SUMMARY REPORTABLE
CASE NO.: I 3417/2007
IN THE HIGH COURT OF NAMIBIA
In the matter between:
TASWALD THEO JULY PLAINTIFF
and
MOTOR VEHICLE ACCIDENTS FUND DEFENDANT
PARKER J
2009 November 25
_______________________________________________________________________
Practice - Pleadings – Exceptions to plaintiff‟s pleadings –
Court finding that the fact that the plaintiff
bases his claim on his interpretation of s. 10 (5)
(a) of the Motor Vehicle Accident Fund Act, 2001
(Act No. 4 of 2001) that is different from the
defendant‟s interpretation cannot render the
plaintiff‟s claim excipiable – The Court finding
further that the test to be applied is always
whether the facts pleaded disclose a cause of
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action – In instant case the Court finding that
the plaintiff‟s allegations that in breach of the
settlement agreement between the parties the
defendant did not make an undertaking to the
service provider and the defendant failed or
refused to make payment timeously to the
service provider resulting in the plaintiff being
obliged to make payment to the service provider
disclose a cause of action – Court finding
furthermore that whether the plaintiff will
succeed in proving the allegations in the trial in
due course should not be part of the
consideration of the exception – Court holding
that the exceptions were not well founded –
Consequently, the Court dismissing exceptions
with costs.
Statute - Section 10 (5) (a) of the MVA Fund Act (Act No. 4
of 2001) – Court finding that in terms of
subsection 5 (a), read with subsection 7, of s. 10
of Act No. 4 of 2001 the MVA Fund is not
restricted only to making undertakings on behalf
of a patient (claimant) to a service provider and
making payment to such service provider but the
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MVA fund may also make payment directly to a
patient for certain costs and claims.
Held, that exception is restricted to matters of law, and facts alleged are
taken as admitted.
Held, further that a defendant who takes an exception should satisfy the
Court that on all reasonable constructions of the plaintiff‟s
particulars of claim no cause of action is or can be disclosed.
Held, further, that in terms of subsection 5 (a), read with subsection (7),
of Act No. 4 of 2001, the MVA Fund may make an undertaking to a
service provider on behalf of a claimant to which it makes payment
for certain services rendered or certain goods supplied or the Fund
may make advance payments directly to the claimant in respect of
medical costs, loss of income or loss of support.
4
REPORTABLE
CASE NO.: I 3417/2007
IN THE HIGH COURT OF NAMIBIA
In the matter between:
TASWALD THEO JULY PLAINTIFF
and
MOTR VEHICLE ACCIDENT FUND DEFENDANT
CORAM: PARKER J
Heard on: 2009 November 2
Delivered on: 2009 November 25
______________________________________________________________________
JUDGMENT:
PARKER, J.:
[1] The plaintiff instituted action against the defendant by combined
summons on 7 November 2007. In his particulars of claim, the plaintiff
states that in March 2005 the plaintiff was involved in a motor vehicle
accident in which he sustained bodily injuries, and the defendant
accepted liability for the plaintiff‟s damages in terms of s. 10 of the Motor
Vehicle Accidents Fund Act, 2001 (Act No. 4 of 2001) („the MVA Fund
Act‟).
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[2] Pursuant to the defendant‟s acceptance of liability, as aforesaid,
the plaintiff and the defendant entered into a Settlement Agreement. The
parts of the agreement that are relevant for my present purpose are:
(1) Clause 2 – „Cash payment‟: Under this item the parties
agreed that upon the conclusion of this written agreement
the MVA Fund of Namibia („the Fund‟) would make certain
cash payments in the form of a cheque payment to the
plaintiff. The total amount payable is N$301,621.75.
(2) Clause 3 – „Undertakings‟: Under this item the parties have
agreed that upon conclusion of this written agreement, the
Fund will be liable in respect of the following Undertakings,
which are furnished in terms of Section 10 (5) (a) of the
MVA Fund Act.
a. Future medical expenses
The fund undertakes to pay for the cost of
future medical treatment of the victim (i.e. the
plaintiff), including future accommodation in
hospital or nursing home, the rendering of
services and the supplying of goods in respect
of the treatment as recommended in Medico-
Legal Reports (whatever that means), prepared
by the following person(s):
Dr. Steytler – treatment required is for
total knee replacement and (the)
accident related injuries to a value (of)
N$200,000.00.
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[3] Under Clause (3) of the agreement under the heading
„Undertakings‟ the only item appearing under this heading is „a. Future
medical expenses‟. This Clause is so inelegantly drafted that the
confusion is created that apart from (a), there are other items to follow,
e.g. (b), (c), (d), etc; but the only item appearing under the heading of
Clause 3, as I have said, carries the letter (a) – a single item. I am,
therefore, entitled to take it that only one undertaking was made by the
defendant and agreed by the plaintiff, as has been set out above. Mr.
Ueitele‟s (the defendant‟s counsel‟s) reference in his submission to the
„first undertaking‟ is, therefore, not only wrong but woolly.
[4] Another important clause for my present purposes is Clause 6,
which provides:
Where the Fund has authorised such treatment or Hospitalization,
the Fund will be liable to pay for the costs in accordance with the
aforesaid undertaking. Where treatment or Hospitalization occurs
without prior authorization, the Fund may at its discretion pay for
such treatment or Hospitalization. If it is found that there has
been an over-payment, the Fund shall be entitled to correct the
overpayment by deductions from the next payment due, and if
necessary, from successive payments thereafter, or if that is not
possible, (by) claiming reimbursement.
[5] The other Clauses are Clauses 4, 5, 7, 8, 9, and 10. I shall refer to them
when it becomes necessary to do so.
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[6] To return to the papers filed of record; on 16 January 2008 the
defendant excepted to the plaintiff‟s particulars of claim. The plaintiff
filed amended particulars of claim on two occasions; that is, on 24 April
2008 and lastly on 28 May 2008. This was followed on 15 July 2008 by
the plaintiff serving a notice of bar on the defendant. Thereafter, on 22
July 2008 the defendant followed with a plea together with a notice of
exception that was identical in material respects to the exception the
defendant had filed on 16 January 2008. It is this 22 July 2008 notice of
exception which I must now determine in the present proceedings. The
defendant has raised three exceptions (i.e. what the defendant
characterizes as three grounds of the defendant‟s exceptions).
[7] In his heads of argument filed on 27 October 2009 (I shall revert to
the filing of the heads in due course.), Mr. Ueitele states that he would
not pursue the second ground of the exception because, according to
him, this ground had been raised in relation to the plaintiff‟s initial
particulars of claim but the defect in relation to the second ground has
now been rectified. If follows that I must concern myself with only the
first exception (exception (1)) and the third exception (exception (3)) to the
plaintiff‟s amended particulars of claim.
[8] In Joseph Frans Kuiiri v Bulk Trade and others Case No. I 103/05
(judgment of 31 March 2006) (Unreported), I stated at p. 12, „The crisp
question to determine is essentially this: is the defendant‟s contention
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that the plaintiff‟s pleading objected to, taken as it stands, is legally
invalid for its purpose well founded? (see Salzmann v Holmes 1914 AD
152 at 156).‟ I then proceeded at pp. 12-13 of the judgment to set out
briefly as follows what I consider to be the general principles of law on
exception:
It is a cardinal principle in dealing with exception that if evidence can be
led, which disclosed a cause of action alleged in the pleading, that
particular pleading is not excipiable. Thus, a pleading is excipiable on
the basis that no possible evidence led on the pleading can disclose a
cause of action. (See McKelvey v Cowan NO 1980 (3) SA 525 (Z) at 526 C-
F.) Besides, as Mr. Coleman, counsel for the plaintiff, submitted, an
exception is restricted to pure matters of law and facts alleged are taken
to be admitted. (Isaacs, Becks Theory and Principles of Pleading, 982: par.
62.) In other words, “[F]or the purposes of exception the facts pleaded
must be accepted as correct.” (Marney v Watson and another 1928 (4) SA
140 (C) at 144 F-G) That is so, unless the facts pleaded are plainly false
and so clearly baseless that it cannot possibly be proved. (Van Winsen, et
al., The Civil Practice of the Supreme court of South Africa (Now the High
Court and Supreme Court of South Africa), 1997: p 492, and the case there
cited)
That is the manner in which I determine the defendant‟s exceptions in
the instant case.
[9] I proceed now to determine the first exception (exception (1)) which
is framed in the following terms:
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(1) The claim by the Plaintiff for payment to himself of a sum in
respect of medical expenses undertaken by the Defendant to be
paid in terms of section 10 (5) (a) of the Motor Vehicle Accidents
Fund Act 2001 is bad in law as the legislation only allows the
Defendant to undertake to make such a payment to the provider
for the goods supplied or the services rendered.
[10] I pass to test the basis of the defendant‟s exception (1) which is
undoubtedly based on the interpretation and application of the relevant
provisions of s. 10 of the MVA Fund Act.
[11] In my opinion, there is not even a modicum of merit in the
defendant‟s exception (1). This objection falls to be rejected for the
following reasons. First, the fact that a plaintiff puts a particular
interpretation on a statutory provision that is different from the
interpretation that the defendant puts on that statutory provision, and
the plaintiff makes a claim based on his or her interpretation of the said
provision, cannot render the plaintiff‟s claim excipiable. In this regard, I
do not see on what ground the plaintiff‟s pleading can be declared bad in
law. It has been said that exception may be taken when the defect in the
pleadings appears ex facie the pleadings. (Van Winsen, et al. supra at p.
492, and the cases there cited)
[12] In the instant case, I do not find any defect – ex facie or otherwise –
in the plaintiff‟s pleadings, as claimed by the defendant in its exception
(1). It would have been a different matter if the defendant‟s objection is
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that there is no provision in the MVA Fund Act on which the plaintiff can
possibly base his claim, or that the plaintiff‟s claim is based on a
provision of a statute other than the MVA Fund Act. Second, s. 10 (5) (a)
of the MVA Fund Act, which Mr. Ueitele is so much enamoured with,
does not, as Mr. Dicks, counsel for the plaintiff, correctly submitted,
restrict the Fund to only one course of action in terms of the said s. 10
(5) (a) of the MVA Fund. That the defendant has more than one option
under s. 10 (5) (a) is clear from the words of the paragraph, and what is
more, the defendant does not deny that it has followed another option of
making payment in the past directly to the plaintiff, and not to the
service provider, the Roman Catholic Hospital („the Hospital‟).
[13] This conclusion, with the greatest deference, makes the
submission by Mr. Ueitele fallacious, untenable and, above all,
inconsequential; that is, the submission „that clearly, in terms of section
10 (5) (a) of the Act, the Fund can only give an undertaking to the
provider of medical services (and not to the injured person), and in terms
of any such undertaking can only make payment after the services have
been rendered obviously to the person to whom the undertaking has
been given).‟ The submission adds no weight at all; it is petitio principii.
Of course, if the defendant makes an undertaking to X Hospital, it can
only make payment to X Hospital; but that is not the issue. What is in
issue is that the plaintiff alleges that s. 10 (5) (a) does not say that the
Fund must always, no matter what the circumstances are, only make an
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undertaking to a service provider, keeping the claimant (patient)
completely out of the equation. As I have held above, such contention is
not in accordance with the statutory provision nor the defendant‟s own
practice, at least as respects the plaintiff, as I have mentioned previously.
[14] Thus, in this regard, as I have already mentioned, s. 10 (5) (a) and
(7) are significant and apropos of the point under consideration. Section
10 provides:
(5) Where a claim for payment of compensation under subsection (1)
is made and the claim includes a claim for –
(a) costs for future accommodation in a hospital or nursing
home, future medical treatment, the provision of future
medical services or the provision in future of goods, the
Fund may give a written undertaking to the provider of
services or goods to the effect that the services or goods will
be paid for from the Fund and thereafter pay for the
provided costs of the services or goods after the services
have been rendered or the goods have been supplied; …
(7) Where necessary the Fund may, in respect of medical costs, loss of
income or loss of support, make an advance payment to a claimant.
[15] Accordingly, if s. 10 of the MVA Act is interpreted and applied in a
way as would give meaning to the intertextuality of the various provisions
of that section, particularly s. 10 (5) (a) and (7) of the Act, it seems to me
clear that the defendant‟s contention that the claimant cannot be paid
any compensation and that payment of any such amount can be paid to
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only the service provider has, with the greatest deference, no basis in
law; that is, the MVA Act.
[16] Mr. Ueitele submitted further that as „a practical matter those in
Namibia providing medical services would rely on the undertaking from
the Fund as being in effect a guarantee that they would be paid for
medical services rendered to persons injured in motor vehicle accidents.‟
The submission is, with respect, irrelevant because it is presumptuous: it
presumes that which the plaintiff in his pleadings alleges, namely, that
the defendant did not make any undertaking to the Hospital as it should
have done in terms of the settlement agreement and further that the
defendant failed or refused to make payment timeously to the Hospital
and so therefore the plaintiff was obliged to make payment personally to
the Hospital. In the face of these allegations, the issue of undertaking
and guarantee does not arise.
[17] The aforegoing conclusions also affect the defendant‟s third
exception („exception (3)‟), which is framed in the following terms:
The claim by the plaintiff is bad in fact and discloses no sustainable
cause of action as no allegation is made that any sum is in fact due to
the Roman Catholic Hospital (the Hospital) in respect of any medical
goods supplied or medial services rendered to the Plaintiff on 17 April
2007.
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[18] The defendant avers that in terms of the settlement agreement it
made an undertaking to the service provider being the Hospital. For this
averment the defendant relies on a letter, dated 23 January 2007, from
the defendant to the Hospital. The heading of the said letter is
„Treatment for MVA patient‟. It is not in dispute that the patient is the
plaintiff. What is in dispute is this: the plaintiff alleges that the
defendant breached a relevant provision of the settlement agreement
because the defendant did not make an undertaking to the Hospital and
did not make payment timeously to the Hospital and as a result of the
defendant having failed or neglected to pay within a reasonable time an
amount of N$101,275.51 which was there and then due to the Hospital,
the plaintiff on or about 30 May 2007 was obliged to pay the account
with the Hospital. Thus, the plaintiff alleges that in breach of the
settlement agreement the defendant did not make an undertaking to the
Hospital and did not make payment timeously to the Hospital and so the
plaintiff was obliged to make payment to the Hospital. I do not find that
the facts the plaintiff has pleaded thereanent his claim are plainly false
and so clearly baseless that they cannot possibly be proved at the trial
(Van Winsen, et al. supra at p. 493, and the case there cited).
[19] It is accordingly my view that the plaintiff has pleaded the
aforementioned facts; and the facts pleaded disclose a cause of action,
and on the authorities outlined previously, for the purposes of the
exception the facts pleaded must be accepted as correct. (Marney v
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Watson and another supra) Whether the plaintiff can prove the
allegations is not a matter for me to decide as I determine the exceptions,
which is my present burden. (Joseph Frans Kuiiri v Bulk Trade (Pty) Ltd
and others supra at p. 19)
[20] From all the aforegoing reasoning and conclusions, I find that the
defendant has not satisfied the Court that on all reasonable
constructions of the plaintiff‟s amended pleadings „no cause of action is
or can be disclosed (Namibia Breweries Ltd v Seelenbinder, Henning &
Partners 2002 NR 155 at 159A).‟ It follows indubitably that the
exceptions taken by the defendant must fail.
[21] At the commencement of the proceedings I heard arguments
respecting Mr. Ueitele‟s Notice of Motion in which he moved the Court to
condone his late filing of his heads of argument. Mr. Dicks submitted
that the application was hopelessly late because his instructing counsel
received the Notice of Motion less than an hour before the hearing of the
application. He, therefore, urged the Court to dismiss the condonation
application with costs.
[22] In such condonation application it is trite rule of practice that the
applicant (counsel of the defendant in casu) must give an acceptable
explanation for his or her default. In these proceedings, the two main
reasons in counsel‟s affidavit are that, counsel says, he travelled to „rural
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Namibia‟ on an „unscheduled‟ Electoral Commission business and he had
no access to email facilities, and furthermore, it was only on 20 October
2009 that he was able to „locate the Senior Counsel‟ to prepare the heads
of argument. I think these are not reasons; they are excuses, as I shall
demonstrate shortly.
[23] As far back as 23 July 2008, counsel knew what objections he had
raised against the plaintiff‟s pleadings and the grounds therefor. Counsel
does not say why he did not instruct senior counsel to draft the heads of
arguments for more than 12 months. In any case, the matter was on 6
July 2009 set down for hearing on 2 November 2009, and the defendant‟s
counsel filed his heads as late as 27 October 2009. For some 12 months
prior to 6 July 2009, when the matter was set down, counsel was certain
that the defendant‟s objections to the plaintiff‟s pleadings were alive and
on the cards, but for reasons counsel does not tell the Court, counsel
decided to wait until the first week of October 2009 to instruct the Senior
Counsel to prepare the heads of argument, and he could „only locate the
Senior Counsel on 25 October 2009‟. He or she must be a very illusive
Senior Counsel, indeed, if I may add in parentheses.
[24] Be that as it may, in all this, it is significant to note that the Notice
of Motion was not filed with the Court. It was just placed on the court
file on the Friday next preceding the date of the hearing of the matter. I
heard arguments on the exceptions and I have referred to the heads of
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argument of both counsel, and so it would have served no useful purpose
to strike off Mr. Ueitele‟s heads, as Mr. Dicks invited me to do, but I think
this is a proper case where it is just and fair that I evoke subparagraph
(6), read with subparagraph (7), of paragraph 20 of the CPD and mulct
the defendant with costs occasioned by the hearing of the condonation
application, even though condonation application was successful.
[25] The order of the Court is that –
(1) The defendant‟s counsel‟s late filing of his heads of argument
is condoned, and further that the defendant must pay the
plaintiff‟s costs occasioned by the hearing of the defendant‟s
counsel‟s condonation application; such costs to include the costs
consequent upon the employment of instructed counsel.
(2) The defendant‟s exceptions are dismissed with costs; such
costs to include the costs consequent upon the employment of
instructed counsel.
_____________
PARKER, J
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ON BEHALF OF THE PLAINTIFF: Adv. G Dicks
Instructed by: LorentzAngula Inc.
ON BEHALF OF THE DEFENDANT: Mr. S Ueitele
Instructed by: Ueitele & Hans
Legal Practitioners