Mosiane v Road Accident Fund (2152/2017) [2021] ZAFSHC 259 (18 October 2021)
- Citation
- [2021] ZAFSHC 259
- Status
- Judgment
- Jurisdiction
- South Africa
- Court
- Free State High Court, Bloemfontein
- Panel
- Page AJ
- Case number
- 2152/2017
More details
- Court
- Free State High Court, Bloemfontein
- Panel
- Page AJ
- Case number
- 2152/2017
On this page
Professional case brief
Research organized from the available case record
01
Holding and result
The court found that the plaintiff had proven her entitlement to compensation for past medical expenses through the submission of medical vouchers, which were not challenged by the defendant. The plaintiff's compromised work capacity and vulnerability in the labour market were established by expert evidence, justifying compensation for past and future loss of earnings. The actuarial calculations and contingency deductions applied by Johan Sauer Actuaries were accepted as a reasonable basis for quantifying the plaintiff's damages. The defendant was ordered to pay the specified amounts for past medical expenses and loss of income, furnish an undertaking for future medical expenses, and pay costs.
Court disposition
Plaintiff's claim for past medical expenses and past-and-future loss of income is upheld. Defendant is ordered to pay specified amounts and furnish an undertaking for future medical expenses.
Orders
- The defendant is ordered to pay the plaintiff the sum of R 121,687.77 in respect of past medical expenses.
- The defendant is ordered to pay the plaintiff the sum of R 861,033.67 in respect of past-and-future loss of income.
- If the defendant does not pay the capital amount within 180 days from the date of this order, interest at the prescribed rate will accrue, compounded and calculated 14 days from the date of this order.
- The defendant is to furnish an undertaking to the plaintiff in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 for 100% of the costs of future accommodation, treatment, services, or goods arising from the injuries sustained in the motor vehicle collision.
- The defendant is liable for payment of the plaintiff's taxed or agreed party and party costs on the High Court scale.
02
Material facts
Parties
A A Mosiane
Plaintiff Counsel: G G CrossRoad Accident Fund
Defendant Counsel: RD CanhamAmounts and remedies
- Past Medical Expenses: ZAR 121,687.77
- Past and Future Loss of Income: ZAR 861,033.67
03
Procedural history
Posture
Civil Trial / Judgment After Trial on Quantum
04
Questions and positions
Legal issues
- 01
Whether the plaintiff is entitled to compensation for past medical expenses as a result of injuries sustained in a motor vehicle accident.
- 02
Whether the plaintiff is entitled to compensation for past and future loss of earnings and earning capacity.
- 03
What contingency deductions are appropriate in calculating the plaintiff's loss of income.
Party arguments
- Applicant
- The plaintiff argued that she sustained multiple injuries in the motor vehicle accident, resulting in significant physical and psychological sequelae. She submitted medical vouchers as proof of past medical expenses and relied on expert medico-legal reports to establish her compromised work capacity and future loss of earnings. The actuarial calculations and contingency deductions provided by Johan Sauer Actuaries were presented as a fair basis for quantifying her damages.
- Respondent
- The defendant admitted liability for 100% of proven damages and accepted the contents of the plaintiff's medico-legal reports. No evidence was presented to challenge the medical vouchers or the expert opinions regarding the plaintiff's loss of earning capacity. The defendant agreed to furnish an undertaking for future medical expenses under section 17(4)(a) of the Road Accident Fund Act.
05
Court’s reasoning
Legal principles
- 01
Road Accident Fund v Kerridge 2019(2) SA 233 (SCA) para 42-43
Contingency deductions in loss of earnings calculations are inherently arbitrary and subject to the trial court's wide discretion, as the future cannot be predicted with certainty.
- 02
Goodall v President Insurance Co Ltd 1978 (1) SA 389 (W)
Presentation of medical vouchers constitutes prima facie proof of expenses incurred and their reasonableness and necessity, in the absence of contrary evidence.
06
Ratio, limits and disposition
Ratio decidendi
The court found that the plaintiff had proven her entitlement to compensation for past medical expenses through the submission of medical vouchers, which were not challenged by the defendant. The plaintiff's compromised work capacity and vulnerability in the labour market were established by expert evidence, justifying compensation for past and future loss of earnings. The actuarial calculations and contingency deductions applied by Johan Sauer Actuaries were accepted as a reasonable basis for quantifying the plaintiff's damages. The defendant was ordered to pay the specified amounts for past medical expenses and loss of income, furnish an undertaking for future medical expenses, and pay costs.
Obiter and limits
- Contingency deductions are not an exact science and require the exercise of judicial discretion based on the circumstances of each case.
- The plaintiff's low level of education and limited work experience increase her vulnerability in the open labour market, justifying a higher contingency deduction.
Court disposition
Plaintiff's claim for past medical expenses and past-and-future loss of income is upheld. Defendant is ordered to pay specified amounts and furnish an undertaking for future medical expenses.
- The defendant is ordered to pay the plaintiff the sum of R 121,687.77 in respect of past medical expenses.
- The defendant is ordered to pay the plaintiff the sum of R 861,033.67 in respect of past-and-future loss of income.
- If the defendant does not pay the capital amount within 180 days from the date of this order, interest at the prescribed rate will accrue, compounded and calculated 14 days from the date of this order.
- The defendant is to furnish an undertaking to the plaintiff in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 for 100% of the costs of future accommodation, treatment, services, or goods arising from the injuries sustained in the motor vehicle collision.
- The defendant is liable for payment of the plaintiff's taxed or agreed party and party costs on the High Court scale.
Source and reliance status
Free State High Court, Bloemfontein
This page organises the available record for research. Confirm quotations, current status, and subsequent treatment against the official source before relying on the case.
Judgment reading view
Judgment text
The complete available source text.
Free State High Court, Bloemfontein
Judgment
IN
THE HIGH COURT OF SOUTH AFRICA
FREE STATE DIVISION, BLOEMFONTEIN
Case no: 2152/2017
In the matter between:
A
A MOSIANE
Plaintiff
and
THE
ROAD ACCIDENT FUND
Defendant
CORAM:
PAGE AJ
HEARD ON: 17th and 18th of August 2021.
DELIVERED ON: 18 October 2021.
[1] The Plaintiff instituted a claim for damages against the Defendant for injuries sustained as a result of a motor vehicle accident which occurred on 3 May 2016 at Winburg Road, Ventersburg within the jurisdiction of this court.
[2] The parties agree that the Plaintiffâs injuries and sequelae are the following:
Injuries sustained as a result of the accident:
· Left distal radius/wrist fracture.
· Pelvis and right hip injury.
· Bilateral knee injuries.
· Cervical spine injury.
· Right knee injury.
· Head/ Facial injury
· Future surgery is envisaged in the form of a total right knee replacement, revision total right knee replacement, and arthroscopy and debridement of the right and/or left knee joint with a possible meniscus repair.
Sequelae as a result of the injuries sustained:
· Marked scarring / disfigurement.
· Severe pain in the right thigh with swollen painful knee.
· Headaches
· Emotional problems and depression.
· Psychologically vulnerability with relapses.
· Difficulty to stand having a negative impact on occupational and personal life.
· Pain and discomfort with significant impairment of movement which makes it difficult to work.
[3] At the inception of the trail the parties recorded the following agreement between them:
2.1 The issue of liability has been settled. The defendant admitted to being liable for 100% of the damages proven by the Plaintiff.
2.2 The Defendant will issue an undertaking in terms of Section 17(4)(a) of the Road Accident Act 56 of 1996 ( RAF Act) in respect of all future medical expenses.
2.3 The Plaintiffâs general damages has been referred to HPSCA and remains an issue in dispute for later determination.
[4] What remains to be decided by this court is:
3.1 Past Medical Expenses;
3.2 Past-and Future Loss of earnings and earning capacity.
[5] The Defendant admits the contents of the medico-legal reports from the various experts presented by the Plaintiff.
Past Medical Expenses:
[6] The Plaintiff has submitted medical vouchers in respect of medical expenses incurred. The Defendant has not furnished any evidence to counter the said medical vouchers.
It is found that the presentation of the medical vouchers constitute prima facie proof of:
6.1 The fact that the expenses were incurred by the Plaintiff as a result of the accident in question; and
6.2 That the expenses constitute a reasonable and necessary expense incurred by the Plaintiff as a result of the accident.
[7] In the absence of any evidence to the contrary the said medical vouchers are accepted as conclusive proof of the Plaintiffâs past medical expenses.
Past-and Future Loss of Income
[8] The following facts are not in dispute between the parties:
Pre-accident career qualifications:
The Plaintiffâs highest level of education is Grade 7 without any further formal education. Her work history includes that of a domestic worker and general worker. At the time of the accident the Plaintiff was employed as a cleaner at the University of the Free State. Her pre-accident report has been described within the medium work parametres.
Pre-accident earnings and career path:
[9] At the time of the accident the Plaintiff was earning a salary of R 3 700.00 per month. Currently, the Plaintiff remains employed as a cleaner at the University of the Free State performing medium work tasks. She will continue to work in the same capacity and is currently earning R 5 400.00 per month.
The Plaintiff does not meet the demands of full range light medium and heave parameters. She is best suited for work within sedentary to occasional light duty parameters and is not suited to work as a cleaner. Her normal retirement age is 65 years.
Plaintiffâs income Post-Accident:
[10] The following facts are admitted between the parties in respect of the Plaintiffâs post-accident career path:
The Plaintiff returned to work 3 months following the accident. Her work capacity had been compromised due to her physical limitations which prevented her from doing physical labour again and had to be accommodated in a sedentary or light duty position. If not accommodated, the Plaintiff will only be able to work for another 5 to 10 years. Pain and discomfort is expected to hamper her accuracy and productivity and further to this is expected to negatively impact on her salary increase and bonuses. Her work capacity is described to being âsignificantly compromised.â She is best suited for sedentary or light duties but may struggle to obtain and sustain such work having regard to her low level of education and work experience which is limited to exclusive physical labour. She would require workplace accommodation which may not be reasonable to the majority of workers. She is considered to be a more vulnerable employee on the open labour market and is not suited to her pre-accident and current employment.
Early Retirement
[11] Dr Oelofse opines that the Plaintiff would have been able to work until the normal retirement age of 65 years if not for the injuries sustained in the accident. He confirms that she will not be able to do physical labour any longer. If accommodated in a light or sedentary position she will be able to work to the age of 60 years old. If not accommodated, the Plaintiff will only be able to work for another 5 to 10 years.
[12] The Contingency Factor
In Road Accident Fund v Kerridge 2019(2)SA 233 (SCA) at para 42 reads:
âContingencies are arbitrary and also highly subjective. It can be described no better than the oft-quoted passage in Goodall v President Insurance Co Ltd 1978 (1) SA 389 (W) where court said: âIn the assessment of a proper allowance for contingencies, arbitrary considerations must inevitably play a part, for the art or science of foretelling the future, so confidently practised by ancient prophets and soothsayers, and by authors of a certain type of almanac, is not numbered among the qualifications for judicial office.â And in para 43: âit is for this reason that a trial court has a wide discretion when it comes to determining contingencies.â
[13] In order to determine the appropriate contingency deductions, and to estimate the monetary value of the Plaintiffâs Past- and Future Loss of Income, the actuarial calculations of, and the contingencies applied by Johan Sauer Actuaries is used as a useful basis, bearing in mind the age of the Plaintiff at the time of the accident, her current age and the fact that, as a result of the accident and injury sustained the Plaintiff is currently regarded as unemployable.
[14] In the premises, I make the following order:
ORDER:
1. The Defendant is ordered to pay the Plaintiff the sum of R 121 687.77 in respect of past medical expenses.
2. The Defendant is ordered to pay the Plaintiff the sum of R 861 033.67 in respect of past-and- future loss of income.
3. In the event that the Defendant does not, within 180 (one hundred and eighty) days from the date on which this order is handed down, make payment of the capital amount, the Defendant will be liable for the payment of interest on such amount at the prescribed rate of Interest, compounded and calculated 14 (fourteen) days from date of this order.
4. The Defendant is to furnish an undertaking to the Plaintiff in terms of Section 17(4)(a) of the Road accident Fund Act 56 of 1996, for 100% of the costs of the future accommodation of the Plaintiff in a hospital or nursing home or the treatment of or the rendering of a service of the supplying of goods to her arising out of injuries sustained by her in the motor vehicle collision of 28 March 2015.
5. The Defendant is liable for payment of Plaintiffâs taxed or agreed party and party costs on the High Court scale.
C L Page AJ
COUNSEL FOR PLAINTIFF : G G CROSS
Instructed by: c/o Du Plooy Attorneys
49 Parfitt Avenueâ
PARK WESTâ
BLOEMFONTEIN
Attorney for Defenant: RD CANHAM
STATE ATTORNEYS.
Case-aware research
Ask AI about this case
The judgment and available research above are public. New questions open in a separate private conversation grounded in this case.