In Sushilaben Indravadan Gandhi v. The New India Assurance Company Limited,[1] the Supreme Court crystallised and clarified the tests to differentiate between a contract of service and a contract for service, while also interpreting an exemption of liability clause in an insurance policy.
Respondent No. 3 viz. the Rotary Eye Institute, Navsari (“Institute”) subscribed to a Private Car ‘B’ insurance policy offered by Respondent No. 1 viz. New India Assurance Company Limited (“Insurance Company”) on April 17, 1997 (“Insurance Policy”). The Insurance Policy, which inter alia covered death of or bodily injury to any person including occupants in the relevant motor car, expressly excluded the Insurance Company’s liability in cases of death or injury arising out of and in the course of the employment of the person so affected, by the Institute. The Insurance Policy also provided for compensation on a particular scale for bodily injury sustained by any passenger other than inter alia a person in the employ of the Institute, coming within the scope of the Workmen Compensation Act, 1923, and engaged in and upon the service of the Institute at the time when such injury is sustained.
Dr. Alpesh I. Gandhi (“Deceased”), a surgeon, had entered into a contract dated May 4, 1996 with the Institute. The contract was titled ‘Contract for Services as Honorary Ophthalmic Surgeon at Rotary Eye Institute, Navsari’ (“Contract”). On June 9, 1997, the Deceased met with a fatal accident while travelling in a minibus owned by the Institute due to which he was seriously injured and ultimately succumbed to his injuries.
The Deceased’s wife (Appellant No. 1) filed proceedings before the Motor Accident Claims Tribunal (“Tribunal”), claiming compensation for her husband’s death, against the driver of the minibus, the Institute, and the Insurance Company. The Insurance Company denied its liability on the premise that the Deceased was an employee of the Institute and was not covered for death or injury arising out of and in the course of his employment. The Tribunal found that the driver was rash and negligent in driving the vehicle, and that since the Deceased was employed under a contract for service, he was not an employee of the Institute. Accordingly, the Tribunal awarded compensation of INR 37,63,100/- plus interest to Appellant No. 1, to be borne by the driver, the Insurance Company, and the Institute, jointly and severally. In appeal, the Gujarat High Court found that the Contract was a contract of service, capped the liability of the Insurance Company to INR 50,000/- (as per the General Regulations of the Indian Motor Tariffs) and directed the other respondents to bear the balance amount.
Precedents analysed by the Supreme Court
The Supreme Court examined the earlier tests formulated by the Court (from as far back as 1957) for determining whether persons who supply different kinds of goods or services could be said to be in the employ of the employer. These judgments by and large dealt with cases relating to labour legislations such as the Industrial Disputes Act, 1947. Some of the tests, which the Supreme Court took note of, are extracted below.
Tests crystallised in the present judgment
In the present case, the Supreme Court held the following:
The Contract is a ‘contract for service’
On perusing the Contract to gather the intention of the parties, the Supreme Court applied the economic reality test and concluded that the terms of the Contract made it clear that it is one for service and that the Deceased was an independent professional and not an employee of the Institute.
Some of the factors considered by the Court while arriving at the above findings are as follows:
The Court found that certain provisions did point in the direction of a contract of service viz. that the employment was full-time and the Deceased could do no other work, the Deceased was to work on all days except weekly offs and holidays given by the Institute, he was governed by the conduct rules of the Institute and the Contract could be terminated by the Institute at any time without compensation in the event of a proven case of indiscipline or breach of trust. However, the Court found that the factors which made the contract one for service outweighed these factors.
In case of ambiguity, exemption of liability clauses in insurance contracts are to be construed contra proferentum
The Supreme Court also relied on the principle of contra proferentum while interpreting the exemption of liability clause. The principle essentially requires that where the words of a document are ambiguous, they should be construed against the party who prepared the document.
The Court reiterated certain well-settled principles in this regard, including that (a) an insurance contract requires uberrima fides i.e. good faith on the part of the assured, and the contract is likely to be interpreted contra proferentum against the company in case of ambiguity;[6] (b) if there is any ambiguity or a term is capable of two possible interpretations, one beneficial to the insured should be accepted, consistent with the purpose for which the policy is taken viz. to cover the risk on the happening of a certain event;[7] (c) this principle must be used only in cases of real ambiguity and not to create an ambiguity. Even where a clause by itself is ambiguous, if its meaning becomes clear by looking at the whole policy, then there is no room for the application of the principle. Further, where if one meaning is given to a clause, the rest of the policy becomes clear, the policy should be construed accordingly.[8]
In the present case, the Insurance Company contended that the expression ‘employment’ in the exemption of liability clause should be construed widely. The Supreme Court held that (a) the words “in the course of” before “employment” indicated that the employment can only be that of a person regularly employed by the employer and (b) even assuming that there is an ambiguity or doubt, the contra proferentum rule must be applied which makes it clear that that the “employment” refers only to regular employees of the Institute.
Concluding remarks
The Supreme Court proceeded to set aside the judgment of the Gujarat High Court and restored that of the Tribunal. Though the contract in the present case was fairly specific, there were factors which also pointed it in the direction of being a contract of service. Therefore, this judgment serves as a useful and contemporary precedent for courts while performing the balancing act required in cases of such nature. The wider rationale adopted by the Supreme Court in the present case is a welcome precedent, given that most prior decisions dealt with the concept of a contract of service vis-à-vis a contract for service in the context of labour laws. The present decision provides much-needed contemporary contextual considerations to be applied by courts when considering purely contractual matters and crystallises the tests to be applied when deciding whether a contract is one of service or for service.
[1] Judgement dated 15th April 2020 in Civil Appeal No. 2235 of 2020
[2] 1957 SCR 152
[3] (1974) 3 SCC 498
[4] Ibid
[5] (1978) 4 SCC 257
[6] General Assurance Society Ltd. v. Chandumull Jain (1966) 3 SCR 500
[7] United India Assurance Co. Ltd. v. Pushpalaya Printers (2004) 3 SCC 694
[8] Industrial Promotion & Investment Corpn. Of Orissa Ltd. v. New India Assurance Co. Ltd. (2016) 15 SCC 315