Terblanche v Road Accident Fund (36691/14) [2020] ZAGPPHC 157 (6 March 2020)
- Citation
- [2020] ZAGPPHC 157
- Status
- Judgment
- Jurisdiction
- South Africa
- Court
- North Gauteng High Court, Pretoria
- Panel
- MMP Mdalana-Mayisela
- Case number
- 36691/14
More details
- Court
- North Gauteng High Court, Pretoria
- Panel
- MMP Mdalana-Mayisela
- Case number
- 36691/14
On this page
Professional case brief
Research organized from the available case record
01
Holding and result
The court found that the disability pension paid to the plaintiff under the Commuting Journey Policy by Rand Mutual Assurance Company Ltd is an insurance benefit procured by the employer for the employee's benefit. Such benefits are considered res inter alios acta and do not constitute compensation for the plaintiff's losses arising from the collision. The applicable case law establishes that these insurance benefits should not be deducted from the damages awarded for past loss of earnings by the Road Accident Fund. The defendant is therefore not entitled to deduct the disability pension from the plaintiff's past loss of earnings award.
Court disposition
The defendant is not entitled to deduct the disability pension paid to the plaintiff by Rand Mutual Assurance from the past loss of earnings award. The previously handed down order stands.
Orders
- The defendant shall pay to the plaintiff an amount of R750,136.52 for past hospital, medical and related expenses.
- The defendant shall pay to the plaintiff an amount of R767,617.00 for past loss of earnings.
- Interest at 10% per annum shall accrue on any outstanding amounts from fourteen days after the date of the order until payment.
- The settlement amount and taxed or agreed costs shall be paid into the trust account of Van Velden-Duffey Attorneys by direct transfer.
- The defendant shall pay the plaintiff's costs of suit, including interest at the legal rate from fourteen court days after allocator to date of payment, and including costs of Senior Counsel's preparation, day fee, fees for drafting heads of argument, and costs of all medico-legal, radiological, actuarial, pathologist, addendum and joint reports obtained by the plaintiff and served on the defendant before 7 October 2019, except for the actuarial reports dated 14 October 2019 and 30 October 2019.
02
Material facts
Parties
Terblanche Jacobus Willem
Plaintiff Counsel: Adv P Du Plessis SCRoad Accident Fund
Defendant Counsel: Adv M RabaneyAmounts and remedies
- General Damages: ZAR 800,000
- Past Hospital, Medical and Related Expenses: ZAR 750,136.52
- Past Loss of Earnings: ZAR 767,617
- Capitalised Value of Disability Pension (cjp): ZAR 4,141,870.49
03
Procedural history
Posture
Delictual Action / Reasons for Order Following Settlement of Most Issues; Determination of Deductibility of Disability Pension
04
Questions and positions
Legal issues
- 01
Whether the disability pension paid to the plaintiff under the Commuting Journey Policy by Rand Mutual Assurance Company Ltd should be deducted from the calculation of past loss of earnings.
- 02
Whether the benefit received by the plaintiff from Rand Mutual Assurance is an insurance benefit regarded as res inter alios acta and therefore not deductible.
Party arguments
- Applicant
- Counsel for the plaintiff argued that the disability pension received from Rand Mutual Assurance under the Commuting Journey Policy is an insurance benefit, which should be regarded as res inter alios acta and therefore not deductible from the past loss of earnings award. Reference was made to case law supporting the position that such benefits are not compensation for the plaintiff's losses but are additional insurance procured by the employer, and thus should not advantage or injure the Road Accident Fund.
- Respondent
- Counsel for the defendant submitted that the disability pension paid to the plaintiff by Rand Mutual Assurance should be deducted from the past loss of earnings award. However, during oral argument, it was conceded that this submission could not be sustained in light of the applicable case law, and no clear grounds for the deduction were advanced.
05
Court’s reasoning
Legal principles
- 01
Erasmus Ferreira & Ackermann v Francis (311/08) (2009) ZASCA 54 (27 May 2009)
Questions regarding collateral benefits are normative in nature and must be approached in terms of policy principles and equity, weighing the interests of the plaintiff, defendant, source of the benefit, and the community.
- 02
Van der Merwe A M N.O obo H Odendaal v RAF case no. 14154/2011 (13 June 2014, unreported)
Benefits paid by Rand Mutual Assurance under an employer-procured policy are in the nature of insurance and are res inter alios acta, meaning they are transactions between the employer and insurer that cannot advantage or injure third parties such as the Road Accident Fund.
06
Ratio, limits and disposition
Ratio decidendi
The court found that the disability pension paid to the plaintiff under the Commuting Journey Policy by Rand Mutual Assurance Company Ltd is an insurance benefit procured by the employer for the employee's benefit. Such benefits are considered res inter alios acta and do not constitute compensation for the plaintiff's losses arising from the collision. The applicable case law establishes that these insurance benefits should not be deducted from the damages awarded for past loss of earnings by the Road Accident Fund. The defendant is therefore not entitled to deduct the disability pension from the plaintiff's past loss of earnings award.
Obiter and limits
- The employer's benevolence in procuring additional insurance for employees does not create a right for the Road Accident Fund to deduct such benefits from damages awards.
- The approach to collateral benefits requires careful consideration of policy and equity, ensuring that compensation for loss is not unfairly reduced by unrelated insurance arrangements.
Court disposition
The defendant is not entitled to deduct the disability pension paid to the plaintiff by Rand Mutual Assurance from the past loss of earnings award. The previously handed down order stands.
- The defendant shall pay to the plaintiff an amount of R750,136.52 for past hospital, medical and related expenses.
- The defendant shall pay to the plaintiff an amount of R767,617.00 for past loss of earnings.
- Interest at 10% per annum shall accrue on any outstanding amounts from fourteen days after the date of the order until payment.
- The settlement amount and taxed or agreed costs shall be paid into the trust account of Van Velden-Duffey Attorneys by direct transfer.
- The defendant shall pay the plaintiff's costs of suit, including interest at the legal rate from fourteen court days after allocator to date of payment, and including costs of Senior Counsel's preparation, day fee, fees for drafting heads of argument, and costs of all medico-legal, radiological, actuarial, pathologist, addendum and joint reports obtained by the plaintiff and served on the defendant before 7 October 2019, except for the actuarial reports dated 14 October 2019 and 30 October 2019.
Source and reliance status
North Gauteng High Court, Pretoria
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.
North Gauteng High Court, Pretoria
Judgment
SAFLII Note: Certain personal/private details of parties or witnesses have been redacted from this document in compliance with the law and SAFLII Policy
REPUBLIC
OF SOUTH AFRICA
IN THE HIGH COURT OF SOUTH AFRICA,
GAUTENG
DIVISION
(PRETORIA)
(1) REPORTABLE: NO
(2) OF INTEREST TO OTHER JUDGES: NO
(3) REVISED.
CASE NO: 36691/14
6/3/2020
In the matter between:
TERBLANCHE
JACOBUS WILLEM
Plaintiff
and
THE
ROAD ACCIDENT FUND Defendant
JUDGMENT
Mdalana-Mayisela J,
(1) The order in this matter was handed down on 25 November 2019. I now hand down my reasons for such order.
(2) The Plaintiff has instituted an action against the defendant for delictual damages resulting from the collision involving his motor
vehicle and the insured motor vehicle (“the collision”), which occurred on 23 December 2011. The plaintiff was a driver at the time of the collision.
(3) This matter came before me on the basis that most of the issues have been settled between the parties. The injuries sustained by the plaintiff as the result of the collision and the sequelae thereof are common cause between the parties. Liability of the defendant to compensate the plaintiff for proven delictual damages
was settled at 100% and the defendant gave a statutory undertaking in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 (“the Act”) for the future hospital, medical and related expenses of the plaintiff. The issue of general damages was settled in the sum of R800, 000.00 (eight hundred thousand rand). It was agreed between the parties that the defendant will compensate the plaintiff in the sum of R750 136.52 (seven hundred and fifty thousand one hundred thirty six rand and fifty two cents) for past hospital, medical and related expenses. It was further agreed that the defendant will compensate the plaintiff in the sum of R767 617,00 (seven hundred and sixty seven thousand six hundred and seventeen rand) for past loss of earnings.
(4) The only issue for determination by this court is whether a disability pension paid to the plaintiff in terms of Commuting Journey Policy (“CJP”) issued by Rand Mutual Assurance Company Ltd (“RMA”) falls to be deducted from the calculation in respect of the past loss of earnings of the plaintiff.
(5) At the time of the collision the plaintiff was employed by Murray & Roberts Cementation, Marikana Mine as a shift supervisor and had been so employed since 2006. His employment was regulated by written contracts of employment dated 22 June 2006 and 16 April 2007; and the permanent employee secondment contract to the Gautrain project. In terms of the employment contract dated 22 June 2006 the plaintiff was required to belong to a Provident Fund, and also to a Death and Disability Scheme. In addition to those Schemes, the employer took out a policy known as Commuting Journey Policy issued by RMA intended to cover the accident which occurs while the employee is journeying to or from work at the beginning or at the end of a work shift.
(6) The plaintiff was injured in the collision on his way from work. As a result of the injuries sustained in the collision and the sequelae thereof, the plaintiff was found medically unfit for work and was medically boarded in June 2012. The plaintiff after he was medically
boarded has been receiving a monthly disability pension in terms of the CJP from RAM, of which the total capitalised value is R4 141 870.49.
(7) It is common cause between the parties that the plaintiff has been rendered unemployable as a result of the collision. The parties
agreed on the amount payable to the plaintiff as compensation for past loss of earnings. They disagree on whether the monthly disability pension paid to the plaintiff by RAM should be deducted from the past loss of earnings award. Counsel for the plaintiff
referred me to three case law in support of his submission that the benefit received by the plaintiff from RAM is an insurance benefit which is to be regarded as res inter alios acta and therefore not deductible. Counsel for the defendant submitted during oral argument that his instruction was that the benefit received by the plaintiff from RAM should be deducted from the past loss of earnings award. It was not clear on what grounds the defendant sought to make a deduction. Counsel for defendant conceded that such submission could not be sustained in the light of the applicable case law.
(8) In terms of the CJP, should the employee accept the benefits payable in terms thereof when he has been injured in a motor vehicle accident, any benefits received by him from the Road Accident Fund (“RAF”) is to be refunded by him to RAM. In Erasmus Ferreira & Ackermann v Francis (311/08) (2009) ZASCA 54 (27 May 2009) the Supreme Court of Appeal (“SCA”) stated:
“…..I agree with Neethling, Potgieter and Visser Law of Delict 5ed (2006) at p
215-216 that ‘(q)uestions regarding collateral benefits are normative in nature;
they have to be approached and solved in terms of policy principles and
equity’ and that in doing so ‘there should always be a weighing-up of the
interests of plaintiff, the defendant, the source of the benefit as well as the
community in establishing how benefits resulting from damage-causing event
should be treated’.
The SCA concluded that it would not be double compensation or unfair
enrichment to the plaintiff in that case, if the benefit received by him from
RAM in terms of CJP was not deducted from the RAF award, because the
plaintiff was obliged in terms of CJP to refund RAM after receiving RAF
award.
(9) In the unreported judgment of Van der Merwe A M N.O obo H Odendaal v RAF case no. 14154/2011 dated 13 June 2014 para (11), Legodi J said:
“The issue is an attempt by the Road Accident Fund to want to make a
deduction, in respect of benefits payable to the plaintiff by Rand Mutual.
These benefits cannot be viewed as compensation for the plaintiff’s losses.
They are rather in the nature of insurance effected by the employer in favour
of the employee, at the employer’s own expense and without requiring any
further quid pro quo from employee. For example, a monetary contribution or
additional work. Rand Mutual Policy is an additional insurance benefit
procured by the benevolence of the employer. It was therefore res inter alios
acta, that is, a transaction entered into between the plaintiff’s employer and
Rand Mutual which cannot advantage or injure those who are not parties to
the transaction, for example, the Road Accident Fund, and had to be
disregarded in computing the plaintiff’s damages …..”
(10) The issue in dispute in the present matter is similar to the issue that was raised in the abovementioned case law. In view of the case law I find that the defendant is not entitled to make a deduction of the amount payable in terms of CJP.
(11) Accordingly, I handed down an order on 25 November 2019 as follows:
ORDER
1. The defendant shall pay to the plaintiff an amount of R750 136.52 (seven hundred and fifty thousand one hundred thirty six rand and fifty two cents) for past hospital, medical and related expenses.
2. The defendant shall pay to the plaintiff an amount of R767 617.00 (seven hundred and sixty seven thousand six hundred and seventeen rand) for past loss of earnings.
3. In the event of delay on payment in paragraph 1 & 2 above, interest shall accrue on such outstanding amount at 10% per annum calculated from fourteen (14) days from date of this order until date of payment.
4. The settlement amount and taxed or agreed costs shall be paid into the trust account of the plaintiff’s Attorneys, Van Velden-Duffey
Incorporated, by direct transfer into its trust account, details of which are as follows:
Account holder: Van Velden-Duffey Attorneys
Bank: ABSA Bank
Branch code: 63-01-46
Account no: [….]
Reference; MAT21569
5. The defendant shall pay the plaintiff’s costs of suit together with interest thereon calculated at the legal rate from a date fourteen (14) court days after allocator to the date of payment, such costs to include but not limited to:
5.1 the costs of Senior Counsel’s preparation as well as day fee and fees for drafting heads of argument;
5.2 the costs of all medico-legal, radiological, actuarial, pathologist, addendum and joint reports obtained by the plaintiff and served on the defendant before 7 October 2019; except for the actuarial reports dated 14 October 2019 and 30 October 2019.
MMP Mdalana-Mayisela
Judge of the High of South Africa
For the Plaintiff:
Adv P Du Plessis SC
Instructed by Van Velden-Duffey Attorneys
For the Defendant:
Adv M Rabaney
Instructed by Lekhu Pilson Attorneys
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