Lo Siu Wa v. Employees Compensation Assistance Fund Board and Another
Read the full judgment text of HCA 393/2014 on BabelCite. This High Court CFI judgment was delivered on 26 January 2016.
1. On 19 March 2007 the plaintiff was, in the course of his employment, using a circular saw doing carpentry work as part of renovations to shop premises in Tsuen Wan, New Territories. An accident occurred which resulted in fractured fingers, severed tendons and open wounds to his hands. At the time his employer was an interior design company called Nuovo Design Limited (“Nuovo”). Nuovo had engaged him four days earlier, on 15 March, to carry out carpentry works at the shop site. The plaintiff w
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HCA 393/2014 IN THE HIGH COURT OF THE HONG KONG SPECIAL ADMINISTRATIVE REGION COURT OF FIRST INSTANCE ACTION NO 393 OF 2014 ________________
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ACTION NO 799 OF 2014 ________________
________________ (HEARD TOGETHER)
_______________ J U D G M E N T _______________ 1.On 19 March 2007 the plaintiff was, in the course of his employment, using a circular saw doing carpentry work as part of renovations to shop premises in Tsuen Wan, New Territories. An accident occurred which resulted in fractured fingers, severed tendons and open wounds to his hands. At the time his employer was an interior design company called Nuovo Design Limited (“Nuovo”). Nuovo had engaged him four days earlier, on 15 March, to carry out carpentry works at the shop site. The plaintiff was a carpenter by trade. He had previously been regularly engaged by various employers to carry out carpentry work on numerous and various renovation projects in Hong Kong. 2.On this particular occasion he was being paid $800 a day but because he had only recently been engaged there was no documentation relating to his employment. He had not worked for Nuovo before. In a statutory declaration to the Labour Department dated 22 June 2007 Nuovo’s project manager, Mr Lee Chun Fai, explained that it was the company’s practice to take on carpenters on a casual basis and, as with this plaintiff, no contract of employment was signed. He explained that the plaintiff was treated as a self‑employed person. 3.Nuovo’s subsequent conduct with regard to the plaintiff and his accident was extremely uncooperative. They failed to report the accident to the Labour Department. They failed to pay any sick leave wages (certified from 19 March 2007 to 31 May 2008). They failed to attend or participate in the plaintiff’s Employment Compensation claim heard on 14 August, 2009 (assessed at $545,488.33 plus interest). They failed to pay the EC Award therefore, through his solicitors, the plaintiff caused Nuovo to be wound up thereby incurring further costs. The winding‑up order was made on 16 February 2011. Finally, the plaintiff also made a claim for common law damages under HCPI 84/2010. On 12 April 2012, he was awarded damages in an uncontested assessment hearing in the sum of $3,552,928.67 (net of the EC Award) plus interest. THESE PROCEEDINGS 4.These proceedings arise because Nuovo had, in 2004, taken out an insurance policy with the 2nd defendant (AXA) called an “Office Pak” policy. The plaintiff sought payment of his claim through this policy but AXA has declined to pay stating from the outset that the policy did not cover this plaintiff and/or this accident. In short, the plaintiff, through his solicitors, being informed that he had not been insured in his brief employment with Nuovo commenced proceedings against the 1st defendant (HCA 393/2014) (the Board), “the last resort” for payment of compensation for personal injuries sustained at work in such circumstances. 5.The Board takes the view that the Office Pak policy did cover the plaintiff’s accident and has declined payment and has insisted that AXA also be sued (HCA 799/2014). The two actions have been consolidated. 6.The issue is which defendant should compensate the plaintiff and pay him his unchallenged award for an injury sustained nearly nine years ago. All parties are agreed that the issue is substantially resolved by the answer to a single question namely, did the Office Pak policy cover the plaintiff at the time of his accident? THE ISSUES 7.Although the outcome of these proceedings depends, almost entirely, on the answer to a single question the parties have helpfully formulated and agreed five issues on liability as follows:
Issues 1 and 2 8.Issues 1 and 2 may be considered together. Sections 43(1) and 44 of the ECO provide that: Section 43(1):
Section 44:
9.The first and only relevant question arising from these provisions is — was there in force at the material time a policy of insurance issued for the purpose of Part IV of the ordinance in relation to the plaintiff? Plainly there was a policy in force which had been issued for the purpose of Part IV. However, whether it was “in relation to the Plaintiff” is the matter in dispute. 10.The answer depends on the terms of the contract of insurance. The words in the policy must be carefully construed and interpreted. It is necessary therefore to set out in some detail what the policy actually said. Before doing so, important principles of construction are noted. Mr Anthony Ismail, counsel for AXA, has helpfully reminded the court of the words of Sir Anthony Mason NPJ in New World Harbourview Hotel v ACE Insurance Ltd (2012) 15 HKCFAR:
Also, Lord Hoffmann NPJ in Jumbo King Ltd v Faithful Properties Ltd (1999) 2 HKCFAR:
11.Finally Ma CJ in Fully Profit (Asia) Ltd v Secretary for Justice (2013) 16 HKCFAR:
12.In the present case, as already stated, the Board and AXA fundamentally disagree about whether the policy covers the plaintiff. The Board has been represented at trial by Mr Horace Wong SC leading Mr Clark Wang. Mr Ismail’s submission (for AXA) that this policy was never intended to, and does not, cover the plaintiff has also, consistently, been the position taken by the plaintiff, represented by Ms Julia Lau. 13.Because the policy, in a case such as this, must be considered as a whole it is, unfortunately, necessary to recite all those parts of the policy which may be relevant to issues of interpretation and therefore the answer to the ultimate question. The policy 14.AXA called the policy an “Office Pak” policy. The schedule provided as follows:
15.The following terms and definitions are relevant:
16.I will elaborate further on the reasons for my finding hereafter. However,I will state it at the outset. My finding is that, whilst the policy was issued for the purpose of Part IV of ECO in respect of specified employees engaged in interior design work, it was however, plainly and unambiguously not issued in relation to the plaintiff. In making this finding I have taken account of the following:
Discussion 17.In reaching this decision, which effectively determines the entire case, a number of matters both legal and factual, have been considered. I now briefly outline those of particular significance. (i) “Scope of Cover” 18.Mr Wong relies on the words in this part of the policy which state:
He submits that this includes the plaintiff doing his carpentry work on a daily pay basis at a certain site where renovation work is being carried out. He acknowledges also that if this is the correct interpretation every casual labourer doing plumbing, electricity work, air conditioning, carpentry etc in all Nuovo’s projects are covered. This must be wrong. Taken in context the words “immediate employ” can only, sensibly, mean those clerical jobs listed in the schedule. Moreover the words “in the Business” must refer to the definition of Business in the policy which is “Office (Interior Design)”. Such definition plainly excludes building and construction activities. 19.In further support the statutory declaration of Mr Colin Yue Chi Wai, a creative director of Nuovo, explains that the Nuovo staff carried out design work only, whereas the building side of their designs was carried out by sub‑contractors or self‑employed independent contractors. Section 40 of ECO does not require the company to arrange insurance for such workers. 20.It is significant also that the “Contents” insurance provisions define the “Premises” to which the policy was to apply as “premises as specified in the Schedule and is used solely as an office… without any manufacturing work”. This provides support for the submission, correctly made, that the “Office Pak” policy covered, in broad terms, office workers doing office design work in office premises. Madam Tsang’s evidence (referred to above) was entirely consistent with this. (ii) Other cases concerning section 43 and 44 of ECO 21.Section 44 gives an employee a statutory right to enforce the policy directly against the insurers as if he were a party. What section 44 does not do is widen the scope of the policy to include an employee who was otherwise not included on a proper construction of its terms. 22.Mr Wong has valiantly, but unsuccessfully, submitted that a decision of this court, Law Lai Ha & Anor v Zurich Insurance Co [2011]2 HKLRD 450, not surprisingly relied on by Ms Lau and Mr Ismail, was wrongly decided and is “at odds” with authorities cited and relied on by him. 23.First, I do not agree with the expression “at odds with”. The various cases cited by Mr Wong had different issues to which I shall briefly refer. Secondly, I agree with Ms Lau and Mr Ismail that the Law Lai Ha case is the closest factually and closest to “the issue to be decided” in the present case and was correctly decided. 24.In the Law case Sakhrani J stated:
25.Thus the simple issue was — never mind what he was doing at the time of the accident, was the policy in relation to him? The same issue arises in the present cases. In a sense Law’s case was more difficult to decide because the judge rightly determined that what the plaintiff was doing at the time did not exclude him from the policy but the fact that the individual in question, the plaintiff, was not intended to be covered, did. In our case not only was the plaintiff not a worker covered by the policy but also, all carpentry, plumbing, electricity etc works were not intended to be covered by either party to the contract of insurance. 26.The plaintiff and AXA submit, and I agree, that the cases replied on by the Board are distinguishable and cannot be relied on as authorities which demonstrate that Law Lai Ha was, in any way, wrongly decided. 27.In King Tak On v Lau Chun Yip [1987] HKLR 126 the insurer had attempted to repudiate liability under the policy because the employer, the insured company, had deliberately understated important facts to the insurer, such as the number of employees, their wages etc (all matters relevant to the assessment of a fair premium, fair to both sides). In that case there was a policy in force in relation to the plaintiff and the insurer could not repudiate after the accident on the basis of material non‑disclosure by the company. The case does not assist on the question of the construction of the terms of a policy in deciding whether it was “in relation to” the claimant. 28.Similarly, a second case relied on by Mr Wong for the Board does not assist him. In Chan Chu Ngan v Wong Woon Pui & Anor [1992] 2 HKC 193 the Court of Appeal decided that the policy in question was “in relation to the plaintiff”. However, this was not the key issue. The key issue was whether or not the insurer could repudiate liability for the claim on the basis that the person (to whom the policy did relate) should be excluded because of the particular activity he was carrying out at the material time. The court decided that the insurer could not rely on the particular exclusion clause and were held liable to pay on the basis that the policy was taken out “in relation to the plaintiff”. 29.In the present case the sole basis upon which AXA has denied liability from the outset is that this policy, on its terms, unequivocally does not cover this plaintiff. 30.A further example of the insurer’s liability being determined by the words of the policy is Leung Chack v Asia Insurance Co Ltd [1991] HKLR 496. In that case the injury was sustained by an employee of a sub‑contractor. The insurance company was the principal contractor’s insurers. That policy only covered the principal contractor’s immediate employees. The court held that the expression “immediate employees” could not be ignored or redefined by ECO. Similarly in the present case there are many examples of the use of words which limit the coverage to the exclusion of the plaintiff. For example:
31.In my judgment Mr Wong’s submission (vital to the success of his case) that “Interior Design” covered not only those who did the design work in their office premises (as listed in the policy) but also every construction worker, employed on any basis, whether it be casual, self‑employed, part‑time, sub‑contractor or whatever, on every site where Nuovo had been engaged to build their designs, is commercially unreal and must fail. (iii) The contra proferentem rule 32.Mr Wong submits that the expression “any Employee in the Insured’s immediate employ …” is, at best, ambiguous and the contra proferentem rule should be applied to construe it in the Board’s favour. 33.In my judgment the rule has no application because there is no ambiguity. It does not say “any employee”, it says “any Employee in the Insured’s immediate employ”. Once again, when viewed in context as part of the entire policy the expression can only have one meaning, namely that advanced by the plaintiff and AXA. Mr Wong describes AXA’s interpretation as “unduly narrow”. With respect, in context, it seems to me to be neither narrow nor unduly so. I accept Madam Tsang’s evidence where she states:
Issues 3, 4 and 5 34.The above deals with Issues 1 and 2 of the agreed list of issues set out in pages 4 and 5 of this judgment. In view of the court’s decision on Issues 1 and 2 the remaining issues can be dealt with relatively briefly. (i) Issue 3 35.The plaintiff brings his claim, under sections 16 and 20 of the ECAO. Section 16(3) is a provision relating to the recovery of employees’ compensation and section 20A is an identical provision relating to the recovery of damages. They provide that:
Did the plaintiff take reasonable steps? The answer is plainly in the affirmative. 36.The plaintiff commenced his ECC claim in August 2009 and his damages claim in 2010. In the latter his damages were assessed in excess of $3.5 million, net of the ECC claim, in April 2012. 37.Nuovo had failed to pay the ECC Award and was wound up in February 2011. AXA was notified of all proceedings from the outset and has consistently and firmly denied liability under the policy. The plaintiff had demanded payment from AXA at the appropriate times. 38.From the outset the reason given by AXA for denying liability was precisely the issue in these proceedings. The plaintiff did not challenge this stance and therefore did not embark on legal proceedings against AXA which it believed it would lose. The outcome of this case supports that decision. (ii) Issue 4 39.The plaintiff has always been legally aided. The decision to apply under sections 16 and 20 of ECAO rather than against AXA was made on the basis that Legal Aid took the view, correctly, that it would lose against AXA and incur substantial costs. The Board had refused to indemnify the plaintiff’s costs in such an eventuality. In view of such circumstances it would have been financially reckless and not in the plaintiff’s interest to commence proceedings against AXA. (iii) Issue 5 40.The Board were wrong to reject the plaintiff’s applications under sections 16 and 20A of ECAO. The Board’s stance that the plaintiff should have commenced proceedings against AXA first was erroneous. The reasons have already been stated above and require no further elaboration. QUANTUM 41.It follows from all of the above that the plaintiff shall succeed in its claim against the Board pursuant to sections 16 and 20A of ECAO. It is acknowledged that the Board is, to quote Mr Wong, “the last resort and a public body entrusted with public funds”. It should also be viewed as a “safety net” ensuring that workers, such as the plaintiff, receive proper compensation provided all the conditions and provisions contained in the relevant ordinances have been met. 42.The plaintiff’s injury in this case was sustained nearly nine years ago. Throughout all the proceedings it was never suggested by any party that he was not entitled to compensation. For many years, whilst the plaintiff remained uncompensated, the argument was — who pays? 43.As a result of a discussion between the court and the parties on the first day of trial AXA undertook to ensure payment in full to the plaintiff in the sums contained in this order, regardless of any future proceedings (conditional, of course, on being reimbursed by the Board should the Board lose in this action). All counsel agreed that, if possible, the plaintiff should not have to wait longer than necessary to receive his entitlement, nine years after the accident, irrespective of whether there were further legal disagreements between the parties. (On 14 January 2016 the court received a letter from the parties setting out an agreed arrangement in this regard, which the court approved.) 44.Mr Wong also indicated to the court that in respect of quantum and costs there were no disputes between the parties. 45.The order I make is therefore that requested by Ms Lau on behalf of the plaintiff as against the 1st defendant, the Board, as follows:
COSTS 46.I make a costs order nisi against the 1st defendant to pay the plaintiff’s costs in HCA 799/2014 and HCA 393/2014 and the 2nd defendant’s costs be paid by way of a Sanderson Order (Sanderson v Blyth Theatre Co [1903] 2 KB 533), the terms of which to be agreed between the parties.
Ms Julia Lau, instructed by Liu, Chan & Lam, assigned by Director of Legal Aid, for the plaintiff Mr Horace Wong SC and Mr Clark Wang, instructed by Gallant Y T Ho & Co, for the 1st defendant Mr Anthony Ismail, instructed by Clyde & Co, for the 2nd defendant | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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