incident for which damages are being claimed. The plaintiff's
claim was for damages for breach of his employment contract due to its
premature termination. The severance entitlements that he had already received
were clearly compensation for the loss of his job which arose due to the
employer's conduct; they were therefore deductible. The learned judge stated
that to hold otherwise would be inconsistent with the purpose of compensatory
damages. From the terms of the decision it would seem that this principle is
also applicable to personal injuries cases.
Social Security
6.25 Social security benefits are either deducted or there is a right to
subrogation under the
Social Security Act, 1991
and similar legislation
also provides for the recovery of medical payments from those who recover
damages. The specific question of unemployment benefits was addressed in
Evans v Muller
where the High Court of Australia held that unemployment
benefits have a character of a partial substitute for wages and were therefore
deductible.
Common Law Variations: A Rule of Non-Deduction
United States of America
6.26 In the United States, collateral benefits are not deducted from the
damages awarded to the plaintiff although they may cover all or part of the
harm for which the tortfeasor is liable. As personal injuries are still dealt
with by juries, evidence about such benefits is therefore inadmissible. This
doctrine of non-deductibility is known as the collateral source rule and
essentially encompasses any benefit from a collateral source which is `wholly
independent of the wrongdoer'. Sick pay or disability benefits, any charitable
benefits or gratuitous provision of services and insurance payments received by
the injured party even where he or she did not pay the premiums are not allowed
to mitigate the damages which the plaintiff can claim against the tortfeasor.
The breadth of benefits encompassed by the rule mean that only payments by the
defendant's insurer to the plaintiff have a chance of escaping it. There are of
course variations between States with regard to the treatment of different
types of benefit but an analysis of such diversity is beyond the scope of this
chapter. What follows, therefore, is a brief overview.
General Observations
6.27 It is immediately apparent from the collateral source rule that deterrent
and punitive considerations are part of the underlying considerations. The
Restatement of Torts states the `purposes for which actions of tort are
maintainable' as follows:
(a) to give compensation, indemnity or restitution for harms;
a. to determine rights;
b. to punish wrongdoers and deter wrongful conduct; and
c. to vindicate parties and deter retaliation of violent and unlawful
self-help.
The purported equitable basis of the doctrine is frequently framed in the
following terms:
"If there must be a windfall, certainly it is more just that the injured person
shall profit therefrom, rather than the wrongdoer shall be relieved of his full
responsibility for his wrongdoing... [T]he best interests of society as well as
the purposes of the parties are likely to be better served if the injured
person benefits rather than the wrongdoer benefiting."
Other rationales that have been offered by way of explanation are those which
have been employed by the courts in other common law jurisdictions to justify
the non-deductibility of certain benefits, usually insurance and charitable
payments. They essentially emphasise that the plaintiff has paid for the
benefit and that legal compensation does not fully compensate. The additional
factor to consider with regard to the United States is the method of payment of
legal fees which requires the successful party to pay his or her own legal
costs. According to one commentator this can reduce the damages which the
plaintiff will receive by between 25% to 40% and explains to some degree what
may appear to be extravagant awards by juries as they desire to leave the
plaintiff with an amount which reflects the required compensation.
6.28 Application of the collateral source rule is not however uniform.
Workmen's compensation, regulated by statute, usually falls outside the rule in
that the providers of same have a right of subrogation. Medical care providers
can also have a right of subrogation as illustrated by the spate of tobacco
litigation in the United States brought by plaintiffs such as Medicaid and
Medicare in recent years. Fleming identified `an incipient tendency to exclude
the collateral source rule from claims against public entities' on the grounds
that the punitive effect of the rule is borne by the taxpayer. This was later
rejected in
Helfend v Southern California Rapid Transit.
Nonetheless, a
variety of methods exist for thwarting the practical application of the rule in
those jurisdictions where it still applies. Others have abandoned the concept
as outmoded given the proclivity towards liability insurance which implies that
the defendant does not suffer the `punitive' or `deterrent' effect of the rule
anyway. Illustrations of the former include the practice of setting off
collateral benefits in negotiation settlements and in trials. It is thought
that most juries discount suspected benefits, causing Fleming to conclude:
"In both respects therefore American practice is in fact much more aligned with
the generally prevailing sentiment against cumulation than would appear from
the letter of the law."
Proposals for Reform
6.29 Thus it is not surprising that recent reports on the subject have all advocated reform or abolition of the rule, perhaps prompted to a degree by the crisis regarding the lack of availability of insurance in the eighties. A Department of Justice report in 1986 recommended the preclusion of double recovery by abolishing the rule. The report found that as the tendency towards plaintiff funded collateral sources has waned, so too has the justification for the rule, to the extent that its contemporary role has been reduced to that of providing a windfall to the plaintiff. This is particularly inexpedient in the case of publicly funded benefits. They recommended deduction of collateral sources except where the benefit provider was subrogated to the plaintiff's claim.
6.30 A report by the New York State Advisory Commission on Liability Insurance came to a similar conclusion. The rule had been abolished in respect of certain areas of tort liability such as medical/dental malpractice and personal and fatal injury claims by employees of public bodies. The Commission concluded that the co-existence of the collateral source rule with common liability insurance which concentrates on spreading risks on a no-fault basis `results in the most expensive liability system: compensation to more plaintiffs and double payment when compensation is paid'. Society was the ultimate loser in this system as it led to higher liability insurance premiums and the elevated awards of damages inhibited socially productive activities by defendants. As a result the rule survives in New York only to the extent that the plaintiff can claim credit for insurance premiums paid for the two years previous to the injury and the future costs of maintaining it.
6.31 The American Law Institute in its Project on
Enterprise Responsibility
for Personal Injury
also examined the topic and recommended the deduction
of all collateral benefits, except life insurance, with no subrogation or
rights to reimbursement. This was coupled with a recommendation that successful
parties be entitled to their costs which they reasoned would counteract any
diminution in deterrence.
Common Law Variations: No-Fault Liability
New Zealand
6.32 At the far end of the common law spectrum is New Zealand which, in 1972, with the establishment of a comprehensive no-fault accident compensation scheme, moved further from traditional tort liability than any other country. While the existence of the scheme, which abolishes tort actions for personal injuries which fall within it, necessarily avoids the issue of collateral benefits, a brief overview is instructive given that the rationale behind the scheme was that the `abolition of fault-finding would lead to large savings on administrative expenses'.
6.33 The scheme consists of three compensation funds and provides that no claim either at common law or under a statute may be brought for damages arising out of personal injury or death suffered by accident in New Zealand. The schemes under which compensation is claimed are the Earners' Compensation Fund, the Motor Vehicle Fund and the Supplementary Compensation Fund which covers those not covered by the other schemes. The three funds are financed by different sources and intended to be financially self-contained. In essence they are financed by switching the contributions from all the existing sources of funds such as employers' liability insurance, workers compensation and compulsory motor insurance. The establishment of the scheme has to be considered in the context of the relatively small population of the country and the existence of a very extensive social security system.
6.34 The
Accident Rehabilitation and Compensation Insurance Act, 1992
amended the operation of the regime in response to rising costs in its
implementation. The definition of accident has been narrowed by the new
legislation, and recoverable losses restricted to the losses directly resulting
from the injury. One commentator notes that probably the most far reaching and
controversial change is the abolition of lump sums for non-economic losses such
as pain and suffering and loss of amenity in favour of an allowance of a
limited amount per week in proportion to a claimant's degree of disability and
care costs. This can be seen as reflecting a move away from the original
founding philosophy of a social insurance scheme to one of accident
compensation.
"The elimination of these non-economic losses moves the scheme away from its
historical roots as a substitute for the civil tort action."
6.35 The Common Law still applies to personal injuries which are not covered by
the Act and while the number of such claims is small, it remains to be seen
whether this will change in the light of the new legislation. Miller however
sees one positive aspect to the reforms in the introduction of experience
rating which reasserts accountability and implicitly recognises the deterrence
factor which can exist in the allocation of the costs of accidents:
"the former Act significantly undermined deterrence of accidents by
externalising accident costs and by eliminating from public consciousness the
concept of negligence or fault with regard to personal injuries."
It may be that the New Zealand experience provides a better illustration of
this role of damages awards than all the United States reasoning for
non-deductibility of collateral benefits.
Civil Law Jurisdictions: Deductibility with Subrogation
Germany, France, Belgium
6.36 These countries subscribe to the compensatory theory which seeks to avoid
double recovery. Non-cumulation of benefits is achieved largely by subrogation
which serves to facilitate the underlying compensatory principle without losing
what is perceived as the deterrent element in tort liability by ensuring that
the tortfeasor does not escape the full economic consequences of his actions.
The extensive use of subrogation is made possible due to the existence of wide
networks of social security supported by both public and private insurance. The
collateral benefit providers may exercise their rights either through an
independent action or, more often, through bulk loss sharing arrangements.
No-fault compensation schemes especially in areas such as automobile insurance
are on the increase, effectively marginalising the traditional role of tort
law.
6.37 Comprehensive social security and insurance cover means that most of the
victim's needs are catered for before any tort action and the social security
carrier or the private insurance company are subrogated to the claim against
the tortfeasor. Markesinis makes the following observation which provides an
insight into the general principles of the German approach:
"In such circumstances, compensation for the victim can no longer be the prime
purpose of the compensation rules. Rather, they have come to form a part of the
intricate complex of rules which help allocate risks or, in some cases, seek to
promote deterrence."
The idea behind this is to put the cost of the accident back on the shoulders
of the wrongdoer or his insurer. Markesinis notes then that in practice tort
actions by injured victims against tortfeasors only take place whenever the
social insurance scheme has not fully covered the actual loss: for example,
social security benefits will not allow recovery for pain and suffering.
Insurance
6.38 In Germany and France loss insurers have statutory subrogation rights, while in the case of personal injury or non-indemnity insurance, only `conventional' subrogation is envisaged i.e. the right of subrogation depends upon whether the insurance contract expressly provides for the assignment of liability claims. Private insurance payments are not deducted from damages.
6.39 In France, the
Loi Badinter
of 05 July 1985 provides for automatic
indemnification of the victims of land vehicle accidents, apart from the
driver, except if they have committed an inexcusable fault which was the
exclusive cause of the accident. Recourse is directly against the insurer. In
Belgium a type of insurance based on similar lines was introduced in 1989 under
which any benefits already received are taken into account. While a role for
fault is still possible due to the `inexcusable fault' provision, these are
essentially no fault schemes which seek to eliminate the need for resort to the
courts by providing for strict time limits within which the insurer is to make
an offer to the victim.
Charitable Benefits
6.40 Charitable benefits are not deductible even where they are donated by the
tortfeasor. Subrogation for the donor will only take place where it is
specifically provided for under the terms of the charitable benefit.
Pensions
6.41 Disability and retirement pensions provided by social security and also
those financed through private means are non-deductible. The social security
provider will however take over any tort action that the injured party has in
this regard.
Sick Pay
6.42 In Germany §616 BGB originally provided for the payment of sick pay
by employers for a period of six weeks; while this specific period has been
repealed, collective agreements will usually provide for a similar length of
time. The employer then has subrogation rights against the tortfeasor. The
French Sickness Insurance Fund pays a salary for seven days, which expense it
can recover from the tortfeasor. Sometimes collective agreements will provide
for payment of sick pay by the employer in which case he will be reimbursed
either by the Fund or the liability insurer carrier. The employer has a
personal right of recourse with regard to the cost of continued salary
payments. A corollary to this is that the tortfeasor is allowed to set-off
against the injured employee. French regulations also provide for subrogation
rights for public enterprises for certain benefits. In Belgium, unlike in
France, outside the statutory regulation and contractual provision there is no
possibility of a claim in tort and set-off to recover the cost of disability
and other contractual fringe benefits and to this extent an amount of
cumulation is allowed.
Social Security
6.43 Social security systems in the civil law countries examined provide comprehensive cover for the economic consequences of accidents. Both Germany and France have in place workers compensation schemes. In Germany there are a number of separate institutes, under the general supervision of the Minister of Labour and Social Security, for different industries funded by the employers compulsory contributions. No action lies against the employer in tort by an insured employee unless the accident was caused either by the employer's intentional act or that of a fellow employee. The compensation institute may bring an action against the employer to recover expenses where the latter has been grossly negligent. Similarly in France no tort action may be brought against an employer unless an intentional act by the employer or another employee caused the accident. This can be seen as an accepted element of fault in what are otherwise no-fault insurance schemes for industrial injuries with risk related contributions for employers.
6.44
The employer and social insurance carrier have a right of
recourse against the liability insurer in the amount of economic loss; this
includes medical, hospital including regular daily costs which would have been
incurred anyway, temporary total incapacity including perhaps salary,
occupational loss and the help of a third person where this is required.
General Observations
6.45 The approach of Germany and France can be seen as broadly typical of Western European countries with the exception of Scandinavia which is discussed below. Essentially the striking difference between these civil law countries and the common law ones examined is the assignment of subrogation rights to the social security carriers who effectively exercise them. As the social security system attempts to cater for all of the economic consequences of accidents and the social carriers are reimbursed by the tortfeasors' insurers, double recovery is virtually removed from the compensation system.
6.46 In practice, subrogation rights are exercised via extensive loss-sharing
and bulk recoupment agreements between social security providers and liability
insurers, usually in the case of smaller claims on a standard percentage basis
and individually with regard to larger claims. In Belgium recourse is on a case
by case basis: The social carriers claim is joined to the victims claim
although usually they are represented by different lawyers which results in
additional expense. There have been proposals for a system of standardised
reimbursements in order to make the system more cost efficient. Pfennigstorf
notes the impact of the Belgian system on the costs incurred by insurers:
"We are not aware of statistics of the amounts reimbursed by liability insurers
to social security organisations, but they are said to be very large.
Subrogation thus results in a significant augmentation of the accident costs to
be borne by liability insurers, one which does not occur in those countries
where social security carriers have no right of recourse, like in Sweden."
6.47 It is estimated that subrogation costs represent at least 50% of the total costs of personal injury in Belgium, prompting Pfennigstorf to describe the cost of accidents to be met by liability insurers as one of the highest in Europe. This cannot, however, be wholly attributed to the cost of exercising subrogation rights as the comprehensiveness of the social security system in Belgium entitles the victims to receive more from social security than in other countries. In Germany for example a more restrictive approach is taken to indemnification in general by inter alia proportionate reduction for contributory negligence especially with regard to strict liability, restriction of damages for non-pecuniary loss to those situations provided by the civil code i.e. intentional or negligent bodily injuries. Pain and suffering claims are outside the statutory compensation scheme and an action must be brought in tort. Thus by way of illustration the only losses which can be recovered in the case of death are burial costs and loss of support to which surviving relatives had a legal entitlement.
6.48 The prevalence of subrogation is premised on the imputation of a deterrent
effect to tort law. This is reflected in the availability of a tort action to
an employee, notwithstanding the existence of the compensation scheme, where
the accident was caused either by an intentional act of the employer or another
of his employees. This has been described as the introduction of a punitive
element in an area normally regarded as having essentially a compensatory
function. Furthermore in both Germany and France the premiums paid by employers
are calculated by reference to individual risk thus tort liability principles
are carried through to a degree even where tort actions are largely barred.
6.49 However, given the extensive use of bulk loss sharing agreements between
insurers and social carriers, especially in Germany and France, it can be
argued that the punitive and deterrent effects are minimal as tortfeasors do
not discharge liability from their own pockets, being rather mere "conduits for
passing it on and spreading it among all those who hold insurance and pay
premiums against the same risk." In Germany, for example, loss sharing
agreements whereby the liability insurer automatically pays 55% of the security
carriers cost are widely practised. This is an implicit consideration in the
very limited use of subrogation rights in Scandinavian countries which approach
we now examine.
Scandinavian Law System: Social Compensation with Limited Role for
Subrogation
6.50 The Scandinavian experience is interesting as their legal system, although
always open to influence from both, belongs neither to the common law or the
civil law, forming a legal system
sui generis
. Their jurisprudence is
instructive in that they began looking at the substitution of insurance law for
some of the functions of tort law in the early twentieth century. Kruse
explains the concept as follows:
"The fundamental idea was that since all citizens contribute, according to
their means, to the social security systems, it would be reasonable to let
everybody benefit from them, including the tortfeasors. At the same time it
would be possible to avoid a number of lawsuits, especially those concerning
the recourse claims from the social security systems against the
tortfeasors."
6.51 Section 25 of the
Insurance Contracts Acts, 1930,
which is
essentially uniform among the four Scandinavian countries, provides that the
payment of non-indemnity insurance is not taken into account when assessing the
tortfeasor's financial liability. With regard to losses covered by indemnity
insurance, the insurer is subrogated to the right of the insured as against the
person liable to pay compensation. However, where first party insurance covers
the loss, the courts are authorised to reduce or completely annul the liability
to pay compensation where the injury was due to negligence not amounting to
gross negligence. Thus the actual role of subrogation has been minimised. This
restriction on the role of subrogation has not, however, been applied to the
same extent in Denmark, where the argument for the deterrent effect in
subrogation suits still subsists. Apart from this aberration, the regimes in
these countries essentially demonstrate the redistribution of losses by
collective social insurance schemes as opposed to the traditional methods of
allocation in accordance with fault under tort liability principles. As
Jørgenson succinctly observes:
"By payment of a premium, one obtains compensation for loss. Thus insurance
performs the same restorative function performed by the law of torts, with
several advantages from the viewpoint of the injury victim. The compensation
will be paid regardless of whether anybody is or can be proved responsible, and
regardless of whether the tortfeasor (if any) is able to pay."
6.52 The issue of collateral benefits and the consequent experience of double
compensation originates in the proliferation of different insurance and social
security benefits in response to the perceived inadequacies of tort law. At a
simplistic level these inadequacies arose due to increased industrial activity
and more hazardous social activities which resulted in more severe costs and
consequences of accidents. As such reliance on a wrongdoer to pay from his own
pocket became unrealistic. The Scandinavian countries examined below illustrate
one method of avoiding double compensation by redressing the balance between
tort liability and insurance, both social and private, to make the two more
compatible and less wasteful of what are accepted to be common resources.
Sweden
6.53 Sweden has a highly developed general social insurance system and the available benefits cover most economic losses arising from accidents. These are in turn deducted from tort damages and there is no recourse against the tortfeasor. The effect, Hellner notes, is to remove the losses which the insurance covers entirely from the sphere of tort liability. The Swedish system only allows compensation for real loss; therefore all benefits received will reduce compensation including employment benefit, sickness benefits, pensions or annuities from any health or occupational insurance. Where the employer pays sick pay or a disability pension, he is entitled to be subrogated to the employees claim for these costs.
6.54 Certain insurance schemes have been introduced to replace tort liability,
giving the injured party a contractual right to receive compensation directly
from the insurer in fields which would otherwise be major areas of tort
liability. These are Security Insurance for Work related injuries, Patient
Insurance, Pharmaceutical Insurance, and Traffic Insurance. Under these
schemes, the victim is compensated without having to prove fault or negligence.
The majority of compensation payments under tort law rules are now based on
these schemes which cover losses not covered by social insurance or
supplementary means. The rationale behind the Swedish system is best explained
by reference to the objectives of the schemes which are the following:
* to facilitate the possibilities for an injured person to receive compensation
without having to rely on the lengthy and complicated processes of proving
fault;
* to eliminate as effectively as possible tort law responsibility in areas
where tort liability is comparatively common and could cause considerable costs
for investigations and law court proceedings as well as bad consumer publicity;
* to allow faster, more rational and cheaper claims handling than possible
under tort law.
The prerequisite to entitlement to benefits under a scheme is that the injury
must have occurred within an insured activity. The patient insurance and the
pharmaceutical insurance schemes are voluntary, allowing the injured party to
choose between the scheme or conventional tort law which would necessitate
proving negligence.
6.55 The result of this comprehensive coverage is that the traditional tort
action is really the last resort where a person's injury has not already been
compensated. Yet tort principles still have a role. The situation is explained
by Hellner as follows:
"Tort rules have become largely a means of linking the right to indemnity to an
insurance taken out by a tortfeasor. Conversely, tort liability has developed
into a duty, or a compulsion, to pay premiums for an insurance that covers
injuries and losses. The result is paradoxical. The general rules of tort
liability are framed as if damages are paid by a negligent person or his
employer, whereas they are normally paid by an insurer."
Norway
6.56 Norwegian law adds another possible method of preventing double recovery, which has been touched on in some other jurisdictions, to a limited degree; this entails the discretionary reduction of damages on the grounds of receipt of other benefits. Such discretion can be applied to private insurance in the calculation of damages for permanent disability and fatal injuries. Hellner cites the example of a Norwegian Supreme Court decision whereby a widow was refused damages for wrongful death as the Court, taking into account all the economic circumstances, decided that the widow was already provided for to an extent only enjoyed by few in society. In Sweden, the Act on Damages Skadeständslag SFS 1972:207 Chapter 6 allows for the possible reduction of damages having regard to inter alia contributory negligence, the negligence in question and the respective financial positions of the parties; thus a discretionary element is found here also.
6.57 In Norway, the injured party has a direct claim against the insurer in the
case of traffic accidents, industrial injuries and workers compensation and
thus the role of traditional tort law is substituted by insurance in these
areas. Awards for pain and suffering and other non-economic harm are not
covered by traffic accident insurance. The general principle is one of
deductibility so that benefits such as sickness or permanent pensions, which
replace income, whether from public or private sources, are deducted from
compensation. Selmer notes that " it is strongly embedded in Norwegian legal
tradition that the victim shall not be compensated more than once for his loss
of income."
General Observations
6.58 While still largely using tort principles as the criteria for compensation, the trend in Scandinavia is towards the use of insurance schemes as the primary method of administering compensation, eliminating the courtroom stage which is such an integral part of common law systems. A move away from the traditional role of fault in tort liability is illustrated by the limited role of subrogation and proliferation of no-fault compensation schemes implying a conscious decision that society, or at least all those who carry out certain activities within it ought to be responsible for the resultant damages.
6.59 In order to fund a system heavily reliant on social insurance it is
essential that costs are controlled. This is largely achieved by statutory
regulation of the amount and nature of damages which can be recovered. For
example in Denmark, Act No. 9 of 1986 on damages
(
Erstatnings-ansvarloven
) as amended is not only the basis for assessing
damages and the effect of any insurance coverage, it also sets fixed amounts of
compensation for pain and suffering, permanent incapacity, and a cap for
damages for loss of capacity to work. Such amounts are linked to an index and
while jurisdictions such as Ireland would arguably achieve a similar level of
uniformity by virtue of the publication of decisions, our system lacks the same
degree of rigidity. Thus it has been commented that "damages awarded by the
courts would by international standards be considered as rather low."
Summary
Common Law Variations
1. Scotland, Canada and Australia subscribe to the compensatory theory of damages, thus a general rule of deduction of collateral benefits applies. Non-indemnity insurance, pensions and charitable benefits are not deductible, there being socially desirable justifications for excepting them from the general rule.
2. Variations on these exceptions exist. Thus in Scotland retirement pension payments will be taken into account in the calculation of loss of retirement rights as there is a direct correlation between the payment and the head of damages. In relation to charitable payments all countries have decreed that the encouragement of benevolence is best served by deducting such payments when they emanate from the tortfeasor, or that there is a presumption that the purpose is to compensate. A requirement to reimburse the donor may on occasion be imposed.
3. The picture is less uniform in relation to other collateral benefits. In Scotland and Australia sick pay is deducted unless there is an obligation to repay: in the case of the latter, recovery of cumulated sick leave entitlement is acceptable. In Canada in certain circumstances it is possible to draw an analogy between sickness benefit and insurance rendering the former non-deductible.
4. Canadian legislation also diverges from the general rule of deduction in respect of social security benefits, many of which have been categorised as gratuitous. In the two other countries such benefits are either deductible or subrogation rights apply. In Scotland pre-award benefits are deducted.
5. The United States of America adheres to the collateral source rule, a general rule of non-deduction. One of the justifications for this acceptance of cumulation of benefits is an explicit recognition of a punitive/ deterrent element in tort law. Subrogation rights exist however in relation to workers compensation and health insurance. Some states have reformed aspects of the rule or abrogated it entirely.
6. The establishment of a no-fault compensation scheme in New Zealand has
largely removed the issues of fault, collateral benefits, subrogation and
deductibility from consideration. Issues which can arise tend to be centred on
cost control, which may entail a restriction on heads of claim, and a loss of
the perceived deterrent effect of traditional tort liability. The latest
amendments have introduced a level of accountability through the means of
experience rating for premiums.
Civil Law Systems
1. Germany, France and Belgium adhere closely to a strictly compensatory approach to damages. The only true exceptions to the rule of deductibility are non-indemnity insurance and charitable payments. Social security carriers cover most of the economic consequences of accidents and they have extensive subrogation rights which are exercised. There is a discernible trend towards the establishment of no fault compensation schemes in those areas where accidents are most likely to occur such as industry and motor vehicles.
2. The endorsement of a deterrent function of tort law is illustrated by the use of subrogation rights and the possibility of tort actions outside the workers compensation schemes where an injury is due to an intentional act or the employer was grossly negligent.
3. The real role of fault and arguably any deterrent effect is depleted however
due to the practical application of subrogation rights through bulk loss
sharing agreements between insurers and social security providers.
Scandinavia
1. The Scandinavian countries have moved further still in the widespread use of
direct rights of compensation with a very limited role for subrogation. No
fault compensation schemes are prevalent. Social insurance is the primary means
of compensating for accidents to the extent that one can say the traditional
role of tort law has been marginalised.
General Observations on the Treatment of Collateral Benefits in Comparative
Law
6.60 What these systems illustrate for our purposes is that the role of
traditional tort law and indeed the element of fault within that law is
changing. Essentially this is due to the proliferation of other means of
compensation and protection from the losses caused by accidents by social
security and public and private insurance i.e. the collateral benefits. The
existence of these benefits has necessarily displaced the traditional role of
tort once a compensatory theory is recognised; the injured party must not be
allowed cumulate and where he is allowed to retain benefits in addition to
compensation it is ostensibly because of the acceptance of another purpose or
effect of such benefits which justify its exemption. There then inevitably
follows a choice as to how to deal with the remainder of the payments: (a)
deduction without any recourse for the collateral benefit provider (b)
subrogation (or some form of recoupment or reimbursement). The choice made
follows logically and unavoidably from the regime's interpretation of the
functions of tort law. However even where the system seeks to hold the
tortfeasor responsible for all loss, the universal use of insurance
demonstrates that in reality this is happening less in practice. The results of
these choices is explained by Magnus as follows:
"Finally the essential importance of the fault principle has been reduced by
the development of the modern law of social security and insurance law. Social
security law and/or private insurance provide a basic or even complete
protection against risks of any kind for most people. The mechanisms of social
security and insurance law have the regular effect that the legal relation
between individual tortfeasor and individual victim becomes an indirect one or
is abolished at all like in many countries in case of workmen's compensation.
Nevertheless the provisions of tort law remain the governing rules for any
redress the loss bearer (social security agency or private insurance company)
has against a tortfeasor."
7.01 The default setting of the English common law is one of deduction of collateral benefits. Problems arise in identifying where exceptions might arise and to what extent. But this factor should not hide the reality that the main departure point is one of deduction. Irish law, to the contrary, inverts this presumption. Section 2 of the Civil Liability (Amendment) Act, 1964 enacts a broad rule of non-deduction. Non-deductibility is therefore the main departure point under Irish law.
7.02 This chapter looks at the legislative history of section 2 and the current law in Ireland pertaining to collateral benefits. The focus is inevitably on the effects of section 2 on the various benefits as the wide terminology of the section encompasses virtually all those collateral benefits which could possibly arise as a result of an accident.
7.03 It should be noted that there is at least one respect in which section 2
is narrower than the position under English common law. Notwithstanding the
broad terminology of the section, it is probably correct to say that charitable
benefits in kind do not come within its scope. The position as to whether
social assistance payments are included in section 2 is also the subject of
some division of opinion and this is considered below at paragraphs 7.59-7.62.
Where a benefit does not fall to be considered under section 2, its treatment
is determined by the common law.
The Legislative History of Section 2
7.04 Section 2 of the 1964 Act deals with the non-deductibility of collateral
benefits from damages for
non-fatal
personal injury. Before the
enactment of legislation, the deductibility or otherwise of collateral benefits
for both fatal and non-fatal personal injury was governed by the common law.
The treatment afforded to the two categories of injury was not however uniform.
The separate development of each is considered below before returning to
section 2.
Backdrop to Section 2 - The Evolution of a Principle of Non-Deductibility
with Respect to Damages for Fatal Personal Injuries
7.05 Prior to 1846, the death of a human being could not constitute a cause of action in a civil court as no person had a legally protected interest in the life of another. However, following the Fatal Accidents Acts, 1846 and 1864 (generally known as Lord Campbell's Act) certain relations of the deceased could, through a personal representative, bring an action for damages in respect of the injury they suffered as a result of the death. However, in Grand Trunk Railway Company of Canada v Jennings the Privy Council interpreted Lord Campbell's Act as having the effect that only the net pecuniary benefit accruing to the dependants of the deceased was recoverable; any collateral benefits accruing to the dependants on the death of the deceased were to be taken into account. Consequently, a general rule of deduction developed at common law in assessing damages for fatal injuries.
7.06 Gradually, however, statutory inroads were made upon this general rule of
deduction, the first being the
Fatal Accidents (Damages) Act, 1908
. This
provided for the non-deductibility of any sums payable on death under a
contract of insurance. Section 5 of the
Fatal Injuries Act, 1956
replaced section 1 of the 1908 Act and provided that, in addition to payments
under contracts of insurance, no account was to be taken of pensions,
gratuities and other like benefits payable in consequence of the death. Section
5 was re-enacted in section 50 of the
Civil Liability Act, 1961
and is
in similar terms to section 2 with regard the benefits which are not to be
taken into account in the assessment of damages. This represents the current
state of Irish law as regards the deductibility of collateral benefits from
damages for fatal injuries.
Development of the Law Relating to Damages for Non-Fatal Personal
Injuries
7.07 The common law experience in relation to the deductibility of collateral benefits for non-fatal personal injuries was however quite different from that relating to fatal injuries. In the seminal case of Bradburn v Great Western Railway the House of Lords held that, under the common law, payments made pursuant to an accident insurance policy were not deductible from an award of damages for non-fatal personal injuries.
7.08 The rule of non-deductibility contained in section 50 of the 1961 Act only
deals with damages awarded for fatal injuries. This was due to the general
belief in Ireland at the time of its enactment that the non-deductibility
provision contained in section 50 was already the law applicable to non-fatal
cases, therefore there was no need to make specific statutory provision for it.
This assumption was upset by a line of decisions in the United Kingdom Court of
Appeal which created uncertainty in the matter and, in response, the Oireachtas
enacted section 2 of the 1964 Act. The basis for the enactment of section 2 is
reflected in the comments of the then Minister for Justice when he stated
that:
"To remove any doubt in the matter, section 2 of the Bill proposes to state
clearly that our law in non-fatal cases is the same as in fatal cases."
7.09 The dicta of Geoghegan J in the High Court in
Greene v Hughes Haulage
Ltd.
supports this view of the impetus behind the enactment of the
provision:
"The 1964 Act was a short Act of what might be described as a tidying up nature
covering relevant matters not already provided for or inadequately provided for
in the
Civil Liability Act, 1961
.... It may well have been because of
the uncertainty of the common law at that time [following the decisions of the
English Court of Appeal in
Payne, Browning
and
Parsons
] that the
Oireachtas decided to enact section 2 of the
Civil Liability (Amendment)
Act, 1964
simplifying the position and in effect applying to personal
injury actions the same rules as to non-deductibility as already applied to
fatal injury actions under section 50 of the
Civil Liability Act
1961
."
7.10 In light of the foregoing, the judicial interpretation of section 50 of
the 1961 Act may also be instructive when considering section 2 of the 1964
Act. In the succeeding paragraphs reference shall be made to case-law
concerning the scope of section 50 where this is relevant to our discussion.
The Scope of Section 2
7.11 Section 2 of the
Civil Liability (Amendment) Act, 1964
,
provides:
"In assessing damages in an action to recover damages in respect of a wrongful
act (including a crime) resulting in personal injury not causing death, account
shall not be taken of:
a. any sum payable in respect of the injury under any contract of insurance,
b. any pension, gratuity or other like benefit payable under statute or
otherwise in consequence of the injury."
7.12 The conditions which a payment must satisfy in order to fall within
section 2 determine to a large extent the benefits with which we are concerned
in this debate. In order to ascertain whether a payment is a collateral benefit
which may give rise to double compensation two questions must be asked:
i. is the benefit payable in consequence of injuries sustained in an accident?
ii. does the benefit have the effect of compensating the plaintiff for the same
loss as a head of damages?
7.13 There are a wide variety of collateral benefits with differing purposes,
financing mechanisms and effects (whether intended or unintended). By virtue of
both sections 2 of the 1964 Act and the case law on this matter, the term
`collateral benefit' includes in practice:
* payments received under private insurance policies;
* charitable benefits (gratuities);
* payments received under pension schemes (both statutory & non-statutory);
* sick-pay;
* social welfare benefits.
The
Redundancy Payments Act, 1967
provides that dismissal by reason of
redundancy is taken to occur where an employer has ceased or intends to cease
to carry on the business for the purposes for which the employee was employed
by him, or where the requirements of that business which gave rise to the
employee's job have ceased or diminished or are expected to cease or diminish.
Redundancy will also be deemed to occur where the place of business or the
carrying out of the functions relevant to the plaintiff's job change. While
certain commentators and indeed the common law in England have regarded
redundancy payments as capable of being a collateral benefit, the Commission
believes that true redundancy is referable to the circumstances of a particular
job as opposed to the employee and therefore is not a collateral benefit.
7.15 With regard to the scope of section 2, White has made the following preliminary observations.
1. The section is more narrowly cast than the English common law in that it probably only applies to money payments. This proposition is based on the fact that the words `pension' and `gratuity' are satisfied only by money payments. While it is admitted that this may appear unduly restrictive, White argues that the word `payable' is clearly inappropriate to describe the provision of goods and services and thus must be interpreted as applicable only to payments of money. It follows that `other like benefits' must be construed in the light of the preceding words and therefore limited to money payments.
2. Although section 2 is confined to money payments, the use of the word `gratuity' clearly prevents its scope from being limited to payments receivable by the plaintiff as of right. Consequently, charitable payments of money received by a plaintiff clearly come within the ambit of section 2.
3. Any enquiry into the source of the benefit is irrelevant for the purposes of section 2; the sole criterion in order for the section to apply is that the benefit is payable in consequence of an injury . Therefore, it can be concluded that the section applies to those benefits within its scope irrespective of their source.
4. Where a benefit comes within the scope of section 2 then, by virtue of the words ` account shall not be taken of' , no account whatsoever is to be taken of the benefit in assessing damages. Hence, section 2 provides blanket exclusion for those benefits which come within its scope.
7.16 The effects of section 2 on the various types of collateral benefit which
may accrue to an injured person are examined below. As will be seen, the main
effect is not so much to add to the categories of non-deductibility but to
extend them beyond the point sustained under the common law. However this
expansive approach has been tempered by later statutory encroachments on the
general rule of non-deductibility.
The Effect of Section 2 on Particular Collateral Benefits
Section 2 and Insurance Payments
7.17 It has long been established at common law that benefits received by a plaintiff under a contract of insurance shall not be taken into consideration by a court in the assessment of damages. This principle was encapsulated in statutory form by paragraph (a) of section 2 of the 1964 Act.
7.18 However, the position of Irish law in relation to payments received by a plaintiff under a policy of insurance to which he was not a party, or for which he had not paid the premiums, was uncertain until recently. White argues that, in such circumstances, payments are still non-deductible under section 2. He bases this argument on an analogy with two decisions of the English Court of Appeal which dealt with the same issue in the context of fatal injuries, as provided for under section 1 of the Fatal Accidents (Damages) Act, 1908 .
7.19 In Bowskill v Dawson the insured-deceased was not a party to the contract of insurance which had been taken out by his employers. However, as the proceeds of the policy were to be held on trust for the deceased's estate, the English Court of Appeal held that this equitable right of enforcement brought the payment within the scope of section 1 of the 1908 Act.
7.20 In Green v Russell , although the deceased's estate had no equitable right of enforcement, the English Court of Appeal nevertheless held the payments to be non-deductible under section 1. The policy on the life of the deceased had been taken out by his employer and although the proceeds became the sole property of the employer, they were paid over to the deceased's estate. Romer LJ, with whom Hodson J concurred, held that as the intention to benefit the estate of the deceased was expressly mentioned in the policy, the payments came within the scope of section 1 of the 1908 Act and were consequently non-deductible.
7.21 Thus, White contends that, by analogy with section 1 of the 1908 Act, where either the plaintiff has an equitable right of enforcement with regard to the proceeds of the insurance policy, or where the policy is expressed to be for the benefit of the plaintiff, any payments received by him thereunder are non-deductible in this jurisdiction under section 2 of the 1964 Act.
7.22 Even without making the analogy, it seems clear that on a literal
interpretation of section 2, all insurance monies payable in consequence of an
injury are encompassed within the rule of non-deductibility: the phrase `
any
sum payable....under any contract of insurance'
is unambiguous. On this
view paragraph (a) of section 2 is `merely descriptive of the insurance monies
themselves.' Thus it seems that, so long as the monies in question can be
identified as the proceeds of a policy of insurance payable in consequence of
an injury, the payments fall within the scope of section 2. The following then
becomes irrelevant:
* the path by which the monies reached the plaintiff;
* the absence of any right of enforcement by the plaintiff in respect of the
monies;
* that the payee under the policy is not the plaintiff;
* that the policy is not expressly for the benefit of the plaintiff.
7.23 The interpretation afforded by the English Court of Appeal to section 1 of
the
Fatal Accidents (Damages) Act, 1908
in
Green v Russell
is
consistent with this reading of the statute. In that case Pearce LJ, the third
member of the Court, declined to rest his decision on the narrow ground of the
wording of the particular policy. Rather, he accepted the construction of
section 1 which was adopted by the trial judge, Ashworth J, who was influenced
by the double use of the word `any'. Pearce LJ said:
"It is obvious that in each case there must be an assured or insured person and
a payer and a payee. It would have been possible to insert in the Act detailed
provisions dealing with these matters. But the Act, deliberately as I think,
dealt with the matter on broad lines as the original Act of [1846] had done. It
was excluding a certain type of consideration from the broad and difficult task
which the jury had to achieve in each case. The legislature contented itself
with describing the nature of the monies that were not to be taken into
account, without seeking to limit the exact path of those monies or specifying
from whom and by whom they had to be received...."
7.24 This question whether insurance payments can be considered non-deductible
under section 2 in circumstances where the premiums have not been paid by the
plaintiff recently came before Geoghegan J in the High Court in
Greene v
Hughes Haulage Ltd
. The plaintiff had been in receipt of payments under an
insurance policy, the premiums for which had been paid by her employer. She
sought to have the benefits ignored under section 2 of the 1964 Act. Geoghegan
J held that section 2 was intended by the Oireachtas to be interpreted in a
manner similar to section 50 of the
Civil Liability Act, 1961
, which
provided for equivalent non-deductions in fatal injury claims. As section 50 is
largely a re-enactment of earlier statutory provisions which have been
interpreted by the courts as not requiring the deceased to be a party to the
contract of insurance or to have paid premiums, this interpretation was equally
applicable to section 2. Geoghegan J cited both
Bowskill v Dawson
and
Green v Russell
as authority for the manner in which the fatal injury
legislation has been interpreted, and concluded that the benefits in question
fell within the general rule of non-deductibility in section 2:
"In each case the expression `under any contract of insurance' is used and I
therefore see no reason why the broad interpretation which has always been
given to that expression in the fatal injury cases should not now be applied to
personal injury actions."
7.25 The type of payments with which the court was concerned in Greene v Hughes Haulage arose by virtue of an employee benefit plan, specifically a disability benefit plan contracted for by the plaintiff's employer. Under this plan the plaintiff was entitled to an income equal to 75% of her basic salary upon being totally disabled for a period of six months after the accident. Counsel for the defendant, relying on the decision of Hamilton P, as he then was, in Dennehy v Nordic Cold Storage Ltd ., argued that the insurance policy in Greene was not of the kind contemplated in section 2 as the plaintiff's employer had paid for the premiums.
7.26 In Dennehy the employer had a contract of indemnity for income continuance payments, and he therefore continued to pay the injured employee and was indemnified pursuant to this contract. The employee in his claim for loss of earnings, argued that by virtue of section 2 the monies received on foot of this contract ought not be taken into account. Hamilton P rejected this contention and held that the payments fell outside the section and were therefore deductible.
7.27 Geoghegan J, while agreeing with the decision in Dennehy, distinguished the case on the basis that it concerned `simply a contract indemnifying the employer against a liability which the employer himself took on ...' The insurance policy with which the court was concerned in Greene had been taken out by the employer for the benefit of such people as the plaintiff. He later opines that a simple indemnity policy indemnifying the employer against some contractual undertaking by it to continue making salary payments to an employee who had become incapacitated would not come within section 2. While this comment is strictly obiter , it is consistent with the ratio in Dennehy .
7.28 In that case, after quoting section 2, Hamilton P expresses his opinion as
to the intention behind the provision as follows:
"It is my view that the intention was if the plaintiff himself effected a
contract of insurance, and as a result of which he had been entitled to receive
benefits, that was purely a matter for him..... I am satisfied it was never
intended by the legislator that when an employer effects a policy of insurance
to provide for certain eventualities and that the injured person benefits from
that, that he should recover the benefit of that in addition to the loss of
wages."
7.29 It is therefore possible that not all insurance payments fall within the
scope of section 2(a). Both the court in
Dennehy
and Geoghegan J in his
interpretation of the decision may have been influenced by the fact that the
defendant was also the plaintiff's employer and therefore to ignore the
collateral payments made by him to the plaintiff may have seemed unjust. The
fact that the plaintiff had not made any contributions to the scheme in
Dennehy
and was not required to do so under the terms of the policy was
material. Geoghegan J referred to such a scenario in
Greene
when he
said:
"It could be said than an anomalous injustice could occur if the defendant was
himself the employer. In that case it might be argued that there was no third
party claiming advantage from the plaintiff's own insurance benefits."
However, the learned judge proceeded to reject such an argument:
"But I do not think that the interpretation of the clear words of the section
should be governed by such considerations. In most cases the benefit policy
will form part of the total remuneration and the employee will therefore be
indirectly contributing to the premiums. In other cases it may be possible to
imply a term permitting deductibility in the contract of employment."
7.30 Counsel for the defendant in Greene also referred to the position of the English common law in support of the argument that the insurance payments should be deducted. The common law approach was however considered to be irrelevant as the collateral payments in question clearly fell within the scope of section 2. Moreover, Geoghegan J said that even if the decision in Hussain v New Taplow Paper Mill Ltd. was relevant it could be distinguished on its facts.
7.31 Therefore, to summarise, by virtue of section 2, insurance payments received by a plaintiff in consequence of an injury are not deductible even where the plaintiff has not paid the premiums or is not a party to the insurance contract. It can however be argued on the basis of Dennehy and the obiter dicta in Greene that where an employer takes out a separate contract of insurance to indemnify him or herself in respect of certain losses, monies paid pursuant to such a contract are outside the scope of section 2.
7.32 Quite apart from section 2 it would appear that the common law in Ireland
is more favourable to the plaintiff than the English common law. Geoghegan J
commented in
Greene
that, although the plaintiff had not paid the
premiums, the insurance arrangements were part of her remuneration package with
her employer, thus implying that payment of the premiums could be attributed to
her through other terms of her contract. Furthermore, Geoghegan J commented
that notwithstanding the benefit under the contract of insurance was calculated
by reference to salary, he considered it to be a disability benefit which even
if the common law position pertained would be non-deductible.
Charitable Benefits
7.33 The first point which must be made is that section 2 probably only applies to money payments. If this is correct then the deductibility of charitable benefits in kind falls to be determined by the common law. Even if benefits in kind do fall within section 2, there does not seem to be any valid reason for treating them differently from monetary payments. This is considered below.
7.34 Charitable gifts of money to a plaintiff clearly come within the ambit of section 2(b) by reason of the reference therein to `gratuities,' and are consequently to be ignored in toto in the assessment of the plaintiff's damages. In this regard, section 2 is consistent with the position at common law. However, the comprehensive terminology of section 2 entails the disregard of a collateral benefit irrespective of its source, and thus the charitable payment is non-deductible even where the donor is the defendant. At common law, the position is not so clear, largely due to the existence of the view that the rationale behind the non-deductibility of charitable benefits in general viz ., the encouragement of social solidarity and benevolent behaviour, when applied to charitable payments by the defendant tortfeasor, logically leads to the contrary result, i.e. the deduction of such payments from damages awards serves to encourage the defendant to make ex gratia payments to the plaintiff.
7.35 It has been argued, however, that the public interest is not necessarily
best served by allowing the court to take into consideration gifts of money
which the plaintiff receives from the defendant. The defendant may genuinely
wish to assist the plaintiff, in addition to paying him damages, without
enabling his insurers to reap the benefit of his actions: due to widespread
liability insurance it can be argued that the only party who would benefit from
a reduction in the defendant's liability is his insurance company. Moreover, in
the context of an employer-employee relationship, where the latter is injured
in the workplace, it is open to the employer to provide in the contract of
employment for such charitable payments to be made on the condition that they
are to be treated as compensation for the injuries sustained should the
employer be held liable.
7.36 On a literal interpretation, the deductibility of charitable benefits in
kind would seem to be outside the scope of section 2 and therefore fall to be
determined by the common law. In
Ryan v Compensation Tribunal,
Costello
P clearly accepts that benefits in kind, in this case the provision of
services, are non-deductible. Moreover given the non-deductibility of
charitable money payments and the general policy of non-deduction of collateral
benefits enshrined in section 2, a different rule for benefits in kind would
not only be without justification, it would also be anomalous. The rationale
which justifies the non-deductibility of charitable payments is equally
applicable to benefits in kind. It therefore becomes irrelevant whether
benefits in kind are included within the terms of section 2 as they are
non-deductible regardless. In considering the desirability of this particular
exception, for the same reasons just stated and to maintain consistency, we do
not differentiate between monetary charitable benefits and benefits in kind.
Pensions
7.37 Section 2(b) provides that `any pension' shall be ignored in the assessment of the plaintiff's damages. There are a number of different types and sources of pension. Essentially they can be categorised as arising from the public (social welfare) or the private sector. Within the social welfare system the following are relevant: retirement pensions, old age (contributory) pensions, disablement pensions, disability pensions. Under the auspices of the private sector the following are relevant: occupational, personal and company pensions. The term occupational pension scheme, defined in section 2 of the Pensions Act, 1990 , is generally used to distinguish job related pension schemes from state social welfare schemes.
7.38 Along with the traditionally accepted exceptions of insurance and charitable payments, pensions have been treated as non-deductible on the basis of an analogy with insurance payments. The basic element of setting monies aside to provide for a future contingency are common to insurance and pensions, it may therefore be argued that the latter fall within the insurance exception. We are not concerned with all pensions but only with those which may become payable in consequence of an injury and therefore fall within the scope of section 2.
7.39 Social insurance retirement pensions or old age (contributory) pensions become payable automatically upon reaching the ages of 65 and 66 years respectively. Entitlement is to these pensions is therefore entirely separate from any losses arising from an injury. Likewise, the payment of a normal occupational retirement pension is entirely unrelated to the consequences of an accident. Therefore it is only where a person who is in receipt of pension payments claims for loss of earnings that the pension is a potential collateral benefit. If the reason the person took retirement is due to the injuries sustained in an accident, then the pension payments fulfil the necessary criteria to be a collateral benefit. The type of pension in question includes state disability pensions and in the private sector the ill health early retirement pension or any pension taken earlier than envisaged on account of injuries for which damages are claimed. We use the term early pension payments below to mean those retirement pension payments which fulfil the necessary criteria of a collateral benefit.
7.40 Where an injured plaintiff had contracted to receive a retirement pension at the age of 65 years and because of injuries sustained he takes ill health early retirement at the age of 55 years, only the payments over the ten years are in consequence of the injury and thus fall within section 2. After age 65 the pension payments are no longer collateral benefits, as a pension would have been payable even if the accident had not occurred. However if those payments are less due to the accumulation of less years of service, then a loss is also suffered in the amount of the difference.
7.41 At this point it is appropriate to note that there are two main types of occupational pension scheme: defined benefit schemes and defined contribution schemes. A defined contribution scheme is one which provides long service benefit, the rate or amount of which is directly determined by the amount of contributions paid by, or in respect of, the member and includes a scheme the contributions under which are used directly or indirectly to provide benefits other than long service benefit. A defined benefit scheme provides a pension at retirement calculated by reference to service completed and salary at or near the date of retirement.
7.42 In a defined contribution scheme, regardless of when a person takes their pension, the member will only receive the sum total of the contributions already made and the investment earned by those contributions. Such schemes typically do not confer any extra benefit on account of ill health. Defined benefit schemes are more likely to provide for an enhanced pension in the event of early retirement due to ill health or disability although not every defined benefit scheme will do so. The cost of any such enhancement is directly borne by the employer and the enhancement itself represents a payment over and above the plaintiff's accrued interest in the pension scheme. Under section 2 none of these payments currently fall to be deducted from damages for loss of earnings.
7.43 A person who takes retirement earlier than originally envisaged due to an accident, receives a certain number of extra payments which compensate for loss of earnings. By reason of taking retirement earlier, however, he or she will have made less contributions and therefore suffers a commensurate loss of pension rights. A measure of this loss can be calculated by deducting the value of the payments which will be received after normal retirement age from the value of payments which would have been received had the accident not occurred. The pension payments received prior to normal retirement age should not enter into the calculation of loss of pension rights, as prior to that age the pension payments fulfil a different function, and therefore it is not to compare like with like. Under the general rule of non-deduction in section 2, it would seem that no such payments are taken into account.
7.44 With regard to a state disability pension, section 237 of the Social Welfare (Consolidation) Act, 1993 provides for the deduction of any payments payable for the period of five years from the date of the accident from an award of damages in the case of personal injury relating to the use of a mechanically propelled vehicle. A private ill health early retirement pension remains non-deductible in this situation.
7.45 The origins of this section are to be found in the 1982 Prices Advisory Committee Report which examined potential ways of containing costs within the insurance industry. Chapter 8 of the report notes that a person in insurable employment may be entitled to disability and pay related benefits which can result in up to 180% of lost earnings being replaced. The Committee suggested that this placed an unreasonable burden on contributors to the system. Pay related benefits were later abolished: the difference in treatment between the private and statutory schemes remains however in relation to motor vehicle accidents. Furthermore section 237 provides that the deduction be made from damages and is not restricted to damages for loss of earnings.
7.46 Thus under the current law, only State disability pensions are deductible
from damages and only in the circumstances outlined in section 237 of the 1993
Act. This can give rise to double compensation where a person, who is in
receipt of payments which serve to compensate for loss of earnings, is awarded
damages for the same loss.
Sick Pay
7.47 White has commented that:
"Sick-pay is properly regarded not as a `compensating benefit' received by the
plaintiff in consequence of his injuries but rather as part of the plaintiff's
earning capacity which has remained unaffected by the injuries thereby
diminishing the weekly or annual loss which would have been sustained by the
plaintiff had his contract of employment not entitled him to receive such
sick-pay."
If this interpretation of the function of sick pay is accepted, then to the
extent that the injured plaintiff has received sick pay, he or she has not
suffered a loss of earnings and therefore can only claim as a true loss
whatever difference there may be between the amount of sick pay received and
what [he] would have earned but for the accident. On this view sick pay is
clearly considered to compensate for loss of earnings; this is consistent with
the position at common law.
7.48 Where a person is absent from work due to illness, the payment of sick pay can arise in a number of different ways: the contract of employment may provide for sick pay; the employer may voluntarily pay the plaintiff while he or she is incapacitated and there is no contractual obligation; the plaintiff may be entitled under statute to a certain amount of payment due to past social insurance contributions.
7.49 Section 75 of the Social Welfare (Consolidation) Act, 1993 provides that, notwithstanding section 2 of the 1961 Act, the value of any rights which have accrued or will probably accrue to an injured plaintiff in respect of injury benefit or disablement benefit for the five years beginning with the time when the cause of action accrued shall be taken into account, against any loss of earnings or profits which has accrued or probably will accrue to the injured person from the injuries. Injury benefit is a weekly benefit payable where a person is unfit for work due to an accident at work or an occupational disease. Disablement benefit is payable to a person who suffers a loss of physical or mental faculty as a result of an occupational injury/disease while in insurable employment. These benefits fulfil the same function as sick pay.
7.50 Section 237 of the 1993 Act provides that in assessing damages in any action in respect of liability for personal injuries incurred in automobile accidents, any disability benefit or invalidity pension payable for the period of five years beginning with the time when the cause of action accrued, shall be taken into account in the assessment of damages. A person is entitled to sickness benefit or disability pension upon payment of the requisite number of social insurance contributions.
7.51 That these type of benefits were envisaged to come within the terms of section 2 of the 1964 Act is demonstrated by their express exclusion from its effect. These payments are all payable under statute in consequence of an injury. As section 2(b) states `benefit payable under statute or otherwise', it is arguable that voluntary and contractual sick pay also fall within the terms of the section.
7.52 The situation is, however, less clear with regard to non-statutory forms
of sick pay. Where the employer continues to pay the plaintiff while the latter
is incapacitated on condition that he or she return the money on receipt of
damages, then these payments are non-deductible. According to Lavery J in
McElroy v Aldritt,
"It is impossible for the defendant as the wrongdoer to mitigate the damages
for which he is responsible by relying on voluntary payments made by a third
person to provide for the support of the plaintiff on an arrangement that he
should be recouped if and when the plaintiff was in a position to do so and it
can make no difference that that person was the employer of the plaintiff."
Thus where the payments are made conditionally it seems clear that they will
not be deducted.
7.53 Apart from this, White maintains that the Irish courts have adopted the same approach as the English courts so that the payment of sick pay precludes the plaintiff claiming for loss of earnings to the extent that he or she has not suffered a loss. However he also argues that where the payments are voluntary they have the character of gratuities and are non-deductible under section 2, he does not cite any Irish cases in support of this view which is not easily reconciled with another unreported case of Honan v Syntex (Ireland) Ltd .
7.54 In
Honan
Lynch J interpreted the words 'or
otherwise' in section 2(b) as having the same general sense as the
preceding words and meaning,
"an obligation imposed upon an employer, whether he likes it or not, that is to
say, compulsory obligation as distinct from an obligation undertaken freely and
voluntarily by an employer."
He therefore held that the amount paid to the plaintiff by way of disablement
benefit, in lieu of wages, while the plaintiff was still in employment was
deductible from the damages awarded for loss of earnings. It is noteworthy that
the issue was dealt with on the basis of section 2(b), counsel for the
plaintiff having abandoned the claim that the payments fell under subsection
(a). The payments in
Dennehy
v Nordic Cold Storage
, which
fulfilled the function of sick pay, were payable under an insurance policy
taken out by the employer and were held not to fall within the scope of section
2(a). Lynch J's interpretation of subsection (b) would seem to indicate that
contractual sick pay falls within the scope of the general rule of
non-deductibility.
7.55 An anomaly however becomes apparent by virtue of the selective exclusion from the general rule of non-deductibility in sections 75 and 237. While statutory occupational benefits will fall to be deducted in an accident in the workplace, the equivalent private ones may not be. Likewise, statutory sickness benefit is deductible in the case of an accident involving a mechanically propelled vehicle, but a private one is not.
7.56 Section 75 originated as section 39 of the
Social Welfare (Occupational
Injuries) Act, 1966
and was influenced by the analogous English provision
which provided for the deduction of half of the value of certain social
security benefits paid or likely to be paid up to five years from the date of
the accrual of the cause of action. The justification put forward for the Irish
provision was that the occupational injuries scheme was entirely financed by
the employer, and therefore not to take the payments into account would
essentially result in a double charge on employers; furthermore, the worker is
obliged to give credit for the payments as he has not purchased the benefits by
direct contributions. Of note in the Minister for Social Welfare's explanation
is the statement that, `if the workers have to pay a contribution, naturally
the amount of the benefit that should be taken into account in the reduction of
common law damages would be less.'
Social Welfare Benefits
7.57 The term `social welfare' in Ireland is usually understood to refer to the
range of income support payments administered by the Department of Social
Welfare. Although some jurisdictions refer collectively to these type of
payments as social security, in this paper we use the term social welfare to
cover all the payments which the Department administers. These payments can
then be further sub-divided as follows:
*
Social insurance benefits:
Eligibility for this type of payment is
dependent on the beneficiary having made social insurance contributions in the
form of Pay Related Social Insurance (PRSI). These are compulsorily paid by
employers and employees into the Social Insurance Fund (SIF). Upon payment of
the requisite number of contributions, the individual becomes entitled to
receive a variety of benefits irrespective of any other income they may have.
Social Insurance benefits are financed by `current income financing', also
known as `Pay As You Go' (PAYG). This essentially means that the contributions
made in a given year are applied to making payments to beneficiaries in that
year. The cost of the payments is funded by the contributions received and any
deficit is met by the Exchequer. At present the Exchequer contribution is
negligible due to
inter alia
the inclusion of the self-employed in the
scheme from 1988, and demographics which mean that at present there are more
people contributing than receiving benefits. This however will alter with the
ageing of the population. The method of financing is important with regard to
whether social insurance benefits are sufficiently similar to private insurance
to merit the same treatment. This is considered in chapter 9. This type of
social welfare payment is referred to as
contributory.
*
Social assistance payments:
Eligibility for assistance is determined
by a means assessment; an individual qualifies for assistance payments once
their income is below a certain threshold level. Generally, the recipients of
social assistance will have either insufficient or no social insurance
contributions to qualify for social insurance benefits. Hence, social
assistance payments are financed by general taxation and are
non-contributory.
*
Universal payments:
These are payable to all who fulfil the specified
criteria regardless of income. Examples are child benefit and free travel for
pensioners.
7.58 As noted above, section 75 of the
Social Welfare (Consolidation) Act,
1993
provides for the deduction of injury benefit or disablement benefit
for the five years beginning with the time when the cause of action accrued.
The section is expressed to apply notwithstanding section 2 of the
Civil
Liability Act, 1964:
clearly, social welfare payments are included within
the broad description of payments in section 2, as otherwise section 75 would
be otiose. However, there is some difference of opinion as to whether social
assistance payments are included in the section.
Social Assistance Payments
7.59 The actual wording of section 2 refers to `benefit'. White contends that the word is used in the section in its ordinary and natural sense: i.e. to mean advantage. Thus `benefit payable under statute' is broad enough to encompass every kind of social welfare payment, and social assistance payments are therefore included in the scope of the section. In the State (Hayes) v The Criminal Injuries Compensation Tribunal Finlay P dealt with an application for judicial review of an assessment of damages for fatal injuries by the Tribunal. The compensation scheme provided that the Civil Liability Acts would apply to damages under the scheme subject to the limitations provided elsewhere in the scheme. One such limitation provided for deduction of social welfare benefits payable as a result of the injury. Finlay P, in his interpretation of section 50 of the Civil Liability Act, 1961, said the provision clearly excluded the deduction of `any social welfare benefit payable to a dependant' from an award of damages.
7.60 It is interesting to note in this context that Finlay P accepted the logic of deducting the social welfare payments on the basis that the compensation was funded by the Government as were the welfare payments, therefore to hold otherwise would entail the Government paying doubly. However, only social assistance payments are entirely funded by the Exchequer, benefits being largely funded by contributions.
7.61 In practice it seems likely that social assistance payments are not part
of the discussion as to the deductibility of collateral benefits due to the use
of a means test in order to determine entitlement. Once the plaintiff receives
damages, it may be that they will no longer satisfy the means test criteria, in
which case assistance payments would be stopped. If, subsequent to the receipt
of damages, the injured party still satisfies a means test, this is presumably
due to circumstances obtaining prior to the accident (as the damages award will
theoretically have placed the injured party in the same position, insofar as
that is possible, as before the accident). In these circumstances a strong
argument can be made that the assistance payments are not in consequence of the
accident. Clark, who believes that social assistance payments are not covered
by section 2, enunciates the crux of the issue succinctly:
"Problems of dual compensation in social assistance cases are more apparent
than real, because the statutory disregard provisions have no applicability in
cases where a means test is involved."
7.62 Essentially, whether courts have the power to deduct or not is irrelevant
as the administrative agencies have both the legislative authority and the
discretionary power to prevent overlapping. The following discussion focuses on
social welfare benefits in the belief that social assistance payments are
outside the scope of this paper in so far as they do not lead to double
compensation.
Social Insurance Benefits
7.63 The position in respect of injury and disablement benefits (arising when the injury is traceable to insurable employment) has been considered above, as have sickness benefit and disability pensions. Furthermore, it has been noted that State retirement pensions or old age (contributory) pensions will not arise in consequence of an accident. As section 2 is limited to those payments which arise in consequence of an accident, it is submitted that the effect of this is to render the remainder of social welfare payments beyond the scope of the section: i.e. the statutory exclusion of certain social welfare payments from the general rule of non-deductibility is the conclusive statement of the current law with regard to social welfare payments. Those social welfare payments which fall outside the scope of section 2 do not arise in consequence of an injury and are not therefore relevant to the discussion of what benefits are or are not deductible from an award of damages.
7.64 The decision of Costello P in Ryan v Compensation Tribunal illustrates this. The appellant challenged the Tribunal's award for loss of future earnings on the basis that two social welfare payments which were payable to her, namely single parent's allowance and deserted wives allowance, fell within section 2 and ought not have been deducted. The President said that those payments were not payable in consequence of an accident but rather because the plaintiff was treated as a single parent and deserted wife within the meaning of the social welfare legislation. Consequently the Tribunal did not err in deducting the payments from the plaintiff's gross income in order to award damages on the basis of loss of net income.
7.65 Under current law, then, social welfare payments are already an exception
to the general rule of non-deductibility from awards of damages, at least for a
period of five years from the date of the accident.
The Five Year Rule
7.66 There are considerable practical difficulties with the deduction of social
welfare payments due to a variety of factors: inflation, social welfare
increases, changes in eligibility for payments due to changes in the nature of
the injury, statutory regulations and even government policy. It is presumably
with these factors in mind, and with an eye on the analogous English
provisions, that the period of five years deductibility was enacted. In
practice the application of sections 75 and 237 requires a decision by the
judge as to the likelihood of the plaintiff returning to work before the expiry
of five years from the date of the accident. If he or she holds that the
plaintiff will probably be able to return to work in year four then only future
loss of earnings up to then will be awarded. It follows that if the plaintiff
is being imputed with an ability to work in year four then he or she will not
be expected to be receiving any further social welfare payments in consequence
of the injury, hence only four years benefits are deducted and not five. This
interpretation is made possible by the wording of the statutory exceptions to
the rule of non-deductibility which states that:
"the value of any rights which have accrued or will probably accrue to him
therefrom in respect of [the benefit in question]...for the five years
beginning with the time the cause of action accrued."
7.67 In O'Loughlin v Teeling MacKenzie J, who was not enamoured of the provision, reasoned somewhat differently. He said that the jury in making the award for future loss of earnings was making a finding about the plaintiff's future prospects of work and was considering him to be capable of employment within a short period of time. If the Department of Social Welfare were confronted with that evidence they could cut off the plaintiff's disability benefit. Therefore, the judge could not say with any probability that the plaintiff would still be in receipt of the benefit in the near future and so he would not deduct possible future benefits from the award.
7.68 A later case,
O'Sullivan v Iarnrod Eireann,
reflects a stricter
interpretation of the current statutory provision. In response to the
plaintiff's argument that only benefits accrued prior to the date of the action
fell to be deducted under section 75 because of the uncertainty in respect of
future disablement benefits, the judge held that the onus was on the plaintiff
to show that the Department of Social Welfare intended to alter the
status
quo
. He found that there was no indication of any such intention on the
part of the Department to do so and therefore deducted an amount for future as
well as past benefits. It is submitted that the latter view is an accurate
interpretation of Irish law as it stands at present.
The Problem with Section 2
7.69 The nature of damages as primarily (if not solely) compensatory under
English law has already been discussed. It is submitted that compensatory
damages in Irish law serve to restore the injured plaintiff to his pre-accident
position and no more. White comments that:
"Compensatory damages are assessed on the basis of awarding the plaintiff such
sum of money as will put him in the same position, so far as money can do, as
he would have been in had the wrong not been committed. The objective of an
award of such damages is reparation or
restitutio in integrum
in respect
of the plaintiff's past and prospective losses occasioned by the wrong."
In
Foley v Thermocement Products Ltd
O'Dalaigh CJ referred to
restitutio in integrum
as "the underlying principle by which courts are
guided in awarding damages."
7.70 Section 2 provides for a wide rule of non-deductibility. In comparison to
the position obtaining in other jurisdictions, the current Irish legislation
sanctions a considerable amount of double compensation, with the consequent
adverse effects on the costs of accidents and consequently insurance and
industry, and indeed intangible disadvantages incurred by society as a whole by
reason of the inefficient use of resources. It is our provisional
recommendation that this situation be reformed. Before setting out the details
of these recommendations however, we discuss the general options for reform in
chapter 8. The arguments for and against the deductibility of the various
collateral benefits which serve to compensate for some of the same losses as
awards of damages are then considered in chapter 9.
8.01 The previous three Parts of this Paper have outlined the approaches taken to the issue of collateral benefits both in this jurisdiction and in other common law and civil law countries. It is clear that, by virtue of section 2 of the 1964 Act, a victim of a non-fatal injury in Ireland enjoys, in addition to his damages, extensive rights to collateral compensatory benefits. It is necessary to examine the possible policy options that are open when dealing with collateral benefits in order to ascertain whether the approach which has been adopted in Ireland is in fact the most appropriate. This process necessarily entails some repetition of the justifications which have been employed by the courts, and the criticism thereof, in disregarding collateral benefits under the common law. The reader is referred to the discussion of the various rationales, which have been used to justify non-deductibility in chapter three.
8.02 It is submitted that the following three broad options are open to the
legislature in dealing with collateral benefits:
* non-deduction of collateral benefits and cumulation of remedies;
* deduction of all collateral benefits;
* deduction with reimbursement to the provider of the collateral benefit.
Option 1: Non-Deductibility and Cumulation of Remedies
8.03 In essence, this option involves the total disregard of compensating
collateral benefits in the assessment of the plaintiff's damages. Hence, the
plaintiff receives in full both
his award of damages to compensate him
for the injury he has sustained and any collateral compensation that may come
his way. Under this option there is no provision for the reimbursement of the
collateral payment to its provider. The obvious advantage of this approach,
from the perspective of the injured plaintiff, is that he receives an abundance
of financial assistance. However, it is exactly this over-compensation that
prompts a review of section 2 in the first place.
Arguments in Favour of Option 1
8.04 First, it may be argued that an award of damages never sufficiently
compensates a plaintiff for the losses suffered as a result of an accident. In
such a case, one of the main criticisms of the policy of cumulation is thereby
answered, i.e. the double-recovery of the plaintiff. Consequently, it may be
argued that he should not be denied the benefit of any extra collateral
compensation that may come his way. The Law Commission of England and Wales has
found that two out of every five plaintiffs consider that their awards of
damages for loss of earnings are insufficient. Lewis' explanation of the
reasons why a plaintiff may feel so aggrieved are set out below.
* Reduction of damages due to contributory negligence may mean that the damages
are insufficient to meet the plaintiff's loss of future earnings. Although
there is no precise empirical data, it has been estimated that the defence of
contributory negligence reduces damages in about a quarter of all settlements.
* The manner in which damages are calculated by the courts may lead to
insufficient compensation. Lewis argues that judges have refused to apply
actuarial principles when assessing future losses and, as a result, have made
deductions in excess of that which an actuarial analysis would have
recommended. Furthermore, the crystal ball element inherent in any calculation
of future losses means the exercise will always lack precision.
* The argument in favour of cumulation is strong where the parties have settled
the claim outside of court. In such a case, the plaintiff often accepts a
lesser quantum of damages than that which he would have received had his claim
proceeded to court. The plaintiff may prefer to receive an insufficient award
at an earlier date then endure the cost, delay, stress and risk associated with
litigation in the hope of a more substantial sum. The result is the
under-compensation of the plaintiff.
* No sum of money can ever fully indemnify a plaintiff for non-pecuniary loss
such as pain and suffering. Consequently, it may be argued that damages will
never fully compensate a plaintiff, so he or she can never be over-compensated.
* The argument frequently aired in the United States to justify a policy of
cumulation is based on the cost of litigation, which the plaintiff must incur.
The concept of the `contingency fee' means that the plaintiff's lawyer could
receive up to one third of his client's award of damages, resulting in
insufficient compensation for the latter. In Ireland, this argument does not
have the same force, as costs invariably follow the action unless the judge
exercises his discretion to hold otherwise.
8.05 An additional justification offered in the United States is that it is better that the injured plaintiff should reap the benefit of collateral compensation rather than the defendant-wrongdoer in the form of a reduction in his damages. This argument is premised on the attribution of a certain punitive and or deterrent element in the award of damages.
8.06 It may also be argued that there should be a policy of cumulation where the plaintiff has paid for the collateral benefit, either by making direct financial contributions towards the benefit or indirectly by his work. The oft-quoted question is `why should the defendant be the one to benefit from the thrift and foresight of the plaintiff?' The focus of this argument is on the source of the collateral benefit.
8.07 Moreover, if it is the intention of the provider of the collateral benefit that the plaintiff should enjoy the benefit in addition to any claim he has against the tortfeasor, then a policy of cumulation may seem justified. To do otherwise would be to frustrate that intention, resulting in the arguably undesirable reduction of the defendant's liability.
8.08 Finally, cumulation may be preferred to the other two options where:
a. the transaction cost of facilitating the reimbursement of the collateral
payment to its provider is too high; and
b. the moral argument against reducing the defendant's liability dictates that
deduction of the collateral benefit from the plaintiff's damages should be
avoided.
Arguments against Option 1
8.09 It has been stated that compensatory damages do not actually compensate
the plaintiff for a variety of reasons. However, it is to be remembered that a
court, when awarding damages, considers them to be sufficient to compensate the
plaintiff, Lewis has commented that within the tort system, the plaintiff would
not be allowed to recover more. Moreover, as the receipt of collateral benefits
is, to a certain extent, a random, unpredictable exercise, it is submitted that
if there are deficiencies in tort damages then that problem should be addressed
directly rather than correcting it in a haphazard way by the addition of
collateral benefits. As Luntz states:
"The remedy for underestimation of the loss is to make the estimating process
more scientific, not to adopt a swings and roundabouts approach which offsets a
loss suffered by many plaintiffs with fortuitous gains to some."
8.10 The second justification advanced above for a policy of cumulation is that
the plaintiff has in some way financed the collateral payment himself and
therefore should not be deprived of the benefit of his own thrift and
foresight. Although this has already been considered in detail at paragraphs
3.21-3.27, a brief summary of the criticisms of this rationale here is
useful.
* This reasoning is incapable of being applied across the board to justify the
cumulation of all types of collateral benefit, e.g. it cannot justify the
non-deduction of charitable payments received from a third party. Similarly, if
payments received under a pension scheme or insurance policy are not deductible
by virtue of this rationale, then why should sick pay and wages which a
plaintiff receives not also be ignored in the assessment of his damages - he
`pays for' these in just the same way.
* Often where this argument is invoked by a plaintiff, the element of thrift
and investment on his part is actually missing: for example, where the
collateral payment is received under a compulsory insurance scheme or was
financed by a third party. This is especially pertinent in Ireland where Pay
Related Social Insurance contributions are compulsory and finance a large
amount of collateral benefits.
* The foresight element may also be lacking: for example, although the
plaintiff intends to protect himself against the occurrence of a certain
contingency, he would not have been gambling on the prospect of double recovery
should the accident also be the result of a tort.
* There is no reason why this rationale should apply to personal accident
insurance and not to property insurance. In both cases the plaintiff, through
his thrift and foresight, has `paid for' the insurance cover himself, yet in
the latter case subrogation will operate to prevent double compensation.
* Even if the collateral benefit, which the plaintiff has `paid for' himself,
is deducted from his damages, he has benefited from the investment nonetheless
by virtue of the security and peace of mind of knowing that such contingencies
are protected against and also receiving the immediate payments from the
benefit provider before the court action.
* Fundamentally, the question of whether the plaintiff has paid for the
collateral benefit is irrelevant - he shall receive it regardless of whether he
commences an action against his wrongdoer. The essential issue, therefore, is
how the court should treat his award of damages.
8.11 In response to the purported justification that where the intention of the
collateral benefit provider is to benefit the plaintiff, in addition to any
claim against the tortfeasor, several criticisms have already been noted. In
summary:
* it is generally hard to ascertain what the intention of the provider of the
collateral benefit is;
* it is not the intention of the provider, but rather the effect of the benefit
that is relevant;
* although the third party intended to help the injured plaintiff, it is
arguable that he did not intend him to receive over-compensation through
double-recovery;
* even if the benefit is deducted, the financial assistance which the plaintiff
received from the third party would not have been in vain as he would have had
the advantage of the benefit immediately after the accident when it was most
needed.
8.12 Cumulation facilitates the over-compensation of the plaintiff. The
compensatory nature of damages has already been discussed and it is obvious
that allowing a plaintiff to cumulate his remedies is contrary to this basic,
well-established principle. Compensatory damages are intended to restore a
plaintiff to his pre-accident position, and no more. The Law Commission of
England and Wales have developed this argument by highlighting that the
category of exemplary damages would be superfluous if compensatory damages had
a punitive function:
"That there is a category of tort damages, namely exemplary damages, which are
intended to punish the tortfeasor bolsters this conclusion. The existence of
exemplary damages would be strange if the general tort measure of damages was
designed to punish. Furthermore the jurisprudence concerning when such damages
should be available would be incomprehensible."
8.13 Overcompensation is contrary to the principles of economic efficiency, which should underpin any system of compensation ultimately funded by the general public: this argument entails viewing the issue from the perspective of loss distribution and reallocation. In other words, as both tort damages and collateral benefits are largely funded, not by individuals, but by `risk pools' or `risk communities' which are comprised of large sections of the public, the contributors to such pools may object to the accident victim receiving compensation from both sources. Cumulation necessitates that both the defendant and the collateral source must shoulder the financial burden of the plaintiff's compensation, while the latter receives assistance in excess of that which he actually requires. In short, cumulation is an unnecessary waste of resources.
8.14 It follows from the above that a policy of cumulation results in the accident compensation system being unduly expensive to operate. As the system is ultimately financed by the public as a whole through their insurance premiums, the unnecessary repetition of the plaintiff's compensation inevitably increases the cost of insurance.
8.15 Option 1 results in the unequal treatment of accident victims. Those who
suffer an injury through the tort of another and have access to collateral
compensation may receive an abundance of financial assistance, whereas others
who only have recourse to social welfare receive comparatively paltry
compensation. As Lewis has commented:
"It appears very unfair that the few accident victims able to succeed in tort
should be able to claim so much more for the same losses."
Evaluation of the Arguments on Non-Deductibility Option
8.16 The Law Reform Commission is provisionally of the view, in light of the
above criticisms, that this option is not in the public interest. The broad
scope of section 2 of the
Civil Liability (Amendment) Act, 1964
, has
already been examined, and since the inevitable consequence of section 2 is the
cumulation of the plaintiff's remedies, the Commission is also provisionally of
the view that the treatment afforded to collateral benefits under section 2 is
not in the public interest.
Option 2: A General Rule of Deduction
8.17 This option requires that any form of mitigating collateral compensation a
plaintiff receives is offset against his award of damages. Once again, however,
there is no provision for the recoupment of the collateral payment by its
provider. A policy of deduction transfers the plaintiff's loss from the
defendant to the collateral source. Obviously this option is the most
favourable to the defendant-wrongdoer, as his liability shall be reduced to the
extent of any compensating collateral benefit which the plaintiff may receive.
Lewis has commented:
"On the surface, this solution seems the least attractive of the three. It
appears to subsidise the wrongdoer at the expense of the Good Samaritan and
thus offends our sense of morality."
8.18 The policy of deduction entails the reduction by the court of the
plaintiff's damages to the extent that the latter has already received, or
shall receive in the future, collateral compensation which either:
a) is designed to meet the same loss as the award of damages in question, or
b) has the effect that it meets the same loss as the award of damages in
question.
A choice between these two alternatives is required should a policy of
deduction be desired.
a) Benefits Designed to meet the same Loss as Damages
8.19 Cooper has commented that:
"The basic principle which emerges is that there should be deduction when, and
only when, the benefit received by the plaintiff is intended to compensate him
for a specific pecuniary loss, a loss in respect of which, in the absence of
the benefit, he would have a claim against the defendant."
It follows from this that where the benefit is intended to compensate the
plaintiff for a loss in respect of which his award of damages does not
compensate or for a non-pecuniary loss then there should be no reduction of the
plaintiff's damages. What is ostensibly cumulation is arguably justified on the
ground that there is no over-compensation of the plaintiff.
8.20 Losses not covered by damages may be either pecuniary or non-pecuniary. For example, the distress of the victim's relatives is a non-pecuniary loss, which invariably goes uncompensated. Certain small pecuniary losses may also go uncompensated, for example; the injured party was in the habit of driving to a particular supermarket to cut the shopping costs and as a result of the accident he is now unable to do so. On this view, where the plaintiff receives collateral benefits, which are intended to compensate for such losses, they should be ignored by the court in its assessment of damages. In such cases, it is impossible for the plaintiff to receive over-compensation. Cooper argues that this approach is consistent with the common law rule of the non-deductibility of insurance payments, charitable benefits and payments received under pension schemes: i.e. they provide compensation for losses which are not met by the plaintiff's award of damages.
8.21 It has often been argued that there is no non-pecuniary loss capable of
exact financial compensation. Therefore, if the plaintiff receives a collateral
benefit, which is intended to meet such a loss, his damages should not be
reduced proportionately; he will receive fuller compensation, but will never
make a profit. Cooper maintains that the only occasion where a plaintiff would
be overcompensated would be where it is confidently believed that his award of
damages for non-pecuniary loss is adequate to restore him to his pre-accident
position; however, he argues that even the courts agree that damages are
arbitrarily calculated. Against this argument it can be said that the
under-compensation of the plaintiff should not be remedied by relying on the
ad hoc
receipt of collateral benefits. However, Cooper submits that
there are several reasons why the law cannot extend its boundaries of
compensation, such as its reluctance to entertain a plethora of actions for
pecuniary loss by the relatives of the accident victim and the impossibility of
ascertaining accurate financial compensation for non-pecuniary loss; while
these inadequacies remain "there is no reason to disallow further recovery
where it is provided for by a benefit."
8.22 It can also be argued that insurance payments and charitable payments, if
not paid to the plaintiff with the intention of compensating him for a loss
which is not met by his award of damages, are normally paid with the intention
of compensating for a non-pecuniary loss and therefore ought be disregarded
nevertheless.
8.23 In conclusion, this approach of purpose rather than effect is strongly
advocated by Cooper, and he has advanced the following arguments in support of
it:
* one must look to the purpose rather than the effect of a collateral benefit
as the latter is unascertainable: the plaintiff is unlikely to earmark monies
received by him from one particular source and then spend them specifically on
relieving a particular loss;
* the courts, in awarding damages, assess them according to particular heads
which they intend to be compensated;
* this is the approach, which has been adopted by the High Court of Australia.
In
National Insurance Company of New Zealand v Espagne
Windeyer J said:
"...the decisive consideration is, not whether the benefit was received in
consequence of, or as a result of the injury, but what was its character; and
that is determined, in the one case by what under his contract the plaintiff
had paid for [where the benefit is contractual]..., and in the other by the
intent of the person conferring the benefit [where the benefit is benevolent or
statutory]. The test is by purpose rather than by cause."
b) Benefits which have the Effect of meeting the same Loss as
Damages
8.24 This argument is based on the proposition that the purpose of the compensating collateral benefit is irrelevant. Rather, one must look to the effect of the compensation. and examine whether it serves to mitigate the plaintiff's loss.
8.25 In
Hodgson v Trapp
Lord Bridge seemed to advocate a general rule of
deduction of collateral benefits from damages for pecuniary loss, save for the
two well-established exceptions:
"My Lords, it cannot be emphasised too often when considering the assessment of
damages for negligence that they are intended to be purely compensatory. Where
the damages claimed are essentially financial in character, being the measure
on the one hand of the plaintiff's consequential loss of earnings, profits or
other gains which he would have made if not injured, or on the other hand, of
consequential expenses to which he has been and will be put which, if not
injured, he would not have needed to incur, the basic rule is that it is the
net consequential loss and expense which the court must measure. If, in
consequence of the injuries sustained, the plaintiff has enjoyed receipts to
which he would not otherwise have been entitled,
prima facie
, those
receipts are to be set against the aggregate of the plaintiff's losses and
expenses in arriving at the measure of damages."
8.26 Moreover, Lord Bridge was inclined to view the issue from the wider perspective of loss redistribution. His Lordship considered that as the collateral benefit (in this case, social welfare) and the award of damages were both being financed by the public as a whole, "[t]o allow double recovery in such a case at the expense of both taxpayers and insurers seems to me incapable of justification on any rational ground."
8.27 Essentially, such an approach dictates that any collateral compensation that a plaintiff receives should be deducted from his award of damages for pecuniary loss. As the plaintiff has suffered a financial loss due to the negligence of the defendant and as a result, receives a financial gain in the form of a collateral benefit, the latter must necessarily reduce the extent of the financial loss which he sustained. The court in calculating an award of damages seeks to compensate the plaintiff for his net financial loss.
8.28 The Commission prefers the "effect" test of a collateral benefit over the
"purpose" one in its provisional recommendation. The effect test addresses the
economic reality of the different benefits. The Commission adopts the principle
that only benefits which have the effect of compensating for a particular loss
should be deducted from an award of damages compensating for that loss. It is
to be noted that the application of this principle eliminates the possibility
that the value of a benefit could be deducted from general damages. This is
currently the case under section 237 of the
Social Welfare (Consolidation)
Act, 1993
Arguments in Favour of Option 2
8.29 The main argument in favour of this option is that based on cost efficiency: a policy of deduction avoids both the transaction costs associated with reimbursing the collateral source and the wasteful duplication of compensation, which is the consequence of cumulation.Furthermore, this option is consistent with the function of compensatory damages being to compensate and no more. The plaintiff is returned to the position he enjoyed prior to the accident occurring, without making a profit or receiving double compensation.
8.30 Cooper argues that the provider of the collateral benefit will normally be in a better position to spread the loss than the defendant. While tortfeasors are not selected by the plaintiff because of their loss spreading ability, collateral sources in the private sphere invariably are. Moreover, statutory benefits are usually financed by the community at large. Therefore, if the loss suffered by the plaintiff is absorbed by the collateral source, it is unlikely to be noticed by anyone whereas, without deduction from the plaintiff's damages, the entire loss falls to be paid by the defendant who may be unable (in the absence of liability insurance) to meet the cost.
8.31 Cooper advocates a policy of deduction for all collateral benefits but without a mechanism for their reimbursement to the collateral source.He reasons that where the collateral benefit is provided under legal obligation, the third party benefactor obligation to confer the benefit is greater than the defendant's obligation to pay the damages. Hence, he argues that the collateral source should bear the burden of the compensation, with the tortfeasor only fulfilling the role of an indemnifier. In his opinion, the operating costs of running any compensation system are already heavy; therefore, to employ two systems in the process of compensating a single pecuniary loss is economically wasteful.
8.32 Furthermore, shifting the burden of the loss to the defendant does not
effectively alter the burden of those who ultimately finance the plaintiff's
compensation by much. Reimbursement means that the cost of third party
liability insurance (which pays the defendant's damages) is marginally raised
and the various forms of first party insurance (which finances the collateral
compensation schemes) are reduced. However, since most people contribute in one
way or another to both, such a readjustment of the loss is arguably
unnecessary. Cooper comments:
"The ordinary man carries plaintiff insurance through sick-pay and pension
schemes; through the National Health Service; and through social security
benefits. All these he pays for by some means. He carries third party liability
insurance on his motor car and increasingly as an additional item attached to a
householder's contents policy; his union or employer may carry third party
liability protection for him in respect of any liability he incurs during the
course of his employment; and, in any event, his employer is likely to be sued
in respect of his tortious actions while at work, and he will in some way
contribute to the insurance his employer carries. A retransfer of the loss from
the first category of the plaintiff to the second of defendant protection will
probably make no financial difference to him at all."
Arguments against Option 2
8.33 The arguments against a policy of deduction are inevitably the same as
those in favour of a policy of non-deduction considered above at paragraphs
8.04-8.08. In short the main concern with a policy of non-deduction seems to be
that the defendant is relieved of liability at the expense of the collateral
benefit provider. Cooper points out that as the law would have burdened the
defendant with the loss if there had been no collateral benefit, the financers
of the collateral benefit appear to have paid needlessly:
"Their finances, it appears, have been applied to purchase something which the
law would otherwise have provided at the expense of the tortfeasor. There is an
even greater appearance of injustice where the plaintiff himself is one of the
financers of the benefit."
34. The corollary of a reduction of the defendant's liability is that the
punitive and deterrent function of compensatory damages (should such a function
exist) would be decreased. This issue has already been discussed in detail.
Evaluation of the Arguments on a Policy of Deduction
8.35 A policy of deduction avoids double compensation and all its disadvantages and wasteful effects. On the other hand it abrogates any deterrent punitive effect which an award of damages against a tortfeasor may have. The Commission has stated previously that the function of compensatory damages in tort law is to compensate; the categories of exemplary, punitive and aggravated damages insofar as they exist in Irish law fulfil any other required function. To incorporate an express element of punishment into compensatory damages would be to distort the role of damages. This is not to deny that public morality might justifiably recoil from allowing the tortfeasor benefit, albeit inadvertently, from certain collateral benefits which the injured party either earned or was given by way of third party benevolence. Therefore, it must be considered whether this option would be in the public interest; is it desirable that the financial burden of providing all of the plaintiff's compensation could fall on the collateral source?
8.36 The Law Reform Commission is provisionally of the view that the option of
deduction is least wasteful of society's resources and is therefore the
preferred method of avoiding double compensation. The Commission however
recognises that there are compelling reasons which may justify the exception of
certain benefits from a general policy of deduction, for example insurance and
charitable benefits. It is for this reason that the Commission provisionally
recommends a general policy of deduction subject to certain exceptions, which
are justified in the public interest.
Option 3: Deductibility with Reimbursement of the Collateral Benefit
Provider
8.37 With reimbursement, the disadvantages associated with the policies of
cumulation and deduction are avoided,
viz
. the overcompensation of the
plaintiff or the reduction of the defendant's liability. The source of the
benefit provider's reimbursement will depend on whether the collateral benefit
is deducted from the plaintiff's damages. Where this is the case the benefit
provider would recoup his losses against the defendant. Where there is no
deduction, the plaintiff repays the collateral source. On the face of it, this
option seems to be the most favourable as regards public policy. It is,
however, necessary to ascertain the existing mechanisms in Irish law, which
would facilitate the operation of such a policy.
1 Repayment of the Collateral Benefit by the Plaintiff
8.38 Where no deduction from the plaintiff's damages takes place there are a
number of potential mechanisms which may be employed to oblige the plaintiff to
repay the collateral benefit provider such as, where there is a contractual
obligation; or where the payment was made on a condition and that condition is
fulfilled; or where the court demands an undertaking from the plaintiff.
a) Contractual Obligation
8.39 Where the plaintiff is contractually bound to reimburse the collateral source, the latter may commence an action for breach of contract if the plaintiff does not fulfil his obligations. Hence, it is possible for most providers of collateral benefits to stipulate in a contract with the injured plaintiff that, where the latter receives an award of damages from the tortfeasor, he must repay the collateral benefits, which he has received. This is a viable option for employers as there is already a contractual relationship, it is doubtful, however, whether this is a real option for the providers of charitable assistance.
8.40 The legitimacy of a contractual obligation to repay has been recognised by
the Supreme Court in
McElroy v Aldritt
. The plaintiff, after sustaining
an injury through the negligence of the defendant, continued to receive his
wages from his employer despite being unable to work. The defendant, therefore,
claimed that the court, in assessing the plaintiff's loss of earnings, should
take into account the income, which he continued to receive from his employer.
However, the plaintiff's employer had made these payments on the condition that
if the plaintiff succeeded in tort against his wrongdoer then he would repay
the wages to his employer. Lavery J, for the Supreme Court, upheld the trial
judge's direction to the jury to ignore the wages which the plaintiff received
on the basis that,
"It is impossible for the defendant as the wrongdoer to mitigate the damage for
which he is responsible by relying on voluntary payments made by a third person
to provide for the support of the plaintiff on an arrangement that he should be
recouped if and when the plaintiff was in a position to do so and it can make
no difference that that person was the employer of the plaintiff."
b) Payment on a Condition which Subsequently Fails
8.41 It may be that where the payment was made on condition, for example, that the plaintiff does not receive damages, where the condition fails the collateral benefit provider has a claim in restitution on the basis of `failure of consideration.' The relevance of the law of restitution in this regard is uncertain; the habitual terminology is not easily reconciled with a claim by the benefit provider against the plaintiff. From the outset one does well to bear in mind O'Dell's warning against permitting an overlap in the usage of the words `restitution' and `compensation', or the use of `unjust enrichment' to mean something like `undeserved windfall'. Restitution is the imposition of a requirement to return money or other property to its rightful owner where its retention would be unjust. It has been described as "a distinctive legal concept, separate from both contract and tort".
8.42 For restitution to apply four conditions must be satisfied. In Dublin Corporation v Building and Allied Trade Union Keane J explained that there must be (i) an enrichment to the defendant; (ii) at the expense of the plaintiff; (iii) in circumstances in which the law will require restitution; (iv) where there is no reason why restitution should be denied. For the purposes of the collateral benefits debate (i) and (ii) do not pose any problems - the benefit in question is easily identifiable as emanating from the benefit provider who would become the plaintiff in a restitution action. The third condition is the enquiry as to the `unjust' element. In Dublin Corporation Keane J lists possible instances as where money is paid under duress, as a result of a mistake or where there is failure of consideration. The word `consideration' in the law of restitution is understood to mean the performance of a promise. The application of the concept of unjust enrichment to facilitate reimbursement of the benefit provider by the plaintiff would entail interpreting the receipt by the injured party of damages as failure of an implicit condition that he would not receive damages. This failure of the condition then renders the retention by the injured plaintiff of the collateral benefit unjust.
8.43 The use of the word `unjust' may be misleading. O'Dell notes that the three instances noted by Keane J all have in common the idea that the payor of the benefit did not intend to `enrich' the payee. He notes Professor Birks explanation that the word identifies "a general way those factors which according to the cases themselves, called for the enrichment to be undone." This interpretation is more easily reconciled with the situation with which we are concerned. There remains however the fact that the provider of the benefit does so usually either voluntarily as in the case of charitable benefits or pursuant to an obligation. Goff and Jones comment that "In principle the fact that a benefit has been conferred as a valid gift should always preclude restitution". The authors similarly note that where there was a common law, statutory or equitable obligation to confer the benefit, a claim in restitution will fail. O'Dell concludes that a plaintiff seeking restitution where there has been a contract must first demonstrate that the contract is ineffective.
8.44 The English Law Commission considered the possible relevance of the law of restitution in the context of collateral benefits. They were of the opinion that where a collateral source confers a benefit on the plaintiff either voluntarily (e.g. charitable assistance) or under a legal obligation by virtue of a contract, or perhaps legislation (e.g. insurance payments or pensions), the provider has no restitutionary claim to recover the value of the benefit. The only possible use of restitutionary principles would be where the benefit is conferred on the plaintiff under a condition which `fails': this would facilitate a restitutionary claim for the provider of the benefit on the basis of a `failure of consideration.' In order for the conferring of a collateral benefit to ground a restitutionary claim, the Commission states that the condition must have been made express - in order to prevent those who merely change their minds about giving a plaintiff a gift from having a restitutionary claim.
8.45 In view of the foregoing, it is likely that the law of restitution in its
current state does not provide a method by which an injured plaintiff can be
required to reimburse a collateral benefit provider. If the only relevance of
restitution is where there is an express condition, this is as easily catered
for under the law of contract.
c) Repayment Pursuant to an Undertaking demanded by the Court
8.46 Where there is no legal obligation to repay, as under (a) above, this mechanism may be employed by the court provided that there is a moral obligation on the part of the plaintiff to repay the collateral source. The court may award damages on the condition that the plaintiff reimburses the collateral source with the value of the benefit, which he had received. Cooper has noted that the English and Canadian courts have employed this mechanism where a moral obligation existed. The Australian courts, however, have refused to demand an undertaking from the plaintiff, but nevertheless awarded full damages on the understanding that there would be reimbursement.
8.47 Cooper argues that this device of `conditional damages' could be extended by the courts to cover any case where it was considered that deduction, without a form of reimbursement, would unjustly burden the collateral source to the effective relief of the tortfeasor.
8.48 The downside however, is that the imposition of an undertaking is obviously at the discretion of the court in each individual case and does not, therefore, bring certainty into the law. This also means that it is impossible to guarantee that the plaintiff shall not be over-compensated. The advantage, however, is the inherent flexibility of this method, which permits reimbursement of the collateral source where it is considered necessary. Moreover, further legal actions by the collateral source seeking repayment of the benefit are avoided.
8.49 McGregor comments that, although it may be difficult to identify the
precise grounds on which the court is entitled to make a judgment conditional
in this way, "the procedure has such utility that it should not be subjected to
too technical a questioning." McGregor considers that this option would not be
appropriate in those cases where it is difficult to identify a moral obligation
on the part of the plaintiff to repay.
2 Recoupment of the Collateral Benefit from the Defendant
8.50 Where the value of the collateral benefit is deducted from a plaintiff's
damages it is the defendant who putatively gains. Thus the various mechanisms
which may be employed to return the value of the collateral benefit from the
defendant to its source are now considered.
a. Subrogation
8.51 Subrogation has been described as,
"the right of an insurer which has discharged its obligations to an insured to
be put in the place of the insured so that it can take advantage of any rights
available to the insured to diminish or discharge the loss for which the
insured has been indemnified."
The right of subrogation is only available to indemnity insurers. In the case
of such insurance, the insured is indemnified to the extent of the loss
sustained and no more. Subrogation is not available in respect of non-indemnity
policies such as personal accident or health insurance, the essential
difference between the two types of policy being that in the latter case the
insurance cannot effect exact restoration for the insured.
8.52 The basis for the differential treatment of indemnity and non-indemnity
insurance policies has been criticised as arising from tradition as opposed to
any current justification. Certain non-indemnity policies, whilst not
facilitating the operation of subrogation, are often intended to indemnify the
insured for a particular loss. Examples include accident policies, which
provide for payments to be made on an indemnity basis, and life policies taken
out by creditors on the lives of their debtors. Indeed, Mitchell comments
that:
"More fundamentally, it seems highly questionable whether it is a sensible
principle which gives an insured the right to accumulate recoveries from his
insurer and third parties where he has lost an arm, for example, but denies it
to him where he has lost a piece of property, even though the loss of both
results in economic loss to the insured."
8.53 It may be argued that the principle of subrogation should also operate in the context of what are traditionally regarded as non-indemnity policies. Subrogation by the collateral provider has the added advantage of avoiding the necessity for two sets of proceedings against the defendant - the provider of the collateral benefit merely `steps into the shoes' of the plaintiff. In Germany conventional subrogation allows insurers to provide for the assignment of liability claims in the contract of insurance.
54. The English Law Commission points out that in order to operate effectively
to prevent overcompensation subrogation is dependant on the insurer actually
exercising his rights. In this regard, the Commission cites empirical evidence
to illustrate how infrequently subrogation is exercised in practice.
8.55 As the terms of this Attorney-General's reference are concerned with ensuring that there be no double compensation in respect of the same loss, the extension of the doctrine of subrogation to this area would arguably not achieve this aim if insurers do not avail of their rights. Moreover, as an insurer may provide contractually for the refund of insurance payments from the plaintiff, there would arguably be little merit in extending the doctrine unless it provides some extra incentive to insurers to use subrogation rights.
8.56 In this regard the experience of some of the continental countries is
indicative of the sort of mechanisms required to reap any rewards from the
doctrine of subrogation. Subrogation is widely used by social insurance
carriers in France, Germany and Belgium. In practice, the rights are exercised
by bulk loss sharing and recoupment arrangements between the private insurers
and the social insurance carriers thus obviating the costly process of
individually seeking to enforce rights. The Belgian experience is an exception
to this method and the costs of accidents are also more expensive in that
country.
b) Restitution
8.57 The discussion of the relevance of the law of restitution to this debate above at paragraphs 8.41-8.45 is equally applicable to the case where there has been deduction of the collateral benefits from the injured party's damages. One could argue instead of the failure of basis, that the benefit provider was compelled to pay the injured party but as the collateral source did not intend for the defendant tortfeasor to be enriched an action lies. Again, however, either the contractual or the voluntary elements may preclude the use of restitution to reimburse the benefit provider. The dicta of Kingsmill-Moore in Attorney General v Ryan's Car Hire Ltd provides an insight into the current law in Ireland in this regard.
8.58 Attorney General v Ryan's Car Hire Ltd concerned a claim by the Minister for Defence in respect of expenses it had incurred by reason of the defendant's negligence towards a sergeant in the defence forces. The plaintiffs sought to recover on the grounds of an action per quod servitium amisit , and alternatively under restitutionary principles. In dealing with the latter `novel' claim Kingsmill-Moore J referred to the English authorities on the subject which essentially offer two views.
8.59 The first as enunciated by Atkinson J in Receiver for the Metropolitan Police District v Tatum. is that "where A is compelled to pay money which B is legally liable to pay, A can recover from B, on whom the real liability rests". In this context B is the defendant tortfeasor who is considered to be legally liable for the payment because his negligence was the cause of A being compelled to pay. However in Monmouthshire County Council v Smith Lynskey J confronted by a similar situation found that the defendant was not liable to pay any damages for loss of wages as he had not in fact lost any. This was the preferred view of the Court of Appeal.
8.60 Having reviewed the authorities, Kingsmill-Moore J said that the tortfeasor is only liable for the direct injuries which he has caused to the injured plaintiff and not for indirect injuries to a third party who suffers indirectly as a result of an injury to the plaintiff with the exception of the common law actions of per quod servitium amisit and per quod servitium consortium amisit. He also expressed the view that to accede to the plaintiff's claim on restitution "would be making a new and undesirable extension of the law".
8.61 At present the Commission is of the opinion that the scenario of a
collateral benefit provider suing a defendant tortfeasor does not fit into the
hitherto recognised categories of claims in restitution in this country.
a. An action in the tort of negligence for economic loss against the
tortfeasor by the collateral source
8.62 The neighbour principle as enunciated by Lord Atkin in Donoghue v Stevenson, which outlines the type of relations which may give rise to a duty of care, is of such a wide breadth that not surprisingly it has always been necessary to ascertain the limits barring recovery so as to preclude "liability in an indeterminate amount for an indeterminate time to an indeterminate class". One of the casualties of this cautionary approach has been the right to recover for pure economic loss in an action for negligence. Historically the right was rejected. However, with regard to negligent misstatement it is now well established. In Murphy v Brentwood District Council , the House of Lords proclaimed a broad bar on the recovery of economic loss beyond the already clearly defined perimeters. In Ireland however the cases show that the same criteria applies to all actions in negligence without distinction on the basis of the nature of the loss.
8.63 In
Ward v McMaster
McCarthy J. declined to dilute the words of Lord
Wilberforce and expressed the duty of care as arising from the proximity of the
parties, the foreseeability of the damage, and the absence of any compelling
exemption based upon public policy. This standard test appears to be equally
applicable to an action for economic loss. In
Sweeny v Duggan
Barron J,
after reiterating McCarthy J's test stated as follows:
"The nature of the loss is not material. Liability in negligence extends to
both personal injury and economic loss suffered by reason of the defendant's
wrong...Proximity must mean the existence of a duty of care such that if the
person owing the duty is careless there is likelihood that damage will be
caused to the person to whom it is owed."
8.64 More recently in
McShane Wholesale Fruit and Vegetables Ltd. v Johnston
Haulage Co. Ltd
. Flood J, who had to decide the particular issue of whether
damages are recoverable in respect of economic loss consequent on a negligent
act, explained the situation as follows:
"The quality of the damage does not arise. It can be damage to property, to the
person, financial or economic....The question as to whether the damage (of
whatever type) is recoverable is dependent on proximity and foreseeability
subject to the caveat of compelling exemption on public policy....the fact that
the damage is economic is not in itself a bar to recovery where the other
elements above stated are present."
8.65 In the context with which we are concerned a collateral benefit provider would be seeking to claim for economic loss occasioned by injury sustained by a third party i.e. relational economic loss. The Irish judiciary have not had much opportunity to consider this but in the absence of a bar on such an action then the success of a collateral benefit providers claim would be dependent on proving the above factors and that there were no policy considerations which precluded recovery.
8.66 In this context in Canada, where they also chose not to step back from the
principles outlined in
Anns v Merton London Borough Council,
these
factors, particularly that of proximity, have been considered in more detail
with regard to recovery for economic loss. In
Norsk Pacific Steamship Co. v
Canadian National Railway Co
. McLachlin J, for the majority, offered a
proximity test in order to ascertain when damages were recoverable:
"Proximity may be established by a variety of factors, depending on the nature
of the case....In determining whether liability should be extended to a new
situation courts will have regard to the factors traditionally relevant to
proximity such as the relationship between the parties, physical propinquity,
assumed or imposed obligations and close causal connection."
The test however did not have the backing of the complete majority as Stevenson
J, recognising the policy considerations which required clear limits as to the
categories of prospective plaintiffs, preferred the `known plaintiff test' i.e.
recovery ought be restricted to specific individuals whom a defendant could
have reasonably foreseen would be likely to suffer economic loss.
8.67 The arguments of the minority, and also of various academic writers,
against recovery are also very persuasive. La Forest J quotes extensively from
Lord Fraser in
Candlewood Navigation Corporation v Mitsui OSK Lines Ltd
with regard to the development of the rule against recovery for economic
loss in England, and one particular example he gives is apposite here.
"An individual injured by a negligently driven carriage has an action against
the owner of it. Would a doctor, it may be asked, who had contracted to attend
him and provide medicines for a fixed sum by the year, also have a right of
action in respect of the additional cost of attendance and medicine cast upon
him by that accident? And yet it cannot be denied that the doctor had an
interest in his patient's safety.....Such instances might be indefinitely
multiplied, giving rise to rights of action which in modern communities, where
every complexity of mutual relation is daily created by contract, might be
numerous and novel."
d) An action grounded in per quod servitium amisit
68. The action per quod servitium amisit is a relic of the old master and servant relationship, the former being considered to have a proprietary interest in the services of the latter. The action has been much restricted in recent times and is rarely invoked. Nevertheless it remains a potential action where a person commits a tort against the servant thereby depriving the master of his services. In modern terms an employer could bring an action to recover the economic consequences sustained from the defendant's actions, such as sick pay or the cost of paying the premiums for an income continuance plan or an occupational disability benefit insurance. The test of service is de facto not de jure however in a number of cases it has been held that such claims cannot be maintained with regard to servants of the State.
8.69 In
Attorney General v Ryan's Car Hire
the Minister for Defence
could not recover from the defendants for the losses incurred due to an
accident they had caused a sergeant in the Air Corps on account of this.
Kingsmill-Moore J in rejecting the plaintiff's argument professed himself to
be
"averse to any attempt to extend the scope of an action which, together with
the action
per quod consortium amisit
, appears to me to be anomalous and
one to be restricted rather than extended."
The possible scope of this action was further restrained by O'Keeffe P in
Chapman v McDonald
where he considered that it really only applied to
domestic situations.
8.70 Given these restrictions and the fact that it would only ever be an option
with regard to certain types of collateral benefits and only one type of
provider,
viz
. an employer, the action is not a viable mechanism for
transferring the cost of the collateral benefit from the provider to the
tortfeasor. It is of too limited an application to ground any sort of a general
policy of reimbursement.
Arguments in Favour of Option 3
8.71 As highlighted above, a policy of reimbursement appears to be the most attractive from a public policy perspective. Furthermore, Cooper points out that where a collateral benefit derives from a scheme to which a large number of people contribute, the reimbursement to that scheme of the value of the benefit should reduce the cost of contributing towards the scheme. For example, in an insurance context this policy of reimbursement should reduce the insurance premiums that are borne by the public as a whole.
8.72 Moreover, Lewis argues that the money recouped by the collateral source
could be reallocated in order to assist those whose injuries were not caused by
a tort and who, therefore, have comparatively meagre compensation. However he
recognises the practical problems of such an aim: very rarely would monies
recouped by the collateral source be earmarked for other deserving purposes
such as the compensation of those victims of non-tortious injury. Rather, the
monies would, as noted in the preceding paragraph, be absorbed into the
`general pool' of funds and therefore only have the result of boosting the
collateral source's profits and, perhaps, lowering the cost of the
contributors' premiums. In this regard, therefore, it may be argued that,
rather than reimbursing the collateral source, the value of the collateral
compensation could be transferred into a central fund with the aim of assisting
those victims of injury who do not have the possibility of recourse to tort
law.
Arguments against Option 3
8.73 Militating against an overall recommendation that double compensation be avoided by means of a general policy of reimbursement is the economic reality of such a proposition. As can be seen from the brief overview above, the law in its current state of development does not provide any simple way to effect a retransfer of monies, apart perhaps from when the injured party is under a contractual obligation to reimburse the benefit provider. The possible causes of action outlined entail proof of further facts, criteria, and claims in a court of law. This necessarily involves additional costs. The value of the benefit will also have to be assessed. When one then compares the amount of money clawed back the initial attractiveness of the option diminishes.
8.74 Apart from the practical feasibility of this option there also arises the question as to its desirability. Reimbursement spreads the loss solely onto the defendant and the collateral source bears none of the burden. Where the collateral source has a legal obligation to confer the benefit on the plaintiff, it could be argued that the former was under a greater obligation to pay the compensation than the defendant (who is liable as the result of a moment's inadvertence). Furthermore, as alluded too earlier in this paper, the defendant is probably less likely to be able to subsume the costs than the collateral benefit provider.
8.75 The aforementioned arguments are prefaced on the assumption that the
benefit provider is usually an insurer and while this is often the case it is
of course not always so. Consequently in addition there may be the difficulty
of ascertaining who exactly provided the collateral benefit e.g. in the case of
charitable donations from the general public following a huge disaster.
Reimbursement in such cases can fairly be said to be unworkable.
Evaluation of a Policy of Reimbursement
8.76 A mechanism which immediately provides for the transfer of money back to its source and away from the tortfeasor without recourse to the courtroom would obviate many of the arguments against a policy of reimbursement. A policy of reimbursement is workable where arrangements between collateral benefit providers facilitate transfers such as in some of the foreign jurisdictions examined in chapter 6. Where this type of mechanism is not however in place, the costs of establishing one would be extensive.
8.77 The Commission is of the opinion that a policy of reimbursement is not viable, particularly in light of the following: (i) the overall aim of reforming the law to avoid double compensation implies that any recommendation should facilitate the optimum use of resources; (ii) the mechanisms currently available in Irish law to retransfer the loss from the benefit provider to the tortfeasor are insufficient to base a general policy of reimbursement.
8.78 The Commission has no evidence to indicate the costs which would be involved in transferring losses from one source to another. However, it is provisionally of the opinion that they are significant enough to operate against the adoption of a policy of reimbursement.
8.79 The Commission's provisional recommendation is in favour of a general
policy of deduction as this facilitates the optimum use of resources.
Furthermore, as the purpose of compensatory damages is to compensate and a
punitive/deterrent element is not recognised in this jurisdiction, the
retransfer of costs from the collateral benefit provider to the defendant is
not necessary.
Provisional Recommendation
8.80 Having considered the merits of the three broad policy options, the
Commission is provisionally of the view that a general policy of deduction
promotes the optimum use of society's resources. The Commission recognises
however, that in respect of certain benefits there may be compelling reasons
which justify non-deduction; for example the deduction of charitable benefits
could serve to discourage social solidarity and benevolence therefore it is
preferable not to deduct charitable benefits. The reform option chosen
therefore becomes a general rule of deduction subject to certain exceptions
justified in the public interest.
9.01 In this chapter the arguments, rationales and policy options discussed elsewhere in this paper are applied to the individual collateral sources of compensation and the Commission sets out its provisional recommendations. It was stated in the previous chapter that the Commission prefers a general policy of deduction subject to certain exceptions. This is considered to be the most cost effective method of compensating for the losses caused by accidents. It has also been stated that the Commission prefers the `effect' approach as to whether a benefit actually compensates the injured party or not i.e. even if a collateral payment is not intended to compensate for the same loss as an award of damages compensates, if its effect is to compensate the plaintiff for the same loss, then the amount of the benefit should be deducted from the award of damages which compensates for that loss.
9.02 Bearing in mind these broad policy recommendations, the main arguments for and against the deductibility of each collateral benefit are set out below. In respect of certain benefits, the arguments against deduction are considered more convincing and hence the Commission finds that certain exceptions to a general rule of deduction are justified. This is not surprising in view of the analysis in previous chapters of the law in other jurisdictions. No country has opted for pure deductibility without exceptions: charitable benefits and non-indemnity insurance payments are the most obvious and oft-cited of these exceptions.
9.03 The Commission is aware that the recommended change from a general rule of non-deduction to one of deduction entails a considerable change in the law. In this respect it is important to remember that to deduct a collateral benefit from an award of damages is not to take away a benefit earned by a plaintiff, rather it is to recognise that insofar as a payment is received, a loss is mitigated and therefore less damages are required to compensate that loss.
9.04 As the Commission favours a general rule of deduction as the most effective method of dealing with the costs of accidents, any exceptions which allow double compensation should be carefully limited. Certain collateral benefits, (such as insurance payments and pensions) may be funded in a variety of ways: they may be entirely privately financed and paid for by the direct contributions of the plaintiff; they may be wholly funded by a third party such as an employer for the benefit of the plaintiff; or, they may be jointly financed by contributions from both the employer and employee. In some cases some Commissioners are of the opinion that reasons justifying non-deduction may not be applicable to all of these methods of financing a benefit.
9.05 The Commission believes that the public interest is best served by legislation which is certain and can be applied with minimal cost and complication. It is essential that any exceptions to the general rule should not lead to the introduction of additional issues into the already lengthy and complex litigation process. Nor should the exceptions be so widely framed as to negate the benefits of the general rule of deduction. The Commission has chosen in this Consultation Paper to recommend certain exceptions as opposed to opting for complete deductibility of all benefits. Submissions are welcome on all aspects of these provisional recommendations.
9.06 Current statutory deductions are governed by the five year rule. Where the
Commission recommends deduction of a particular type of collateral benefit the
details of how future deductions should be addressed is dealt with at the end
of this chapter.
Insurance Payments
9.07 Indemnity insurance is already normally subject to subrogation rights at
common law. The types of insurance which offer collateral sources of
compensation to accident victims are usually non-indemnity policies such as an
accident insurance policy; these do not contain subrogation rights. It must be
pointed out that all or part of the payments under such policies may often
compensate for a non-pecuniary loss for which an award of damages does not
compensate, in which case, in view of the foregoing broad policy
considerations, it would not fall to be deducted.
Arguments against Deductibility
* The plaintiff has
paid for
the insurance policy and is entitled to
benefit from his or her thrift and foresight.
* This reasoning can also be applied to situations where the plaintiff has not
paid the contributions directly but rather indirectly through some facet of the
employment relationship: e.g. many collective bargaining agreements provide for
the payment of such policies by the employer in lieu of a higher wage.
* Where the contributions have been paid by a third party such as the employer
on a voluntary
ex-gratia
basis the payment of same is in order to
attract the employee and is part of the employment relationship. Thus any
deduction would interfere with that relationship and penalise the plaintiff.
* The wrongdoer should not benefit from the plaintiff's foresight, thrift etc.
* The general deterrent effect of awards of damages would be diminished as
deduction allows the tortfeasor to avoid full economic liability for the
consequences of his or her actions.
* The maxim
res inter alios acta
is applicable: the contract existed
independently of the event which caused the payment of the insurance.
* Insurance payments fulfil a valuable function in providing interim payments
to the insured before any award is made; it is therefore in the public interest
to encourage insurance coverage as it reduces the burden on the State and
society in general.
* Deduction would act as a disincentive to people to take out insurance
policies as it would mean that the insured person is effectively worse off than
the uninsured. Even if the insured were to be given credit for premiums paid he
or she would still suffer a disadvantage, having already made the sacrifice at
the time of paying the premiums.
* Deduction would complicate the tort system unduly. An example of further
issues which could arise in litigation are whether a collateral benefit that
would have been paid if the plaintiff had submitted a claim ought to be taken
into account; or whether the plaintiff was contributorily negligent in failing
to pay the renewal premium and thus allowing the policy to lapse.
* Deduction from general damages could lead to higher awards of damages.
* Deduction would also complicate settlements.
Arguments in favour of Deductibility
* The plaintiff still benefits from the policy as he or she has the peace of
mind and security of knowing he is covered against the insured eventualities.
Furthermore, insurance often covers losses not covered by tort damages. The
plaintiff also has the advantage of early compensation.
* Where an employer or third party pays the premiums on a voluntary
ex-gratia
basis, the purported justifications of thrift and foresight on
the part of the plaintiff do not exist and therefore the payments ought to be
deducted.
* The wrongdoer is not really benefiting as it is the insurer who pays in most
cases.
* The function of damages is compensatory therefore the tortfeasor is strictly
only liable for the net loss caused by the accident; insofar as insurance
payments compensate the plaintiff the tortfeasor is not liable.
* Deduction would not act as a disincentive to purchasing insurance as the
public does not generally consider tort law when taking out insurance.
* Deduction could lead to lower premiums as it allows for the possibility of a
policy which stipulates the repayment of insurance in the event of a successful
tort claim and consequently offers lower premiums.
* Deduction would not influence any purported deterrent effect of damages'
awards as accidents are usually the result of a moment of inadvertence and do
not involve the calculation of the financial consequences by the tortfeasor.
Provisional Recommendation
9.08 The Commission is of the view that insurance payments should be excepted from the general rule of deduction which it recommends. The non-deductibility of such payments is considered to be in the public interest. The important role of insurance in inter alia , cushioning people against the losses consequent on accidents in their immediate aftermath, is one which society in general benefits from and therefore ought to be encouraged. As the injured party has paid for the policy, they are entitled to gain from their thrift and foresight.
9.09 Some Commissioners provisionally recommend that only insurance payments which are entirely unrelated to the plaintiff's employment, i.e. financed separately by the plaintiff, should be non-deductible. It is considered that where the insurance policy has been wholly or partially financed by an employer, the reasons for non-deductibility are not as convincing as the plaintiff has not exercised the aforementioned thrift and foresight.
9.10 It is recognised that there may be objections to this delimitation on the exception to deductibility on the ground that the plaintiff has paid for the payments through his or her work - the so called social wage argument - and therefore no distinction should be made between an entirely privately plaintiff funded policy and one paid for by the plaintiff by virtue of his or her employment. However it is considered that the greater public interest is served by the elimination of double compensation for reasons discussed earlier in this paper; where the employer has partially or entirely paid for the insurance policy and the payments are not deducted from an award of damages which compensates for the same loss, the employer is funding double compensation with consequent waste of resources and increased costs of employment. To widen the scope of this exception, they believe, invites the litigation of further extraneous issues, e.g. whether the employer really funded the policy in lieu of a higher wage or not, whereas the strict guidelines proposed would be capable of straightforward application in practice.
9.11 Some Commissioners prefer the view, which is favoured in the UK and common law jurisdictions discussed in chapter 6, that where the plaintiff can prove that he has paid for the insurance policy, either by direct contributions or through his labour, and in lieu of a higher wage, these insurance payments should also be non-deductible. Under this view the two other methods of funding insurance payments - jointly by employer and plaintiff employee, and entirely by the employer - are potentially non-deductible. This avoids the concerns that the plaintiff is being denied the benefit of contributions made in the context of the employment relationship by being treated differently to the person who purchased a policy outside of the employment context.
9.12 It was noted in chapter 7 that there may be certain types of insurance
payments which do not fall within section 2, namely where the policy is taken
out by the employer as an indemnity against any payments which he or she might
be required to pay in the event of an accident sustained by an employee. This
would include, for instance, an income continuance plan. The Commission is of
the view that these payments are not covered by section 2 and are therefore
deductible. Not only is there no reason to allow over-compensation, but a
policy of non-deduction is particularly inequitable where the employer is the
defendant, as the one person is responsible for doubly compensating the
plaintiff. Moreover, in such cases, the insurance cover is not directly for the
benefit of the employee, so the social wage argument does not apply.
Charitable Payments
9.13 Charitable payments have traditionally been excepted from the general rule
of deduction. However a difference of opinion and indeed law has arisen in
cases where the defendant tortfeasor is the donor. It is possible that benefits
in kind do not fall within section 2 of the
Civil Liability (Amendment) Act,
1964
. Even if this is the case it has already been pointed out that
benefits in kind are not deductible at common law. The Commission sees no
reason for distinguishing between charitable monetary payments and benefits in
kind and its recommendations in this sphere encompass both types of charitable
benefit.
Arguments against Deductibility
* It is in the public interest to encourage social solidarity and benevolent
behaviour.
* The wrongdoer should not be relieved by the generosity of others. To deduct
would offend public feeling.
* The intention of the donor is not to cover any of the losses covered by tort
damages, rather they simply intend to express sympathy, or perhaps cover
non-pecuniary losses which, since the nature of these losses is impossible to
quantify, can never be overcompensated.
* It follows that it would be impossible to identify from which head of damages
the payment ought to be deducted, at least in the case of cash payments.
* Charitable benefits, like insurance payments, fulfil an important function as
they are more immediate than tort awards; deduction would discourage public
giving or could lead to a change in its pattern, perhaps causing people to wait
until after the award. This would increase the burden on the State, not to
mention the injured party.
*
Res inter alios acta applies
.
* The erratic nature of charitable benefits would mean that deduction would not
have any appreciable effect on insurance premiums; thus no public interest
would be served by their deduction.
Arguments in favour of Deductibility
* Deduction would not discourage charitable payments; indeed if the donor were
to think about the effect, he or she might prefer that there would be no
overcompensation once the purpose of alleviating the immediate effects of the
accident was fulfilled.
* Any discussion of the intention of donors involves a fictional imputation of
intention as some donors may prefer that there be no overcompensation and one
cannot know individual intentions: all should be treated alike.
Provisional Recommendation
9.14 The Commission believes that there is a clear public interest in treating charitable benefits as non-deductible. Such an exception is justified in the public interest in order to encourage public giving through charity as an expression of social solidarity. Spontaneous acts of benevolence might be chilled if charitable benefits were to be deducted.
9.15 When the payments or other benefits emanate from the tortfeasor, the same
arguments used in favour of non-deduction of all other charitable benefits
dictate that these payments be deducted in order not to discourage this type of
giving. Moreover, when the tortfeasor is the donor one cannot argue that the
wrongdoer is being relieved by the donor. It is recognised that the tortfeasor
can protect himself and could, if he or she wanted pre-award payments to be
used in mitigation of damages, stipulate this as a term of the payment. It is
also possible that the tortfeasor may want to make a charitable donation
without his insurers reaping the benefits, although it is considered that this
is too infrequent a possibility as to hold much weight. In the final analysis
the Commission finds the arguments in favour of deducting pre-award charitable
payments from defendant tortfeasors more convincing and accordingly
provisionally recommends that they be deducted.
Pensions
9.16 It is only where a person is in receipt of a pension, the payment of which arises as a consequence of an accident, and also claims damages for loss of earnings, that the issue of double compensation arises. It follows logically from the general rule of deduction which focuses on the effect of a benefit that where a pension fulfils the above two criteria it is a potential collateral benefit i.e. it arises as a consequence of the accident and compensates for the same loss as a head of damages. These are the only type of pension payments which are at issue in this debate and the subject of the discussion below. Furthermore, only pension payments received earlier than the normal retirement age can potentially be collateral benefits, as after that age a person would be in receipt of a pension regardless of any action for damages.
9.17 On this analysis it is clear that a state disability pension will always be a collateral benefit where damages are claimed. An ordinary state retirement pension will not, as it is not payable before the age of 65 or 66 depending on the pension and therefore the Commission does not consider it to be a potential collateral benefit.
9.18 In the occupational pension sector, as was explained in chapter 7, there are essentially two types of pension schemes; defined contribution schemes and defined benefit schemes. The pension payable under either scheme will be the sum of a person's contributions in addition to the investment earned by those contributions.
9.19 Early retirement is regulated by the Revenue Commissioners who permit a
pension to be paid at any age if it is due to ill-health; otherwise a person
must be at least 50 years old. However, even if a person retires earlier than
age 50 and takes an ill health early retirement pension, the payments are still
essentially the sum of their contributions plus the investment earned. It is
only in the case of an enhanced benefit scheme that they will receive more.
Arguments against Deductibility of Pension Payments
* Pension payments are indistinguishable from insurance monies, therefore the
paid for and associated arguments apply, as entitlement stems from
contributions funded by the plaintiff.
* Where entitlement arises through a pension scheme associated with the
plaintiff's work, this is equivalent to the payment of contributions privately
by virtue of the concept of the social wage, i.e. the plaintiff has earned the
entitlement through his or her work in lieu of a higher wage.
* The accident is the
causa sine qua non
and not the
causa
causans
of receipt of the payment.
* Deduction would complicate and perhaps discourage settlements.
* A pension is intrinsically different from a wage in that the latter is a
"reward for contemporaneous work" while the former is "the fruit through
insurance, of all the money which was set aside in the past in respect of his
past work". Therefore payments should not be deducted from damages for loss of
earnings.
* The wrongdoer should not be allowed to benefit from the fruit of the
plaintiff's past work.
* Early pension payments also seek to compensate for non-pecuniary losses such
as the change in lifestyle, pain and suffering etc. This is illustrated by the
fact that they will often continue to be payable even if the plaintiff later
takes up alternative employment.
* Entitlement to statutory disability pensions arises by virtue of PRSI
contributions; therefore no distinction should be made between statutory
pensions and private pension payments.
Arguments in favour of Deductibility of Pension Payments
* Regardless of whether the payments serve any additional purposes, the effect
is to compensate for loss of earnings and therefore they ought to be deducted.
* The employer bears the burden of the extra payments under enhanced benefit
schemes, therefore where the employer is also the defendant, one party is
funding the plaintiff's double compensation and the costs of employment in
general are unnecessarily increased.
* Not to deduct early pension payments is inconsistent with the deduction of
sick pay or disability benefit payable pursuant to an employer indemnity
insurance policy as these types of payment fulfil the same function.
* Where the plaintiff is a member of a pension scheme by virtue of their
employment and the employer has either entirely or partially paid the pension
contributions, there is no element of investment and thrift therefore such
payments should be deducted.
* Statutory disability pensions are different from pensions in the private
sector as PRSI contributions are compulsory so they do not involve the same
element of thrift and foresight and therefore do not merit exception from
deduction in the public interest.
Provisional Recommendation
9.20 The Commission is of the opinion that, as with insurance payments, there are compelling reasons which justify the exception of pension payments from the general rule of deduction. There is however a divergence of opinion as to the limits to this exception to the general rule of deduction.
9.21 The Commission agrees that there are no reasons to justify the exception of statutory disability pensions from the general rule of deduction. As discussed in chapter 7, social insurance benefits are financed by `current income financing', also known as `Pay As You Go' (PAYG). This essentially means that the contributions made in a given year are applied to making payments to beneficiaries in that year. The cost of the payments is funded by the contributions received and any deficit is met by the Exchequer. The Commission believes that the absence of an actuarial link, in conjunction with the obligatory nature of PRSI payments, and the fact that social insurance is funded by society as a whole, removes this type of pension from the scope of the exception justified in the public interest.
9.22 Statutory disability pensions are currently deductible under section 237 of the Social Welfare (Consolidation) Act, 1993 where the injury results from an accident with a mechanically propelled vehicle. The Commission favours removing this anomaly so that deduction applies regardless of where or how the accident occurs. Moreover, deduction should only be from the relevant head of damages, i.e. loss of earnings, and not from general damages as it is only where a benefit compensates for the same loss as a head of damages that double compensation arises.
9.23 Some Commissioners are of the opinion that only occupational ill health early retirement pensions or statutory disability pensions are potential collateral benefits. On this view, ordinary retirement pensions can never be collateral benefits and are therefore not deductible. The reasons are twofold: (i) entitlement to a normal retirement pension is entirely unconnected to injuries sustained in an accident and, (ii) where a person takes retirement they will not be claiming for loss of earnings.
9.24 It follows from the above that these Commissioners are only concerned in their recommendation with occupational ill health early retirement pensions. Normal retirement pensions are non-deductible as outside the scope of the collateral benefits debate. These Commissioners recommend that occupational ill health retirement pensions should be deductible from awards of damages for loss of earnings unless they have been entirely privately funded by the plaintiff outside of the employment context. It is only in these circumstances, they believe, that the pension payments merit different treatment from statutory disability pensions as the plaintiff has exercised thrift and foresight in purchasing a private policy and an analogy with the insurance exception in the same circumstances applies.
9.25 Some Commissioners prefer to adopt the criteria implied by the general rule of deduction which focuses on the effect of the benefit. This means that where pension payments arise in consequence of an accident, and serve to compensate for loss of earnings for which damages are also claimed, those pension payments are collateral benefits regardless of the term used to describe them. On this view it is still possible for an early retirement pension (not specifically an ill health early retirement pension) to be a collateral benefit.
9.26 These Commissioners are of the view that it is in the public interest to
except pension payments from the general rule of deduction for the reasons
already rehearsed in this paper. Furthermore they make no distinction between
the person who paid money directly towards a scheme and the person who paid
through their work, in lieu of a higher wage. This recognises the concept of
the social wage whereby the non-pay element of compensation is prevalent in the
modern workplace: many people receive as part of their employment package
partial payment of pension contributions by their employers. As Geoghegan J
noted in
Greene v Hughes Haulage,
" [I]n most cases the benefit policy will form part of the remuneration and the
employee will therefore be indirectly contributing to the premiums...."
9.27 These Commissioners therefore provisionally recommend that where a plaintiff can show that he or she has paid for the pension, either directly or through his or work, the early pension payments should not be deductible from an award of damages for loss of earnings. In the case of this provisional recommendation no distinction is made between the different types of pension payments in the private sector, because as pointed out above, where a person takes their pension earlier than expected on account of ill health, the substance of the pension is the same as if they had waited until normal retirement age to receive it. The only exception to this is in the case of an enhanced benefit scheme. Where a defined benefit pension scheme provides for enhanced benefits, the cost of these is borne by the employer and furthermore the plaintiff receives more than their equitable entitlement. The plaintiff is therefore not considered to have paid for this element of the pension and it should be deducted.
9.28 With regard to the calculation of damages for loss of pension rights, at issue are the extra pension payments received because the plaintiff has taken retirement earlier than expected as a consequence of the accident. The Commission holds that the pension payments received after the age at which the plaintiff would normally have been expected to retire are no longer payments `in consequence of an accident' as at this point the plaintiff would have been in receipt of pension payments regardless of any accident. The fact that the payments are of a reduced amount is compensated for under the head of damages called loss of pension rights. This purports to make up the difference between the residue of the plaintiffs' pension rights, which they are in receipt of, and the full entitlement which they would have received but for the accident. It is entirely logical that in calculating the loss of pension rights, the pension payments which the person is in receipt of after the age of normal retirement should be taken into account as clearly the pension payments mitigate this loss. The Commission is of the opinion that as these payments are no longer a consequence of the injuries for which damages are claimed they are outside the scope of section 2.
9.29 However, prior to the normal pensionable age, the payments are not being
used as normal pension payments as they are compensating the plaintiff for the
loss of a job and therefore to take them into account in assessing damages for
loss of pension rights would eliminate much of the compensation for this loss.
The reason for not deducting the earlier payments from damages for loss of
pension rights is best explained by repeating the dicta of Lord Hope in
Longden v British Coal Corporation
:
"What the plaintiff is seeking in his claim for pension loss is a sum of money
to recompense him for the loss of the retirement pension which would otherwise
have been available to enable him to support himself and his family after his
normal retirement age. It is of no help to him to be told that the money to
compensate him for this loss is already being paid to him and that it will
continue to be paid to him during the period when he is unable to earn wages
because of his disability. He cannot reasonably be expected to set aside the
sums received as incapacity pension during this period in order to make good
his loss of pension after normal retirement age."
Sick Pay
9.30 As noted at paragraphs 7.48-7.49 above, certain types of social welfare
benefit which are in effect sick pay are already deductible from damages for
loss of earnings for a period of up to five years from the date of the
accident. These are injury benefit and disablement benefit which are payable
where injuries are sustained due to employment, and sickness benefit where
injuries are sustained from an accident involving a mechanically propelled
vehicle.
Arguments in favour of Deductibility
* The purpose of sick pay is to compensate for loss of earnings and therefore
not to deduct clearly allows overcompensation.
* Not to deduct sick pay would provide a perverse incentive to not return to
work as the injured employee could retain the pay and recover for loss of
earnings.
* In cases where the employer is also the defendant, the non-deduction of sick
pay would place an undue financial burden on the employer who must doubly
compensate the injured employee.
* Not to deduct sick pay is inconsistent with the deduction of statutory
disability pensions.
Arguments against Deductibility
* Sick pay is a form of insurance and therefore falls within that exception.
* Sick pay is earned by service, especially where it is often an accrued right,
to this end the paid for argument also applies here.
* Those employers who do not provide for the recovery of sick pay in the event
of an award of damages for loss of earnings must intend the employee to be the
recipient of the benefit.
* To set off sick pay against damages for loss of earnings ignores the fact
that the plaintiff is unable to work, thus in the United States sick pay is
seen to be for loss of earning capacity and is non-deductible.
Provisional Recommendation
9.31 The Commission provisionally recommends that all types of sick pay should be deducted from a plaintiff's award of damages for loss of earnings: to the extent that sick pay is received there is no loss of earnings and consequently not to deduct is to permit double compensation. Unlike in the case of insurance or retirement pensions, there are no compelling reasons to allow double compensation in this instance. Statutory injury and disablement benefits are largely financed by employers. Indeed the original rationale for the introduction of section 39 of the Social Welfare (Occupational Injuries) Act, 1966 which governed the deductibility of injury and disablement benefit and was a precursor to section 75 of the Social Welfare (Consolidation) Act, 1993 was based on the fact that such payments were entirely funded from employer's PRSI. Likewise the employee contribution element is usually missing in the case of income continuance plans.
9.32 Furthermore the public interest would benefit from the reduced costs of employment resulting from the indirect reduction in the financial burden on employers. It is submitted that there are no reasons to distinguish between benefits paid under occupational schemes and under statute in this regard. To the extent that a person may be said to earn sick pay the argument applies equally to both types of payment. Also, in practice, the payment received by the employee may consist of the statutory entitlement plus a contractual amount. Neither does entirely voluntary sick pay warrant any separate treatment as it also serves to mitigate the plaintiff's loss of earnings, and unless the employer attaches the condition that the wages be repaid, non-deductibility would cause double compensation.
9.33 Thus it is irrelevant if the source of the sick pay is statute, an
employer indemnity insurance plan, an income continuance plan, occupational
disability benefit or any combination of these. The only situation where the
source of the sick pay is significant is where the payments are made by an
employer on condition that they be repaid in the event of an award of damages.
In such a case it is clear that double compensation will not arise by
non-deduction as the plaintiff employee will not be permitted to retain the
payments.
Social Welfare Payments
9.34 The deductibility of various social welfare benefits is already largely
governed by specific statutory exclusions. Our recommendations have already
dealt with social welfare benefits in respect of sickness and disability under
the relevant headings above. To the extent that social assistance payments
could arise in consequence of an injury, it is submitted that the regulation of
entitlement to assistance payments means that in effect they will not give rise
to double compensation. Possible arguments are considered below in relation to
any social welfare payments, not already the subject of a recommendation, which
could give rise to double compensation.
Arguments in favour of Deductibility
* The insurance analogy is not applicable to social insurance as the Pay As You
Go method of financing the payments removes any actuarial link between
contributions and payments. Furthermore, the contributory principle means that
benefits do not accrue in proportion to contributions.
* The thrift and foresight reasons for excepting insurance payments do not
apply to social insurance payments as PRSI payments are compulsory.
* Social welfare payments serve to compensate the recipient for the loss of an
income which would normally be available from a person's own means. Where the
cause of the payment is an accident for which damages are claimed, no loss is
sustained insofar as the social welfare payment already compensates the
plaintiff, the payments should therefore be deducted from the appropriate head
of damages.
Social insurance payments are funded by society as a whole and therefore to
allow double compensation by not deducting is particularly wasteful of
society's resources.
Arguments against Deductibility
* Social insurance contributions have "a significant insurance dimension which
is not outweighed by the absence of an actuarial link between benefits and
contributions" and therefore the insurance analogy is applicable.
* The purpose of social welfare payments is to assist people in need and not
the wrongdoer. They are therefore akin to charitable benefits and should be
non-deductible on these grounds.
* Given the uncertainty of the duration and amount of the payments, the
calculation of any deductions, especially when dealing with lump sum awards, is
fraught with difficulty.
Provisional Recommendation
9.35 Any exceptions to the general rule of deduction must be founded on compelling reasons which dictate that non-deductibility is in the public interest. It follows that any social welfare payment, whether it is contributory or non-contributory, which serves as a collateral source of compensation for an accident victim, should be deducted unless there are public policy reasons which justify its exception.
9.36 The Commission is of the opinion that since the costs of social welfare
payments are borne by society as a whole, either directly through PRSI
contributions or indirectly through taxation, they should be deductible from
any award of damages which meets the same as the payment in question. The
compulsory nature of social insurance payments precludes the application of the
insurance analogy. As regards whether the present period of five years is
acceptable, this is discussed below.
The Five Year Rule for Deduction of Benefits
9.37 The Commission's recommendations for eliminating unnecessary double
compensation entail the deduction of the following collateral benefits:
* charitable payments emanating from the tortfeasor;
* insurance payments financed through the plaintiff's employment (this is the
provisional view of some Commissioners);
* insurance payments where the plaintiff cannot show that they have financed
the policy, either directly or through their work (this is the provisional view
of some Commissioners);
* statutory disability pensions, payable prior to normal pensionable age;
* occupational ill health early retirement pensions where they are not entirely
financed privately by the plaintiff outside of the employment context (this is
the provisional view of some Commissioners);
* pension payments received before the normal expected retirement age where the
plaintiff cannot show that they have paid for same (this is the provisional
view of some Commissioners);
* sick pay, or any type of pay which fulfils this function, including under
statute or occupational schemes;
* any other social welfare payment, whether contributory or non-contributory,
which compensates for the same loss as an award of damages.
9.38 At present the specific statutory provision for deduction of certain social welfare payments from damages stipulates that deduction takes place in respect of "the value of any rights which have accrued or will probably accrue ..... for the five years beginning with the time the cause of action accrued." The reasons for fixing on this period have been discussed already at paragraphs 7.66-7.68 above. While it is recognised that five years is essentially a compromise, it is submitted that some cut off point for the deduction of future benefits is necessary.
9.39 There are many practical difficulties associated with the calculation of future social welfare payments, such as changes in eligibility due to changes in the nature of the injuries and statutory regulation which reflects budgetary and other government policies. In addition, other factors such as inflation, the economic climate in general, recovery sooner than expected or later than expected, or death, are all elements which render the deduction of any type of future payments an exercise fraught with imprecision. The Commission is therefore provisionally of the view that with the exception of charitable payments from the defendant tortfeasor (which will be precisely quantifiable), any deduction of future benefits should be subject to a maximum period of five years.
9.40 In practice this five year limit entails a decision by the judge as to
when the plaintiff is likely to return to work or recover from injuries
sufficiently to be able to return to work. If it is decided that a plaintiff
will most probably be in receipt of disability benefit for example, for the
subsequent six years, then a maximum of five years' benefits are deducted from
damages for loss of earnings. If on the other hand, it is estimated that a
plaintiff will be capable of returning to full time employment after four
years, only four years benefits are deducted from the damages. Should the
plaintiff in fact find him or herself unable to return to work at the end of
year four, he or she has the advantage of an extra year's disability benefit
which was not deducted; however as the damages for loss of earnings would also
have been calculated on the basis of the plaintiff returning to work at that
time, it can hardly be said to be an advantage.
Submissions
9.41 The Commission reiterates that all of the above recommendations are
provisional and welcomes submissions on any aspect of the debate.
1. that the main mechanism of compensating for loss in our legal system is tort law;
2. that the main function of damages in such a system is to compensate for
actual or net loss.
Far-reaching changes to section 2 of the
Civil Liability (Amendment) Act,
1964
will be required under the provisional recommendations set out below
and we welcome submissions on all aspects of these recommendations.
1. The Need for a Move to a General Rule of Deductibility
The Commission provisionally recommends that the public interest in reducing
or eliminating double compensation requires that a broad principle of deduction
of all collateral benefits should be established in Irish
law
.
This means that the main departure point of section 2 which is
non-deductibility should be changed to become one of deductibility
.
2. Collateral Benefits that do not meet a Loss Covered by Damages are not
Covered by the Broad Rule of Deductibility
The Commission provisionally recommends that any collateral benefit that
does not compensate for a loss covered by damages should continue to be deemed
non-deductible as this does not give rise to double compensation.
This means that an amended version of section 2 ought to state unambiguously
that the new rule of deduction only applies to collateral benefits which
compensate for a loss that is also compensated for by an award of damages.
3. Any Exceptions to the Broad Rule of Deductibility should be regulated by Statute and not left to Judicial Discretion
In the interests of clarity and predictability, the Commission
provisionally recommends that any exceptions to the general rule of
deductibility should be set out under statute law and not left to judicial
discretion.
This means that the statutory language should be as clear as possible, leaving
no room for argument by analogy or otherwise to expand existing exceptions
(such as they might be) or to tack on new ones through creative
interpretation.
4. Considerations of the Public Interest Require Two Heads of
Exception
The Commission provisionally recommends that certain collateral benefits
that may have the intent or effect of compensating for a loss (and thus doubly
compensating in the event of an award of compensatory damages) should
nevertheless be deemed non-deductible on the ground of public policy as
follows:
*
Certain Insurance Payments Should be Exempted as a Non-Deductible Item
on Public Policy Grounds
The Commission is provisionally of the view that there is a clear public
interest in treating certain insurance payments as non-deductible. Such an
exception is justified in the public interest to ensure that an individual can
enjoy the benefits of his own thrift and foresight in circumstances where he
insures against future contingencies
.
Some Commissioners provisionally recommend that where the individual
directly pays insurance premiums, such insurance payments are to be deemed
non-deductible, whereas all others are deductible.
Other Commissioners add to the above that where it is reasonable to assume
that a plaintiff indirectly contributes, such as where the payment of such
premiums by his employer can be considered as is in lieu of a higher wage, such
insurance payments are also to be non-deductible.
*
Charitable Payments as a Non-Deductible Item on Public Policy Grounds
The Commission is provisionally of the view that there is a clear public
interest in treating charitable payments, not emanating from the defendant
tortfeasor, as non-deductible. Such an exception is justified in the public
interest in order to encourage public giving through charity as an expression
of social solidarity. Such spontaneous acts of giving might be chilled if the
benefit were to be deducted. We make no distinction between monetary charitable
payments and benefits in kind.
The same reasons which dictate non-deduction for third party charitable
benefits operate in favour of deduction of charitable payments from the
tortfeasor and the Commission therefore provisionally recommends their
deduction.
5. The Deductibility of Pensions
The Commission provisionally recommends that all statutory disability
pension payments be deductible from awards of damages for loss of
earnings.
Some Commissioners are provisionally of the view that a pension which is
classified as a retirement pension is not a collateral benefit and therefore
the issue of deduction does not arise.
These Commissioners are of the view that only occupational ill health
retirement pensions financed in a manner unrelated to the employment are
non-deductible and all other ill health pensions, including statutory
disability pensions, are deductible.
Other Commissioners are provisionally of the view that any pension payment
which arises as a consequence of an injury and compensates for the same loss as
an award of damages is a potential collateral benefit.
These Commissioners are of the view that where a plaintiff has paid for the
pension scheme, either directly, or indirectly through his or her employment,
the payments should be non-deductible. These Commissioners consider that
because of the structure of occupational pensions it is not viable to
distinguish between disability pensions and early retirement pensions, as the
payments emanate from the same contributions and investment in either case.
Where however enhanced benefits are payable under the pension scheme, the
plaintiff cannot be shown to have paid for same and these will be
deductible.
The Commission is provisionally of the view that the pension payments after
the age at which a person would normally be expected to retire are not payments
`in consequence of an accident' as those payments would have been payable,
albeit at a higher level, even if the accident had not taken place. These
payments are therefore outside of the scope of section 2 and thus will be taken
into account in the calculation of an award of damages for loss of pension
rights.
6. Sick Pay
The Commission is provisionally of the opinion that any payment which
purports to, or has the effect of, compensating for loss of earnings while a
person is incapable of carrying on their normal employment should be deductible
from damages for loss of earnings. Thus we believe the deduction of both
statutory and non-statutory types of sick pay is in the public interest as it
eliminates double compensation and reduces employment costs where the employer
is the defendant tortfeasor.
7. The Deductibility of Social Welfare Payments
The Commission is provisionally of the view that since the costs of social
welfare payments are generally borne by society as a whole, they should be
deductible from an award of damages provided the payment in question goes to
meet the loss compensated for by the award of damages.
8. The Impracticability of the Reimbursement Option at Present under Irish
Law
The Commission recognise the moral and intellectual attractiveness of
reimbursement of the collateral benefit provider which functions effectively to
deny the defendant any undue benefits from a general rule of
deductibility.
However, the Commission provisionally recommend that such an option is not
viable in Ireland at present since it works optimally in legal systems where,
unlike ours, the tort system of compensation is mixed with general social
compensation and where elaborate transfer arrangements exist within the
insurance industry.