To Protect (your income) and Serve

Date: November 21, 2018

 

Buswell v TAL Life Ltd [2018] NSWSC 1507.

 

Key Points:

Background:

The plaintiff was a Senior Constable in the New South Wales Police Force. She was medically discharged on 28 August 2014 and received income protection benefits and the benefit period would be a maximum of seven years or until she reached 60 years of age.

The plaintiff’s income protection policy had a benefit offset clause which provided that any benefits payable would be reduced by “any Other Disability Income”, which included workers’ compensation benefits. The income protection insurer relied on this clause to reduce the plaintiff’s monthly benefit.

In 2017, the plaintiff received a settlement sum of $300,000 for damages for injuries she sustained while working for the New South Wales Police Force.

The Court found the $300,000 received by the plaintiff did not fall under the definition of “Other Disability Income” because:

The income protection insurer had to reinstate the plaintiff’s monthly benefits under the policy and had to pay the plaintiff all arrears under the income protection policy.

Lessons Learned:

If insurers wish to reduce income protection benefits payable due to damages payments, the policy needs clear wording including potentially using an appropriate formula where damages are based on a loss of future earning capacity.

 

Contact:

 

Josiah Lee
Solicitor
Direct: +61 (0) 7 3307 5506
josiah.lee@hbalegal.com

 

Hamish Craib
Partner
Direct: +61 (0) 7 3307 5503
hamish.craib@hbalegal.com

Download PDF here:  Buswell v TAL Lift Ltd

 

 

 

 

 

 

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