QBE INSURANCE LTD v JANDE [1994] NSWCA 366

QBE INSURANCE LTD v JANDE [1994] NSWCA 366

The respondent was not prevented from performing all the normal duties of his occupation and, though severely restricted, his disablement was not 'total' as defined by the policy but 'partial'. As a result, compensation under the policy is limited to temporary partial disablement for the relevant period.

Parties
Appellant: QBE Insurance Ltd; Respondent: Albert Jande
Jurisdiction
Australia
Judgment Date
06 September 1994
Procedural Posture
Insurance Appeal / Appeal From District Court Judgment
Outcome
Appeal allowed
Legal Topics
Policy Construction, Accident and Sickness Insurance, Temporary Total Disablement, Temporary Partial Disablement, Contra Proferentem Doctrine

Case Brief

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Parties

QBE Insurance Ltd

Appellant

Albert Jande

Respondent

Procedural Posture

Insurance Appeal / Appeal From District Court Judgment

  1. 1 Proper construction of 'temporary total disablement' under an accident and sickness policy
  2. 2 Whether performance of some normal duties excludes entitlement to total disablement benefits

Ratio Decidendi

The respondent was not prevented from performing all the normal duties of his occupation and, though severely restricted, his disablement was not 'total' as defined by the policy but 'partial'. As a result, compensation under the policy is limited to temporary partial disablement for the relevant period.

Court Disposition

Appeal allowed

Orders

  • Appeal allowed
  • Judgment and order, other than the order dismissing the cross claim and the order for costs, of Associate Judge Patten of 26 September 1991 set aside