PAZ LOPEZ DE CONSTANTINO, Plaintiff-Appellant, ASIA LIFE INSURANCE COMPANY, Defendant-Appellee
PAZ LOPEZ DE CONSTANTINO, Plaintiff-Appellant, ASIA LIFE INSURANCE COMPANY, Defendant-Appellee
PAZ LOPEZ DE CONSTANTINO, Plaintiff-Appellant, ASIA LIFE INSURANCE COMPANY, Defendant-Appellee
vs.
ASIA LIFE INSURANCE COMPANY, defendant-appellee.
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G.R. No. L-1670
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All premium payments are due in advance and any unpunctuality in making any such
payment shall cause this policy to lapse unless and except as kept in force by the
Grace Period condition or under Option 4 below. (Grace of 31 days.)
After that first payment, no further premiums were paid. The insured died on September
22, 1944.
It is admitted that the defendant, being an American corporation , had to close its branch
office in Manila by reason of the Japanese occupation, i.e. from January 2, 1942, until
the year 1945.
Second case. On August 1, 1938, the defendant Asia Life Insurance Company issued its
Policy No. 78145 (Joint Life 20-Year Endowment Participating with Accident Indemnity),
covering the lives of the spouses Tomas Ruiz and Agustina Peralta, for the sum of
P3,000. The annual premium stipulated in the policy was regularly paid from August 1,
1938, up to and including September 30, 1941. Effective August 1, 1941, the mode of
payment of premiums was changed from annual to quarterly, so that quarterly premiums
were paid, the last having been delivered on November 18, 1941, said payment covering
the period up to January 31, 1942. No further payments were handed to the insurer.
Upon the Japanese occupation, the insured and the insurer became separated by the
lines of war, and it was impossible and illegal for them to deal with each other. Because
the insured had borrowed on the policy an mount of P234.00 in January, 1941, the cash
surrender value of the policy was sufficient to maintain the policy in force only up to
September 7, 1942. Tomas Ruiz died on February 16, 1945. The plaintiff Agustina
Peralta is his beneficiary. Her demand for payment met with defendant's refusal,
grounded on non-payment of the premiums.
The policy provides in part:
This POLICY OF INSURANCE is issued in consideration of the written and printed
application herefor, a copy of which is attached hereto and is hereby made apart
hereof, and of the payment in advance during the life time and good health of the
Insured of the annual premium of Two hundred and 43/100 pesos Philippine
currency and of the payment of a like amount upon each first day of August hereafter
during the term of Twenty years or until the prior death of either of the Insured.
(Emphasis supplied.)
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All premium payments are due in advance and any unpunctuality in making any such
payment shall cause this policy to lapse unless and except as kept in force by the
Grace Period condition or under Option 4 below. (Grace of days.) . . .
Plaintiffs maintain that, as beneficiaries, they are entitled to receive the proceeds of the
policies minus all sums due for premiums in arrears. They allege that non-payment of
the premiums was caused by the closing of defendant's offices in Manila during the
Japanese occupation and the impossible circumstances created by war.
Defendant on the other hand asserts that the policies had lapsed for non-payment of
premiums, in accordance with the contract of the parties and the law applicable to the
situation.
The lower court absolved the defendant. Hence this appeal.
The controversial point has never been decided in this jurisdiction. Fortunately, this court
has had the benefit of extensive and exhaustive memoranda including those of amici
curiae. The matter has received careful consideration, inasmuch as it affects the interest
In Glaraga vs. Sun Life Ass. Co. (49 Phil., 737), this court held that a life policy was
avoided because the premium had not been paid within the time fixed, since by its
express terms, non-payment of any premium when due or within the thirty-day period of
grace, ipso facto caused the policy to lapse. This goes to show that although we take the
view that insurance policies should be conserved5 and should not lightly be thrown out,
still we do not hesitate to enforce the agreement of the parties.
Forfeitures of insurance policies are not favored, but courts cannot for that reason
alone refuse to enforce an insurance contract according to its meaning. (45 C.J.S., p.
150.)
scheme is endangered. The insured parties are associates in a great scheme. This
associated relation exists whether the company be a mutual one or not. Each is
interested in the engagements of all; for out of the co-existence of many risks arises
the law of average, which underlies the whole business. An essential feature of this
scheme is the mathematical calculations referred to, on which the premiums and
amounts assured are based. And these calculations, again, are based on the
assumption of average mortality, and of prompt payments and compound interest
thereon. Delinquency cannot be tolerated nor redeemed, except at the option of the
company. This has always been the understanding and the practice in this
department of business. Some companies, it is true, accord a grace of thirty days, or
other fixed period, within which the premium in arrear may be paid, on certain
conditions of continued good health, etc. But this is a matter of stipulation, or of
discretion, on the part of the particular company. When no stipulation exists, it is the
general understanding that time is material, and that the forfeiture is absolute if the
premium be not paid. The extraordinary and even desperate efforts sometimes
made, when an insured person is in extremes to meet a premium coming due,
demonstrates the common view of this matter.
The case, therefore, is one in which time is material and of the essence and of the
essence of the contract. Non-payment at the day involves absolute forfeiture if such
be the terms of the contract, as is the case here. Courts cannot with safety vary the
stipulation of the parties by introducing equities for the relief of the insured against
their own negligence.
In another part of the decision, the United States Supreme Court considers and rejects
what is, in effect, the New York theory in the following words and phrases:
The truth is, that the doctrine of the revival of contracts suspended during the war is
one based on considerations of equity and justice, and cannot be invoked to revive a
contract which it would be unjust or inequitable to revive.
In the case of Life insurance, besides the materiality of time in the performance of the
contract, another strong reason exists why the policy should not be revived. The
parties do not stand on equal ground in reference to such a revival. It would operate
most unjustly against the company. The business of insurance is founded on the law
of average; that of life insurance eminently so. The average rate of mortality is the
basis on which it rests. By spreading their risks over a large number of cases, the
companies calculate on this average with reasonable certainty and safety. Anything
that interferes with it deranges the security of the business. If every policy lapsed by
reason of the war should be revived, and all the back premiums should be paid, the
companies would have the benefit of this average amount of risk. But the good risks
are never heard from; only the bar are sought to be revived, where the person
insured is either dead or dying. Those in health can get the new policies cheaper
than to pay arrearages on the old. To enforce a revival of the bad cases, whilst the
company necessarily lose the cases which are desirable, would be manifestly unjust.
An insured person, as before stated, does not stand isolated and alone. His case is
connected with and co-related to the cases of all others insured by the same
company. The nature of the business, as a whole, must be looked at to understand
the general equities of the parties.
The above consideration certainly lend themselves to the approval of fair-minded men.
Moreover, if, as alleged, the consequences of war should not prejudice the insured,
neither should they bear down on the insurer.
Urging adoption of the New York theory, counsel for plaintiff point out that the obligation
of the insured to pay premiums was excused during the war owing to impossibility of
performance, and that consequently no unfavorable consequences should follow from
such failure.
The appellee answers, quite plausibly, that the periodic payment of premiums, at least
those after the first, is not an obligation of the insured, so much so that it is not a debt
enforceable by action of the insurer.
Under an Oklahoma decision, the annual premium due is not a debt. It is not an
obligation upon which the insurer can maintain an action against insured; nor is its
settlement governed by the strict rule controlling payments of debts. So, the court in
a Kentucky case declares, in the opinion, that it is not a debt. . . . The fact that it is
payable annually or semi-annually, or at any other stipulated time, does not of itself
constitute a promise to pay, either express or implied. In case of non-payment the
policy is forfeited, except so far as the forfeiture may be saved by agreement, by
waiver, estoppel, or by statute. The payment of the premium is entirely optional,
while a debt may be enforced at law, and the fact that the premium is agreed to be
paid is without force, in the absence of an unqualified and absolute agreement to pay
a specified sum at some certain time. In the ordinary policy there is no promise to
pay, but it is optional with the insured whether he will continue the policy or forfeit it.
(3 Couch, Cyc. on Insurance, Sec. 623, p. 1996.)
It is well settled that a contract of insurance is sui generis. While the insured by an
observance of the conditions may hold the insurer to his contract, the latter has not
the power or right to compel the insured to maintain the contract relation with it
longer than he chooses. Whether the insured will continue it or not is optional with
him. There being no obligation to pay for the premium, they did not constitute a
debt.(Noble vs. Southern States M.D. Ins. Co., 157 Ky., 46; 162 S.W., 528.)
(Emphasis ours.)
It should be noted that the parties contracted not only for peacetime conditions but also
for times of war, because the policies contained provisions applicable expressly to
wartime days. The logical inference, therefore, is that the parties contemplated
uninterrupted operation of the contract even if armed conflict should ensue.
For the plaintiffs, it is again argued that in view of the enormous growth of insurance
business since the Statham decision, it could now be relaxed and even disregarded. It is
stated "that the relaxation of rules relating to insurance is in direct proportion to the
growth of the business. If there were only 100 men, for example, insured by a Company
or a mutual Association, the death of one will distribute the insurance proceeds among
the remaining 99 policy-holders. Because the loss which each survivor will bear will be
relatively great, death from certain agreed or specified causes may be deemed not a
compensable loss. But if the policy-holders of the Company or Association should be
1,000,000 individuals, it is clear that the death of one of them will not seriously prejudice
each one of the 999,999 surviving insured. The loss to be borne by each individual will
be relatively small."
The answer to this is that as there are (in the example) one million policy-holders, the
"losses" to be considered will not be the death of one but the death of ten thousand,
since the proportion of 1 to 100 should be maintained. And certainly such losses for
10,000 deaths will not be "relatively small."
After perusing the Insurance Act, we are firmly persuaded that the non-payment of
premiums is such a vital defense of insurance companies that since the very beginning,
said Act no. 2427 expressly preserved it, by providing that after the policy shall have
been in force for two years, it shall become incontestable (i.e. the insurer shall have no
defense) except for fraud, non-payment of premiums, and military or naval service in
time of war (sec. 184 [b], Insurance Act). And when Congress recently amended this
section (Rep. Act No. 171), the defense of fraud was eliminated, while the defense of
nonpayment of premiums was preserved. Thus the fundamental character of the
undertaking to pay premiums and the high importance of the defense of non-payment
thereof, was specifically recognized.
In keeping with such legislative policy, we feel no hesitation to adopt the United States
Rule, which is in effect a variation of the Connecticut rule for the sake of equity. In this
connection, it appears that the first policy had no reserve value, and that the equitable
values of the second had been practically returned to the insured in the form of loan and
advance for premium.
For all the foregoing, the lower court's decision absolving the defendant from all liability
on the policies in question, is hereby affirmed, without costs.
Moran, C.J., Ozaeta, Paras, Pablo, Montemayor, Tuason, and Reyes, JJ., concur.