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Human Rights Review Tribunal of New Zealand |
Last Updated: 21 April 2015
IN THE HUMAN RIGHTS REVIEW TRIBUNAL [2015] NZHRRT
12
Reference No. HRRT 048/2011
UNDER THE HUMAN RIGHTS ACT 1993
BETWEEN ERNEST FINDLAY HEADS PLAINTIFF
AND ATTORNEY-GENERAL DEFENDANT
AT DUNEDIN BEFORE:
Mr RPG Haines QC, Chairperson
Ms WV Gilchrist, Member
Ms ST Scott, Member
REPRESENTATION:
Dr F McCrimmon for plaintiff
Mr IC Carter and Ms AL Graham for defendant
DATE OF HEARING: 19, 20 and 21 February 2013; 23 and 24 April 2013; 11 and
12 June 2013
DATE OF DECISION: 17 April 2015
DECISION OF TRIBUNAL
Introduction
[1] Where a person who has cover for personal injury dies as a result
of a fatal injury, the Accident Compensation Corporation (the Corporation)
is
liable under the Accident Compensation Act 2001 (the AC Act) to pay weekly
compensation to the surviving spouse for five consecutive
years. Such
compensation is neither means tested nor offset against other income or
assets.
[2] However, if the surviving spouse becomes entitled to weekly compensation at a time when he or she has reached New Zealand superannuation qualification age (NZSQA), he or she is entitled to such weekly compensation for a period of twelve months only.
The four year balance can only be accessed if he or she makes an election to
receive surviving spouse weekly compensation instead
of New Zealand
superannuation for that period. If such election is made the surviving spouse
will receive no New Zealand superannuation
payments for the entire duration of
the four year period in which weekly accident compensation payments are
received.
[3] The issue for determination in these proceedings is whether the
requirement that a superannuitant surviving spouse elect between weekly
accident
compensation on the one hand and New Zealand superannuation on the other
breaches the right to be free from discrimination
on the grounds of age. An
alternative claim based on the grounds of marital status was abandoned during
the hearing.
[4] Should the plaintiff’s argument succeed, it is estimated by
the Corporation that, at most, some 30 surviving spouses over NZSQA
and drawing
New Zealand superannuation only will become eligible for weekly compensation
under the AC Act each year at an additional
annual cost of approximately $1.3
million, a sum which, it is accepted, will have a negligible effect on
the levies which
fund the accident compensation scheme. Conversely, if
the same number of surviving spouses are presently receiving only weekly
compensation, the additional cost to New Zealand superannuation will be less
than $700,000 (gross) per annum which is a similarly
negligible figure.
An apology to the parties
[5] Before the evidence is addressed the long delay in publishing this
decision is acknowledged and an apology offered to the parties.
This case was
not overlooked. Rather delays regrettably occurred because all members of the
Tribunal are part-time appointees and
despite best endeavours it is not always
possible to publish decisions timeously.
THE EVIDENCE The background facts
[6] Mr Heads was born on 2 June 1941 and is currently 73 years of age.
He is a retired plumber, gas fitter and drain-layer. He turned
65 on 2 June
2006 and commenced receiving New Zealand superannuation from that date.
[7] Mr Heads’ wife, Shirley, was born on 7 June 1943. The couple married on 30
September 1961 and there are four adult children of the marriage.
[8] Prior to her death Shirley Heads was employed full-time by the
Otago District Health Board and worked at Dunedin Hospital as a senior
sterile
supply technician. Her wage was one of the couple’s two main sources of
income. The other main source was the New
Zealand superannuation received by Mr
Heads.
[9] At lunchtime on 28 April 2008 Mrs Heads was hit by a truck and
killed while on the pedestrian crossing outside Dunedin Hospital.
She died from
the injuries suffered. The driver of the truck was convicted of careless use of
a motor vehicle causing death.
[10] At the time of her death Mrs Heads was 64 years of age and Mr Heads was nearly
67.
ACC payments
[11] Among the “entitlements” (the term is used in the statute) available under the AC Act are funeral grants, survivors’ grants, weekly compensation for the spouse or partner, children and other dependents of a deceased claimant, and childcare payments. See s
69(1)(e). Schedule 1 of the Act, Part 4, sets out with greater particularity the
“Entitlements arising from fatal injuries”.
[12] By letter dated 13 May 2008 the Corporation advised Mr Heads that
it had accepted cover on the claim lodged by him in relation to
his wife’s
accidental death. Under Part 4, cl 64 Mr Heads received a funeral grant of
$5,101.38. In addition, under cl 65
a survivor’s grant of $5,469.34 was
paid. This was a one-off, non-taxable payment.
[13] By letter dated 20 May 2008 the Corporation advised Mr Heads a
determination had been made that he was eligible to receive also weekly
compensation as a surviving spouse and the Corporation would pay such
compensation from 28 April 2008. Mr Heads was entitled to
receive 60% of 80% of
his wife’s weekly earnings. The letter stated:
This amount has been calculated on the basis that Shirley Heads was earning
$802.66 a week and weekly compensation is set at 80% of
this ($642.13). You are
entitled to receive 60% of this weekly compensation (ie 60% of 80% of weekly
earnings – 60% of $642.13).
[14] It is not in dispute the weekly compensation payments under the
AC Act to a surviving spouse are not means tested in the sense that
they are not
adjusted by taking into account any other income or asset.
[15] The letter went on to advise Mr Heads that at the end of the
first year he would need to elect between weekly accident compensation
payments and New Zealand superannuation:
You are entitled to be paid weekly compensation for one year until 27 April 2009. From 28 April
2009 you will need to elect either weekly compensation or New Zealand
superannuation. We will write to you about this approximately
two months prior
to that date with a form to elect.
[16] By later letter dated 26 February 2009 the Corporation advised Mr
Heads his continued entitlement as a surviving spouse to weekly
compensation
depended on his making an election to receive those payments rather than New
Zealand superannuation:
This letter is to advise you that your continued entitlement to weekly compensation from 28 April
2009 is dependent on you electing to receive weekly compensation rather than New Zealand
Superannuation payable by Work and Income.
You must use the attached form (ACC173 New Zealand Superannuation election
notice) to make a choice to receive either weekly compensation or New
Zealand Superannuation. ACC needs advice of your decision by 28 March
2009 at
the latest. Please complete and return the form by 28 March 2009 in the
freepost envelope provided.
If you do not make a choice by 28 March 2009, ACC must assume that you have chosen to receive New Zealand Superannuation and your weekly compensation payments will stop on 27
April 2009.
If you choose to receive New Zealand Superannuation, you will need to contact Work and
Income to make an application.
If you choose to continue receiving weekly compensation your election applies
for the period from 28 April 2009 until 27 April 2013.
[17] On 19 March 2009 Mr Heads completed Form ACC173 and elected to receive weekly compensation payments as a surviving spouse. The New Zealand
superannuation payments received by Mr Heads accordingly came to an end.
They resumed on 27 April 2013 on the termination of the
five year weekly
compensation period.
[18] By letter dated 24 April 2009 the Corporation provided Mr Heads
with (inter alia) a brochure from Work and Income, being Form SFT07, in
which it was stated that any benefit from Work and Income would take into
account any accident weekly compensation payment and
the benefit would be
reduced by the net amount of that weekly compensation payment. In other words,
while the accident compensation
payment was not subject to a means test, any
benefit paid by Work and Income would be means tested and reduced by the net
amount
of the weekly accident compensation payment.
[19] Mr Heads subsequently sought a review under Part 5 of the AC Act
of the requirement that at the end of year 1 of the five year surviving
spouse
compensation period he elect between receiving weekly accident compensation or
New Zealand superannuation. In a decision
given on 24 November 2010 the
Reviewer dismissed the application, holding the Corporation correctly applied
the law when it required
Mr Heads to make the election. The Reviewer
acknowledged Mr Heads believed it was unfair that had his wife not died in the
accident
the couple would have continued to receive both her earnings and his
superannuation entitlement. However, “fairness”
lay outside the
scope of the review and the Reviewer was not able to modify the terms of the AC
Act. The Reviewer concluded:
On the facts presented to me, in April 2009 Mr Heads had received 12 months
of weekly compensation. He had no entitlement to further
payments under the Act
unless he elected to receive weekly compensation instead of superannuation
payments. In offering the choice,
and obliging Mr Heads to make it, ACC
correctly applied clauses 68 of Schedule 1 of the Act. Mr Heads’
application for a review
must fail as a result.
[20] These present proceedings eventually followed. Mr Heads does not challenge the five year ceiling to the surviving spouse entitlement prescribed by Schedule 1, Part 4, cl
66(5)(a) of the AC Act. Nor does he challenge that under Part 2, cl 52 a claimant who has suffered a non-fatal personal injury loses his or her entitlement to weekly
compensation on reaching NZSQA. There is also no challenge to the setting of
that age at 65. The challenge is to the election requirement
in cl 68(3)(b) and
(5) which attaches to the surviving spouse entitled to weekly
compensation.
The plaintiff’s case
[21] Given that Schedule 1, Part 4, cl 68 of the AC Act addresses the
relationship between a surviving spouse’s weekly accident
compensation payments and New Zealand superannuation, Mr Heads made the
following points in his evidence:
[21.1] New Zealand superannuation is not means tested. A
superannuitant is allowed to earn any income in addition to his
or her New Zealand superannuation. Superannuation continues unaffected as
to both entitlement and as to quantum even if other
income is received. This
much was conceded by the Crown’s witnesses and is common ground.
[21.2] New Zealand superannuation is, Mr Heads believes, an entitlement and he is being unfairly penalised by losing an entitlement which everyone else gets once they reach 65 years of age. The choice he was required to make between surviving spouse weekly compensation under the AC Act and New Zealand superannuation was not a choice he would have been required to make had he been under 65 years of age. See cl 66(5)(a).
[21.3] If his wife had not died in the accident they would have
continued to have received both her earnings from any employment plus Mr
Heads’ superannuation payments. Upon his wife reaching NZSQA they would
have received her superannuation as well.
[21.4] He does not accept he should lose the right to receive under
the AC Act weekly compensation as a surviving spouse in order to continue
to
receive his New Zealand superannuation.
[21.5] He believes superannuitants who receive surviving spouse
compensation payments from the Corporation should be treated the same as
other
surviving spouses who are under 65 years of age and able to receive accident
compensation payments for five years without having
to elect between receiving
those payments and other entitlements.
[21.6] His financial loss from not receiving New Zealand
superannuation over four years is approximately $75,000 gross ($364.50 x 208).
He also believes he temporarily lost access to other forms of assistance
available to superannuitants but not to persons in his situation
ie persons who
have reached NZSQA but who are not in receipt of superannuation.
[22] As articulated by Dr McCrimmon in her closing submissions, the
claim by Mr Heads is that:
[22.1] Schedule 1, Part 4, cl 68 of the AC Act is discriminatory on
the basis of age because it does not allow those who are over 65 to be
paid
surviving spouse weekly compensation for five years unless they give up their
own New Zealand superannuation payments after
one year.
[22.2] As a surviving spouse Mr Heads should be entitled to surviving
spouse weekly compensation payments until the end of five consecutive
years from
the date on which compensation first became payable.
[22.3] The effect of cl 68 is that those who lose a spouse or partner
due to a fatal work-related accident are provided with survivor’s
weekly
compensation for five years if they are under 65 but are only provided with
survivor’s weekly compensation for one year
if they are over 65.
[22.4] Clause 68 operates to treat those who are older than 65
differently from those under 65.
[22.5] The requirement to elect between the two entitlements is not
justified discrimination under s 5 of the New Zealand Bill of Rights
Act
1990.
[22.6] A declaration is sought pursuant to s 92J(1) of the Human
Rights Act 1993 (HRA) that cl 68 is in breach of Part 1A of the HRA because
it
is inconsistent with s 19 of the Bill of Rights.
[23] Dr McCrimmon stressed that a clear distinction must be made between accident compensation paid to a surviving spouse on the one hand and accident compensation paid to an injured worker on the other. Only where there has been a fatal work related injury is the surviving spouse entitled to weekly compensation for five consecutive years. See cl 66(5)(a). This entitlement is enlarged where children or other dependents are involved (see cl 66(5)(b), (c) and (d)) but as children and other dependents are not involved in the present case, these provisions do not require consideration. The
important point is that cl 66(5) is the minimum or “default
position”. This case is not about the entitlement of an injured
or
incapacitated worker whose general weekly compensation (paid only for the period
of incapacity) is being replaced by his or her
own superannuation entitlement at
65 as provided for in cl 52.
[24] It was submitted much of the evidence and submissions
by the Crown impermissibly sought to broaden the issue into worker’s
compensation generally instead of surviving spouse weekly compensation. The aim
was to run a floodgates argument and to ignore
the policy underpinning the
payment of weekly compensation to a surviving spouse namely, that payment
of survivor’s
weekly compensation is compensation payable for the loss (in
Mr Heads’ situation) of the wife’s potential earning capacity
and to
provide a five year period of adjustment to the sudden change in financial
circumstances.
The Crown’s defence
[25] In the statement of reply filed by the Attorney-General it was
accepted that:
[25.1] The AC Act limits the ability of any person who has reached
NZSQA to claim both weekly compensation and New Zealand superannuation
except
during a limited transition period and reference is made to cll 52 and 68 of
Schedule 1;
[25.2] The Social Security Act 1964 (SSA) is similarly premised on the
principle that more than one form of state-funded income support should
be
limited so that individuals do not receive two payments for the same
purpose.
[25.3] Mr Heads would have been entitled to New Zealand superannuation
had he not elected to receive weekly compensation.
[26] The substantive defence as advanced in opening submissions at the
hearing was twofold:
[26.1] There is no differential treatment or no sufficient or material
disadvantage. There is insufficient evidence before the Tribunal to
establish
that older people are, in substance, disadvantaged by the election requirement
or the general age limit on weekly compensation.
All that is before the
Tribunal is a statute which, like many others, makes a distinction between
groups of people on the basis
of age. This is not sufficient to establish prima
facie discrimination and so pass the burden to the Crown to justify the limit
on
the right.
[26.2] If, however, the requirement to so elect is discrimination on
the prohibited ground of age, it is nevertheless justified under s 5
of the New
Zealand Bill of Rights Act 1990.
The Crown’s evidence – the cost implications of the
plaintiff’s challenge
[27] Understandably, the cost implications of the plaintiff’s challenge cannot be calculated with exactness. It was reported in 2010 or 2011 that Senior Business Analysts within the Corporation had advised there had been only four clients over the preceding five years who were over the age of 65 when a partner under 65 had been killed in a workplace accident. See the email sent to the Electorate Office Manager for Clare Curran, MP Dunedin South by Ms Sandra M Smith who has worked for the Corporation and its predecessors for more than 20 years and who has been the Claims Manager of the Accidental Death Unit for the past eight years. She has managed Mr Heads’ compensation claim (as a surviving spouse) from the time the claim was lodged.
Another estimate given to the Tribunal was that between 21 and 28 surviving
spouses or partners each year become ineligible for weekly
compensation at,
around or after NZSQA. Precise figures are not available because neither the
Accident Compensation Corporation
nor the Ministry of Social Development store
this information.
[28] More substantive evidence was given to the Tribunal by Mr Andrew
A Burton, a Senior Business Analyst employed by the Corporation in
Dunedin and
who has been in that role for 13 years. His responsibilities include costing
work for the Actuarial Services Department
within the Corporation including
completion of financial analyses from an actuarial perspective. He was asked to
calculate the estimated,
additional, annual cost to the accident compensation
scheme of providing entitlement to weekly compensation to people over 65 years
on the same basis as those under 65 years. His calculations were based on two
alternative scenarios:
[28.1] The additional cost to the accident compensation scheme if the
eligible age for the Corporation paying fatal weekly compensation were
extended beyond age 65 for the surviving spouse for up to a maximum of
five years. That is, the additional cash cost of removing the election
provisions in cl 68 of Schedule 1.
[28.2] The additional cost to the accident compensation scheme if
entitlement to weekly compensation for non-fatal injury was generally
extended until death to all persons over NZSQA instead of terminating, as
at present, at the age of 65.
[29] As to the first scenario, Table 1 shows the additional cost impact for 2014 would be
$1.0 million. For each of the succeeding years it would be $1.1 million.
The net impact on levies for the 2014 year was estimated
to be an increase of
$1.3 million in total.
Table 1
|
Cash Cost Impact ($Million)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$0.4
|
$0.5
|
$0.5
|
$0.5
|
|
Employers and SE work
|
$0.1
|
$0.2
|
$0.2
|
$0.2
|
|
Motor Vehicle
|
$0.4
|
$0.4
|
$0.4
|
$0.4
|
|
Non-earners
|
$0.0
|
$0.0
|
$0.0
|
$0.0
|
|
Residual
|
$0.0
|
$0.0
|
$0.0
|
$0.0
|
|
Treatment injury
|
$0.0
|
$0.0
|
$0.1
|
$0.1
|
|
Total
|
$1.0
|
$1.1
|
$1.1
|
$1.1
|
|
Levy Impact ($Million)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$0.6
|
$0.6
|
$0.6
|
$0.6
|
|
Employers and SE work
|
$0.2
|
$0.2
|
$0.2
|
$0.2
|
|
Motor Vehicle
|
$0.5
|
$0.5
|
$0.5
|
$0.5
|
|
Non-earners
|
$0.0
|
$0.0
|
$0.0
|
$0.0
|
|
Residual
|
$0.0
|
$0.0
|
$0.0
|
$0.0
|
|
Total
|
$1.3
|
$1.3
|
$1.3
|
$1.3
|
|
Levy impact (per $100 liable earnings or vehicle)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$0.00
|
$0.00
|
$0.00
|
$0.00
|
|
Employers and SE work
|
$0.00
|
$0.00
|
$0.00
|
$0.00
|
|
Motor Vehicle
|
$0.14
|
$0.13
|
$0.13
|
$0.13
|
|
Residual
|
$0.00
|
$0.00
|
$0.00
|
$0.00
|
[30] As to the second scenario, the calculations in Table 2 were based on the assumption that entitlement to weekly compensation for non-fatal injury was generally
extended to all persons over the NZSQA until death. That is, on the assumption that cl
52 of Schedule 1 would no longer stipulate that a claimant in a non-fatal injury loses his or her entitlement to weekly compensation on reaching NZSQA. On this scenario the
estimated additional cash cost would be $27.1 million in 2014, $41.4 million in 2015,
$53.0 million in 2016 and $63.2 million in 2017. The outstanding liability would be
$1,727.2 million in 2014 rising to $1,847.7 million in 2017. The net impact
on levies for the 2014 year is estimated to be an increase
of $338 million in
total, a rise of approximately 6%:
Table 2
|
Cash Cost Impact ($Million)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$7.6
|
$10.8
|
$13.8
|
$16.3
|
|
Employers and SE work
|
$4.4
|
$6.6
|
$8.4
|
$10.1
|
|
Motor Vehicle
|
$3.5
|
$6.0
|
$7.5
|
$9.1
|
|
Non-earners
|
$0.1
|
$0.1
|
$0.2
|
$0.2
|
|
Residual
|
$10.0
|
$15.5
|
$20.0
|
$24.0
|
|
Treatment injury
|
$1.5
|
$2.3
|
$3.1
|
$3.5
|
|
Total
|
$27.1
|
$41.4
|
$53.0
|
$63.2
|
|
Outstanding Liability ($Million)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$478.2
|
$493.6
|
$505.9
|
$515.6
|
|
Employers and SE work
|
$280.3
|
$288.8
|
$295.5
|
$300.2
|
|
Motor Vehicle
|
$367.7
|
$382.2
|
$395.6
|
$407.6
|
|
Non-earners
|
$16.9
|
$17.8
|
$18.7
|
$19.6
|
|
Residual
|
$507.6
|
$518.8
|
$524.7
|
$525.7
|
|
Treatment injury
|
$76.5
|
$78.1
|
$78.8
|
$78.9
|
|
Total
|
$1,727.2
|
$1,779.3
|
$1,819.1
|
$1,847.7
|
|
Levy Impact ($Million)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$103.4
|
$104.3
|
$105.3
|
$106.3
|
|
Employers and SE work
|
$58.9
|
$59.4
|
$60.0
|
$60.6
|
|
Motor Vehicle
|
$70.9
|
$71.1
|
$71.3
|
$71.5
|
|
Non-earners
|
$10.9
|
$10.9
|
$11.0
|
$10.2
|
|
Residual
|
$94.1
|
$94.1
|
$94.1
|
$94.1
|
|
Total
|
$338.1
|
$339.9
|
$341.6
|
$342.6
|
|
Levy impact (per $100 liable earnings or vehicle)
|
2014
|
2015
|
2016
|
2017
|
|
Earners
|
$0.10
|
$0.10
|
$0.09
|
$0.09
|
|
Employers and SE work
|
$0.07
|
$0.07
|
$0.07
|
$0.07
|
|
Motor Vehicle
|
$19.86
|
$19.39
|
$18.92
|
$18.47
|
|
Residual
|
$0.09
|
$0.09
|
$0.09
|
$0.09
|
[31] It is to be recalled, however, that Mr Heads does not challenge
the five year limit to accident compensation payments made to surviving
spouses.
Nor does he challenge the present terminating age in cl 52 for claimants injured
in non-fatal accidents. His submission
is that the second scenario as laid out
by Mr Burton in Table 2 is not relevant.
[32] When cross-examining Mr Burton on the first scenario and Table 1,
Dr McCrimmon put to him the following paragraph from the Tribunal’s
decision in Howard v Attorney- General (2008) 8 HRNZ 378 (Mr RDC Hindle
Chairperson, Ms J Grant and Ms DA Clapshaw):
[83] The evidence given by ACC's Chief Actuary was that the long run annual cost of removing limits on eligibility to access vocational rehabilitation could be expected to be considerably less
than $1.171 million; instead he estimated that (in 2007/08 equivalent
dollars) the long run annual cost might be expected to be in
the order of
$500,000 to 600,000. As he put it, even at a figure of $1.171 million per annum
the extra cost of funding unrestricted
eligibility for vocational rehabilitation
has a negligible effect on the rates at which levies are gathered to fund the
ACC scheme.
The long run implication of removing age limits on eligibility for
vocational rehabilitation has no material effect on levies at
all.
[33] In relation to his own cash cost impact figure of approximately
$1 million per annum in Table 1, Mr Burton was asked whether it would
be
reasonable to describe as “negligible” the effect on the levies
which fund the accident compensation scheme. He agreed
that such would be a
reasonable description. Asked whether he agreed the cost of bringing 30
superannuitant surviving spouses into
the compensation payment scheme was not of
any real significance, he again agreed.
[34] When questioned why his costings were based on an estimate of 30
surviving spouses, Mr Burton’s attention was drawn to the evidence
given
by Ms Jocelyn M Burton, Acting Manager, Accident Compensation Scheme Policy,
Labour Environment Branch in the Ministry of Business,
Innovation and Employment
that between 21 and 28 surviving spouses or partners each year are estimated to
become ineligible for weekly
compensation at, around or after NZSQA. Mr
Burton stated that his figure of 30 surviving spouses was a round
number and as a costing principle, it was best to overstate the actual
cost. His calculations in Table 1 represent a worst
case scenario. He conceded
the figures in Table 1 potentially overstate the cost of the first scenario. He
agreed that were the calculations
to be reassessed on the basis there were 20
surviving spouses in a year, his figures would be reduced by approximately 33%
in which
case the annual cost would be in the region of approximately $660,000.
He also clarified that from approximately 2009 ACC levies
have been reducing and
it could be assumed that over the next few years they will continue to reduce.
Mr Burton agreed this was
relevant to the sustainability of the accident
compensation scheme.
[35] The counterpart scenario to that addressed by Mr Burton will arise if the estimated
30 surviving spouses make an election to receive New Zealand superannuation
for the four year balance. In this regard evidence was
given by Mr Ananda
Domingo, an Analyst employed by the Ministry of Social Development, a position
he has held for 15 years. His
responsibilities include costing work for the
Forecasting and Modelling team of the Ministry. He was asked to calculate the
estimated,
additional, annual cost to the New Zealand Superannuation Scheme
based on two alternative assumptions:
[35.1] A person aged 65 or over being able to receive both New Zealand
superannuation and surviving spouse weekly compensation under the
AC Act. That
is, if the restriction on a surviving spouse receiving both weekly
compensation and New Zealand superannuation
was removed from cll 66 to 69 in
Part 4 of Schedule 1 of the AC Act.
[35.2] A person aged 65 or over being able to receive New Zealand
superannuation and (under the AC Act) their own weekly compensation or
surviving
spouse weekly compensation. That is, if the general restriction on persons over
NZSQA was removed from cll 52 to 53, Part
2, Schedule 1 of the AC Act.
[36] As to the first scenario, Table 3 shows that after the half year period of 2013/14, the annual additional cost to the New Zealand Superannuation Scheme would be well under
$700,000 (gross):
Table 3
Additional expenditure on NZS amounts for recipients of surviving spouse weekly compensation
|
|
Cost ($millions)
|
|||
|
2013/14
|
2014/15
|
2015/16
|
2016/17
|
|
|
Gross
|
$0.321
|
$0.657
|
$0.673
|
$0.685
|
|
Net
|
$0.280
|
$0.571
|
$0.585
|
$0.595
|
[37] Mr Domingo said that compared to the overall cost of the New Zealand
Superannuation Scheme of approximately of $10.850 billion in 2013/2014, increasing to
$12.686 billion by 2016/2017, the estimated figures in Table 3 are
“relatively insignificant” if considered
in isolation. However,
every additional cost to the Scheme is potentially significant and would
contribute to the increased funding
pressures to which the Scheme is already
subject due to the aging of the general population.
[38] As to the second scenario, Table 4 shows the additional amounts
of New Zealand superannuation that would be payable if a person aged
65 or over
(injured in a non-fatal accident) was able to receive either their own
ACC weekly payment or the ACC surviving
spouse weekly compensation and New
Zealand superannuation. The figures in Table 3 also assume a commencement date
of 1 January 2014
and represent the additional expenditure (before tax) each
year:
Table 4
Additional expenditure on NZS for recipients of surviving spouse weekly compensation or their own weekly compensation
|
|
Cost ($millions)
|
|||
|
2013/14
|
2014/15
|
2015/16
|
2016/17
|
|
|
Gross
|
$10.363
|
$23.952
|
$29.203
|
$32.986
|
|
Net
|
$9.172
|
$21.179
|
$25.782
|
$29.090
|
[39] The estimated figures in Table 4 are of course considerably higher than those in
Table 3.
[40] It must be observed, however, that when questioned by Dr
McCrimmon and by the Tribunal as to what has been included in Table 4 and
how
his evidence was to be interpreted, Mr Domingo was unable to provide the clarity
sought. Consequently we have been left in doubt
as to the reliability of Table
4 in a number of respects. In particular, Mr Domingo was unable to clarify
whether the table includes
a cohort who would in any event be in receipt of New
Zealand superannuation. Nevertheless, Table 3 is clear and without ambiguity
and Table 4 is illustrative of the general point made by the Crown as to the
cost of allowing those injured in workplace accidents
to receive both weekly
compensation and New Zealand superannuation for life.
[41] Other points made by Mr Domingo were:
[41.1] The cohort figure of 30 had been provided by Mr Burton of the
Accident Compensation Corporation. If that figure overstates the number
of
surviving spouses, the figures in Table 3 must be adjusted downwards.
[41.2] It has been assumed for the purpose of the calculations in Table 3 that none of the 30 have elected in favour of New Zealand superannuation. This means that if (say) 20 surviving spouses have already elected NZ
superannuation, the additional cost to the Scheme will in fact be of only ten
additional persons.
[41.3] The figures in Table 3 are “negligible”.
[41.4] Removal of the election provisions in cl 68 will not lead to a
combined additional cost of the figures in Tables 1 and 3 because one
of those
costs is already being borne either by accident compensation or by
superannuation. That is, the surviving spouse in the
notional cohort of 30 will
be receiving either one or the other.
The Crown’s evidence – broadening the issues – the one
benefit principle
[42] The second scenario painted by Mr Burton in his evidence may seem
remote from the basis on which Mr Heads has advanced his case.
Nevertheless, a
substantial part of the case for the Crown was that the accident compensation
scheme must be seen in the context
of the general system of state funded
assistance and the Government is entitled to allocate resources on the basis of
what was said
to be the “one pension principle”.
[43] As articulated by Ms Jocelyn M Burton, Acting Manager, Accident
Compensation Scheme Policy, Labour Environment Branch in the Ministry
of
Business, Innovation and Employment, the one pension principle means no person
can be in receipt of two forms of publicly-funded
main income support. Clause
68 of Schedule 1 does not amount to discrimination on the basis of age because
it ensures those who
have reached NZSQA are treated the same (and not more
advantageously) as those under that age. It ensures no one, regardless of
age, can receive two forms of publicly-funded main income support. There is
no difference in treatment between those who are
over NZSQA and those under
NZSQA in comparable circumstances (that is, in receipt of main income
support).
[44] We turn now to the detail of Ms Burton’s evidence. Her
statement was 87 paragraphs in length and in addition she was questioned
by Dr
McCrimmon and by the Tribunal. It is not possible to provide a comprehensive
summary of her evidence. Hopefully the account
which follows fairly captures the
main points. In the interests of clarity we foreshadow, where appropriate,
points to which we
will return in our analysis of the issues.
[44.1] The aim of providing weekly compensation to a surviving spouse,
child or other dependent is to provide income support for those who
are likely
to suffer pecuniary losses following the death of someone close to them. A
means test is not, however, applied. After
five years it is assumed there has
been sufficient time for financial adjustment or recovery (unless the surviving
spouse has care
of dependent children) and the weekly compensation ceases.
For surviving spouses who have reached or are at NZSQA an election
must be
made.
[44.2] Ms Burton was unable to say why the chosen period of transition is set at five years rather than (say) four, six or eight years. Nor could she say why the weekly payments to a surviving spouse not of NZSQA are not subject to a means test. As will be seen this evidentiary vacuum will become relevant in different contexts, including determining whether the weekly compensation payments made to a surviving spouse under Part 4 of Schedule 1 of the AC Act are to be treated as a special category, distinct from the balance of the entitlements under Schedule 1 which attach to those who have been injured in a non-fatal accident.
[44.3] The accident compensation scheme must be “fair and
sustainable”. This principle guides the development of the scheme
and is
the context for policy review and development. The NZSQA restriction provides
an accurate proxy for the end of a person’s
working life and so marks the
sensible point at which to cease weekly compensation. It is a fair and
sustainable policy.
Mr Heads responds that the actuarial evidence given by Mr Burton is that the
cost of removing the election provision in cl 68 of Schedule
1 will be
negligible if not inconsequential. Sustainability will not be affected.
Likewise the evidence given by Mr Domingo is
that removal of the election
provision in cl 68 will have insignificant if not negligible effect on the New
Zealand Superannuation
Scheme.
[44.4] Clause 68 of Part 4 of Schedule 1 is similar to the cessation clause in Part
2 (cl 52) which applies to normal weekly compensation for non-fatal
accidents.
As to this Mr Heads does not concede the similarity as cl 52 and cl 68 are
driven by different policy considerations. He points
out that the
clauses address different circumstances and the different policy considerations
involved cannot be lightly ignored
or put to one side.
[44.5] Accident compensation is part of the wider scheme of social
welfare provision in New Zealand. Seen in this light there is no difference
in
treatment between those who are under or over NZSQA and are in comparable
circumstances (in receipt of a main benefit).
As to this Mr Heads does not accept accident compensation is part of the
wider scheme of social welfare provision in New Zealand.
The AC Act has a very
different purpose, including the provision of fair compensation for lost
earnings following from personal
injury.
[44.6] Even if there is a difference in treatment, there is no
discriminatory impact, as the law does not perpetuate existing disadvantage
or
prejudice against older New Zealanders.
Mr Heads disagrees and says those required by cl 68 to make the election miss
either four years of surviving spouse weekly compensation
or four years of New
Zealand superannuation. They have only one year to adjust to the financial
consequences flowing from the loss
of their spouses income. Those under 65 have
five years uninterrupted surviving spouse weekly compensation to adjust.
[44.7] Even if older New Zealanders were economically disadvantaged,
the disadvantage is ameliorated by the fact that the rate for New Zealand
superannuation is higher than that for income-tested benefits available under
the Social Security Act. Those over 65 are able to
continue to work and receive
New Zealand superannuation unabated despite any additional income earned; and
the surviving spouse has
a right to elect to continue receiving weekly
compensation instead of New Zealand superannuation.
Mr Heads submits this is beside the point and it does not address the
question whether the disadvantage is unlawful discrimination.
[44.8] The larger income support framework ensures those at or over NZSQA get more, not less, economic support than those under that age. The evidence is that people on New Zealand superannuation have income adequate for their
needs. The over 65s have the best living standards profile of any age group in
New Zealand with very low rates of severe and significant hardship.
Mr Heads submits this is a generalisation and does not speak to the economic
situation of the 30 or so people affected each year by
the election
provision.
[44.9] If there is discrimination arising from the requirement to
elect between superannuation and weekly accident compensation, any
discriminatory
impact is reasonable and justified for the following
reasons:
[44.9.1] The aim of providing weekly accident compensation to a
surviving spouse, child or other dependent is to provide income support to
those
likely to be in financial hardship. The aim of the election provision in cl 68
is to maintain the principle that individuals
may only receive one form of
publicly-funded main income support.
Mr Heads submits it is not appropriate to categorise weekly compensation
payments under the AC Act as “income support”.
While that term is
appropriate in the context of benefits paid under the Social Security Act,
payments under the AC Act are for
treatment, social and vocational
rehabilitation, weekly compensation for loss of earnings, lump sum compensation
for personal impairment
and weekly compensation for a surviving spouse where
there is a fatal injury.
[44.9.2] The limit is rationally connected to the aim because it
allows for a choice between two forms of government-funded income support,
but
prevents continuation of both forms.
[44.9.3] It is minimally impairing because it is linked to eligibility
for New Zealand superannuation, rather than age, and because
it allows
a generous transition period.
Mr Heads replies a one year period out of five is hardly generous and that he
should not be required to elect in the first place.
[44.9.4] The benefit is proportionate to the detriment because
the detriment does not exceed that required to ensure those in financial
hardship are supported by the government but do not receive two
benefits.
Mr Heads submits this proposition is not demonstrated on the
evidence.
[44.9.5] The government may draw bright lines in relation to
assumptions of financial hardship. The alternatives are to means test –
at substantial additional administrative cost – those receiving
superannuation (as is done with other income support
benefits), or to allow a
small number of people to receive two forms of income support, while the rest
of the population may only
receive one.
Mr Heads makes the point that if the government does not means test accident compensation payments or New Zealand superannuation and if at most only 30 people are required to elect each year under cl 68, it is difficult to see how discrimination against those in the group of 30 can be justified.
[45] We pause to record the submission by Dr McCrimmon that Mr Heads is not challenging the NZSQA of 65 years. Nor does he challenge the fact that NZSQA is the appropriate age at which earners who are injured at work in a non-fatal accident transit from weekly compensation under the AC Act to NZ superannuation for the balance of their lives. His challenge is to the fact that where there has been a fatal injury, a surviving spouse who has not reached NZSQA receives five full years of weekly compensation payments plus all other sources of income whereas a surviving spouse who has reached NZSQA receives only one such year and either forfeits the four year ACC balance or forfeits four years of New Zealand superannuation. There is no challenge to the period of compensation being for a five year period. His claim is not about removing an upper age limit. Dr McCrimmon submits it is illogical to interpret his case as involving the removal of the upper age limit for the wider group, that is the Table
2 group.
[46] Ms Burton said the principle that no one should receive more than
one benefit for the same set of circumstances can be found as an
expressly
articulated principle, or as a necessary inference, from a number of policy
documents. We do not intend listing all of
the documents to which our attention
was drawn. The primary sources were:
[46.1] Report of the Royal Commission of Inquiry Compensation for Personal
Injury in New Zealand (December 1967) (the Woodhouse Report).
[46.2] Personal Injury: A Commentary on the Report of the Royal Commission of
Inquiry into Compensation for Personal Injury in New Zealand
(1969).
[46.3] Report of the Royal Commission of Inquiry Social Security in New Zealand
(December 1971).
[46.4] Report of the Ministerial Working Party on the Accident Compensation
Corporation and Incapacity (1991).
[46.5] Report of the Department of Labour on the Injury Prevention and
Rehabilitation Bill.
[47] Enlarging on her view that Accident Compensation is part of the
wider scheme of social welfare provision in New Zealand, Ms Burton
conceded
weekly accident compensation is based on the concept of loss of employment
opportunity and further conceded New Zealand
superannuation is a universal
age-based scheme available until death. She said citizenship or permanent
residence creates a
non-income tested, automatic, personal and universal
entitlement to superannuation once the age of eligibility has been
reached. However, she went on to say:
[47.1] It is appropriate for the government to move people from one
“social assistance scheme” to the other at some point in
time. She
cited by way of example people receiving the unemployment benefit. When they
reach NZSQA they are notified of their ability
to choose the higher
superannuation benefit. In addition s 72 of the Social Security Act prevents a
person from receiving both
the unemployment benefit and New Zealand
superannuation. Once a person on an unemployment benefit reaches NZSQA and
wants to receive
superannuation, they must cease receiving the unemployment
benefit. In addition, other income- tested social assistance benefits
are
reduced by the amount of weekly accident compensation payments received by the
individual.
[47.2] While weekly accident compensation payments for surviving a spouse are based on the concept of lost earnings opportunities, New Zealand
superannuation is a universal age-based scheme available until death.
Accident compensation payments were recognised as part of the
wider government
social assistance programme in 1992 when the original age limits on weekly
compensation for surviving spouses were
linked with the eligibility age for
superannuation. Both weekly compensation for surviving spouses and government
superannuation
“are designed as social assistance income replacement for
the individual”.
[47.3] Other social assistance schemes “follow a similar
approach to the ACC scheme and move people off one scheme onto another at
some
point in time. The general rule is that no-one is entitled to be in receipt of
more than one income replacement benefit”.
In addition other
income-tested social assistance benefits are reduced by the amount of weekly
accident compensation (including
to a surviving spouse) a person receives (s 71A
of the Social Security Act 1964 (SSA)).
[48] Ms Burton also said that to provide earnings-related compensation
beyond the current age limits would substantially increase the amount
of levies
paid by workers and employers. Here Ms Burton referred to the cost estimate
given in Howard v Attorney- General of $241.1 million in the 2007/08
accident year.
[49] In addressing the rationale for age limits on weekly compensation
she said a “bright line” is drawn after five years as
it is assumed
this period is sufficient for financial recovery (unless the spouse has care of
dependent children). The five year
bright line is varied by the NZSQA election
requirement, which “reflects eligibility for NZS that is intended to
provide main
income support. The election must therefore be seen in the wider
context of social welfare legislation which aims to provide an
integrated, but
not overlapping, support system”. She cited Hon WF Birch Accident
Compensation: A Fairer Scheme at 44:
There is little logic in persons being eligible for income maintenance from
two overlapping Government-mandated schemes and thus receiving
income
replacement in excess of 100 percent of previous earnings.
[50] As to this it must be observed that acceptance of Mr Heads’
argument will not result in him receiving income replacement in
excess of 100
percent of previous earnings. More fundamentally, it will be seen the accident
compensation legislation is not social
welfare legislation.
[51] The relationship between accident compensation and social welfare
benefits was further explained by Mr AR McKenzie, Principal Analyst,
Ministry of
Social Development who has spent the past twenty years in policy and management
roles in the Ministry and its predecessor
organisations. Again, it is not
practical to provide a comprehensive summary of his evidence. The key points
were:
[51.1] A longstanding principle of the New Zealand social security system is the “one pension principle”. This principle is reflected in, for example, the purpose and principles sections in the Social Security Act, which were inserted by the Social Security Amendment Act 2007 and were effective from 24 September
2007. Section 1A(c) of the SSA recognises that eligibility for social assistance must take account of the resources available to persons before they may seek financial support under the Act and must take account of any other financial support for which they are eligible or already receive from publicly funded
sources other than the SSA.
As to this Mr Heads does not challenge the principle and accepts that some benefits granted under the SSA are income or means tested. But the fact that they are so tested and that ACC payments are not, draws a clear distinction between the two schemes. Furthermore, superannuation is equally not means- tested even though it is a form of social assistance. So the premise on which Mr McKenzie and Ms Burton proceed must necessarily be qualified. The one pension principle is not absolute. This is further demonstrated by the fact that surviving spouses below NZSQA do not have this principle applied to them in the context of weekly ACC compensation payments and by the fact that those over
65 can receive both benefits for one year. It is also necessary to challenge the characterisation of the weekly compensation payments to a surviving spouse as income or financial support. This is because while financial support by way of a benefit is provided under the SSA for so long as the support is needed, weekly
payments to a surviving spouse are made under the AC Act for a flat five year
period irrespective of need or means at a fixed rate
of 60% of 80% of the
deceased’s pre-injury earnings. This suggests different policy
considerations are at work under the
two Acts.
[51.2] In the opinion of Mr McKenzie, the one pension principle
underpins the provision of state assistance for people who require support
through the social security system, accident compensation or student
support. In practice this means an individual should
not be able to receive
two forms of state financial assistance for the same or similar
circumstances. [emphasis added]
Mr Heads responds it is significant the “one pension principle” is in the SSA, not the AC Act. Furthermore, it is not possible to read into the AC Act those provisions of the Social Security Act referred to by Mr McKenzie, particularly ss
1A(c), 71A and 72. Finally, Mr Heads says that becoming eligible for New
Zealand superannuation ie reaching NZSQA is not the “same
circumstance” as becoming eligible for weekly compensation as a surviving
spouse following a work-related fatality.
[51.3] Income support under the Social Security Act is often described
as falling within three broad categories: First, second or third tier
assistance. First tier assistance refers to main benefits such as the Domestic
Purposes benefit, the Unemployment benefit and New
Zealand superannuation. The
main benefits are for basic living costs and are subject to income tax.
The second tier
of assistance refers to additional assistance to people in
particular situations and/or for specific ongoing costs, such as accommodation,
disability and child care. People may be eligible for second tier
assistance whether or not they are receiving a main
benefit. Second tier
assistance is mostly income tested and may be cash asset tested. Third tier
assistance is tightly income
and asset tested and provided generally in relation
to presenting hardship, such as Temporary Additional Support.
[51.4] Section 72(a) of the Social Security Act states no person is entitled to receive more than one benefit in his or her own right, except as provided in certain sections of the Social Security (Working for Families) Amendment Act
2004. These exceptions relate only to supplementary benefits and not main benefits. Supplementary or second and third tier benefits are generally paid subject to income and sometimes asset testing in particular circumstances or with
particular costs that are on-going.
[51.5] However, people who qualify for ACC payments may also be
eligible for second and third tier payments. So a person receiving weekly
compensation from the Corporation may also be eligible for a main benefit or
second and third tier payments if they meet the eligibility
criteria under the
Social Security Act.
[51.6] Main benefits under the Social Security Act are, however,
reduced by a dollar for each dollar of weekly compensation received from
the
Corporation under the AC Act. Consequently no benefit is paid under the Social
Security Act when the rate of weekly compensation
under the AC Act exceeds the
rate of benefit for which a person is eligible under the Social Security Act.
This arises by operation
of s 71A of the Social Security Act. The weekly
accident compensation may be included in the income assessment for second and
third
tier forms of assistance for non-beneficiaries.
[52] It is now possible to address the legal issues. We begin with the legislation.
THE LEGISLATION
[53] The primary legislative provisions of relevance are those in the
Accident Compensation Act 2001 (the AC Act), the New Zealand Superannuation
and
Retirement Income Act 2001 (NZSRIA) and the Social Security Act 1964
(SSA).
The Accident Compensation Act 2001
[54] As is well known, the present New Zealand approach to personal
injury arising out of accident was first established by the Accident
Compensation Act 1972 which in turn was the outcome of the Royal Commission of
Inquiry Compensation for Personal Injury in New Zealand (1967) (the
Woodhouse Report). In general terms the scheme, both then and now, provides
comprehensive and extensive cover for injuries
arising out of accident, in
return for which the right to sue at common law has been abolished. See
Queenstown Lakes District Council v Palmer [1998] NZCA 190; [1999] 1 NZLR 549 (CA) at
554-555:
Essentially, the accident compensation legislation in both its
original and amended forms denied those persons covered
under the Act access
to the courts at common law in return for the perceived advantages of the
statutory scheme. The legislation
reflected this policy from the outset. The
exchange has frequently been spoken of as a social contract or social
compact.
[55] The purpose of the provision barring common law claims is to
prevent persons who suffer personal injury being compensated twice over,
once
under the AC Act and then at common law. The bar is not designed to prevent
them recovering any compensation at all. See Queenstown Lakes District Court
v Palmer at 555.
[56] Furthermore these present proceedings under s 92B of the Human
Rights Act 1993 are not caught by the bar on proceedings for damages
arising
directly or indirectly out of personal injury. See s 317(4) of the AC
Act.
[57] The “public good” and the “social
contract” explicitly referred to in the “purpose” section of
the AC Act (s 3) requires claimants to receive “fair compensation”
for loss from injury. Such compensation is referred
to in the AC Act as
“an entitlement”:
Part 4
Entitlements and related matters
Entitlements
67 Who is entitled to entitlements
A claimant who has suffered a personal injury is entitled to 1 or more entitlements if he or she— (a) has cover for the personal injury; and
(b) is eligible under this Act for the entitlement or entitlements in
respect of the personal injury.
[58] These entitlements are specifically listed in s 69. For present
purposes, attention is drawn to the reference in subs (1)(e) to weekly
compensation for the spouse of a deceased claimant. That is, the payments made
to Mr Heads under the AC Act are statutorily recognised
and described as an
entitlement:
69 Entitlements provided under this Act
(1) The entitlements provided under this Act are—
(a) rehabilitation, comprising treatment, social rehabilitation, and vocational rehabilitation:
(b) first week compensation: (c) weekly compensation:
(d) lump sum compensation for permanent impairment:
(e) funeral grants, survivors' grants, weekly compensation for the spouse or partner, children and other dependants of a deceased claimant, and child care payments.
(2) The entitlements provided under this Act also include the entitlements referred to in Parts
[59] The entitlements referred to in ss 67 and 69 are more fully particularised in
Schedule 1 to the AC Act. That schedule is in four parts:
[59.1] Part 1: Rehabilitation (cll 1 to 29)
[59.2] Part 2: Weekly compensation (cll 30 to 53)
[59.3] Part 3: Lump sum compensation for permanent impairment (cll 54
to 62)
[59.4] Part 4: Entitlements arising from fatal injuries (cll 63 to
78).
The different policies point: Part 2 and Part 4 to be
differentiated
[60] While it might be stating the obvious, the weekly compensation
payments made to Mr Heads fall under the fatal injuries (surviving
spouse)
provisions of Part 4, not Part 2 which relates to compensation paid to a
claimant who him or herself is injured in a non-
fatal accident. We mention
this because Part 2 and Part 4 have separate and explicit provisions addressing
the relationship between
the different kinds of weekly compensation payments and
New Zealand superannuation. The Crown contends the interpretation of the
one
will impact on the other. Mr Heads challenges this view and submits different
policies are at work, with the Part 4 provisions
differentiating surviving
spouse weekly compensation from weekly compensation paid to a claimant where
there has been injury in a
non-fatal accident.
[61] For the reasons which we now develop, we agree that upholding the challenge to cl
68(3)(b) in Part 4 of Schedule 1 of the AC Act will not impact on cl 52 in Part 2 and thereby expose the Crown to substantial financial liability.
[62] Under Part 2, cl 32 the Corporation is liable to pay weekly compensation for loss of earnings to a claimant who has an incapacity resulting from a personal injury for which he or she has cover and was an earner immediately before his or her incapacity commenced. The weekly compensation payable is 80% of the claimant’s weekly earnings, as calculated under Part 2. While there are abatement provisions (ss 252 and
253 read with cll 49 to 51) the AC Act does not impose a means test or offset Part 2 weekly compensation payments by reference to benefits received under the Social Security Act. The relationship between weekly compensation and New Zealand
superannuation is, however, explicitly managed by cl 52:
Effect of New Zealand superannuation
52 Relationship between weekly compensation and New Zealand
superannuation
(1) Subclause (2) applies to a claimant who—
(a) first becomes entitled to weekly compensation before reaching New Zealand superannuation qualification age; and
(b) has been entitled to it for 24 months or longer before reaching that age.
(2) Such a claimant loses his or her entitlement to weekly compensation on reaching that age. (3) Subclauses (4) and (5) apply to a claimant who first becomes entitled to weekly compensation 12 months or more, but less than 24 months, before reaching New Zealand
superannuation qualification age.
(4) Such a claimant is entitled to weekly compensation for 24 months from the date of entitlement to the compensation.
(5) However, the claimant's entitlement to the compensation is dependent on his or her making an election to be entitled, after reaching New Zealand superannuation qualification
age, to the compensation, rather than to New Zealand superannuation.
(6) Subclauses (7) and (8) apply to a claimant who first becomes entitled to weekly compensation—
(a) within 12 months before reaching New Zealand superannuation qualification age; or
(b) on or after reaching New Zealand superannuation qualification age.
(7) Such a claimant is entitled to the weekly compensation for a period of 12 months following the later of—
(a) the date of reaching New Zealand superannuation qualification age; or
(b) the date of entitlement to weekly compensation.
(8) The claimant is then entitled to the weekly compensation for the next 12 months, if he or she makes an election to be entitled, during those 12 months, to the compensation, rather than to New Zealand superannuation.
(9) Nothing in this clause entitles a claimant to weekly compensation if he
or she is not otherwise entitled to it under this schedule.
[63] It can be seen that Parliament has chosen to manage the interface
between Part 2 weekly compensation entitlements (where the personal
injury is
not fatal) and New Zealand superannuation by providing for a limited degree of
overlap between the two schemes. See Accident Compensation Corporation v
Stewart [2012] NZHC 772 at [21] to [31]. The clause contemplates a person
will possibly become entitled to weekly compensation in respect of a particular
injury
on more than one occasion. It also contemplates that a person may cease
to be incapacitated but then again become incapacitated
whereupon their
entitlements to weekly compensation will resume. As pointed out in Accident
Compensation Corporation v Stewart, three different scenarios are catered
for:
Scenario 1
[22] Scenario 1 is governed by sub-cls 52(1) and (2) of Schedule 1 of the Act. To be in this category a person must have first become entitled to weekly compensation 24 months or more, before they turn 65, which is the New Zealand superannuation qualification age. Once a person in this category turns 65 they lose their entitlement to weekly compensation.
Scenario 2
[23] Scenario 2 is governed by sub-cls 52(3), (4) and (5) of Schedule 1 of the Act. To be in this category a person must have first become entitled to weekly compensation
12 months or more, but less than 24 months before they turn 65. Persons in
this category are entitled to receive weekly compensation
for a maximum period
of 24 months. However, once a person in this category turns 65 they must choose
between receiving weekly compensation
and New Zealand superannuation.
Scenario 3
[24] Scenario 3 is governed by sub-cls (6), (7) and (8) of Schedule 1 of the Act. To be in this category a person must have first become entitled to weekly compensation either:
(1) within 12 months before they turned 65; or
(2) after they turned 65.
[25] Persons in this category are entitled to weekly compensation for an initial period of 12 months from:
(1) the date they turned 65; or
(2) the date they became entitled to weekly compensation.
In addition, a person in this category may be entitled to receive weekly
compensation for a further 12 months if they elect to receive
weekly
compensation rather than New Zealand superannuation.
[64] In the Accident Compensation Corporation v Stewart
scenarios 1 and 2 a person injured in a non-fatal accident who
reaches NZSQA cannot simultaneously receive both ACC weekly compensation and New
Zealand superannuation. However, in
scenario 3, the injured person who on or
after reaching NZSQA first becomes entitled to weekly compensation can receive
such compensation
and superannuation for the next 12 months before having to
elect to be entitled to compensation, rather than to superannuation.
The weekly
compensation then continues for the next 12 months. Thereafter New Zealand
superannuation resumes.
[65] It was submitted for the Crown that the interface between
worker’s weekly compensation and New Zealand superannuation as provided
for in Part 2, cl 52 were either closely similar to or identical to Part 4, cl
68 and therefore the outcome of the challenge by Mr
Heads would have a flow on
effect. The difficulty with this submission is that cll 52 and 68 address
entirely different circumstances
and the policy underpinnings are not
shared.
[66] It is to be recalled that Part 4 of Schedule 1 addresses the
situation where the earning spouse does not survive the accident.
In
that circumstance the surviving spouse receives weekly compensation (at the
rate of 60% of 80% of the pre-accident earnings
of the deceased spouse) for five
consecutive years. There is no means or asset test. See cl 66:
66 Weekly compensation for surviving spouse or partner
(1) The Corporation is liable to pay weekly compensation to a surviving spouse or partner of a deceased claimant.
(2) Weekly compensation payable under this clause is payable from the date of the claimant's death at the rate of 60% of—
(a) the weekly compensation for loss of earnings to which the claimant would have been
entitled at the end of 5 weeks of incapacity, had he or she lived but been totally incapacitated; or
(b) the weekly compensation for loss of potential earning capacity to which the claimant would have been entitled at the end of 6 months of incapacity, had he or she lived but
been totally incapacitated.
(3) Subclause (2) is subject to clause 74.
(4) The Corporation must not cancel or suspend the surviving spouse's or partner's weekly compensation—
(a) because the spouse or partner marries, enters into a civil union, or enters into a de facto relationship; or
(b) [Repealed]
(c) because of the age that the claimant would have reached if he or she had not died.
(5) The surviving spouse or partner ceases to be entitled to weekly compensation on the latest of—
(a) the end of 5 consecutive years from the date on which it first became payable:
(b) the surviving spouse or partner ceasing to have the care of all of the children who are under the age of 18 years:
(c) the youngest of the children of the deceased who is in the care of the surviving spouse or partner turning 18 years:
(d) the surviving spouse or partner ceasing to have the care of all other
dependants of the deceased claimant who were in the surviving
spouse's or
partner's care.
[67] In the interests of simplicity (and because on the facts no
children or dependents are involved) we will proceed as if the
five
consecutive years is the only period prescribed by cl 66 and that we do not
need to address those provisions which relate
to children and
dependents.
[68] As to the policy underlying cl 66, Ms Burton was unable to refer
to any specific policy document but said that it was to aid the financial
recovery of the surviving spouse who is likely to be in financial transition, if
not hardship. She could not say why five years
is the chosen period.
[69] In our view assistance can be drawn from the analogous wrongful
death jurisdiction, particularly the Deaths by Accidents Compensation
Act 1952
and the discussion of that Act in Pou v British American Tobacco (New
Zealand) Ltd [2005] NZCA 381; [2006] 1 NZLR 661 (CA) at [11] and [15] to [18]. Under that
Act damages could be awarded for the amount of actual pecuniary benefit which
the person for whose
benefit the action was brought might reasonably have
expected to enjoy if the deceased person had not been killed. Actual dependency
was not a prerequisite but only pecuniary losses could be the subject of an
award of damages. Just what was included as a pecuniary
loss was the subject of
dispute and litigation. See Pou v British American Tobacco (New Zealand) Ltd
at [34] to [41]. However, the development of the law under the Act largely
came to an end as a result of the adoption of the no-fault
accident compensation
scheme in 1974.
[70] In contrast to the Deaths by Accidents Compensation Act, weekly
compensation under the AC Act is paid automatically to a surviving
spouse. The distinguishing features of cl 66 are:
[70.1] It is paid at a flat rate of 60% of 80% of lost
earnings.
[70.2] It is paid for five years.
[70.3] The surviving spouse does not have to establish
dependency.
[70.4] No means test is applied before the compensation is
paid.
[71] It is reasonably clear the purpose of surviving spouse compensation is to compensate the surviving spouse for loss of the pecuniary benefit which the spouse might reasonably have expected to enjoy if the deceased person had not been killed. We think the point being made by Ms Burton is that death inevitably results in unique circumstances, often resulting in financial transition, if not hardship. This uniqueness is recognised by the inclusion in the AC Act of specific statutory provisions (eg s 69(1)(e) and Part 4 of Schedule 1). In the interests of clarity, simplicity and affordability the compensation is paid automatically, irrespective of need, means or dependency. The only calculation required is in respect of the percentages of the baseline quantum.
Because of the “no inquiry, flat rate, limited time” provisions,
there is no need for consideration to be given to whether
“new”
heads of damages should be acknowledged as occurred in Pou v British American
Tobacco (New Zealand) Ltd.
[72] One of the defining differences between earner’s
weekly compensation and surviving spouse weekly compensation is that
in the
former category the duration of the payments is based on the period of
incapacity (see cl 32(2)) whereas in the latter it
is paid for a fixed period of
five years (and at a reduced rate) irrespective of dependency or need. Put more
bluntly, the one is
for incapacity of the earner, the other for the financial
impact on the surviving spouse of the death of the earner. For this most
final
of financial impacts only five years is allowed for recovery.
[73] It is for these reasons we do not accept that the interpretation
of cll 52 and 68 are interdependent. Any ruling we make on cl 68
will not have
the flow on effect claimed by the Crown.
[74] We turn then to the interface between surviving spouse weekly compensation and
New Zealand superannuation.
The interface between surviving spouse weekly compensation and New Zealand
superannuation
[75] Clause 68 in Part 4 of Schedule 1 to the AC Act contemplates two distinct fact circumstances or categories. The first category relates to those surviving spouses who have not reached NZSQA but are within five years of that age, that is between 60 and
64 years. The second relates to those who (like Mr Heads) have already
reached NZSQA at the time of the death of their spouse by
way of fatal accident.
Clause 68 provides:
68 Relationship between surviving spouse's or partner's weekly compensation and New
Zealand superannuation
(1) Subclause (2) applies to a surviving spouse or partner who—
(a) is entitled to weekly compensation immediately before reaching New Zealand superannuation qualification age; and
(b) has been entitled to it for 12 months or longer before reaching that age.
(2) Such a surviving spouse or partner is entitled to the weekly compensation if he or she makes an election to be entitled to it, rather than to New Zealand superannuation.
(3) Subclauses (4) and (5) apply to a surviving spouse or partner who becomes entitled to
weekly compensation—
(a) within 12 months before reaching New Zealand superannuation qualification age; or
(b) on or after reaching New Zealand superannuation qualification age.
(4) Such a surviving spouse or partner is entitled to the weekly compensation for a period of
12 months following the later of—
(a) the date of reaching New Zealand superannuation qualification age; or
(b) the date of entitlement to weekly compensation.
(5) The surviving spouse or partner then continues to be entitled to the weekly compensation if he or she makes an election to be entitled to it, rather than to New Zealand superannuation.
(6) Nothing in this clause entitles a surviving spouse or partner to weekly compensation if he
or she is not otherwise entitled to it under this schedule.
[76] The operation of this clause is depicted in Table 5 – Surviving Spouse ACC Weekly Compensation which follows below in reduced size. It is annexed in full size as Appendix 1 to this decision.
Table 5

[77] The first category is divided into two sub-categories.
Sub-category 1 is governed by cl 68, sub-cls (1) and (2). To be in this
sub-category
a person must be 60 plus one day but no older than 64 (from the day
after the claimant's 64th birthday until NZSQA he or she will
be governed by cl
68, sub-cl (3)(a)). The nearer the date of entitlement is to 60 plus one day,
the longer the period the surviving
spouse has to enjoy the five years of
surviving spouse weekly compensation prior to reaching NZSQA and having to elect
between surviving
spouse compensation and New Zealand superannuation. So a
surviving spouse who becomes eligible just after turning 61 will receive
surviving spouse weekly compensation for a period of 4 years. For a surviving
spouse just aged 62, the period of surviving spouse
weekly compensation will be
3 years prior to election. For a person aged 63, the period will be 2 years.
No one who falls within
cl 68, sub-cls (1) and (2) is able to receive
simultaneously both surviving spouse weekly compensation and New Zealand
superannuation.
They must elect either one or the other on reaching 65
years.
[78] Sub-category 2 is governed by sub-cl (3)(a). To be in this sub-category the surviving spouse must be aged 64 years plus one day but not yet 65. Such a surviving spouse is entitled to surviving spouse weekly compensation for the whole of the remaining balance of their 64th year (depending on the date of entitlement). On reaching
65 years (NZSQA) the spouse is entitled to surviving spouse weekly compensation for a further period of 12 months while simultaneously receiving 12 months superannuation. A person in this sub-category will potentially (depending on the date of entitlement) receive up to 24 months of surviving spouse weekly compensation plus all of the first year of New Zealand superannuation. Thereafter an election must be made between surviving spouse weekly compensation and New Zealand superannuation.
[79] The second category is governed by sub-cl (3)(b). To be in this
category a person must have become entitled to surviving spouse weekly
compensation after having already reached NZSQA. Persons in this
category are entitled to surviving spouse weekly compensation for a period of 12
months
while simultaneously receiving New Zealand superannuation. At the end of
the 12 months period an election must be made between surviving
spouse weekly
compensation and superannuation.
[80] On this analysis the most disadvantaged group is that governed by
sub-category 2 described in sub-cl (3)(b) ie persons who become
entitled to
surviving spouse weekly compensation on or after reaching 65 years of age. They
must forfeit either four years of surviving
spouse weekly compensation or four
years of superannuation. By contrast, the next most disadvantaged group (those
who are 64 plus
one day and who become entitled at or near the commencement of
this age bracket and are governed by sub-cl (3)(a)) forfeits either
up to three
years less one day of surviving spouse weekly compensation or three years less
one day of New Zealand superannuation.
[81] It has been necessary to delve into the working of cl 68 at this
level of detail because the submission for the Crown was that the
comparator
group for the second category (which applies to Mr Heads) must be drawn from cl
68 itself. That submission will be
addressed shortly. First it is
necessary to complete the overview of the legislation.
The New Zealand Superannuation and Retirement Income Act 2001
[82] The purpose of the NZSRIA as relevantly stated in s 3(a) is
“to continue current entitlements to New Zealand superannuation”.
Part 1 of the Act addresses those “entitlements”.
Section 7 specifies the age qualification for
New Zealand
superannuation:
Part 1
Entitlements to New Zealand superannuation
Standard New Zealand superannuation entitlements
7 Age qualification for New Zealand superannuation
(1) Every person is entitled to receive New Zealand superannuation who attains the age of
65 years.
(2) However, a person is not entitled to receive New Zealand superannuation in respect of any period for which he or she has made an election under any of clause 52 or clause 68 or
clause 72 of Schedule 1 of the Injury Prevention, Rehabilitation, and Compensation Act
2001 to be entitled to weekly compensation under that Act rather than to New Zealand superannuation.
(3) Subsection (1) applies subject to the provisions of this Part and of the Social Security Act
[83] It is to be noted the “entitlement” does not apply
where an election has been made under cll 52, 68 or 72 of Schedule
1 of the AC
Act.
The Social Security Act 1964
[84] This Act is made relevant to the present proceedings because of
the assertion by the Crown the policy underlying both the AC Act and
the NZSRIA
is that a person can be in receipt of only one form of publicly funded
assistance at any one time.
[85] The claimed principle is not, however, articulated in these terms by the SSA. The Act provides only that any decision to provide financial support under the SSA must take into account any financial support received otherwise than under the SSA from publicly funded sources. Section 1A states:
1A Purpose
The purpose of this Act is—
(a) to enable the provision of financial and other support as appropriate—
(i) to help people to support themselves and their dependants while not in paid employment; and
(ii) to help people to find or retain paid employment; and
(iii) to help people for whom work may not currently be appropriate because of sickness, injury, disability, or caring responsibilities, to support themselves and their dependants:
(b) to enable in certain circumstances the provision of financial support to people to help
alleviate hardship:
(c) to ensure that the financial support referred to in paragraphs (a) and (b) is provided
to people taking into account—
(i) that where appropriate they should use the resources available to them before seeking financial support under this Act; and
(ii) any financial support that they are eligible for or already receive, otherwise
than under this Act, from publicly funded sources:
(ca) to provide services to encourage and help young persons to move to education, training, and employment rather than to receiving financial support under this Act:
(d) to impose, on the following specified people or young persons, the following specified requirements or obligations:
(i) on people seeking or receiving financial support under this Act, administrative and,
where appropriate, work-related requirements; and
(ii) on young persons who are seeking or receiving financial support under this Act, educational, budget management, and (where appropriate) parenting requirements; and
(iii) on people receiving certain financial support under this Act, social obligations relating to the education and primary health care of their dependent children.
[Emphasis added]
[86] Section 72 of the SSA further provides that no person is entitled
to receive more than one benefit [under the SSA] in his or her own
right:
72 Limitation where applicant receiving another benefit or
pension
Notwithstanding anything to the contrary in this Act,—
(a) no person is entitled to receive more than 1 benefit in his or her own right, except as provided in sections 39D, 61EA, 61G, 61GA, and 69C, and section 23 of the Social Security (Working for Families) Amendment Act 2004:
(b) ...
[87] But even under the SSA the one benefit principle is not, however,
an absolute. First, ss 71(2) and 74(2) stipulate that any “impairment
lump sum” received under Schedule 1 of the AC Act is not to be taken into
account by the Ministry of Social Development.
Second, weekly compensation
payable under the AC Act is not included in the definition of
“benefit” in s 3 of the SSA.
New Zealand superannuation is included
in the definition but is specifically exempted from the SSA off-set provisions
which require
income-tested benefits to be reduced by any loss of
earning weekly compensation paid under the AC Act. See s 71A of the
SSA:
71A Deduction of weekly compensation from income-tested
benefits
(1) Subject to subsection (4), this section applies to a person who is qualified to receive an income-tested benefit (other than New Zealand superannuation or a veteran's pension unless the veteran's pension would be subject to abatement under section 171 of the Veterans' Support Act 2014) where—
(a) the person is entitled to receive or receives weekly compensation in respect of the person or his or her spouse or partner or a dependent child; or
(b) the person's spouse or partner receives weekly compensation.
(2) Where this section applies, the rate of the benefit payable to the person must be reduced by the amount of weekly compensation payable to the person.
(3) In this section, weekly compensation means weekly compensation for loss of earnings or loss of potential earning capacity payable to the person by the Corporation under the Accident Compensation Act 2001.
(4) Subsection (2) does not apply where the person—
(a) was receiving the income-tested benefit immediately before 1 July 1999 and continues to receive that benefit; and
(b) was receiving compensation for loss of earnings or loss of potential earning capacity
under the Accident Rehabilitation Compensation and Insurance Act 1992 immediately before that date; and
(c) section 71A(2) (as it was before it was repealed and substituted by the Accident
Insurance Act 1998) required the compensation payments to be brought to
charge as income in the assessment of the person's benefit.
[Emphasis
added]
[88] The submission for the Crown is that weekly compensation payments
under the AC Act is “financial support” from “publicly
funded
sources”. We do not accept this characterisation is accurate
given:
[88.1] Section 1A of the SSA (from which the Crown draws its language)
applies only to benefits paid under the SSA. That is, the
offset is
against benefit payments under the SSA. The section does not enunciate a
principle of general application that requires
all payments outside the SSA and
from publicly funded sources be offset against each other. The off-set only
attaches to some (not
all) benefits paid under the SSA.
[88.2] Payments under the AC Act are not made as financial support,
but as compensation for lost earnings following a non-fatal accident
or to
assist the financial adjustment of a surviving spouse following a fatal
accident.
[89] The Crown submits, however, support for its argument is found in
the Woodhouse Report (1967), in the Report of the Royal Commission on Social
Policy (1972) and in the Report of the Ministerial Working Party on the
Accident Compensation Corporation and Incapacity (1991).
[90] In our view a proper reading of these reports establishes the
opposite contention, namely there is a clear and long established conceptual
distinction between a social security system on the one hand and on the other, a
scheme of social insurance for workers who are compensated
for lost earnings
following personal injury by accident.
The one-benefit principle examined
[91] The present system of injury insurance, first mapped in the
Woodhouse report and now described in s 3 of the AC Act, has as its focus,
inter
alia, the provision of real compensation (in s 3 referred to as fair
compensation) for lost income. See the Woodhouse Report
at [4]:
4. Five General Principles–We have made recommendations which
recognise the inevitability of two fundamental principles-
First, no satisfactory system of injury insurance can be organised except on
a basis of community responsibility:
Second, wisdom, logic, and justice all require that every citizen who is
injured must be included, and equal losses must be given
equal treatment.
There must be a comprehensive entitlement.
Moreover, always accepting the obvious need to produce something which the country can afford, it seemed necessary to lay down three further rules which, taken together with the two fundamental matters, would provide the framework for the new system. There must be complete rehabilitation. There must be real compensation – income-related benefits for income losses, payment throughout the whole period of incapacity, recognition of
permanent bodily impairment as a loss in itself. And there must be
administrative efficiency. The five guiding principles can be
summarised
as-
Community responsibility Comprehensive entitlement Complete rehabilitation
Real compensation
Administrative efficiency. [Emphasis added]
[92] Section 3 of the AC Act, in setting out the purpose of the Act,
makes explicit reference to “reinforcing the social contract”
represented by the first accident compensation scheme which followed the
Woodhouse Report and emphasises the need for fair compensation:
3 Purpose
The purpose of this Act is to enhance the public good and reinforce the social contract represented by the first accident compensation scheme by providing for a fair and sustainable scheme for managing personal injury that has, as its overriding goals, minimising both the overall incidence of injury in the community, and the impact of injury on the community (including economic, social, and personal costs), through—
(a) establishing as a primary function of the Corporation the promotion of measures to reduce the incidence and severity of personal injury:
(b) providing for a framework for the collection, co-ordination, and analysis of injury-related information:
(c) ensuring that, where injuries occur, the Corporation's primary focus should be on rehabilitation with the goal of achieving an appropriate quality of life through the provision
of entitlements that restores to the maximum practicable extent a claimant's health, independence, and participation:
(d) ensuring that, during their rehabilitation, claimants receive fair compensation for loss from injury, including fair determination of weekly compensation and, where appropriate, lump
sums for permanent impairment:
(e) ensuring positive claimant interactions with the Corporation through the development and operation of a Code of ACC Claimants' Rights:
(f) ensuring that persons who suffered personal injuries before the commencement of this Act
continue to receive entitlements where appropriate.
[93] Both the Woodhouse Report and subsequent accident compensation
schemes have rejected a test based on need. Instead, compensation
is based on
an assessment of actual loss, both physical and economic. See the Woodhouse
Report at [59] to [61]:
Real Compensation
59. Clearly if compensation is to meet real losses it must provide
adequate recompense, unrestricted by earlier philosophies which put
forward
tests related merely to need. Such an approach may have been appropriate when
poverty was a widespread evil demanding considerable
mobilisation of the
country’s financial resources. ...
...
61. Accordingly, we are in no doubt that in modern conditions a
compensation scheme of the type under discussion should rest upon a realistic
assessment of actual loss, both physical and economic, followed by a shifting of
that loss on a suitably generous basis. If there
might seem to be an issue as
to whether the compensation due to injured workers should be restricted to meet
their current needs
or be assessed on a uniform flat rate basis,
then these are propositions which we reject as entirely unacceptable.
These
are the considerations which support the fourth principle.
[94] The Woodhouse Report was highly critical of the erosion of
benefits paid under the (then) Workers Compensation Act and the movement
away
from compensation towards a social assistance principle based on need:
220. However, one of the most striking aspects of the compensation process is the way in which the value of benefits has gradually been eroded (particularly over the last 20 years), and the accompanying tendency to move away from the strict compensation principle towards
payments which have been levelled out in a fashion akin to the social
security system. Such a tendency certainly must be reversed
if real recompense
for individual losses is to be offered to injured workmen.
...
227. The low maximum level of the benefit and its restricted duration
have had the effect of pushing the compensation process in the direction
of a
system of flat rate payments. Together with the provision of flat rate
supplements for dependants the trend is in accord with
the social assistance
principle that need should be the test for assistance rather than loss the
measure of recompense.
...
229. All this needs to be changed. ...
[95] Addressing specifically the relationship of the social
security system to the proposed accident insurance scheme, the authors
of the
Woodhouse Report explicitly stated that the social security system is not a
scheme of social insurance:
243. The social security system is not a scheme of social insurance
in the sense that benefits should be balanced against contributions
or that the
benefits should be related to the varied income losses of individual
beneficiaries. Instead, its first purpose has always
been to provide basic
assistance at a level which would enable every person to maintain himself
against need without undue strain.
...
245. Benefits are not related to past earnings but are provided on a
uniform flat rate basis. ...
...
248. ... It is due also to the fact that a system of flat rate
payments, whether increased by special allowances or not, is regarded as
an
unacceptable substitute for processes which attempt (even if in stumbling
fashion) to match lost income and make some provision
for damaged or lost
limbs.
[96] Integration of social security legislation with accident
compensation was rejected on the grounds that it was not feasible:
250. Nevertheless, integration is not feasible if compensation for
injury would then have to take the form of the same flat rate payments
for all.
Few would accept such a scheme. Nor would it be just. And special provision
for economic hardship or allowances for
dependents would neither avoid the
injustice nor gain general acceptance. The losses of individuals vary greatly
and so do their
continuing commitments. A fair part of their different losses
and a fair part of their sudden problems will not be relieved by a
system which
ignores lost earnings in favour of a general average of assistance. The
only way in which a comprehensive
system of compensation could operate
equitably is by linking benefits to earning capacity and by taking into account
permanent
physical disability.
[97] A means test was described as “an unnecessary
intervention” and “quite irrelevant” to any attempt to
compensate
for injury. The principle must be compensation for losses, not
assistance for need:
260. ... Fourth, the inquiry into means which would become necessary
to establish entitlement seems to us as unnecessary intervention and
quite
irrelevant to any attempt to compensate a man for injury. Fifth, an
income-related means test would be a serious disincentive
to rehabilitation and
a return to work. In the present context the principle must be compensation for
losses, not assistance for
need which already is the subject of generous
attention in New Zealand.
[98] In Part 9 of the Woodhouse Report, the Conclusions and Recommendations again emphasised the principled distinction between social assistance and accident compensation:
487. THE SOCIAL SECURITY SYSTEM
(1) The social security fund frequently has supplemented
awards of damages or compensation and those concerned
have thus been
assisted twice in respect of the same injury. It is a situation which should
not continue.
(2) The system itself provides uniform flat rate benefits and on this basis
it cannot provide the framework for a comprehensive
scheme of injury
compensation. Flat rate benefits would be an unacceptable substitute for varied
income losses or permanent physical
impairment.
(3) Nor could an income-related means test be retained as a qualification for fair recompense.
It would interfere inequitably with the principle of compensation for losses;
it would be a serious disincentive to rehabilitation
and a return to work
...
[99] In the first paragraph of this last quote there is, as pointed
out by the Crown, recognition that the social welfare system should
not
supplement compensation awards. A person should not be assisted twice in respect
of the same injury. The point is enlarged upon
in the Woodhouse Report at [231]
to [238] and [247]. But it does not follow that because a social welfare
benefit should not be
granted for an injury compensated under accident
compensation legislation that such compensation payment is a form of social
welfare
assistance. We can find no support whatever for Ms Burton’s
assertion that:
[a]ccident compensation is part of the wider scheme of social welfare
provision.
[100] While some may conflate the accident compensation scheme and
the social welfare scheme, the same error has not been made
by
Parliament. Specifically, accident compensation payments are not means tested
or reduced where benefits are simultaneously
received under the SSA. Rather
“double compensation” is avoided by controlling the social welfare
payments via mechanisms
such as that in s 1A of the SSA (account to be taken of
financial support from publicly funded sources) and s 71A (deduction of
weekly
compensation from income-tested benefits). But the fact that social welfare
payments (with the conspicuous exception of
New Zealand superannuation) are so
controlled does not mean compensation payments under the AC Act are also so
controlled.
[101] The conceptual distinction between compensation for loss of
earnings following accidental injury and social security was highlighted
also in
the Report of the Royal Commission on Social Policy (1972):
[101.1] Social security alleviates the imperfect distribution of the
proceeds of the production from which every person’s living standards
are
derived (p 53).
[101.2] Flat-rate benefits are based on need and the degree of need
rather than past individual earnings or contributions (pp 57 and 65).
[101.3] Social security and accident compensation perform different
functions. See p 177:
72. It will be seen, then, that the function of social security is very
different from that of accident compensation. Its job is
not to maintain the
economic situation, before accidents, of a particular section of the community.
Instead, it is to ensure that
all members of the community have income
sufficient to reach an adequate living standard. It discharges a community
obligation to
meet need wherever need exists.
[102] While in these proceedings it has been contended by Ms Burton and the Crown that accident compensation is part of the wider scheme of social welfare provision, other advisers to the government have not done so. In particular the Report of the Ministerial
Working Party on the Accident Compensation Corporation and Incapacity
(1991) opened at p 2 with the statement that:
We consider that provision of compensation in the event of an injury is
essentially an insurance, rather than a welfare, matter.
[103] The principled distinction between compensation and social
welfare was made at p 13:
5. A third assumption is that there is some minimum standard of living
standard below which the government would not wish to see
individuals fall.
That is, whatever the circumstances, and whatever the degree of individual
responsibility for them, the state
will ensure that people receive health care
and a minimum income. This is however a principle of social welfare and not of
compensation.
“Compensation” implies the making good of a harm or
injury, varying with the extent of the injury and the previous circumstances
of
the injured person. There are thus two conflicting principles on which to base
the level of assistance which should be available
under any future accident
compensation scheme.
[104] And again at p 35:
100. Income support in the New Zealand social security system has always
been based on a “flat rate” core benefit. Total
aid available to
any individual beneficiary can vary according to personal circumstances such as
dependents, unusually high accommodation
or other special costs and other
sources of income. Assistance has never however taken account of the previous
earnings of the
claimant.
101. On the other hand, the ACC system is founded on earnings related
compensation for loss of income. This has been justified both
as a matter of
principle and of precedent. The principle claimed in support of ERC is that it
is the other end of a social contract
which saw the injured give up their right
to sue in the courts ...
Conclusions on the “one benefit” principle asserted by the
Crown
[105] Our conclusions on the “one benefit” contention by
the Crown are:
[105.1] Whereas social welfare is based on need, the accident
compensation system is based on earnings related compensation for loss of
income.
[105.2] Social welfare benefits granted under the SSA are subject to
the “one benefit” principle in that:
[105.2.1] Section 1A of the Act lists as a purpose of that Act the
need to ensure any financial support provided to beneficiaries under
the
SSA takes into account financial support they are eligible to receive or already
receive from publicly funded sources.
[105.2.2] Section 72(a) of the SSA states no person is entitled to
receive more than one benefit in his or her own right. The term
“benefit”
is defined in s 3(1) as a monetary benefit payable under
the SSA and includes New Zealand superannuation. That is, it is not generally
possible to receive a social welfare benefit at the same time as New Zealand
superannuation.
[105.2.3] Section 71A of the SSA stipulates that an income-tested
benefit must be reduced by the amount of weekly compensation payable to the
person under the AC Act. For a recent case on the operation of this section see
Hennessy v Chief Executive of the Ministry of Social Development [2012]
NZHC 3104, [2013] NZAR 110.
[105.3] New Zealand Superannuation is expressly removed from the operation of s 71A.
[105.4] Neither New Zealand Superannuation nor weekly compensation
payable under the AC Act is subject to a test based on need or means or
which
takes into account the receipt of other sources of income, publicly funded or
otherwise.
[105.5] The assertion by the Crown that accident compensation is part
of the wider scheme of social welfare provision is unpersuasive and
not
demonstrated.
[105.6] It is not possible to defend cl 68, Schedule 1 of the AC Act
on the basis asserted by Ms Burton, namely that it ensures that no one,
regardless of age, can receive two forms of publicly-funded main income support.
Clauses 68(3)(a) and (3)(b) in fact support the
contrary argument in that
accident compensation and superannuation are paid simultaneously for at least
twelve months.
[106] Against this background we turn to the central question in these
proceedings, namely whether cl 68 of the AC Act is inconsistent with
s 19 of the
New Zealand Bill of Rights Act 1990.
THE DISCRIMINATION ISSUE
[107] Mr Heads’ claim is that cl 68 in Part 4 of Schedule 1 of
the AC Act is discriminatory on the grounds of age because it does
not allow
those who are 65 years or over to be paid surviving spouses’ weekly
compensation for five years unless they elect
to give up their own New Zealand
superannuation payments after one year.
[108] The provisions relating to discrimination are found in the New Zealand Bill of
Rights Act 1990 and in the Human Rights Act 1993.
[109] Section 20L of the Human Rights Act sets out the obligation of
Government to act consistently with s 19 of the Bill of Rights:
20L Acts or omissions in breach of this Part
(1) An act or omission in relation to which this Part applies (including an enactment) is in breach of this Part if it is inconsistent with section 19 of the New Zealand Bill of Rights Act
1990.
(2) For the purposes of subsection (1), an act or omission is inconsistent with section 19 of the
New Zealand Bill of Rights Act 1990 if the act or omission—
(a) limits the right to freedom from discrimination affirmed by that section; and
(b) is not, under section 5 of the New Zealand Bill of Rights Act 1990, a justified limitation on that right.
(3) To avoid doubt, subsections (1) and (2) apply in relation to an act or omission even if it is
authorised or required by an enactment.
[110] Section 19 of the Bill of Rights provides:
19 Freedom from discrimination
(1) Everyone has the right to freedom from discrimination on the grounds of discrimination in the Human Rights Act 1993.
(2) Measures taken in good faith for the purpose of assisting or advancing
persons or groups of persons disadvantaged because of
discrimination that is
unlawful by virtue of Part
2 of the Human Rights Act 1993 do not constitute discrimination.
[111] The prohibited grounds of discrimination listed in s 21 of the
HRA include age.
The test for discrimination
[112] The first requirement of s 20L(2) is that the act complained of must limit the right to freedom from discrimination on a prohibited ground (here, age). In Ministry of Health v Atkinson [2012] NZCA 184, [2012] 3 NZLR 456 at [55] and [109] (followed and applied in
Attorney-General v IDEA Services Ltd [2012] NZHC 3229, [2013] 2 NZLR
512 at [125]) it was said there are two steps to determining whether there has
been discrimination under s 19 of the Bill of Rights:
[112.1] First, there must be differential treatment or effects as
between persons or groups in analogous or comparable situations on the basis
of
a prohibited ground of discrimination.
[112.2] Second, there must be a discriminatory impact (meaning that
the differential treatment imposes a material disadvantage on the person
or
group differentiated against).
The relevant comparator
[113] As pointed out in IDEA Services at [126], the first step
is sometimes approached by identifying the group affected by the decision at
issue (the affected group) and
comparing that group with those “whose
treatment is logically relevant to the person or group alleging discrimination
(the
comparator group)”. See Quilter v Attorney-General [1997] NZCA 207; [1998] 1
NZLR 523 (CA) at 573 per Tipping J. This is because, as pointed out by Tipping
J, “[t]he essence of discrimination lies in difference of
treatment in
comparable circumstances”. Identifying the affected group and the
relevant comparator group assists
in making an assessment whether there has
been a difference in treatment of people in comparable circumstances.
[114] For Mr Heads it is submitted the affected group
comprises those surviving spouses who become entitled to surviving spouse
weekly compensation on or after reaching NZSQA and who
must, within 12 months of
first eligibility for such weekly compensation, elect between receiving either
weekly compensation or New
Zealand superannuation. The comparator group
comprises those surviving spouses who became entitled to weekly compensation
before reaching NZSQA and who fall outside of the provisions of cl
68.
[115] On the other hand, the Crown submits the comparator group must be drawn from
cl 68:
The comparator group is a surviving spouse or partner, entitled to survivor weekly compensation under clause 68, who is less than NZSQA and who is subject to the same requirement to elect between weekly compensation and NZS, on reaching NZSQA. This group, younger than NZSQA and the plaintiff, are governed by clause 68(1) and (2) and clause
68(3)(a), (4) and (5). A surviving spouse or partner in this category are either entirely disentitled from simultaneously receiving both accident compensation and superannuation for any period, or enjoy a period shorter than 12 months when both accident compensation and
superannuation may be simultaneously received.
[116] Put another way the submission for the Crown is that the affected group is cl
68(3)(b) whereas the comparator group is anyone else covered by cl 68, ie cl 68(1) and
(2) and cl 68(3)(a).
[117] The cl 68(1) and (2) sub-categories must be aged between 60 plus one day and
64. A member of this group who is 60 plus one day will receive almost all of the surviving spouse weekly compensation five year entitlement before having to make the election. A member of this sub-category who is 62 years of age will potentially receive three years surviving spouse weekly compensation before making the election whereas a person who is 63 years will potentially receive two years. A person 64 years of age will receive one year of compensation only. None of these groups can receive surviving spouse weekly compensation simultaneously with NZS once they reach NZSQA.
However, a person in cl 68(3)(a) who is 64 plus one day will potentially
receive up to two years of surviving spouse weekly compensation
plus one year of
simultaneous receipt of New Zealand superannuation. The Tribunal was told by
the Crown that the policy reasons
for these distinctions is not known and that
every document of potential relevance which can be found has been put in
evidence.
It was submitted by the Crown that the unarticulated premise is the
one benefit principle.
[118] It was further submitted by the Crown that the effect of cl 68(1) and (2) and cl
68(3)(a) is that the sub-categories embraced by these provisions are the most
disadvantaged group because this cohort never receive
accident compensation and
superannuation at the same time. They are therefore an appropriate comparator
group.
[119] There are difficulties with the Crown submission:
[119.1] Some in the proposed comparator group do in fact receive
weekly compensation simultaneously with New Zealand superannuation. See
cl
68(3)(a) and (4):
(4) Such a surviving spouse or partner is entitled to the weekly
compensation for a period of 12 months following the later of ...
[Emphasis added]
The Crown is therefore mistaken in asserting there are in the
proposed comparator group persons who enjoy a period shorter
than 12 months when
both accident compensation and superannuation may be simultaneously
received.
[119.2] The more important point, however, is that the proposed
comparator group is comprised of disparate groups who have different
entitlements
with different outcomes in terms of the amount of weekly
compensation and superannuation received.
[119.3] These differences are not explained by the claimed one benefit rule because the cl 68(3)(a) and (b) categories do receive two “benefits” simultaneously for at least a period of time. Furthermore in the absence of evidence as to the policy considerations which were taken into account when cl
68 was drafted we do not consider it safe to infer from the disparate groups
and differing outcomes a coherent policy. Particularly
when we have rejected
the Crown submission that the one benefit principle operates outside of the
Social Security Act.
[119.4] The most that can be said about cl 68 is that it is a
necessary but untidy transitional provision framed around the unique
intersection
of NZSQA and surviving spouse weekly compensation.
[119.5] The Crown’s reliance on the transitional provisions in cl 52 do not assist with the interpretation of cl 68. This is because the groups are different as is the rationale for their compensation payments. A person injured in a non-fatal accident is compensated for loss of earnings. Those earnings will necessarily come to a natural end on the retirement of the individual from the workforce. Logically, compensation must end at that same point. In this regard NZSQA is an appropriate proxy for the fixing of that point. Surviving spouse weekly compensation, on the other hand, is paid to assist the surviving spouse to address the financial impact of the loss of an income earning spouse and is not only paid at a lower rate, but is paid for five years only. There is no need for a proxy to be fixed for identifying the point at which compensation payments to the surviving spouse should terminate.
[120] It is necessary to go back to the principles which
guide the framing of the comparator group:
[120.1] The approach to the comparator issue should be guided
by the underlying purpose of anti-discrimination laws and the context
in which
the issue arises: Air New Zealand Ltd v McAlister [2009] NZSC 78, [2010]
1 NZLR 153 at [51] per Tipping J.
[120.2] It is necessary to avoid an approach which would impose too
high a threshold and effectively cut out the inquiry into potential
discriminatory
action too soon. The intention of the Human Rights Act is to
take what has been described as a “purposive and untechnical”
approach to whether there is prima facie discrimination and so to avoid
artificially ruling out discrimination at the first stage
of the inquiry. See
Child Poverty Action Group Inc v Attorney-General [2013] NZCA 402, [2013]
3 NZLR 729 at [48] (hereinafter CPAG v Attorney-General).
[120.3] The “mirror” comparison analysis can lead to
problems. First, the definition of the comparator group can determine the
analysis and the outcome. Second, the search for a precisely corresponding
comparator becomes a search for sameness, rather than
a search for disadvantage,
occluding the real issue. A range of criteria could be established for
eligibility but with the knowledge
that one of those criteria will effectively
cut out and so discriminate against, for example, all those of a particular
ethnic group.
See CPAG v Attorney-General at [49] and [50].
[120.4] It is also necessary to come back to why it is a comparison is
being undertaken. The need to consider this exercise arises, at least
in part,
because legislation and policy decisions will involve to a greater or
lesser extent differential treatment or
the making of distinctions of some
sort. What the decision-maker is trying to do by reference to the comparator
is to sort out
those distinctions which are made on the basis of a prohibited
ground. The decision- maker is looking at the reality of the situation
not in
the abstract. See CPAG v Attorney-General at [51].
[120.5] It is necessary also to be comparing apples with apples and
hence the inquiry focuses on analogous or comparable situations. The
comparator
exercise is simply a tool in that analysis. In some cases, particularly those
where there is a single criterion, the
comparator analysis will effectively
answer the first stage of the inquiry. See CPAG v Attorney-General at
[51].
[120.6] Where there are multiple statutory criteria or where
effects-based discrimination is being considered, further analysis may be
required.
There may be questions about how the multiple criteria impact on the
choice of comparator and whether the discrimination is on the
basis of a
prohibited ground. See CPAG v Attorney-General at [52].
[120.7] The selection of the comparator group must be conducive to a
determination of the potential impact of the impugned policy without
a negation
of its relevance. The comparator group selected should be one that enables a
determination whether this difference is
on the basis of age or on some other
(non-discriminatory) basis. See IDEA Services at [139].
[121] In the present case the comparator advanced by the Crown cannot be accepted for the following reasons:
[121.1] As previously pointed out cl 68 addresses two distinct
categories:
[121.1.1] First, those in cll 68(1) and (3)(a) ie persons who have
become entitled to surviving spouse weekly compensation prior to
reaching NZSQA but whose five year period of compensation will not expire until
after they pass NZSQA.
[121.1.2] Second, those in cl 68(3)(b) ie persons who, subsequent
to reaching 65 years of age, have become entitled to surviving
spouse weekly compensation.
Mr Heads belongs to the second category, not the first. To ensure apples are
compared with apples, the comparable situation to Mr
Heads is not the first
group, but surviving spouses entitled to weekly compensation and who
fall outside of cl 68. This,
we believe, is the “purposive and
untechnical” approach recommended in CPAG v Attorney-General at
[48]. Given the disparate nature of the groups in cl 68 the only natural and
logically relevant comparator group is surviving
spouses who fall outside
cl 68. Mr Heads complains not of discrimination within the transition
groups covered by cl
68 but with surviving spouses outside it. The
Crown’s approach will occlude the real issue.
[121.2] The policy of ss 67, 69(1)(e) and cl 66 of the AC Act is that
where there has been a fatal injury, the surviving spouse is to receive
weekly
compensation for a flat period of five years at the fixed rate of 60% of 80% of
the deceased’s earnings and that that
compensation is to be paid
regardless of the surviving spouse’s need, income, assets or other
payments from publicly funded
sources. The formulation of the comparator group
as advanced by Mr Heads will be consistent with this policy. The Crown
formulation
will not.
[121.3] The transition of the first category from surviving
spouse’s weekly compensation to superannuation could have been on a
“bright
line” basis, that is the five years could have been allowed
to run without interruption by NZSQA or alternatively, inflexibly
brought to an
end at NZSQA. The Crown concedes the policy reasons behind the formulation
found in cl 68 and the various election
outcomes prescribed by that provision
are not known. However, it is submitted the presence of the one benefit
principle can be discerned.
As to this, however, the cl 66 entitlement to a
surviving spouse compensation, as with all other compensation entitlements under
the AC Act, are not subject to such principle. Furthermore, cl 68 does in fact
allow accident compensation and superannuation to
be received simultaneously.
We do not in these circumstances see how the asserted one benefit principle
assists in identifying the
comparator group.
[121.4] It must also be emphasised that this is not a case about the simultaneous receipt of two forms of payments, it is about a person in Mr Heads’ position receiving either one year of the five year entitlement to compensation or forfeiting four years of superannuation. Not only is such treatment very different compared with that of a surviving spouse who is younger than 60 plus one day, he is also worse off than all of the age groups which fall within the first category of cl 68 ie surviving spouses receiving weekly compensation but then reaching NZSQA with the five year period of compensation still running. Specifically a person in the cl
68(3)(a) group will potentially receive up to 24 months compensation plus one year of superannuation before having to make the election. The maximum period of overlap for those in Mr Heads’ situation is 12 months only. Even if the two categories are to be collapsed into one “group” we do not accept that Mr Heads
can appropriately be compared with other members of the same group, each of
whom enjoys a more advantaged position than him.
Conclusions on differential treatment
[122] For the reasons given we conclude Mr Heads, as a surviving
spouse entitled to weekly compensation under cl 66, has been treated differently
from other surviving spouses entitled to weekly compensation under that clause
and who are not within cl 68. The reason for such
treatment is his age. Clause
68(3)(b) provides that because Mr Heads became entitled to surviving
spouse’s weekly compensation
after he reached NZSQA, he can receive only
one year of the five year compensation entitlement unless he elects to receive
compensation
instead of superannuation. It is clear his age is the reason for
the differential treatment and the causative link between the treatment
and the
prohibited ground is clearly established.
Material disadvantage
[123] We turn now to the second step in determining whether there has
been discrimination under s 19 of the Bill of Rights, namely
the
question whether the differential treatment has imposed on Mr Heads a material
disadvantage.
[124] It might be thought only an affirmative answer is possible given
Mr Heads was for four years without New Zealand superannuation, the
disadvantage
amounting to approximately $75,000.
[125] However, for the Crown it was submitted the material
disadvantage must be something other than this loss. That is Mr Heads must
establish a disadvantage beyond a direct loss. Reference was made to the need
to show the perpetuation of an “existing disadvantage
or prejudice against
older New Zealanders”. In support it was contended the “wider
scheme of social welfare provisions”
does not stereotype older New
Zealanders as needing less, or being less worthy recipients of, income support
than those who are younger.
Older New Zealanders are not economically
disadvantaged and cl 68 does not perpetuate disadvantage.
[126] In addition to deploying “social welfare”
terminology inappropriately in the context of a compensation scheme, this
submission is altogether too broad and perhaps mistakes the nature of the
claim made by Mr Heads. Above all, it places on
Mr Heads an impossible burden
to show not that he has suffered material disadvantage by having to make the
election, but that somehow
all older New Zealanders have been
disadvantaged.
[127] As stated in CPAG v Attorney-General at [72] there is no need to complicate this part of the analysis. The point of the exercise is to consider the impact on the claimant in context and that impact must be material. In CPAG v Attorney-General the lack of a comparable gain (the ability to receive the in-work tax gain) met the test. In IDEA Services at [164] it was not having access to government funding to assist participation in the community. In Ministry of Health v Atkinson at [137] the parents had shown they wanted to care for their children ie do the work for the Ministry providers and were available to do so. They had not received paid work because of the Ministry policy. This was accepted as a material disadvantage. The adult children similarly had been disadvantaged because they were denied access to the range of paid service providers that other disabled persons could access. In none of these cases was the plaintiff required to establish material disadvantage written in the broad terms contended for by the Crown in the present case.
[128] We are of the view material disadvantage is established because Mr Heads was required to make an election to receive either compensation or superannuation. He consequently forfeited four years of his superannuation entitlement amounting to
$75,000. This is a material disadvantage.
[129] For these reasons we find the election requirement attached to
cl 68(3)(b) to be prima facie discriminatory.
[130] Mr Heads having discharged his burden of proof we turn
to the second requirement of s 20L(2) of the Human Rights Act, that
is to s 5
of the Bill of Rights and the question whether the discrimination we have
identified can be justified as a limitation on
the right.
WHETHER A JUSTIFIED LIMITATION
[131] As explained in IDEA Services at [165], once a claimant
has shown that his or her right to be free from discrimination has been limited
by the actions of government,
the government must show (see s 92F of the HRA)
the limit has legal authorisation and that the limit is a reasonable one. To
show
the latter, the limit must be demonstrably justified in a free and
democratic society:
5 Justified limitations
Subject to section
4, the rights and freedoms contained in this Bill of Rights may be subject
only to such reasonable limits prescribed by law as can be
demonstrably
justified in a free and democratic society.
[132] First we address the requirement that the limit be prescribed by
law.
Prescribed by law
[133] It is plain that because cl 68 is included in Part 4 of Schedule
1 of the AC Act, its terms are prescribed by law. So much was accepted
by both
parties. There is accordingly no need to explore further the issues left open
in Atkinson at [181] to [184] and addressed in IDEA Services at
[171] to [193].
Reasonable and justified
[134] We approach the statutory test in the terms framed by Tipping J
in R v Hansen [2007] NZSC 7, [2007] 3 NZLR 1 at [104] and adopted in
Atkinson at [143] and in CPAG v Attorney-General at [76] from
which the following quote has been taken:
[76] In Atkinson, this Court approached s 5 considering the headings set out by Tipping J in R v
Hansen [2007] NZSC 7, [2007] 3 NZLR 1 at [104], namely:
(a) does the limiting measure serve a purpose sufficiently important to justify [curtailing the right]?
(b) (i) is the limiting measure rationally connected with its purpose?
(ii) does the limiting measure impair the right ... no more than is reasonably necessary for sufficient achievement of its purpose [minimal impairment]?
(iii) is the limit in due proportion to the importance of the objective [proportionality]?
[135] We accept that in approaching the s 5 analysis some latitude or
leeway must be afforded to the legislature. See CPAG v Attorney-General
at [79] to [92]:
The approach to s 5
[79] The authorities suggest that how much choice will be afforded to the legislature or decision maker depends on the circumstances. It is generally accepted, and it is accepted in this case,
that in matters involving social security and the allocation of spending, a
greater degree of leeway will be afforded to the decision
maker’s
choice.
New Zealand
[80] Tipping J in Hansen referred to a spectrum extending “from
matters which involve major political, social or economic decisions at one end
to matters
which have a substantial legal content at the other”. Tipping J
envisaged that the nearer to the legal end of the spectrum
the more intense the
review by the courts was likely to be. As his Honour said, though, particular
matters may have a number of different
elements involving different aspects of
the spectrum. To illustrate, Tipping J said, “the allocation of scarce
public resources
can often intersect with questions which, from a different
standpoint, may seem more legal than political”.
[81] We find helpful this observation:
[117] Ultimately, judicial assessment of whether a limit on a right or
freedom is justified under s 5 of the Bill of Rights involves
a difficult
balance. Judges are expected to uphold individual rights but, at the same time,
can be expected to show some restraint
when policy choices arise, as they may do
even with matters primarily involving legal issues. ... [Depending on the
circumstances]
the Court should allow the decision maker ... some degree of
discretion or judgment. If the decision maker is Parliament, and it
has
manifested its decision in primary legislation, the case for allowing a degree
of latitude may well be the stronger.
[82] Tipping J went on to develop the concept of a bull’s-eye, a
concept relied on by CPAG in this case. The margin of judgement
or leeway left
to Parliament represents the area of the target outside the bull’s-eye.
The idea is that the size of the target
beyond the bull’s-eye will turn on
the subject matter. But, and this is the aspect CPAG relies on, Tipping J made
the point
that Parliament’s view must not miss the target
altogether. We come back to this aspect in considering the
proportionality
of the off-benefit rule. [footnote citations omitted]
[136] We address now the Hansen test.
Whether cl 68(3)(b) of the AC Act serves a purpose sufficiently important
to justify the curtailment of the right to be free from
discrimination on the
basis of age
[137] As pointed out in IDEA Services at [206], it is necessary
to address the objective of the challenged provision in order to consider
whether that objective is sufficiently
important to justify the curtailment of
the right to be free from discrimination (in this case on the basis of age).
The High Court
concluded at [216] that the budgetary constraints established by
the evidence and which required the Ministry of Health to make decisions
about
competing priorities for disability services funding was an objective
sufficiently important to justify a curtailment of the
right to be free from
discrimination. The High Court stated at [216]:
... we agree that a limiting measure taken because expenditure had to be
controlled and prioritised is a sufficiently important objective
which can
justify curtailment of the right to be free from discrimination.
[138] In the present case it was submitted by the Crown the evidence given by Ms
Burton established:
[138.1] The link between weekly compensation and NZSQA as well as limits on entitlements for surviving spouses were introduced following the review of the ACC scheme in 1991 (Accident Compensation: A Fairer Scheme (30 July 1991) (The Birch Report)). Evidence at the time showed that the cost of the scheme had grown by an average rate of 25% a year between 1985 and 1990. Employers in particular were concerned at spiralling costs and they were
contributing nearly 70% of the cost of the scheme while only 40% of payments
were related to work accidents. A number of changes
to the legislation
resulted.
[138.2] The upper age limit that applies to weekly compensation has an
important objective, that is to ensure the ACC scheme is fair (to those
who are
expected to contribute to its cost) and sustainable.
[139] As to this submission it is to be recalled that cl
68 addresses two distinct categories:
[139.1] Persons who become entitled to surviving spouse weekly
compensation prior to their reaching NZSQA but whose five year entitlement
will
not expire until after they reach NZSQA.
[139.2] Persons who, subsequent to reaching NZSQA, become entitled to
receiving surviving spouse weekly compensation following the death
of
their spouse in a fatal workplace injury.
Plainly the purpose or objective of cl 68 in relation to the first category
is to facilitate the transition of the surviving spouse
from surviving spouse
weekly compensation to New Zealand superannuation. But the real question, not
addressed by the evidence, is
why the clause does not employ a bright line
termination at NZSQA or an equally bright line recognition that the five years
must
be allowed to run their course. Instead, depending on the age at which
entitlement arises, the surviving spouse receives anything
from almost the full
five years to almost one year of compensation before having to make an election
between surviving spouse weekly
compensation and superannuation.
[140] As to the second category, the purpose or objective of cl 68 is
to allow a surviving spouse 65 years of age or older to receive surviving
spouse
compensation where his or her spouse dies in a fatal accident. But
again, the real question is why the five year period is made the subject of
an election and why the overlap between
the compensation payments and
superannuation is set at one year only. It is this question which is the
subject of the inquiry under
the Hansen analysis. The Crown conceded
almost no evidence on this question can be found.
[141] For Mr Heads it is submitted such policy evidence as was
produced by the Crown is primarily, if not exclusively focused on the cost
of
paying weekly compensation for incapacity resulting from personal injury ie
claims arising out of non-fatal accidents. The Crown has not been able to
produce any policy documents specific to the second scenario addressed by cl 68.
Those Cabinet Papers
which were cited by Ms Burton are simply summaries of
conclusions. They do not provide any reliable indication of what policy
considerations
were in fact considered in relation to cl 68(3)(b).
[142] We agree. Our assessment is that the policy considerations which have been produced in evidence by the Crown relate to the cost of compensating earners injured in non-fatal accidents. The one document which recognises concerns about age discrimination (Briefing to Hon Ruth Dyson “Weekly Compensation for Claimants Incapacitated Near or Over the New Zealand Qualification Age (65 years) (12 October
2007)) relates to workers compensation, that is to older workers who remain
in the workforce and who are incapacitated near or over
NZSQA. That is, the cl
52 cohort. It has no bearing on the surviving spouse compensation
issue.
[143] Even the policy considerations affecting the first category in cl 68 (persons who have become entitled to surviving spouse weekly compensation prior to reaching NZSQA but whose five year period of compensation will not expire until after they reach
NZSQA) is largely unexplained. That is, the reasons why some in this group get most of their surviving spouse weekly compensation entitlement whereas others get no more than one year. The proposals in The Birch Report at p 44 do assert that earnings- related compensation will normally cease once the claimant reaches the age of eligibility for superannuation but as cl 68 abundantly demonstrates, no bright line cut off point was ultimately adopted and surviving spouse weekly compensation and New Zealand superannuation can be received simultaneously by two age groups, being those
64 plus one day to 65 and those 65 and over age group. The shaded boxes in
Table 5 underline the point. The reasons for cl 68 being
in its present form
are not known.
[144] The Crown falls back on the assertion that there is, across
government, a generalised principle that a person may receive only
one
form of publicly funded support. It is true this is a principle explicitly
acknowledged by the SSA in the context of social
welfare benefits paid under
that Act but it is not acknowledged in the context of the AC Act and it is
common ground the “entitlements”
under that Act are not means
tested. It is true also a person receiving such entitlement cannot also receive
a social welfare benefit.
The important point, however, is that the one benefit
principle applies to the benefit, not the entitlement.
[145] Having regard to what was said in IDEA Services at [216]
about budgetary constraints we accept that a limiting measure taken
because expenditure must be controlled and
prioritised is a sufficiently
important objective which can justify curtailment of the right to be free from
discrimination. However,
as stated in that judgment at [217], there must be
evidence that the need to control expenditure and to choose between priorities
was the objective.
[146] In the present case there was no such evidence. In default the
Crown relied on the asserted one benefit principle, a principle we
believe is
not established as having application to the AC Act. Rather it is a principle
which operates on the social welfare side
of the fence. This is not an
accident. Both the AC Act and the NZSRIA speak of weekly compensation and of
superannuation as
an “entitlement”. Social welfare benefits,
on the other hand, are based on need and are therefore understandably
governed
by the one benefit rule articulated in ss 1A and 72 of the SSA. But it is wrong
in principle to extrapolate that all publicly funded payments are
governed by the same rule, particularly payments statutorily characterised as
entitlements.
[147] Our conclusion is the Crown has not established that the limiting measure in cl
68(3)(b) serves a purpose sufficiently important to justify curtailing the
right to be free from discrimination on the basis of age.
To assert that it
saves money is too vague and general a proposition to satisfy the Crown’s
onus. However, even if we are
wrong, it will be seen the provision does not
satisfy the balance of the Hansen analysis.
Whether cl 68(3)(b) of the AC Act is rationally connected to its
purpose
[148] As explained, the policy objectives served by cl 68(3)(b) was not the subject of specific evidence but it is asserted by the Crown the purpose served by the age restriction is to ensure a surviving spouse receives only one form of financial support from publicly funded sources. If we are correct in holding that such purpose has not been established, this limb of the Hansen analysis is answered “No”. If we are wrong, the Crown must still satisfy the minimal impairment and proportionality tests.
Minimal impairment: does cl 68(3)(b) impair the right to be free from
age-related discrimination no more than reasonably necessary
to achieve its
purpose
[149] As pointed out in IDEA Services at [222], it is here that
consideration is given to whether any less rights-intrusive means of addressing
the objective would have
a similar level of effectiveness:
A decision will meet the minimal impairment standard if it falls within a
range of reasonable alternatives. A decision is not disproportionate
merely
because the court “can conceive of an alternative which might better
tailor objective to infringement”. [footnote
citations omitted]
[150] The Crown’s case rests on the proposition that the
accident compensation scheme must remain fair and sustainable. It
contends any relaxation of the cl 68(3)(b) restrictions will have an
impact on the claims liability of the Accident Compensation
Corporation. Mr
Burton made the point in the following terms:
17. ACC has a responsibility to provide for the rehabilitation and
compensation of people in New Zealand who have injuries. To do
this ACC needs
to hold assets at least equal to the expected future cost of providing these
benefits. Each year an estimate
is made of the expected total discounted
amount of the future claims payments in respect of injuries occurring before the
end of
the financial year. This is the ACC claims liability. The claim
payments are discounted to reflect the future expected investment
return
on the funds invested; this is referred to as the “net present
value” of the future claim payments.
18. The claims liability can be thought of as the lump sum needed to be
invested now in order to meet the expected future payments
for injuries that
occurred before the liability valuation date as they fall due, allowing for
investment income between the valuation
date and the expected payment
dates.
[151] In addressing the cost implications of the claim made by Mr
Heads, Mr Burton offered two sets of figures, details of which have already
been
set out at some length earlier in this decision in Tables 1 and 2.
[152] Essentially, on a worst case scenario of 30 surviving spouses
who will become eligible for surviving spouse’s weekly compensation
at or
after NZSQA, the additional cost impact will be $1.0 million in the first year
and $1.3 million thereafter. If there were
only 20 surviving spouses the
annual cost will be in the region of $660,000 approximately. As the
number of surviving
spouses could be as low as 4 the additional cost will
potentially be even lower. Mr Burton also made the point that
from
approximately 2009 ACC levies have been falling and it can be assumed they will
continue to fall until a plateau is reached.
[153] The evidence of Mr Domingo was that the additional cost to the
New Zealand superannuation fund would be $657,000 in the first year
rising to
$685,000 in the second year.
[154] Both Mr Burton and Mr Domingo accepted these additional costs
are negligible.
[155] In the face of this evidence it is difficult to see how it is possible to demonstrably justify imposing on persons who, after reaching NZSQA, suffer the death of an income earning spouse, an obligation to elect (after 12 months) between their entitlement to surviving spouse weekly compensation and their entitlement to New Zealand superannuation. Particularly bearing in mind weekly compensation is not means tested for any other surviving spouses and that surviving spouse weekly compensation payments are intended to provide financial support consequent on the loss of the income earning spouse.
[156] The Crown endeavoured to bring into the equation the cost of removing age-based restrictions not only in relation to surviving spouses where there has been a fatal accident (Part 4, cl 68(3)(b)), but also in relation to all claimants injured in non-fatal accidents and who are at or approaching NZSQA, that is to the Part 2, cl 52 category of individuals. Not only that, the Crown put forward figures which assumed this category of individuals (cl 52) would receive superannuation for life as well as weekly compensation for life. The figures offered by Mr Burton were consequently dramatic. As can be seen from Table 2, the additional cost would be $27.1 million in 2014, rising to $63.2 million in
2017. Levies would rise by approximately 6%. The additional cost to the New
Zealand superannuation fund would be $10.363 million
in the first year rising to
$32.986 million in the fourth year.
[157] It is not accepted by us that Part 2, cl 52 and the
Crown’s alternative figures have relevance to the analysis:
[157.1] The case for Mr Heads is confined solely to the Part 4, cl
68(3)(b) category – spouses who, having reached or passed NZSQA,
become
entitled to survivors weekly compensation. The Crown is endeavouring to re-cast
his case and thereby draw in extraneous factors
such as cl 52.
[157.2] Payment of compensation for lost earnings following a personal
injury by non-fatal accident is altogether different to compensating
a
surviving spouse where there has been death by accident. This is recognised in
part by the difference in the duration for which
compensation is paid. The one
lasts for as long (or short) as the incapacity. The other lasts for a flat
period of five years.
The one is 80% of earnings, the other is 60% of 80%.
Schedule 1 itself treats the two categories differently. The one appears in
Part 2 of Schedule 1, the other in Part 4.
[157.3] Because earner’s compensation lasts only for so long as
the incapacity to which it relates, it is unhelpful to put forward figures
which
assume entitlement for life.
[157.4] Furthermore, as compensation under Part 2 of Schedule 1 is
paid as compensation for lost earnings, those earnings will inevitably
come to
an end once the individual retires from the paid workforce. A suitable proxy
for fixing that point is NZSQA. It is not
realistic to assume that weekly
compensation will continue for the whole of life post-retirement. Because
surviving spouse weekly
compensation is paid not for incapacity of the earner
but to allow adjustment for pecuniary losses following from the death, the
five
year ceiling is a finite, limited financial liability to the Corporation, as
demonstrated by Mr Burton in Table 1.
[158] The Crown advanced a further submission that if the limitation
in cl 68(3)(b) were removed the flow on effects would be:
[158.1] People over the age of 65 would be provided with a financial
advantage not available to those who are under 65 which would potentially
lead
to discrimination on the basis of age.
As to this, a surviving spouse under 65 (and not within cl 68) receives five full years of compensation without being means tested. Later in life New Zealand superannuation follows. It too is not means tested. Mr Heads is asking for no more than this. Whether the payments are received sequentially or
simultaneously does not affect quantum. In the circumstances no financial
advantage arises.
[158.2] A precedent would be set, weakening the one pension
principle.
As to this, for the reasons given earlier, the submission fails to take into
account the long established conceptual distinction between
accident
compensation and social welfare. The supposed principle is not incorporated in
the AC Act. Indeed, cl 68(3)(a) and (b)
specifically stipulate that
compensation payments and superannuation can be received at the same
time.
[158.3] People receiving ACC payments would be able to receive also
New Zealand superannuation, placing an inequitable financial burden on
levy and
tax payers.
As already explained, compensation is paid to an injured worker not for life,
but for the duration of the incapacity. Furthermore,
it can be assumed the
earnings of that individual will come to an end at some point. The NZSQA is a
logical proxy for identifying
that end point. Compensation cannot continue
beyond either point. Allowance is already made for those over NZSQA who remain
in
the workforce and are injured. As explained in Stewart v Accident
Compensation Corporation at [21] to [31], a limited degree of overlap
between the two schemes is provided for in cl 52. In the circumstances it is
difficult
to see force to the Crown’s submission.
[159] For these reasons we do not defer to the Crown’s claim
that fiscal sustainability is at risk should the case for Mr Heads prevail.
The
following passage from IDEA Services at [228] is appropriate:
As in Atkinson the MOH’s submission really suggests that in the
face of fiscal unsustainability a court should accept (because it should
simply defer to the government agency) that the decision made is
justified. As in Atkinson we do not accept that submission. [footnote
citations omitted]
[160] Notwithstanding the negligible, if not almost invisible additional cost involved in removing cl 68(3)(b) no consideration appears to have ever been given to whether it serves any point. Nor has consideration been given to the question of discrimination. It is notable that most of the accident compensation policy documents in evidence predate
1 February 1994 (the date the HRA came into force) and 1 January 2002 (the date on which Part 1A of the Act was inserted by s 6 of the Human Rights Amendment Act
2001). None address cl 68. Perhaps this is because the clause has never been viewed through the prism of human rights law. More particularly, such policy as may underlie cl
68(3)(b) has (according to Crown counsel and to the witnesses called by the Crown) not
been addressed in these papers even though this is one of those cases where
there is an obvious reasonable alternative (removal of
the election requirement)
less impairing of the right. See CPAG v Attorney-General at
[129].
[161] The Crown has the burden of proving cl 68(3)(b) impairs the
right to be free from discrimination (on the ground of age) no
more than
reasonably necessary for its purpose. We are far from satisfied that it has
discharged that burden.
Proportionality: is the limit in cl 68(3)(b) in due proportion to the
importance of its objective?
[162] As noted in IDEA Services at [232] the last step in determining whether a limit is reasonable and justified requires the decision-maker to stand back and make a broad
assessment as to whether the discrimination is in due proportion to the
objective of the provision.
[163] In the absence of evidence of the actual policy objective
underlying cl 68(3)(b), the most that can be said is that the election provision
has the effect of saving the government money. If ultimately this is the
underlying policy, the amount saved by the Accident Compensation
Corporation is
at most $1.3 million per annum in a worst case scenario and it could be as
little as $660,000 or even less. The amount
saved by the New Zealand
superannuation fund is at most $685,000 per annum and could well be less. As
mentioned, even when combined
these figures can only be described as
negligible.
[164] The savings come at the expense of a small group of superannuitants who, had their status as surviving spouses come about prior to their reaching NZSQA (and prior to their reaching 60 years of age less one day) would have enjoyed five uninterrupted years of compensation to allow adjustment for the pecuniary losses flowing from being deprived of the income earned by their spouse. Later they would have received New Zealand superannuation. Neither their compensation nor their superannuation would have been means or assets tested. This group is now at a stage in their lives when they cannot easily (or at all) return to the workforce to make up for the income formerly earned by the deceased spouse. By having to elect after one year between survivor’s compensation and superannuation they forfeit either four years of compensation or four years of superannuation. The amount so lost is, for them, a substantial sum. In the case of Mr Heads, the financial loss is approximately $75,000. It is not a loss imposed on other surviving spouses or recipients of superannuation. It also undermines the principle of universal individual entitlement to superannuation. The surviving spouse who elects to receive compensation forgoes for four years the “citizenship dividend” described by the Retirement Commission in the Review of Retirement Income Policy
2010 at 77:
Subject only to tests for age and length of New Zealand residency, each
person is eligible to receive NZS irrespective of (most) other
personal
circumstances. Unlike the usual working age benefits aimed at social protection
and based on the income support model, getting
NZS does not depend on whether a
person is employed or partnered. Nor is it based on ‘need’ as
indicated by the amount
of their income or their partner’s income.
This is an essential feature of the citizenship dividend model, as
distinct from the income support model. In some respects, focusing on the
circumstances of the individual puts NZS on a similar basis to the income tax
system that
uses the individual as the unit of assessment (although family tax
credits require joint assessment of a couple to determine entitlement).
The broad principle that NZS is a non-income-tested personal entitlement is
worth defending and preserving. It supports gender
equality, taking
personal responsibility for one’s own financial future and it does not
distort paid employment decisions.
In addition, its universality makes it simple
and cost-effective to administer.
[165] Yet the amount of money saved by the government is negligible and of no real significance. The Crown suggests remedying the discrimination could have a spill over effect. If there were indeed a real risk of this happening we are confident much more than vague premonitions would have been led in evidence and developed in submissions. But such was not offered beyond the unsustainable reliance on cl 52 and on the claimed one benefit rule. Weighing these factors we are of the clear view the discrimination which results from cl 68(3)(b) is not in due proportion to the importance of its objective.
CONCLUSION
[166] For these reasons we conclude the terms of cl 68(3)(b) in Part 4 of Schedule 1 of the Accident Compensation Act 2001 read with sub-cls (4) and (5) are in breach of Part
1A of the Human Rights Act 1993.
DECLARATION
[167] The only remedy which can be granted by the Tribunal in such
situation is a declaration of inconsistency. See s 92J of the Human
Rights
Act:
92J Remedy for enactments in breach of Part 1A
(1) If, in proceedings before the Human Rights Review Tribunal, the Tribunal finds that an enactment is in breach of Part 1A, the only remedy that the Tribunal may grant is the declaration referred to in subsection (2).
(2) The declaration that may be granted by the Tribunal, if subsection (1) applies, is a declaration that the enactment that is the subject of the finding is inconsistent with the right to freedom from discrimination affirmed by section 19 of the New Zealand Bill of Rights Act
1990.
(3) The Tribunal may not grant a declaration under subsection (2) unless that decision has the support of all or a majority of the members of the Tribunal.
(4) Nothing in this section affects the New
Zealand Bill of Rights Act 1990.
[168] We accordingly declare that cl 68(3)(b) in Part 4 of Schedule 1
of the Accident Compensation Act 2001 is inconsistent with the right
to freedom
from discrimination on the basis of age affirmed by s 19 of the New Zealand Bill
of Rights Act 1990.
COSTS
[169] Costs are reserved. Unless the parties have come to an
arrangement on costs the following timetable is to apply:
[169.1] Mr Heads is to file his submissions within 14 days after the
date of this decision. The submissions for the Crown are to be filed
within a
further 14 days with a right of reply by Mr Heads within seven days after
that.
[169.2] The Tribunal will then determine the issue of costs on the
basis of the written submissions without further oral hearing.
[169.3] In case it should prove necessary, we leave it to the Chairperson of the
Tribunal to vary the foregoing
timetable.
............................................. Mr RPG Haines QC Chairperson
.............................................
Ms WV
Gilchrist
Member
............................................
Ms ST
Scott
Member
46
47
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