CIV/T/166/80 IN THE HIGH COURT OF LESOTHO In the matter of : NOEL THATHTWE SIKHONDE Plaintiff v LESOTHO NATIONAL INSURANCE CO. Defendant JUDGMENT Delivered by the Hon. Chief Justice, Mr. Justice T.8. Cotran on the 11th day of March, 1981 The pleadings in this action have been closed but the parties persuant to Rule 32(1) of the High Court Rules 1980 have submitted a special case for adjudication. The following is a statement of agreed facts in terms of Rule 32(6) : "1. The motor accident giving rise to the claim in this matter occurred on the 22nd April, 1978. 2. As a result of the said accident the Plaintiff claims from the Defendant compensation for personal injuries in terms of Section 13 of the Motor Vehicle Insurance Order No. 18 of 1972 ("the Order"). 3. In terms of Section 14(2) the Plaintiff was obliged to send or deliver to the Defendant a "claim for compensation" as contemplated by Section 14(1) of the Order within a period of two years from the 22nd April, 1978, as provided by Section 13(2) of the Order. 4. The "form prescribed by Regulation" to which Section 14(1) of the Order refers is the form MVI13 prescribed by Regulation 6(1) of the said Regulations. 5. By letter dated the 15th January, 1980(Annexure "A" hereto) the Plaintiff's Attorneys sent a form MVI13 to the Defendant, and such form was received by the Defendant within the prescribed period of two years. 6. By letter dated 28th January, 1980(Annexure "B" hereto) the Defendant returned the said form to the Plaintiff's Attorneys requiring
questions 3(a) and 5(b)(l) and 5(b)(ii)" thereof, and /(b)
-2- (b) "that the medical report at the back of the form be completed in detail by the doctor attending (the Plaintiff) immediately after the accident, as required by Order 18 of 1972". 7. A copy of the Form MVI13 as submitted to the Defendant by the Plaintiff is annexed hereto marked "C". 8. The form of medical report referred to in Section 14 of the Order and in the said Form MVI13, a copy of which is annexed hereto marked "D" was not completed in any respect nor signed by any doctor. 9. Instead a certificate by doctor P.C.F.M. Gondrie, of which a copy is annexed hereto marked "E", accompanied Annexure "C", and no further medical report or certificate was or has been submitted by the Plaintiff or her Attorneys to the Defendant or any representative of the Defendant. 10. The particulars contained in paragraph 3 and 5 of the Form MVI13 (Annexure "C") are accepted by the Defendant as constituting substantial compliance with Section 14 of the Order in so far as it relates to the said paragraphs." The only issue submitted for adjudication is: "Whether the plaintiff's failure to deliver a completed medical report in the prescribed form (Annexure D) and delivery, in its stead, of Annexure E hereto, constitutes compliance, or substantial compliance, with s.14 of the Order". Section 14 of the Motor Vehicle Insurance Order 1972 (Vol. XVII Laws of Lesotho p. 70 at p.85) provides : "14. (1) A claim for compensation under section 13 shall be set out on the form prescribed by regulation in such manner as may be so prescribed and shall, accompanied by such medical report or reports as may be so prescribed, be sent by registered post or delivered by hand to the registered company at its registered office or local branch office, and the registered company shall, in the case of delivery by hand, at the time of the delivery acknowledge receipt thereof and of the date of such receipt in writing. 14. (2) No such claim shall be enforceable by legal proceedings commenced by a summons served on the registered company before the expiration of a period os sixty days from the date on which the claim was sent or delivered, as the case may be, to the registered company as provided in sub- section (1)." Section 14 is almost identical with s.11 of the Motor Vehicle Insurance Act No. 29 of 1942 of South Africa as amended from time to time, as also are the prescribed forms which can be found in Legal Notice No. 34 of 1972 (Vol. XVII Laws of Lesotho p.384 at p.402). The Act 29 of 1942 was repealed and /substituted
-3- substituted by Act 56 of 1972, but the new provision (s.25) is more or less similar to s.11 of the 1942 and s.14 of our Order, Cases decided in South Africa under both acts, but more especially the 1942 Act, are of great persuasive authority here. It hag been stated (e.g. in Nkisimane and Others v, Santam Insurance Co. 1978 (2) S.A. 430 at 433 E-G that the procedural requirements of s.25 of the 1972 Act; (s.ll of the 1942 Act and our s.14 of the Order) may be broken into : "(a) The submission of the claim: a claim for compensation must be submitted to the authorised Insurer. (b) The form of the claim: the "prescribed form" is to be used i.e. the form prescribed by Regulations, being form MVA13(South African) and MVI13 (Lesotho). (c) The contents of the claim: these are to be "set out in the prescribed manner", i.e. in the manner prescribed by the Regulations. (d) The manner of submitting the claim: it must be sent by registered post or delivered by hand." Form MVI13 is divided into what I shall call for convenience a General part, (which Mr. Newdigate for the defendants concedes was adequately completed) and a Medical part which it is common cause was not completed at all. Mr. Newdigate's argument is that even assuming that it was not imperative (that matter is still open-see Nkisimane's case, supra, and Kruger v. Randelia 1976(2) S.A. 504) to complete the Medical part of MVI13 the information required by the form must nevertheless be substantially complied with. The medical report that was filed in lieu of the Medical part of form MVI13 reads as follows : " Leribe 9.11.78. To whom it concerns. 22.4.1978. Mrs. Nowel Sikhonde was admitted in Leribe hospital. Diagnosis: dislocated hip. Date of discharge: 29.5.1978. Afterwards she was given a sick leave for another six months. Total period of absence from work: 12 weeks. P.C.F.M. Gondrie D.M.O. Leribe. " I am proceeding on the assumption that this certificate was sent timeously together with what I called the General part of MVI13. /The form
-4- The form MVI13 (end I am assuming also the certificate) were returned by the defendants with a covering letter (Annexure B) to plaintiff's attorneys in which they stated, inter alia:- "In addition it is essential that the medical report at the back of the form is completed in detail by the doctor attending your client immediately after the accident as required by Order 18 of 1972". This statement is misleading for the Order and Regulations do not require the medical report to be completed by the doctor who attended the patient immediately after the accident. It can be completed by any doctor even if that doctor did not initially or at all attend to the patient previously. Attorneys for plaintiff must surely have known this and should have realised that that was not an essential requirement of the law. They still had approximately three months to send the plaintiff to consult a doctor before the expiry of the statutory time limit in order to get the form completed. They did not do so and though the defendants do not admit this as a fact it would appear that their excuse for not communicating further with the defendants was because the doctor who attended the plaintiff immediately after the accident and the author of the certificate above referred to (Dr. Gondrie) had left the country. This may be so but if the information given in the General part of MVI13 (Annexure D s.6 para 1-m) submitted to defendants is true, Dr. Israel of Ficksburg and Dr. King of Delmas in the Transveal apart from her usual medical attendant Dr. Motlana in Johannesburg could have filled the form or given certificates sufficiently complying with the requirements of the law. Through lack of diligence attorneys for plaintiff allowed the statutory time to lapse and it is their contention now that that certificate has substantially complied with the prescribed requirements of the Medical part of the form MVI13. Attorneys for defendants submitted that whilst it is true that the general object of the Act was to afford to third parties the widest possible protection by way of compensation for any loss sustained by them through the negligent and unlawful driving of motor vehicles, s.14 was enacted mainly for the benefit of authorised insurers to ensure that before being sued for compensation they have before them sufficient particulars about the claim and sufficient time to consider and decide whether to resist the claim or to settle or compromise it before the costs of litigation is incurred (Rondalia BPK v. Lemmer 1966(2) S.A. 245 at 256 A and Commercial Union Assurance Co. Ltd v. Clerke 1972(3) S.A. 508 at 517 F) and to assist them in the computation of the damages claimed (Nkisimane's case, supra, 435 H and 436 A). It was argued that
-5- the absence of answers to questions 6, 7, 9, 10 and 11 of the Medical part of MVI13 form-see Annexure D - it is impossible on the information as supplied in the certificate to make a realistic assessment, and if it accepts liability, to make a realistic offer, which can if necessary be made in a formal tender to place the plaintiff on risk as to costs. The information disclosed in the certificate was that the plaintiff suffered a dislocated hip, was hospitalised for five weeks or so, was given six weeks sick leave, making a total absence from work to some twelve weeks. Insurers do not know if she had complications, whether permanent disability was anticipated, whether she received specialist treatment, whether she was in need of future treatment, whether she had pre existing pathological injuries, or whether the accident aggravated those injuries, etc. I am of the view that there was no substantial compliance and the question is answered in favour of the defendants. CHIEF JUSTICE 11th March, 1981 For Plaintiff : Mr. Sooknanan For Defendants' Mr. Newdigate