
Spartan
Caselaw
ACTUARIAL CASE LAW REVIEW
Issue 152 – Monday 3 March 2025

ACTUARIAL – Loss of income – Post-morbid scenario – Cognitive deficits – Completed Grade 12 with a degree endorsement – Academic performance affected – Decision to pursue a national certificate deemed unrelated to injuries – Likely motivated by other factors like socio-economic conditions rather than accident-related circumstances – Injuries resulted in a diminished earning capacity – Post-accident scenario that mirrors pre-accident scenario justified – 15% differential in contingency deductions applied – R1,500,000.
Pre-Accident Scenario: The plaintiff, a minor born in 2005, was a healthy and academically capable child before the accidents. She was likely of high average to superior cognitive ability, with the potential to complete Grade 12 and obtain a bachelor’s degree (NQF 7 level). Post-graduation, she would have likely worked in temporary or contract positions before securing a permanent role, progressing to higher income levels over her career until retirement at age 65.
Accident and injuries: The minor was involved in two separate accidents. The first occurred on 22 June 2012, when the vehicle she was a passenger in collided with stray cattle and rolled. She sustained a head injury, forehead abrasions, and was hospitalized with symptoms like headaches and convulsions. The second accident occurred on 28 March 2013, when the stationary vehicle she was in was rear-ended while a tire was being changed. This caused lower back and pelvic injuries, exacerbating her existing pain and psychological trauma. Both accidents left her with chronic pain, headaches, cognitive difficulties, and emotional trauma, including anxiety and concentration issues.
Post-accident scenario: Following the accidents, the minor experienced persistent physical and psychological sequelae, including chronic back pain, migraines, fatigue, irritability, and cognitive deficits such as poor concentration, memory issues, and reduced energy levels. Despite these challenges, she completed Grade 12 with a degree endorsement, demonstrating resilience. However, her academic performance was affected, and she underperformed during her FET phase (Grades 10-12). She now plans to pursue a national certificate in accounting, with aspirations to later obtain a degree, though her cognitive and emotional challenges may hinder her ability to achieve her full academic and career potential.
Discussion: The plaintiff’s pre-accident potential and post-accident challenges were considered, including her cognitive deficits and emotional trauma. While she achieved a degree endorsement in matric, her decision to pursue a national certificate was deemed unrelated to her injuries. The fact that she chose to pursue a national certificate in accounting has nothing to do with the injuries and its sequelae, but it could have been motivated by other factors like socio-economic conditions rather than accident-related circumstances. It was out of her choice rather than cognitive deficits or learning challenges that she opted to pursue a national certificate in accounting.
Findings: A post-accident scenario that mirrors the pre-accident will be justified under the circumstances instead of the post-accident scenario as suggested in the actuary’s report. The plaintiff’s injuries resulted in a diminished earning capacity but the actuarial scenarios suggesting she would only achieve a national higher certificate or diploma were rejected. The actuarial scenarios suggesting a lower post-accident earning capacity was rejected, instead, her post-accident potential aligned with her pre-accident potential, given her academic achievements despite her injuries. A 15% differential in contingency deductions was applied to account for her diminished earning capacity, yielding a net loss of R1,562,697, rounded to R1,500,000.
Order: The court awarded the plaintiff a globular amount of R1,500,000 for loss of earning capacity, reflecting a fair compensation for her diminished future earning potential due to the injuries sustained in the accidents.
ACTUARIAL – Loss of income – Proof – Completed Grade 12 examinations – Successfully completed N4 and N5 courses post-accident – Expert report suggested plaintiff would have completed at least an N6 certificate but for accident – Assertion unsupported given post-accident academic success – Rejected for lacking a factual basis – Claim for impairment of earning capacity rejected – Loss of future earning capacity not supported by evidence – Defendant liable for 90% of proven damages.
Facts: The plaintiff, Xulu, was a pedestrian involved in a motor vehicle accident on 23 September 2021. She sustained injuries including a head injury (laceration/haematoma to the forehead), a comminuted midshaft fracture of the right tibia and fibula, a left thumb injury, and scarring. The plaintiff, born on 23 January 2003, was a tertiary student at the time of the accident. The defendant, the Road Accident Fund, admitted liability on a 90/10 apportionment basis in favour of the plaintiff. The plaintiff’s academic performance before and after the accident was a key focus, as she completed her Grade 12 in 2020 with mixed results and later enrolled in a TVET college for Human Resources Management, successfully completing N4 and N5 courses.
Claim: The plaintiff claimed future hospital and medical expenses: R183,750; loss of future earning capacity: R7 million; and general damages: R2 million. The total claim amounted to R9,183,750. The plaintiff argued that she was unemployable, restricted in manual and ambulatory work, and permanently disadvantaged due to the accident.
Issue: The key issues were whether the plaintiff’s claim for loss of future earning capacity was substantiated, given her academic performance post-accident; whether the plaintiff’s claim for general damages should be postponed; whether the plaintiff’s legal representatives acted improperly by disclosing a without prejudice settlement offer and wasting the court’s time.
Discussion: The plaintiff had completed her Grade 12 examinations in 2020, achieving results that qualified her for higher certificate studies but not for university degree studies. After the accident, she did not study or seek employment for two years (2021–2022), and no explanation for this hiatus was provided. In 2023, she enrolled in an N4 Human Resources Management course at a TVET college, which she successfully completed, followed by an N5 course in 2024. The educational psychologist’s report suggested that, but for the accident, the plaintiff would have completed at least an N6 certificate, but this assertion was unsupported, given her post-accident academic success. The educational psychologist’s opinion was rejected for lacking a factual basis, and the industrial psychologist’s report was similarly dismissed for lacking substantiation.
Findings: The plaintiff’s claim for impairment of earning capacity was rejected. The plaintiff’s claim for loss of future earning capacity was not supported by the evidence. Despite the educational psychologist’s opinion that the plaintiff would not complete her N6 qualification, the plaintiff had successfully completed N4 and N5 courses post-accident and was pursuing a sedentary career in human resources management. The psychologist’s report was rejected as lacking factual basis. A without prejudice offer of R500,000 (pre-apportionment) for general damages had been made by the defendant, reducing to R450,000 post-apportionment. The disclosure of this offer before judgment was a violation of Rule 34(10), which prohibits such disclosure, and Rule 34(13), which imposes sanctions for such disclosure. The plaintiff’s legal representatives had wasted time by arguing issues that had already been settled, such as liability and future medical expenses, and they had disclosued a without prejudice settlement offer.
Order: The defendant is liable for 90% of the plaintiff’s proven damages. The plaintiff is entitled to an undertaking in terms of section 17(4)(a) of the Road Accident Fund Act, limited to 90% of future hospital, medical, and ancillary expenses. The plaintiff’s claim for general damages is postponed sine die. The plaintiff’s claim for loss of future earning capacity is dismissed. The defendant is liable for the plaintiff’s party and party costs up to 24 January 2024. The plaintiff’s attorney and counsel are barred from recovering legal fees for the period from 24 January 2024 to 23 January 2025, from either the plaintiff or the defendant.
WEIDEMAN AJ
ACTUARIAL – Loss of income – Proof – No documentation setting out plaintiff’s employment history from time of accident to date – No evidence as to whether plaintiff worked, and if so when and at what wage – Value of actuarial calculation is solely dependent on accuracy of documentation on which it is based – No evidence as to how or where actuaries obtained time periods or figures used in calculation – Plaintiff failed to provide sufficient evidence to support claim – Loss of income claim dismissed.
Facts: The plaintiff, Ntsapo, was involved in a motor vehicle accident on 24 January 2000. She sustained injuries including a head injury, scalp laceration, and a lumbar spine injury. The plaintiff claimed damages for future loss of earnings (R250,000), future medical expenses (R300,000), and general damages (R300,000), totalling R850,000. The defendant, the Road Accident Fund, conceded liability on 9 June 2022, 22 years after the accident. Summons was issued on 30 December 2004. The plaintiff, born on 2 October 1957, is retired and receives a pension.
Issue: The key issue was whether the plaintiff could substantiate her claim for future loss of earnings, given the lack of documentation regarding her employment history and income from the time of the accident to the present. The court also had to determine the appropriate award for general damages and future medical expenses.
Discussion: The defendant tendered an undertaking for future medical expenses in 2010 and offered R25,000 for general damages in 2010, which the plaintiff accepted. The plaintiff did not claim past hospital or medical expenses. Effectively, the totality of the argument that was presented falls outside the ambit of the particulars of claim. The particulars of claim makes no provision for a claim for past loss of income, it only addresses a claim for future loss of income. The plaintiff is retired and receives a pension. In the circumstances there ought to be no future loss of income.
Findings: The difficulty is that there is no documentation before court setting out the plaintiff’s employment history from the time of the accident to date. There is no evidence as to whether the plaintiff worked, and if so when and at what wage. To the extent that summons had been issued as far as back as 2004, 21 years ago, one would have thought that the legal representative of the plaintiff would have asked her to keep a record of her employment to enable proper documentation to be placed before court. The value of the actuarial calculation is solely dependent on the accuracy of the documentation on which it is based. That documentation is not before court. There is, therefore, no evidence as to how or where the actuaries obtained the time periods or figures used in their calculation. The plaintiff failed to provide sufficient evidence to support her claim for future loss of earnings. The claim for loss of income insofar as it is necessary to do so, is accordingly dismissed.
Order: The plaintiff is entitled to 100% of the damages she can substantiate. The plaintiff is entitled to an undertaking in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 for future hospital, medical, or ancillary expenses. The plaintiff’s claim for general damages is limited to R25,000. The plaintiff, having been substantially successful, is entitled to party and party costs, with counsel’s fees on Scale A.
WEIDEMAN AJ
20 February 2025
MAHALELO J
PERSONAL INJURY – Unlawful arrest and detention – Quantum – Age 68 – Detained in police holding cells for one day and night – Evidence suggested that dispute related to a breach of contract and not a criminal matter – Arresting officer failed to investigate docket properly – Failed to give plaintiff an opportunity to explain – Lacked reasonable grounds for suspicion – Arrest and detention unlawful – Criminal Procedure Act 51 of 1977, s 40(1)(b) – Award of R35,000.
Facts: The plaintiff sued the Minister of Police, the National Commissioner of the South African Police Services (SAPS), and the Provincial Commissioner of SAPS for damages arising from his alleged unlawful arrest and detention on 11 October 2018. The plaintiff claimed that he was arrested without a warrant on a charge of theft, detained overnight at the Roodepoort Police Station, and released the next morning without appearing in court. He abandoned claims for assault, defamation, and loss of income during the trial. The defendants argued that the arrest was lawful, as the arresting officer, Captain Myburgh, had reasonable grounds to suspect the plaintiff of theft, a Schedule 1 offence under the Criminal Procedure Act 51 of 1977. The plaintiff, however, contended that the arrest was unjustified, as the dispute was civil in nature, relating to unpaid work for a garage door repair.
Issue: The key issue was whether the defendants had discharged the onus of proving that the plaintiff’s arrest and detention were lawful, based on reasonable suspicion of theft, and whether the arresting officer exercised his discretion rationally. Additionally, the court had to determine the appropriate quantum of damages if the arrest and detention were found to be unlawful.
Discussion: Section 40(1)(b) of the Criminal Procedure Act allows for warrantless arrests if a peace officer reasonably suspects a Schedule 1 offence. The plaintiff argued that the arrest was irrational, as the dispute was civil, not criminal, and that Captain Myburgh failed to investigate the matter properly before arresting him. The plaintiff also described the arrest as violent and humiliating, with poor conditions during his detention. The defendants, however, maintained that the arrest was lawful, as the complainant had laid a charge of theft, and Captain Myburgh acted on reasonable suspicion. The conditions of the detention were considered, with conflicting testimony about the state of the cells and the treatment of detainees.
Findings: Captain Myburgh did not exercise his discretion rationally in arresting the plaintiff. The evidence suggested that the dispute was civil, relating to a breach of contract, and not a criminal matter. Captain Myburgh failed to investigate the docket properly or give the plaintiff an opportunity to explain his side of the story, which would have revealed the civil nature of the dispute. The arrest and detention were unlawful, as the arresting officer lacked reasonable grounds for suspicion and acted mala fide. Regarding quantum, factors such as the plaintiff’s age, the circumstances of the arrest, and the duration of detention were considered, with an award of R35,000 in damages deemed appropriate to compensate for the plaintiff’s injured feelings.
Order: The court ordered the first defendant to pay the plaintiff R35,000 in damages, with interest from the date of summons, and to cover the costs of the suit.
20 February 2025
BRESLER AJ
PERSONAL INJURY – Unlawful arrest and detention – Unsubstantiated claim – Failure to prove occurrence – Case relied heavily on plaintiff’s testimony – Inconsistent and contradicted by employees – Employees stated plaintiff arrived at police station separately and was not subjected to same treatment as they were – Selective recollection of events – Retained cell phone during alleged detention – Failed to prove arrest or detention – Claim dismissed.
Facts: The plaintiff claimed damages of R450,000 from the Minister of Police (first defendant) and the Minister of Home Affairs (second defendant) for alleged unlawful arrest and detention on 29 October 2018. The plaintiff alleged that she was arrested at her shop in Tzaneen by officials from both departments, detained at the Tzaneen Police Station, and subjected to deplorable conditions. The defendants denied that any arrest or detention occurred. The plaintiff and three of her employees testified, while the defendants closed their case without calling any witnesses. The plaintiff’s case relied heavily on her testimony.
Issue: The key issue was whether the plaintiff had proven, on a balance of probabilities, that she was unlawfully arrested and detained by the defendants, and whether she suffered damages as a result. The court also had to determine whether the defendants’ failure to call witnesses warranted a negative inference against them.
Discussion: The plaintiff testified that she was arrested at her shop, taken to the police station, and detained in poor conditions without food or water. However, her testimony was inconsistent and contradicted by her employees. For instance, her employees testified that she arrived at the police station separately and was not subjected to the same treatment as they were. The plaintiff also retained her cell phone during the alleged detention, which was unusual for detainees. The plaintiff’s testimony was less credible due to these inconsistencies and her selective recollection of events. The defendants argued that no arrest or detention occurred, and the plaintiff’s own witnesses undermined her version of events.
Findings: The plaintiff’s argument that the defendants’ failure to call witnesses should lead to a negative inference was rejected, as the plaintiff bore the burden of proving her case. The plaintiff failed to prove, on a balance of probabilities, that she was arrested or detained by the defendants. The inconsistencies in her testimony and the contradictions from her employees rendered her version unreliable. There was no basis for holding the second defendant liable, as there was no evidence linking them to the alleged arrest or detention. Consequently, the plaintiff’s claim could not succeed.
Order: The court dismissed the plaintiff’s claim with costs on a party-and-party scale, including costs for counsel on Scale B.
13 February 2025
MAHOSI J
PERSONAL INJURY – Unlawful detention – Sexual assault – Caused severe psychological trauma – Supported by medical reports and expert testimony from psychiatrist – Unlawfully assaulted by police officers during arrest – Sexually assaulted by co-detainees due to police’s failure to ensure safety and comply with standing orders – Contributed to sexual assault – Detention unlawful – Not brought before court promptly – Prolonged detention was unjustified – R680,000.
Facts: The plaintiff sued the Minister of Police and the National Director of Public Prosecutions for damages arising from his alleged unlawful assault by police officers during his arrest, sexual assault by co-detainees while in custody, and unlawful detention. The plaintiff claimed that he was arrested in September 2016, assaulted by police officers, and later sexually assaulted by fellow detainees at the Orange Farm Police Station. He also alleged that his detention was prolonged unlawfully, as he was not brought before a court promptly. The plaintiff sought damages for physical injuries, psychological trauma, and the violation of his constitutional rights. The Minister of Police denied the allegations, arguing that the arrest and detention were lawful and that there was no evidence to support the claims of assault or sexual assault.
Issue: The key issues for determination were whether the police officers unlawfully assaulted the plaintiff during his arrest; whether the plaintiff was sexually assaulted by co-detainees while in custody, and if so, whether the Minister was liable; and whether the plaintiff’s detention was unlawful. The court also had to determine the appropriate quantum of damages if the plaintiff’s claims were proven.
Discussion: The plaintiff testified that he was assaulted by police officers during his arrest, sustaining injuries including a fractured rib and hip. He also described being sexually assaulted by co-detainees in the police cells, which caused him severe psychological trauma. The plaintiff’s claims were supported by medical reports and expert testimony from a psychiatrist, who confirmed that he suffered from post-traumatic stress disorder (PTSD) and depression as a result of the assaults. The Minister’s witnesses, including police officers, denied the allegations of assault and argued that the plaintiff’s injuries were not caused by them. However, inconsistencies were found in the police officers’ testimony and their failure to provide adequate evidence to rebut the plaintiff’s claims were noted.
Findings: The plaintiff was unlawfully assaulted by police officers during his arrest, as his injuries were consistent with his testimony and supported by medical evidence. The plaintiff was sexually assaulted by co-detainees due to the police’s failure to ensure his safety and comply with standing orders. Regarding the conditions of the plaintiff’s detention, the police failed to comply with standing orders regarding cell surveillance and the separation of detainees, which contributed to the sexual assault. Additionally, the plaintiff’s detention was unlawful, as he was not brought before a court promptly, and his prolonged detention was unjustified.
Order: The court ordered the Minister of Police to pay the plaintiff a total of R680,000 in damages, broken down as follows: R80,000 for the assault by police officers, R250,000 for the sexual assault by co-detainees, and R350,000 for unlawful detention. The Minister was also ordered to pay interest on the amounts from the date of summons and to cover the plaintiff’s legal costs, including the fees of expert witnesses.
31 January 2025
AELE AJ
RAF – Liability – Plaintiff’s version – Inconsistencies between testimony and accident report – Absence of police docket and witness statements – Non-compliance with section 19(f)(ii) – Plaintiff’s version inconsistent with short statement of insured driver contained in accident report – Absence of statements in docket – Absence of person who compiled accident report – Claim cannot succeed for non-compliance with liability requirement – Claim dismissed – Road Accident Fund Act 56 of 1996, s 19(f)(ii).
Facts: The plaintiff, Andile, filed a claim against the Road Accident Fund (RAF) for R2,160,000 in damages following a motor vehicle accident near Secunda, Mpumalanga. The plaintiff alleged that the collision was caused solely by the negligence of an unknown insured driver, resulting in injuries to his ankle, left knee, and multiple bruises. The RAF denied liability, claiming the plaintiff was negligent and raised two special pleas: the plaintiff’s injuries were not "serious" as per the Road Accident Fund Act 56 of 1996 (RAF Act), and the plaintiff failed to submit a Serious Injury Assessment Report. The parties agreed to proceed on the merits only, as quantum was undisputed. The plaintiff testified that he swerved to avoid a collision with a vehicle overtaking a truck, but the RAF did not call any witnesses or provide evidence to counter the plaintiff’s claims.
Issue: The key issue was whether the plaintiff proved, on a balance of probabilities, that the insured driver’s negligence caused the collision, and whether the plaintiff complied with the statutory requirements under the RAF Act, particularly section 19(f)(ii), which mandates the submission of all relevant documents and statements.
Discussion: The plaintiff’s evidence was analysed, and inconsistencies were found between his testimony, the accident report, and the absence of the police docket and witness statements. The plaintiff failed to provide the RAF with the police docket and other crucial documents, as required by section 19(f)(ii) of the RAF Act. The plaintiff failed to call the police officer who drafted the accident report, which could have clarified discrepancies. The RAF did not pursue its contributory negligence plea, and the insured driver’s absence was unexplained. Referenced case law, including Lee v Minister for Correctional Services 2013 (1) SACR 213 (CC), emphasized the need for factual and legal causation in negligence claims. The plaintiff’s version was the only one before court, and it was riddled with imperfections, as he failed to comply with the provisions of section 19(f)(ii), which require that all statements and documents be provided to the RAF for perusal in consideration of the claim. There was sufficient proof of negligence on the part of the insured driver as the collision occurred on the plaintiff’s side of the road, as supported by the accident report, meaning the plaintiff should succeed 100% on the merits. The only obstacle was non-compliance with section 19(f)(ii).
Findings: The plaintiff’s version was inconsistent with the short statement of the insured driver contained in the accident report. Both parties and any witness’ statement contained in the docket could have been of great assistance in that regard. In the plaintiff’s version, the collision occurred as the insured driver encroached on his side of the road, when overtaking a truck. His version in the section 19(f)(i) statement and the accident report contains different information. In the absence of statements in the docket, as provided for in section 19(f)(ii) or evidence of the person who compiled the accident report, the plaintiff’s claim cannot succeed for non-compliance with the RAF’s liability requirement as provided for in section 19(f) (ii) the RAF Act.
Order: The court dismissed the plaintiff’s claim, with each party ordered to pay their own costs.
13 February 2025
NTANGA AJ
RAF – Liability – Single witness testimony – Claimed to have witnessed accident – Testimony contained inconsistencies – Failed to call additional witnesses or present corroborative evidence – Inability to accurately describe key details of accident – Defendant’s witnesses testified plaintiff was injured in a fight and struck by bricks – Supported by a police statement that no collision occurred – Plaintiff failed to prove injuries were caused by motor vehicle accident – Claim dismissed.
Facts: The plaintiff, acting on behalf of Motlhale, claimed damages from the Road Accident Fund (RAF) for injuries allegedly sustained in a motor vehicle accident in Kagiso, Krugersdorp. The plaintiff alleged that the accident occurred when a white bakkie driven by Makwala collided with Motlhale, who was a pedestrian. The plaintiff’s case relied on the testimony of a single witness, Ms Moswetsi, who claimed to have witnessed the accident. She testified that the bakkie failed to stop at a stop sign, hit Motlhale, and drove off. The defendant, RAF, disputed this version, calling two witnesses who testified that Motlhale was injured in a fight at a shebeen and struck by bricks, not a vehicle. The defendant’s witnesses included Mr. Mothopeng, who was with Motlhale at the time, and Mr. Makwala, the driver of the bakkie, who denied any collision.
Issue: The core issue was whether the plaintiff’s injuries were caused by a motor vehicle accident due to the negligence of the insured driver, or whether they resulted from an unrelated assault. The credibility of the single witness, Ms Moswetsi, was pivotal to the plaintiff’s case. The court had to determine which version of events was more credible and whether the plaintiff had discharged the onus of proving negligence on the part of the insured driver.
Discussion: Ms Moswetsi’s testimony contained inconsistencies, such as her description of the vehicle and the location of the collision. She also admitted to not having a driver’s license, which cast doubt on her ability to estimate the speed of the vehicle. In contrast, the defendant’s witnesses, particularly Mr. Makwala, provided consistent and credible testimony, supported by a police statement, that no collision occurred. Mr. Mothopeng’s evidence, though inconsistent with some of his prior statements, corroborated the defendant’s version that Motlhale was injured in a fight. The plaintiff failed to call additional witnesses or present corroborative evidence, such as hospital records or police testimony, to support the claim of a motor vehicle accident.
Findings: Ms Moswetsi’s testimony was unreliable due to inconsistencies and improbabilities. Her inability to accurately describe key details of the accident, coupled with the lack of corroborative evidence, weakened the plaintiff’s case. Conversely, the defendant’s witnesses provided credible and consistent accounts, supported by documentary evidence. The plaintiff had failed to prove, on a balance of probabilities, that the injuries were caused by a motor vehicle accident or that the insured driver was negligent.
Order: The court dismissed the plaintiff’s claim with costs, ruling that the plaintiff had not met the burden of proof required to establish liability on the part of the RAF.
18 February 2025
NOKO J
RAF – Liability – Cyclist hit by car – Claim rejected due to alleged non-compliance with documentation requirements – Defendant raised a special plea of prescription – Plaintiff had substantially complied with requirements – Submitted RAF 1 form and medical records – Provided sufficient information about accident and injuries – Defendant’s rejection of claim not justified – No contributory negligence – Defendant liable for 100% of proven damages.
Facts: The plaintiff, Maduse, claimed damages from the Road Accident Fund (RAF) for injuries sustained in a motor vehicle collision on 4 May 2015. While riding his bicycle along Malibongwe Road in Randburg, he was struck from behind by a truck that did not stop, leaving him with a fractured left arm. The plaintiff lodged a claim directly with the RAF in 2017, but the claim was later rejected due to alleged non-compliance with documentation requirements. The plaintiff subsequently sued the RAF for R1,919,306. The defendant raised a special plea of prescription, arguing that the claim had lapsed due to the plaintiff’s failure to submit required documents, including hospital records and doctor’s particulars. The plaintiff countered that the RAF 1 form and accompanying medical records provided sufficient information, and that the defendant’s rejection of the claim was unjustified.
Issue: The key issue was whether the plaintiff had complied with the requirements of the Road Accident Fund Act 56 of 1996 (RAF Act), particularly in proving that the collision resulted from the negligence of an unidentified driver, and whether the claim had prescribed due to non-compliance with documentation requirements. Additionally, the court had to determine whether the plaintiff was contributorily negligent for riding his bicycle on a road allegedly classified as a freeway and for not wearing a helmet.
Discussion: The plaintiff’s testimony detailed the accident and his injuries. The plaintiff argued that the RAF 1 form and medical records substantially complied with the statutory requirements, and that the defendant’s rejection of the claim was improper. The defendant contended that the plaintiff’s failure to provide specific documents, such as hospital records and doctor’s particulars, rendered the claim non-compliant and subject to prescription. The defendant also argued that the plaintiff was contributorily negligent for riding on a freeway and not wearing a helmet. The plaintiff’s testimony was credible and consistent, despite minor discrepancies such as forgetting the name of the person who assisted him after the accident. There was no evidence to support the defendant’s claim that Malibongwe Road was a freeway or that the plaintiff’s lack of a helmet contributed to his injuries.
Findings: The plaintiff had substantially complied with the RAF Act’s requirements by submitting the RAF 1 form and medical records, which provided sufficient information about the accident and injuries. The special plea of prescription was dismissed, as the defendant’s rejection of the claim was not justified. The defendant’s argument of contributory negligence was also rejected, finding no evidence that the plaintiff’s actions contributed to the accident or his injuries. The plaintiff had proven his case on a balance of probabilities and the defendant was liable for 100% of the proven damages.
Order: The defendant is liable to compensate the plaintiff for 100% of the proven damages. The defendant was also ordered to bear the costs of the trial.
17 February 2025
NGENO AJ
RAF – Loss of income – Child – Aged 10 when injured in accident – Significant cognitive and physical impairments – Expert report did not make provision for possibility of minor child being self-employed – Likely possible to establish own business once qualified for a specific trade – Possibility would influence applicable contingency – Performance declined after accident – Never failed any grade before and after accident – Earning capacity significantly impacted – R5,167,506.30.
Pre-accident scenario: The plaintiff is the father and natural guardian of a minor child who was 10 years old at the time of the accident. The child was a Grade 4 student and lived with his parents. Prior to the accident, the minor child was performing well academically, with marks ranging between 70% and 90% in earlier grades, although there was a slight decline in performance in Grade 3 and Grade 4.
Accident and injuries: On 29 September 2017, the minor child was a passenger in a motor vehicle that overturned after the insured driver lost control. The accident occurred between Kestrel and Flamingo Streets, Mackenzie Park, Benoni. The child sustained multiple severe injuries, including a mild traumatic brain injury, loss of lower teeth, facial disfigurement, fractures to the nose and mandible, and soft tissue injuries to various parts of the body. He was hospitalized and required extensive medical treatment.
Post-Accident scenario: Following the accident, the minor child experienced significant cognitive and physical impairments. He struggled with memory, comprehension, and concentration, leading to a decline in academic performance. Experts concluded that he would not be able to complete Grade 12 and recommended placement in a special needs school. The child also suffers from chronic pain, post-concussion headaches, and emotional distress due to facial disfigurement. His future employment prospects are severely limited, with experts suggesting he may only be suited for supported or sheltered employment.
Discussion: The expert reports detailed the minor child’s pre- and post-accident potential. Notably, the industrial psychologist did not make a provision for a possibility of the minor child being self-employed. All the postulations were based on potential for employment in the formal sector. There was no postulation on the possibility that once he is equipped with knowledge and practical skills by the TVET college, it is likely that he may establish his own business once he qualifies for a specific trade. That information is important for the court to take account of in determining a just fair compensation. The effect thereof will be that this possibility would influence the contingency that the court will have to apply. The defendant did not appoint experts or dispute the plaintiff’s evidence, leading the court to accept the plaintiff’s uncontested expert reports.
Findings: Even though the minor child’s performance declined after the accident, he has never failed any grade before and after the accident. The accident significantly impacted the minor child’s earning capacity. Applying a 25% contingency deduction to pre-morbid earnings and a 30% deduction to post-morbid earnings, R5,167,506.30 was awarded for loss of earning capacity. Additionally, R1,192,248.17 was awarded for past medical expenses, bringing the total compensation to R7,659,754.47, including the previously agreed R1,300,000 for general damages.
Order: The defendant was ordered to pay the total amount of R7,659,754.47, which includes general damages, loss of earning capacity, and past medical expenses. The funds are to be held in trust for the minor child, and a trust must be established within six months to manage the funds. The defendant is also required to provide an undertaking for future medical expenses. Costs were awarded to the plaintiff, including fees for experts and legal representation.
BOOKS / RESEARCH / ARTICLES
Authors: Christian Furrer and Oliver Lunding Sandqvist
We describe challenges and opportunities related to risk assessment and mitigation for loss of earning capacity insurance with a special focus on Denmark. The presence of public benefits, claim settlement processes, and prevention initiatives introduces significant intricacy to the risk landscape. Accommodating this requires the development of innovative approaches from researchers and practitioners alike. Actuaries are uniquely positioned to lead the way, leveraging their domain knowledge and mathematical-statistical expertise to develop equitable, data-driven solutions that mitigate risk and enhance societal well-being.
PROFESSIONAL GUIDANCE NOTES
APN 701: Delictual and Other Legal Matters
APN 901: General Actuarial Practice
APN 904: Market conduct and treating customers fairly
Recommended Experience Requirements: Calculations for delictual and other legal matters
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