South Africa

GROUNDUP

Damning judgment: Court calls for Road Accident Fund to be liquidated

Damning judgment: Court calls for Road Accident Fund to be liquidated
The Gauteng high court has ruled that a man who lost his hearing after decades of work with noisy machinery on mines is entitled to compensation, overturning the decision of a tribunal set up by Rand Mutual Assurance under the Compensation for Occupational Injuries and Diseases Act. (Archive photo: Ashraf Hendricks)

A Johannesburg High Court judge has blown the whistle on what she says are dubious goings-on between the Road Accident Fund (RAF) and some personal injury attorneys.

First published by GroundUp

Judge Denise Fisher had on her roll two RAF matters but was told they had been settled and she need not apply her mind to them.

But she smelt a rat when she saw that both claims had seemingly been grossly inflated during settlement negotiations and she refused to remove the matters from her roll.

After conducting her own inquiries, she has now penned a 37-page judgment, damning of attorneys, and some of the medical and financial experts used to quantify the claims, and the RAF officials.

Read the judgment

Her conclusion states: “It is my view that the fund should be liquidated or placed under administration as a matter of urgency. This is the only way that this haemorrhage of billions of rands of public funds can be stemmed and proper and valid settlement of plaintiffs’ claims undertaken in the public interest.”

She has asked that the judgment be brought to the attention of the Minister of Transport, the head of the Road Accident Fund and the National Director of Public Prosecutions.

She has also referred the conduct of experts to their professional bodies, and the conduct of De Broglio attorneys, who handled both matters, to the Legal Practice Council.

The two matters on her roll were that of Marilyn Doris Taylor and Hlengani Victor Mathonsi.

Judge Fisher said they represented a cautionary tale for the RAF and those who rely on it, as both the attorneys and the RAF had “strenuously sought to avoid the court’s oversight of the settlement agreements”.

“These are not isolated incidents… these cases expose the defiant attempts by legal representatives to avoid judicial scrutiny of settlements entered into under circumstances which are strongly suggestive of dishonesty and/or gross incompetence of those involved.”

She said that since May, the RAF had been attempting to settle cases rather than run trials in order to save costs. They were also not using external legal representation any more and, with no judicial oversight, this had rendered the RAF system, already on the verge of collapse, even more exposed and vulnerable to malfeasance and incompetence.

The Taylor case, in summary, was a claim by an office administrator who, in the main, made tea and coffee. She earned R5,500 a month. Her injuries as a result of the accident were “contrived”; there was no evidence that she had lost her job, and yet a settlement offer of more than R3-million was made.

It was only after the judge queried this that it was reduced to R1.3-million, still “significantly inflated”, the judge said.

In the Mathansi case the judge was also told the matter had been settled for a total of just more than R1.7-million. Again, she said, there were last-minute amendments to the claims.

Judge Fisher said Mathansi had not lost his employment because of his injury, a fractured clavicle, and yet the RAF had settled the claim for future loss of earnings in excess of R1.3-million.

The modus operandi, she said, was that relatively modest claims were being made and then inflated in the actuarial calculation where the income was exaggerated or even fabricated. The actuarial report was being used as a basis for an amendment of the claim without oversight.

“The RAF is not represented and is overwhelmed by the sheer volume of cases and officials are pliable. They thus place undue reliance on the representations of the plaintiff’s attorneys as to the loss.

“As to general damages, under-qualified and sometimes pliable doctors are used to suggest the injuries are more serious than they, in fact, are.”

Judge Fisher said while the court’s jurisdiction terminated once the parties settled, the settlement had to be lawful and consistent with the Constitution.

“The RAF has chosen to ignore this court’s pointed concerns and instead of insisting on an order of court as a precondition of settlement, which would be the rational approach, it has chosen to acquiesce in the tactic adopted by De Broglio.

“That the RAF is conducting its business in this reckless manner under insolvent conditions is of great concern to this court.”

She said the two cases in question had not been lawfully concluded and the settlements were void, but she had no authority to interfere with them and that would have to be done on review.

While she singled out De Broglio, she said similar tactics were used by attorneys across the board and they “learned them from each other”.

“Whilst De Broglio might believe it has served the interests of its clients and itself in achieving settlement for grossly inflated amounts it has, in fact, placed them in jeopardy to the extent that they are unconstitutional and unenforceable. They are, in effect, worthless.

“And if payment is made it would constitute irregular expenditure by the RAF and potentially make those approving such payments vulnerable to personal scrutiny by the courts.” DM

 

Gallery

Comments - Please in order to comment.

  • Johan Buys says:

    Bravo judge! Simple solution for RAF : borrow the appendix from the insurance firms like OldMutual and SANLAM. They have predefined tables. Lose a little finger? That’s R2000. Lose a thumb? That’s R30,000. Any settlements are furthermore reduced by the amount of any private insurance. Result? RAF solvent in a year. Longterm result? RAF levies on fuel halved by 2025. Outcome? Ambulance chasers get real jobs

  • Gerrie Pretorius Pretorius says:

    The RAF is bankrupt because of attorneys, doctors and other ‘experts’ who derive direct benefit from inflating claims.
    @Johan Buys I agree 100% with your sentiment.

  • Peter Rieger says:

    In 2012 i was nearly killed by a car that jumped a stop street i am still waiting for a settlement. I am still on crutches no income no money only suffering no end in sight.

  • Alley Cat says:

    DeBroglio taking over from the Bobroffs? They can soon start a club in Australia.. Is NOTHING sacred anymore? Well done to this judge. Surely she can report it to the NDPP? Hawks?? Police?? This is fraud!!

Please peer review 3 community comments before your comment can be posted

X

This article is free to read.

Sign up for free or sign in to continue reading.

Unlike our competitors, we don’t force you to pay to read the news but we do need your email address to make your experience better.


Nearly there! Create a password to finish signing up with us:

Please enter your password or get a sign in link if you’ve forgotten

Open Sesame! Thanks for signing up.

We would like our readers to start paying for Daily Maverick...

…but we are not going to force you to. Over 10 million users come to us each month for the news. We have not put it behind a paywall because the truth should not be a luxury.

Instead we ask our readers who can afford to contribute, even a small amount each month, to do so.

If you appreciate it and want to see us keep going then please consider contributing whatever you can.

Support Daily Maverick→
Payment options

Daily Maverick Elections Toolbox

Feeling powerless in politics?

Equip yourself with the tools you need for an informed decision this election. Get the Elections Toolbox with shareable party manifesto guide.