December 18 Cases For Law
December 18 Cases For Law
December 18 Cases For Law
Sec. 137. An insurance confined in Sec. 142. Where the information upon
terms to an actual loss does not cover a which an abandonment has been made
constructive total loss, but covers any proves incorrect, or the thing insured
loss, which necessarily results in was so far restored when the
depriving the insured of the possession, abandonment was made that there was
at the port of destination, of the entire then in fact no total loss, the
thing insured. abandonment becomes ineffectual.
Upon approval of the application, the (a) has willfully violated any
applicant must also file two errors and provision of this Code; or
omissions (professional liability or (b) has intentionally made a
professional indemnity) policies issued material misstatement in the
separately by two insurance companies application to qualify for such
authorized to do business in the license; or
Philippines, satisfactory to the (c) has obtained or attempted to
Commissioner to indemnify the obtain a license by fraud or
applicant against any claim or claims for misrepresentation; or
breach of duty as insurance broker which
may be made against him by reason of (d) has been guilty of fraudulent or
any negligent act, error or omission, dishonest practices; or
whenever or wherever committed or (e) has misappropriated or
alleged to have been committed, on the converted to his own use or
part of the applicant or any person who illegally withheld moneys required
has been, is now, or may hereafter to be held in a fiduciary capacity;
during the subsistence of the policies be
(f) has not demonstrated
employed by the said applicant in his
trustworthiness and competence
capacity as insurance broker, provided
to transact business as an
that the filing of any claim or claims
insurance agent or insurance
under one of such policies shall preclude
broker in such manner as to
the filing of the said claim or claims
safeguard the public; or
under the other policy. The said policies
shall be in such amounts as may be (g) has materially misrepresented
prescribed by the Insurance the terms and conditions of
Commissioner, depending upon the size policies or contracts of insurance
or amount of the broking business of the
which he seeks to sell or has sold; attorney duly executed by such
or insurance company, and registered with
(h) has failed to pass the written the Commissioner to receive notices,
examination prescribed, if not summons and legal processes for and in
otherwise exempt from taking the behalf of the insurance company
same. concerned in connection with actions or
other legal proceedings against said
In addition to the foregoing causes, no insurance company. It shall be the duty
license to act as insurance agent or of said general agent to notify the
insurance broker shall be renewed if the Commissioner of his post office address
holder thereof has not been actively in the Philippines, or any change
engaged as such agent or broker in thereof. Notices, summons, or processes
accordance with such rules as the of any kind sent by registered mail to
Commissioner may prescribe. (As amended by the last registered address of such
Presidential Decree No. 1814). general agent of the company concerned
Sec. 306. The premium, or any portion or to the Commissioner shall be
thereof, which an insurance agent or sufficient service and deemed as if
insurance broker collects from an served on the insurance company itself.
insured and which is to be paid to an Sec. 309. Except as otherwise provided
insurance company because of the by law or treaty, it shall be unlawful for
assumption of liability through the any person, partnership, association or
issuance of policies or contracts of corporation in the Philippines, for
insurance, shall be held by the agent or himself or itself, or for some other
broker in a fiduciary capacity and shall person, partnership, association or
not be misappropriated or converted to corporation, either to procure, receive or
his own use or illegally withheld by the forward applications of insurance in, or
agent or broker. to issue or to deliver or accept policies
Any insurance company which delivers or contracts of insurance of or for, any
to an insurance agent or insurance insurance company or companies not
broker a policy or contract of insurance authorized to transact business in the
shall be deemed to have authorized such Philippines, covering risks, life or non-
agent or broker to receive on its behalf life, situated in the Philippines; and any
payment of any premium which is due such person, partnership, association or
on such policy or contract of insurance corporation violating the provisions of
at the time of its issuance or delivery or this section shall be deemed guilty of a
which becomes due thereon. penal offense, and upon conviction
Sec. 307. Any provision of existing laws thereof, shall for each such offense be
to the contrary notwithstanding, no punished by a fine of ten thousand
person shall, within the Philippines, sell pesos, or imprisonment of six months, or
or offer for sale a variable contract or do both at the discretion of the
or perform any act or thing in the sale, court: Provided, That the provisions of
negotiation, making or consummating of this section shall not apply to
any variable contract other than for reinsurance.
himself unless such person shall have a Title 2
valid and current license from the REINSURANCE BROKERS
Commissioner authorizing such person
Sec. 310. Except as provided in the next
to act as a variable contract agent. No
succeeding title, no person shall act as
such license shall be issued unless and
reinsurance broker in
until the Commissioner is satisfied, after
the Philippines unless he is authorized
examination that such person is by
as such by the Commissioner.
training, knowledge, ability and
character qualified to act as such agent. A reinsurance broker is one who, for
Any such license may be withdrawn and compensation, not being a duly
cancelled by the Commissioner after authorized agent, employee or officer of
notice and hearing, if he shall find that an insurer in which any reinsurance is
the holder thereof does not then have effected, act or aids in any manner in
the qualifications required for the negotiating contracts of reinsurance, or
issuance of such license. placing risks of effecting reinsurance, for
any insurance company authorized to do
Sec. 308. It shall be unlawful for any
business in the Philippines.
person, company or corporation in the
Philippines to act as general agent of any Sec. 311. Upon application and payment
insurance company unless he is of the corresponding fee hereinafter
empowered by a written power of prescribed, and the filing of two errors
and omissions (professional liability or
professional indemnity) policies agent filed with the Commissioner must
hereinafter described, a person may, if be accompanied with:
found qualified, be issued a license to (a) a copy of the power of
act as reinsurance broker by the attorney, duly notarized and
Commissioner. No such license shall be authenticated by the Philippine
valid after the thirtieth day of June of Consul in the place where such
the year following its issuance unless it foreign insurer or broker is
is renewed. (As amended by Presidential Decree No. domiciled, empowering the
1455).
applicant to act as resident agent
The errors and omissions (professional and to receive notices, summons
liability or professional indemnity) and legal processes for and in
policies mentioned above shall behalf of such foreign insurer or
indemnify the applicant against any broker in connection with any
claim or claims for breach of duty as action or legal proceeding against
reinsurance broker which may be made such foreign insurer or broker; and
against him by reason of any negligent
(b) a copy of the corresponding
act, error or omission, whenever or
certificate issued by the Board of
wherever committed or alleged to have
Investments as required under
been committed, on the part of the
Section 4 of Republic Act No.
applicant or any person who has been, is
5455, if such foreign insurer or
now, or may hereafter during the
broker is not otherwise exempt
subsistence of the policies be employed
from such requirement.
by the said applicant in his capacity as
reinsurance broker; Provided, That the Sec. 316. It shall be the duty of such
filing of any claim or claims under one of resident agent to notify immediately the
such policies shall preclude the filing of Commissioner of any change of his office
the said claim or claims under the other address.
policy. The said policies shall be issued Sec. 317. A certificate of registration
separately by two insurance companies issued to a resident agent shall expire on
authorized to do business in the the thirtieth day of June of the year
Philippines and shall be in such amounts following its issuance unless it is
as may be prescribed by the Insurance renewed.
Commissioner, depending upon the size
or amount of the broking business of the The Commissioner may, after due notice
applicant, but in no case shall the and hearing, recall or cancel the
amount of each of such policies be less certificate of registration issued to a
than five hundred thousand pesos. (As resident agent for violation of any
amended by Presidential Decree No. 1455). existing law, rule or regulation, or any
provision of this Code. (As amended by
Sec. 312. The Commissioner may recall, Presidential Decree No. 1455).
suspend or revoke the license granted to
a reinsurance broker for violation of any Title 4
existing law, rule and regulation, or any NON-LIFE COMPANY UNDERWRITER
provision of this Code after due notice Sec. 318. No person shall act, and no
and hearing. company shall employ any person, as
Title 3 non-life company underwriter, whose
RESIDENT AGENTS duty and responsibility it shall be to
select, evaluate and accept risks for, and
Sec. 313. No person shall act as resident to determine the terms and conditions,
agent, as hereinafter defined, unless he including those pertaining to amounts of
is registered as such with the retentions, under which such risks are to
Commissioner. be accepted by the company, unless
Sec. 314. The term "resident agent", as such underwriter is registered as such
used in this title, is one duly appointed with the Commissioner.
by a foreign insurer or broker not Sec. 319. Every non-life insurance
authorized to do business in the company doing business in the
Philippines to receive in its behalf Philippines must maintain at all times a
notices, summons and legal processes in register of risks accepted and a claims
connection with actions or other legal register for each line of risks engaged in
proceedings against such foreign insurer by such non-life insurance company with
or broker. such entries therein as are now or as
Sec. 315. The application for a may hereafter be required by the
certificate of registration as resident Commissioner, and it shall be the
responsibility of the underwriter on the
particular line or risk involved to see to
it that the said registers are well of registration shall be recalled by the
maintained and kept, and that all entries Commissioner, and no similar certificate
therein are properly and correctly shall thereafter be issued in his favor.
recorded. Such registers shall be open to Sec. 322. No certificate of registration
inspection and examination of duly issued to an underwriter shall be valid
authorized representative of the after the thirtieth day of June of the
Commissioner at all times during year following its issuance unless it is
business hours. renewed.
Sec. 320. No person shall be registered The Commissioner may, after due notice
with the Commissioner, unless such and hearing, also suspend or cancel such
person shall be at least twenty-one years certificate for violation of existing laws,
of age on the date of such registration; a rules and regulations or of any
resident of the Philippines; of good provisions of this Code. (As amended by
moral character and with no conviction Presidential Decree No. 1455).
of any crime involving moral turpitude; Title 5
has had at the time such registration is ADJUSTERS
made at least two years of underwriting
work in the particular line or risk Sec. 323. No person, partnership,
involved; and has passed such qualifying association, or corporation shall act as
written examination that the an adjuster, as hereinafter defined,
Commissioner shall conduct at such unless authorized so to act by virtue of a
time and in such place as he may decide license issued or renewed by the
to hold for applicants desiring to act as Commissioner pursuant to the
underwriters. provisions of this Code: Provided, That
Such examination shall not be required in the case of a natural person, he must
of any person who has served as non-life be a Filipino citizen and in the case of a
company underwriter for a period of at partnership, association or corporation,
least five years, if the Commissioner is at least sixty per centum of its capital
satisfied of the applicant's competence must be owned by citizens of the
as shown by the results of his Philippines.
underwriting work in the non-life Sec. 324. An adjuster may be an
insurance company or companies that independent adjuster or a public
employed him in that capacity. The adjuster.
minimum underwriting experience The term "independent adjuster" means
herein required may be reduced or any person, partnership, association or
waived if it is shown to the satisfaction corporation which, for money,
of the Commissioner that the non-life commission or any other thing of value,
company underwriter has undergone acts for or on behalf of an insurer in the
extensive education and/or training in adjusting of claims arising under
insurance. insurance contracts or policies issued by
Sec. 321. Any applicant who such insurer.
misrepresents or omits any material fact The term "public adjuster" means any
in his application for registration as a person, partnership, association or
non-life company underwriter, or corporation which, for money,
commits any dishonest act in taking or commission or any other thing of value,
in connection with the qualifying written acts on behalf of an insured in
examination for underwriters, shall be negotiating for, or effecting, the
barred from being registered as such settlement of a claim or claims of the
non-life company underwriter and, if said insured arising under insurance
already registered, his registration shall contracts or policies, or which advertises
be cancelled and the certificate of for or solicits employment as an adjuster
registration issued in his favor shall be of such claims.
recalled immediately by the
Commissioner. Sec. 325. For every line of insurance
claim adjustment, adjusters shall be
In the event that the certificate of licensed either as independent adjusters
authority of a non-life insurance or as public adjusters. No adjuster shall
company to transact business is act on behalf of an insurer unless said
suspended or revoked due to business adjuster is licensed as an independent
failure arising largely from the adjuster; and no adjuster shall act on
imprudent and injudicious acceptance of behalf of an insured unless said adjuster
risks by the underwriter concerned, the is licensed as a public adjuster: Provided,
registration of such underwriter shall however, That when a firm or person has
likewise be cancelled and his certificate been licensed as public adjuster, he shall
not be granted another license as (6) has failed to make a report of
independent adjuster and vice versa. the adjustment he proposed
No license, however, shall be required of within sixty days from the date of
any company adjuster who is a salaried the filing of the claim by the
employee of an insurance company for insured with the insurer, unless
the adjustment of claims filed under prevented so to do by reasons
policies issued by such insurance beyond his control; or
company. (7) has refused to allow an
Sec. 326. Such license or any renewal examination into his affairs or
thereof may be issued by the method of doing business as
Commissioner upon written application hereinafter provided.
filed by the person interested on the Sec. 331. Every adjuster shall submit to
form or forms prescribed by the the Commissioner a quarterly report of
Commissioner, which shall contain such all losses which are the subject of
information as he may require, and upon adjustment effected by him during each
payment of the corresponding fee month in the form prescribed by the
hereinafter prescribed. Commissioner. The report shall be filed
Sec. 327. The Commissioner shall within one month after the end of each
conduct, at such times, and in such quarter.
places as he may decide to hold, written Sec. 332. Every adjuster shall keep his
examinations to determine the or its books, records, reports, accounts,
competence and ability of applicants and vouchers in such manner that the
desiring to act as adjuster of insurance Commissioner or his duly authorized
claims. representatives may readily verify the
Sec. 328. Every adjuster's license issued quarterly reports of the said adjuster and
hereunder shall be valid until after the ascertain whether the said adjuster has
thirtieth day of June of the year complied with the provisions of law or
following the issuance of such license regulations obligatory upon him or
unless it is renewed. (As amended by Presidential whether the method of doing business of
Decree No. 1455). the said adjuster has been fair, just and
honest.
Sec. 329. Nothing contained in this title
shall apply to any duly licensed Sec. 333. The Commissioner shall, at
attorney-at-law who acts or aids in least once a year and whenever he
adjusting insurance claims as an considers the public interest so
incident to the practice of his profession demands, cause an examination to be
and who does not advertise himself as an made into the affairs and method of
adjuster. doing business of every adjuster.
Sec. 330. The Commissioner may Sec. 334. Any violation of any provision
suspend or revoke any adjuster's license of this title shall be punished by a fine of
if, after giving notice and hearing to the not more than ten thousand pesos, or by
adjuster concerned, the Commissioner imprisonment in the discretion of the
finds that the said adjuster: court; Provided, That, in case of a
partnership, association or corporation,
(1) has violated any provision of the said penalty shall be imposed upon
this Code and of the circulars, the partner, president, manager,
rulings and instructions of the managing director, director or person in
Commissioner or has violated any charge of its business or responsible for
law in the course of his dealings as the violation.
an adjuster; or
Title 6
(2) has made a material
ACTUARIES
misstatement in the application
for such license; or Sec. 335. No life insurance company
shall be licensed to do business in the
(3) has been guilty of fraudulent or
Philippines nor shall any life insurance
dishonest practices; or
company doing business in the
(4) has demonstrated his Philippines be allowed to continue doing
incompetence or such business unless they shall engage
untrustworthiness to act as the services of an actuary duly
adjuster; or accredited with the Commissioner who
(5) has made patently unjust shall, during his tenure of office, be
valuation of loss; or directly responsible for the direction and
supervision of all actuarial work
connected with or that may be involved
in the business of the insurance authorized to do business in the
company. Philippines may employ any
Sec. 336. Any person may be officially person who is not officially
accredited by the Commissioner to act accredited under either of the
as any actuary in any life insurance qualifications for any kind of
company or in any mutual benefit actuarial work, provided that he
association authorized to do business in shall not, at any time, have the
the Philippines upon application authority to certify to the
therefor3 and the payment of the correctness of the foregoing
corresponding fee hereinafter documents.
prescribed: Provided, That: (1) he is a Sec. 338. No accredited actuary shall
fellow of good standing of the Actuarial serve more than one client or employer
Society of the Philippines at the time of at the same time. However, one already
his appointment and remains in such in the employ of an insurance company
good standing during the tenure of his may be allowed by the Commissioner to
engagement; or (2) in the case of one serve a mutual benefit association or any
who is not a fellow of the Actuarial other insurance company, provided the
Society of the Philippines, he meets all following conditions are first complied
the requirements of the said Society for with: (a) that the request to engage his
accreditation as a fellow of the Society, services by the other employer is in
and has been given permission by the writing; (b) that his present employer
pertinent government authorities in the acquiesced to it in writing; and (c) that
Philippines to render services in the he furnishes the Commissioner with
Philippines, in the event that he is not a copies of said request and acquiescence.
citizen of the Philippines. Title 7
No certificate of registration issued RATING ORGANIZATION AND RATE
under this title shall be valid after the MAKING
thirtieth day of June of the year
Sec. 339. Every organization which now
following its issuance unless it is exists or which may hereafter be formed
renewed. (As amended by Presidential Decree No. 1455). for the purpose of making rates to be
Sec. 337. The following documents, used by more than one insurance
which are from time to time submitted company authorized to do business in
to the Commissioner by a life insurance the Philippines shall be known as
company authorized to do business in a "rating organization." The
the Philippines, shall be duly certified by term "rate" as used in this title shall
an accredited actuary employed by such generally mean the ratio of the premium
company: to the amount insured and shall include,
1. Policy reserves and net due and as the context may require, either the
deferred premiums. consideration to be paid or charged for
insurance contracts, including surety
2. Statements of bases and net bonds, or the elements and factors
premiums, loading for gross forming the basis for the determination
premiums, and on non-forfeiture or application of the same, or both.
values and reserves, when
applying for approval of gross Sec. 340. Every rating organization
premiums, reserves and non- which now exists or which may hereafter
forfeiture values. be formed shall be subject to the
provisions of this title.
3. Policies of insurance under any
plan submitted to the Sec. 341. No rating organization
Commissioner as required by law. hereafter formed shall commence rate-
making operations until it shall have
4. Annual statements and obtained a license from the
valuation reports submitted to the Commissioner. Before obtaining such
Commissioner as required by law. license, such rating organization shall
5. Financial projection showing file with the Commissioner a notice of
the probable income and outgo its intention to commence rate-making
and reserve requirements, operations, a copy of its constitution,
enumerating the actuarial articles of agreement or association, or
assumptions and bases of of incorporation, and its by-laws, a list of
projections. insurance companies that have agreed to
become members or subscribers, and
6. Valuation of annuity funds or
such other information concerning such
retirement plans.
rating organization and its operations as
Any life insurance company
may be required by the Commissioner. If
the Commissioner finds that the Commissioner may, after such hearing,
organization has complied with the issue an appropriate order.
provisions of law and that it has a Sec. 343. No rating organization or any
sufficient number of members or other association shall refuse to do
subscribers and is otherwise qualified to business with, or prohibit or prevent the
function as a rating organization, the payment of commissions to, any person
Commissioner may issue a license to licensed as an insurance broker pursuant
such rating organization authorizing it to the provisions of title one of this
to make rates for the kinds of insurance chapter.
or subdivisions thereof as may be
specified in such license. No license Sec. 344. Rating organization shall be
issued to a rating organization shall be subject to examination by the
valid after the thirtieth day of June of Commissioner, as often as he may deem
the year following its issuance unless it such examination expedient, pursuant to
is renewed. No rating organization which the provisions of this Code applicable to
now exists and is not licensed pursuant the examination of insurance companies.
to this section shall continue rate- He shall cause such an examination of
making operations until it shall have each rating organization to be made at
obtained from the Commissioner a least once in every five years.
license which he may issue if satisfied Sec. 345. The Commissioner may
that such organization is complying with suspend or revoke the license of any
the provisions of this title. Every rating rating organization which fails to comply
organization shall notify the with his order within the time limited by
Commissioner promptly of every change such order, or any extension thereof
in (1) its constitution, its articles of which he may grant. The Commissioner
agreement or association or its may determine when a suspension of
certificate of incorporation, and its by- license shall become effective and it
laws rules and regulations governing the shall remain in effect for the period fixed
conduct of its business, and (2) its list of by him, unless he modifies or rescinds
members and subscribers. such suspension.
A "member" means an insurer who Sec. 346. Any rating organization may
participates in or is entitled to subscribe for or purchase actuarial,
participate in the management of a technical or other services, and such
rating organization. services shall be available to all members
A "subscriber" means an insurer which is and subscribers without discrimination.
furnished at its request with rates and Sec. 347. Any rating organization may
rating manuals by a rating organization provide for the examination of policies,
of which it is not a member. (As amended by daily reports, binders, renewal
Presidential Decree No. 1455). certificates, endorsements or other
Sec. 342. Each rating organization shall evidences of insurance, or the
furnish its rating service without cancellation thereof, and may make
discrimination to all of its members and reasonable rules governing their
subscribers, and shall, subject to submission. Such rules shall contain a
reasonable rules and regulations, permit provision that in the event an insurance
any insurance company doing business company does not within sixty days
in the Philippines, not admitted to furnish satisfactory evidence to the
membership, to become a subscriber to rating organization of the correction of
its rating services for any kind of any error or omission previously called
insurance or subdivisions thereof. Notice to its attention by the rating
of proposed changes in such rules and organization, it shall be the duty of the
regulations shall be given to subscribers. rating organization to notify the
The reasonableness of any rule or Commissioner thereof. All information
regulation in its application to so submitted for examination shall be
subscribers, or the refusal of any rating confidential.
organization to admit an insurance Sec. 348. Cooperation among rating
company as a subscriber, shall, at the organizations or among rating
request of any subscriber or any such organizations and insurers in rate
insurance company, be reviewed by the making or in other matters within the
Commissioner at a hearing held upon at scope of this title is hereby authorized,
least ten days' written notice to such provided the filings resulting from such
rating organization and to such cooperation are subject to all provisions
subscriber or insurance company. The of this title which are applicable to
filings generally. The Commissioner may
review such cooperative activities and measure any difference among
practices and if he finds that any such risks that can be demonstrated to
activity or practice is unfair or have a probable effect upon losses
unreasonable or otherwise inconsistent or expenses.
with the provisions of this title, he may Sec. 350. No rating organization and no
issue a written order specifying in what insurance company which makes and
respects such activity or practice is files its own rates shall make or
unfair or unreasonable or otherwise promulgate any rate or schedule of rates
inconsistent with the provisions of this which is to be applied to any fire risk on
title, and requiring the discontinuance the condition that the whole amount of
of such activity or practice. insurance on any risk or any specified
Sec. 349. Every rating organization and part thereof shall be placed with the
every insurance company which makes members of or subscribers to such rating
and files its own rates, shall make rates organization or with such insurer.
for all risks rated by such organization Sec. 351. Every insurance company
or insurance company in accordance doing business in the Philippines shall
with the following provisions: annually file with the rating organization
(a) Basic classification, manual, of which it is a member or subscriber, or
minimum, class, or schedule rates with such other agency as the
or rating plans, shall be made and Commissioner may designate, a
adopted for all such risks. Any statistical report showing a classification
departure from such rates shall be schedule of its premiums and losses on
in accordance with schedules, all kinds or types of insurance business
rating plans and rules filed with to which section three hundred forty-
the Commissioner; nine is applicable, and such other
(b) Rates shall be reasonable and information as the Commissioner may
adequate for the class of risks to deem necessary or expedient for the
which they apply; administration of the provisions of this
title.
(c) No rate shall discriminate
unfairly between risks involving Sec. 352. Every non-life rating
essentially the same hazards and organization and every non-life
expense elements or between risks insurance company doing business in
in the application of like charges the Philippines shall file with the
and credits; Commissioner, except as to risks which
by general custom of the business are
(d) Consideration shall be given to not written according to manual rates or
the past and prospective loss rating plans, every rate manual,
experience, including the schedule of rates, classification of risks,
conflagration and catastrophe rating plan, and every other rating rule
hazards, if any, to all factors and every modification of any of the
reasonably attributable to the foregoing which it proposes to use. An
class of risks, to a reasonable insurance company may satisfy its
profit, to commissions paid during obligation to make such filings for any
the most recent annual period and kind or type of insurance by becoming a
to past and prospective other member of or subscriber to a rating
expenses. In case of fire insurance organization which makes such filings
rates, consideration shall be given for such kind or type of insurance, and
to the experience of the fire by authorizing the Commissioner to
insurance business during a period accept such filings of the rating
of not less than five years next organization on behalf of such insurance
preceding the year in which the company.
review is made;
Sec. 353. Every manual or schedule of
(e) Risk may be grouped by rates and every rating plan filed as
classifications for the provided in the preceding section shall
establishment of rates and state or clearly indicate the character
minimum premiums. and extent of the coverage to which any
Classification rates may be such rate or any modification thereof
modified to produce rates for will be applied.
individual risks in accordance
with rating plans which establish Sec. 354. The Commissioner shall review
standards for measuring variations filings as soon as reasonably possible
in hazards or expense provisions, after they have been made in order to
or both. Such standards may determine whether they meet the
requirements of this title. When a filing
is not accompanied by the information unreasonable, he shall order that such
upon which the insurance company rates be appropriately adjusted. For the
supports such filing, and the purpose of applying the provisions of
Commissioner does not have sufficient this section, the Commissioner may
information to determine whether such from time to time approve reasonable
filing meets the requirements of this classifications of risks for any or all such
title, he shall require such insurance classes, having due regard to the past
company to furnish the information and prospective loss experience,
upon which it supports such filing. The including conflagration or catastrophe
information furnished in support of a hazards, if any, to all other relevant
filing may include: (1) the experience or factors and to a reasonable profit.
judgment of the insurance company or Sec. 359. Nothing contained in this title
rating organization making the filing; (2) shall be construed as requiring any
its interpretation of any statistical data insurer to become a member of or
it relies upon; (3) the experience of other subscriber to any rating organization.
insurance companies or rating
organization; or (4) any other relevant Sec. 360. Agreements may be made
factors. among insurance companies with
respect to the equitable apportionment
Sec. 355. If the Commissioner finds that among them of insurance which may be
any rate filings theretofore filed with afforded applicants who are in good faith
him do not comply with the provisions entitled to but are unable to procure
of this title or that they provide rates or such insurance through ordinary
rules which are inadequate, excessive, methods and such insurance companies
unfairly discriminatory or otherwise may agree among themselves on the use
unreasonable, he may order the same of reasonable rates and modifications for
withdrawn and at the expiration of sixty such insurance, such agreements and
days thereafter the same shall be rate modifications to be subject to the
deemed no longer on file. Before making approval of the Commissioner; Provided,
any such finding and order, the however, That the provisions of this
Commissioner shall give notice, not less section shall not be deemed to apply to
than ten days in advance, and a hearing, workmen's compensation insurance.
to the rating organization, or to the
insurer, which filed the same. Such order Sec. 361. No insurance company doing
shall not affect any contract or policy business in the Philippines or any agent
made or issued prior to the expiration of thereof, no insurance broker, and no
such sixty day period. employee or other representative of any
such insurance company, agent, or
Sec. 356. No member or subscriber of a broker, shall make, procure or negotiate
rating organization, and no insurance any contract of insurance or agreement
company doing business in the as to policy contract, other than is
Philippines, or agent, employee or other plainly expressed in the policy or other
representative of such company, and no written contract issued or to be issued
insurance broker shall charge or demand as evidence thereof, or shall directly or
a rate or receive a premium which indirectly, by giving or sharing a
deviates from the rates, rating plans, commission or in any manner
classifications, schedules, rules and whatsoever, pay or allow or offer to pay
standards, made and last filed by a or allow to the insured or to any
rating organization or by or on behalf of employee of such insured, either as an
the insurance company, or shall issue or inducement to the making of such
make any policy or contract involving insurance or after such insurance has
violation of such rate filings. been effected, any rebate from the
Sec. 357. Notwithstanding any other premium which is specified in the
provisions of this title, upon the written policy, or any special favor or advantage
application of the insurer, stating his in the dividends or other benefits to
reasons therefore, filed with and accrue thereon, or shall give or offer to
approved by the Commissioner, a rate in give any valuable consideration or
excess of that provided by a filing inducement of any kind, directly or
otherwise applicable may be used on any indirectly, which is not specified in such
specific risk. policy or contract of insurance; nor shall
Sec. 358. Whenever the Commissioner any such company, or any agent thereof,
shall determine, after notice and a as to any policy or contract of insurance
hearing, that the rates charged or filed issued, make any discrimination against
on any class of risks are excessive, any Filipino in the sense that he is given
discriminatory, inadequate or less advantageous rates, dividends or
other policy conditions or privileges payment of the fees therefore. (As amended
than are accorded to other nationals by Presidential Decree No. 1455).
because of his race. Chapter V
Sec. 362. No insurance company doing SECURITY FUND
business in the Philippines, and no Sec. 365. There is hereby created a fund
officer, director, or agent thereof, and no to be known as the "Security
insurance broker or any other person, Fund" which shall be used in the
partnership or corporation shall issue or payment of allowed claims against an
circulate or cause or permit to be issued insurance company authorized to
or circulated any literature, illustration, transact business in
circular or statement of any sort the Philippines remaining unpaid by
misrepresenting the terms of any policy reason of the solvency of such company.
issued by any insurance company of the The said Fund may also be used to
benefits or advantages promised thereby, reinsure the policy of the insolvent
or any misleading estimate of the insurer in any solvent insurer authorized
dividends or share of surplus to be to do business in the Philippines as
received thereon, or shall use any name provided in section two hundred forty-
or title of any policy or class of policies nine. In the event of national emergency
misrepresenting the true nature thereof; or calamity, the Fund may likewise be
nor shall any such company or agent used to pay insured claims which
thereof, or any other person, partnership otherwise would not be compensable
or corporation make any misleading under the provisions of the policy. No
representation or incomplete payment from the Security Fund shall,
comparison of policies to any person however, be made to any person who
insured in such company for the purpose owns or controls ten per centum or more
of inducing or tending to induce such of the voting shares of stock of the
person to lapse, forfeit, or surrender his insolvent insurer and no payment on any
said insurance. one claim shall exceed twenty thousand
Sec. 363. If the Commissioner, after pesos.
notice and hearing, finds that any Sec. 366. Such Fund shall consist of all
insurance company, rating organization, payments made to the Fund by
agent, broker or other person has insurance companies authorized to do
violated any of the provisions of this business in the Philippines. Payments
title, it shall order the payment of a fine made by life insurance companies shall
not to exceed five hundred pesos for be treated separately from those made
each such offense, and shall immediately by non-life insurance companies and the
revoke the license issued to such corresponding fund shall be called "Life
insurance company, rating organization, Account" and "Non-Life Account",
agent, or broker. The issuance, respectively, and shall be held and
procurement or negotiation of a single administered as such by the
policy or contract of insurance shall be Commissioner in accordance with the
deemed a separate offense. provisions of this title. The "Life
Title 8 Account" shall be utilized exclusively for
PROVISION COMMON TO AGENTS, disbursements that refer to life
BROKERS, insurance companies, while the "Non-Life
AND ADJUSTERS Account" shall be utilized exclusively for
disbursements that refer to non-life
Sec. 364. A license issued to a
insurance companies.
partnership, association or corporation
to act as an insurance agent, general Sec. 367. All insurance companies doing
agent, insurance broker, reinsurance business in the Philippines shall
broker, or adjuster shall authorize only contribute to the Security Fund, Life or
the individual named in the license who Non-Life Account, as the case may be, on
shall qualify therefor as though an or before the fifteenth day of June,
individual licensee. The Commissioner nineteen hundred and seventy-five, the
shall charge, and the licensee shall pay, aggregate amount of five million pesos
a full additional license fee as to each for each Account. The contributions of
respective individual so named in such the life insurance companies and of the
license in excess of one. non-life insurance companies shall be in
Licenses and certificates of registration direct proportion to the ratio between a
issued under the provisions of this particular life insurance company or a
chapter may be renewed by the filing of particular non-life insurance company's
notices of intention on forms to be net worth and the aggregate net worth of
prescribed by the Commissioner and all life insurance companies or all non-
life insurance companies, as the case provided by this title, plus one per
may be, as shown in their latest financial centum of such amount for each month
statements approved by the of delay or fraction thereof, after the
Commissioner. This proportion applied expiration of the first month of such
to the five million pesos shall be the delay, but the Commissioner, if satisfied
contribution of a particular company to that the delay was excusable, may remit
the corresponding Account of the all or any part of such penalty. The
Security Fund. Commissioner, in his discretion, may
The amount of five million pesos in each suspend or revoke the certificate of
Account shall be in the form of a authority to do business in
revolving trust fund. The respective the Philippines of any insurance
contributions of the companies shall company which shall fail to comply with
remain as admitted assets in their books this title or to pay any penalty imposed
and any disbursement therefrom shall be in accordance therewith.
deducted proportionately from the Sec. 369. The Accounts created by this
contributions of each company which title shall be separate and apart from
will be allowed as deductions for income each other and from any other fund. The
tax purposes. Any earnings of the Fund Treasurer of the Philippines shall be the
shall be turned over to the contributing custodian of the Life Account and Non-
companies in proportion to their Life Account of the Security Fund; and
contributions. all disbursements from any Account
In the case of disbursements of funds shall be made by the Treasurer of the
from the Fund as provided in the Philippines upon vouchers signed by the
foregoing paragraph, the life and non-life Commissioner or his deputy, as
companies, as the case may be, shall hereinafter provided. The moneys of said
replenish the amount disbursed in direct Account may be invested by the
proportion to the individual company's Commissioner only in bonds or other
net worth and the aggregate net worth of evidences of debt of the government of
the life or non-life companies, as the the Philippines or its political
case may be. However, in no case shall subdivisions or instrumentalities. The
the Fund exceed the aggregate amount Commissioner may sell any of the
of ten million pesos, or five million securities in which an Account is in
pesos for each Account. vested, if advisable, for its proper
Should the Fund, Life of Non-Life administration or in the best interest of
such Account.
Account, as the case may be, be
inadequate for a disbursement as Sec. 370. Payments from either the Life
provided for, then the Life or Non-Life Insurance Account or Non-Life Account,
companies, as the case may be, shall as the case may be, shall be made by the
contribute to the Fund their respective Treasurer of the Philippines to the
shares in the proportion previously Commissioner, upon the authority of
mentioned. appropriate certificate filed with him by
the Commissioner acting in such
Sec. 368. The Commissioner may adopt,
amend, and enforce all reasonable rules capacity.
and regulations necessary for the proper Sec. 371. The Commissioner may, in his
administration of the Fund and of the discretion, designate or appoint a duly
Accounts. In the event any insurer shall authorized representative or
fail to make any payment required by representatives to appear and defend
this title, or that any payment made is before any court or other body or official
incorrect, he shall have full authority to having jurisdiction any or all actions or
examine all the books and records of the proceedings against principals or
insurer for the purpose of ascertaining assureds on insurance policies or
the facts and shall determine the correct contracts issued to them where the
amount to be paid and may proceed in insurer has become insolvent or unable
any court of competent jurisdiction to to meet its insurance obligations. The
recover for the benefit of the Fund or of Commissioner shall have, as of the date
the Account concerned any sum shown of insolvency of such insurer or as of the
to be due upon such examination and date of its inability meet its insurance
determination. Any insurer which fails obligations, only the rights which such
to make any payment to the Fund or to insurer would have had if it had not
the Account concerned when due, shall become insolvent or unable to meet its
thereby forfeit to said Fund or Account insurance obligations. For the purpose of
concerned a penalty of five per centum this title the Commissioner shall have
of the amount determined to be due as power to employ such counsel, clerks
and assistants as he may deem death or bodily injuries and damaged to
necessary. property arising from motor vehicle
Sec. 372. The expense of administering accidents. (As amended by Presidential Decree No. 1455
and 1814).
an Account shall be paid out of the
Account concerned. The Commissioner Sec. 374. It shall be unlawful for any
shall serve as administrator of the Fund land transportation operator or owner of
and of the Accounts without additional a motor vehicle to operate the same in
compensation, but may be allowed and the public highways unless there is in
paid from the Account concerned force in relation thereto a policy of
expenses incurred in the performance of insurance or guaranty in cash or surety
his duties in connection with said bond issued in accordance with the
Account. The compensation of those provisions of this chapter to indemnify
persons employed payable from the the death, bodily injury, and/or damage
Account concerned. The Commissioner to property of a third-party or passenger,
shall include in his annual report to the as the case may be, arising from the use
Secretary of Finance a statement of the thereof. (As amended by Presidential Decree No. 1455
expenses of administration of the Fund and 1814).
and of the Life Account and Non-Life Sec. 375. The Commissioner shall
Account for the preceding year. furnish the Land Transportation
Chapter VI Commissioner with a list of insurance
COMPULSORY MOTOR VEHICLE companies authorized to issue the policy
LIABILITYINSURANCE of insurance or surety bond required by
this chapter. (As amended by Presidential Decree No.
Sec. 373. For purposes of this chapter: 1814).
(a) "Motor Vehicle" is any vehicle as
Sec. 376. The Land Transportation
defined in section three, paragraph (a) of
Commission shall not allow the
Republic Act Numbered Four Thousand
registration or renewal of registration of
One Hundred Thirty-Six, Otherwise
any motor vehicle without first requiring
known as the "Land Transportation and
from the land transportation operator or
Traffic Code."
motor vehicle owner concerned the
(b) "Passenger" is any fare paying person presentation and filing of a
being transported and conveyed in and substantiating documentation in a form
by a motor vehicle for transportation of approved by the Commissioner
passengers for compensation, including evidencing that the policy of insurance
persons expressly authorized by law or or guaranty in cash or surety bond
by the vehicle's operator or his agents to required by this chapter is in effect. (As
ride without fare. amended by Presidential Decree No. 1455).
(c) "Third-Party" is any person other than Sec. 377. Every land transportation
a passenger as defined in this section operator and every owner of a motor
and shall also exclude a member of the vehicle shall, before applying for the
household, or a member of the family registration or renewal of registration of
within the second degree of any motor vehicle, at his option, either
consanguinity or affinity, of a motor secure an insurance policy or surety
vehicle owner or land transportation bond issued by any insurance company
operator, as likewise defined herein, or authorized by the Commissioner or
his employee in respect of death, bodily make a cash deposit in such amount as
injury, or damage to property arising out herein required as limit of liability for
of and in the course of employment. (As purposes specified in section three
amended by Presidential Decree No. 1814 and 1981). hundred seventy-four.
(d) "Owner" or "motor vehicle (1) In the case of a land transportation
owner" means the actual legal owner of a operator, the insurance guaranty in cash
motor vehicle, in whose name such or surety bond shall cover liability for
vehicle is duly registered with the Land death or bodily injuries of third-parties
Transportation Commission; and/or passengers arising out of the use
(e) "Land transportation of such vehicle in the amount not less
operator" means the owner or owners of than twelve thousand pesos per
motor vehicles for transportation of passenger or third party and an amount,
passengers for compensation, including for each of such categories, in any one
school buses; accident of not less than that set forth
in the following scale:
(f) "Insurance policy" or "Policy" refers to
a contract of insurance against (a) Motor vehicles with an
passenger and thirty-party liability for authorized capacity of twenty-six
or more passengers: Fifty thousand pesos;
thousand pesos; (d) Vehicles with
(b) Motor vehicles with an an unladen weight over
authorized capacity of from twelve 3,930 kilos : Fifty
to twenty-five passengers: Forty thousand pesos.
thousand pesos; The Commissioner may, if warranted,
(c) Motor vehicles with an set forth schedule of indemnities for the
authorized capacity of from six to payment of claims for death or bodily
eleven passengers: Thirty injuries with the coverages set forth
thousand pesos; herein. (As amended by Presidential Decree No. 1455 and
1814).
(d) Motor vehicles with an
Sec. 378. Any claim for death or injury
authorized capacity of five or less
to any passenger or third party pursuant
passengers: Five thousand pesos
to the provisions of this chapter shall be
multiplied by the authorized
paid without the necessity of proving
capacity.
fault or negligence of any kind; Provided,
Provided, however, That such cash That for purposes of this section:
deposit made to, or surety bond posted
(i) The total indemnity in respect
with, the Commissioner shall be resorted
of any person shall not exceed five
to by him in cases of accidents the
thousand pesos;
indemnities for which to third-parties
and/or passengers are not settled (ii) The following proofs of loss,
accordingly by the land transportation when submitted under oath, shall
operator and, in that event, the said be sufficient evidence to
cash deposit shall be replenished or such substantiate the claim:
surety bond shall be restored with sixty
days after impairment or expiry, as the (a) Police report of
case may be, by such land transportation accident; and
operator, otherwise, he shall secure the
insurance policy required by this (b) Death certificate and
chapter. The aforesaid cash deposit may evidence sufficient to
be invested by the Commissioner in establish the proper
readily marketable government bonds payee; or
and/or securities. (c) Medical report and
(2) In the case of an owner of a motor evidence of medical or
vehicle, the insurance or guaranty in hospital disbursement in
cash or surety bond shall cover liability respect of which refund is
for death or injury to third parties in an claimed;
amount not less than that set forth in
the following scale in any one accident: (iii) Claim may be made against
I. Private Cars one motor vehicle only. In the
case of an occupant of a vehicle,
claim shall lie against the insurer
(a) Bantam : Twenty of the vehicle in which the
thousand pesos; occupant is riding, mounting or
(b) Light : Twenty dismounting from. In any other
thousand pesos; case, claim shall lie against the
(c) Heavy : Thirty insurer of the directly offending
thousand pesos; vehicle. In all cases, the right of
the party paying the claim to
II. Other Private Vehicles recover against the owner of the
vehicle responsible for the
accident shall be maintained.
(a) Tricycles, motorcycles,
and scooters : Twelve Sec. 379. No land transportation
thousand pesos; operator or owner of motor vehicle shall
(b) Vehicles with be unreasonably denied the policy of
an unladen weight of insurance or surety bond required by
2,600 kilos or less : this chapter by the insurance companies
Twenty thousand pesos; authorized to issue the same, otherwise,
(c) Vehicles with the Land Transportation Commission
an unladen weight of shall require from said land
between 2,601 kilos and transportation operator or owner of the
3,930 kilos : Thirty vehicle, in lieu of a policy of insurance
or surety bond, a certificate that a cash be no need of issuing a new policy until
deposit has been made with the the next date of registration or renewal
Commissioner in such amount required of registration of such vehicle, and
as limits of indemnity in section three provided that the insurance company
hundred seventy-seven to answer for the shall agree to continue the policy, such
passenger and/or third-party liability of change of ownership or such change of
such land transportation operator or the engine shall be indicated in a
owner of the vehicle. corresponding endorsement by the
No insurance company may issue the insurance company concerned, and a
policy of insurance or surety bond signed duplicate of such endorsement
required under this chapter unless so shall, within a reasonable time, be filed
authorized under existing laws. with the Land Transportation
Commission.
The authority to engage in the casualty
and/or surety lines of business of an Sec. 383. In the settlement and payment
insurance company that refuses to issue of claims, the indemnity shall not be
or renew, without just cause, the availed of by any accident victim or
insurance policy or surety bond therein claimant as an instrument of enrichment
required shall be withdrawn by reason of an accident, but as an
immediately. (As amended by Presidential Decree No. assistance or restitution insofar as can
1455 and 1814). fairly be ascertained.
Sec. 380. No cancellation of the policy Sec. 384. Any person having any claim
shall be valid unless written notice upon the policy issued pursuant to this
thereof is given to the land Chapter shall, without any unnecessary
transportation operator or owner of the delay, present to the insurance company
vehicle and to the Land Transportation concerned a written notice of claim
Commission at least fifteen days prior to setting forth the nature, extent and
the intended effective date thereof. duration of the injuries sustained as
Upon receipt of such notice, the Land certified by a duly licensed physician.
Transportation Commission, unless it Notice of claim must be filed within six
receives evidence of a new valid months from date of accident, otherwise,
insurance or guaranty in cash or surety the claim shall be deemed waived.
bond as prescribed in this chapter, or an Action or suit for recovery of damage
endorsement of revival of the cancelled due to loss or injury must be brought, in
one, shall order the immediate proper cases, with the Commissioner or
confiscation of the plates of the motor the Courts within one year from denial
vehicle covered by such cancelled policy. of the claim, otherwise, the claimant's
The same may be re-issued only upon right of action shall prescribe. (As amended
by Presidential Decree 1814 and Batas Pambansa Blg. 874).
presentation of a new insurance policy
or that a guaranty in cash or surety band Sec. 385. The insurance company
has been made or posted with the concerned shall forthwith ascertain the
Commissioner and which meets the truth and extent of the claim and make
requirements of this chapter, or an payment within five working days after
endorsement or revival of the cancelled reaching an agreement. If no agreement
one. (As amended by Presidential Decree No. 1455). is reached, the insurance company shall
Sec. 381. If the cancellation of the pay only the "no-fault" indemnity
policy or surety bond is contemplated by provided in section three hundred
the land transportation operator or seventy-eight without prejudice to the
claimant from pursuing his claim
owner of the vehicle, he shall, before the
further, in which case, he shall not be
policy or surety bond ceases to be
required or compelled by the insurance
effective, secure a similar policy of
insurance or surety bond to replace the company to execute any quit claim or
policy or surety bond to be cancelled or document releasing it from liability
make a cash deposit in sufficient under the policy of insurance or surety
amount with the Commissioner and bond issued. (As amended by Presidential Decree No.
1455).
without any gap, file the required
documentation with the Land In case of any dispute in the
Transportation Commission, and notify enforcement of the provisions of any
the insurance company concerned of the policy issued pursuant to this chapter,
cancellation of its policy or surety the adjudication of such dispute shall be
bond.(As amended by Presidential Decree No. 1455). within the original and exclusive
jurisdiction of the Commissioner,
Sec. 382. In case of change of ownership
subject to the limitations provided in
of a motor vehicle, or change of the
section four hundred sixteen.
engine of an insured vehicle, there shall
Sec. 386. It shall be unlawful for a land any society, association, or corporation
transportation operator or owner of with such mutual benefit features and
motor vehicle to require his or its which shall be carried out purely from
drivers or other employees to contribute voluntary contributions collected not
in the payment of premiums. regularly and or no fixed amount from
Sec. 387. No government office or whomsoever may contribute, shall be
agency having the duty of implementing known as a mutual benefit association
the provisions of this chapter nor any within the intent of this Code.
official or employee thereof shall act as Any society, association, or corporation
agent in procuring the insurance policy principally organized as labor union shall
or surety bond provided for herein. The be governed by the Labor Code
commission of an agent procuring the notwithstanding any mutual benefit
said policy or bond shall in no case feature provisions in its charter as
exceed ten per centum of the amount of incident to its organization.
the premiums therefore. In no case shall a mutual benefit
Sec. 388. Any land transportation association be organized and authorized
operator or owner of motor vehicle or to transact business as a charitable or
any other person violating any of the benevolent organization, and whenever
provisions of the preceding sections it has this feature as incident to its
shall be punished by a fine of not less existence, the corresponding charter
than five hundred pesos but not more provision shall be revised to conform
than one thousand pesos and/or with the provision of this section.
imprisonment for not more than six Mutual benefit association, already
months. The violation of section three licensed to transact business as such on
hundred seventy-seven by a land the date this Code becomes effective,
transportation operator shall be a having charitable or benevolent feature
sufficient cause for the revocation of the shall abandon such incidental purpose
certificate of public convenience issued upon effectivity of this Code if they
by the Board of Transportation covering desire to continue operating as such
the vehicle concerned. mutual benefit associations. (As amended by
Presidential Decree No. 1455).
Sec. 389. Whenever any violation of the
Sec. 391. A mutual benefit association,
provisions of this chapter is committed
before it may transact as such, must
by a corporation or association, or by a
first secure a license from the
government office or entity, the
Commissioner. The application for such
executive officer or officers of said
license shall be filed with the
corporation, association or government
Commissioner together with certified
office or entity who shall have knowingly
true copies of the articles of
permitted, or failed to prevent, said
incorporation or the constitution and by-
violation shall be held liable as
laws of the association, and all
principals.
amendments thereto, and such other
Chapter VII documents or testimonies as the
MUTUAL BENEFIT ASSOCIATIONS AND Commissioner may require.
TRUSTS FOR CHARITABLE USES
No license shall be granted to a mutual
Title 1 benefit association until the
MUTUAL BENEFIT ASSOCIATIONS Commissioner shall have been satisfied
Sec. 390. Any society, association or by such examination as may make and
corporation, without capital stock, such evidence as he may require that
formed or organized not for profit but the association is qualified under
mainly for the purpose of paying sick existing laws to operate and transact
benefits to members, or of furnishing business as such. The Commissioner
financial support to members while out may refuse to issue a license to any
of employment, or of paying to relatives mutual benefit association if, in his
of deceased members of fixed or any sum judgment, such refusal will best promote
of money, irrespective of whether such the interest of the members of such
aim or purpose is carried out by means association and of the people of this
of fixed dues or assessments collected country. Any license issued shall expire
regularly from the members, or of on the last day of June of the year
providing, by the issuance of certificates following its issuance and, upon proper
of insurance, payment of its members of application, may be renewed if the
accident or life insurance benefits out of association is continuing to comply with
such fixed and regular dues or existing laws, rules and regulations,
assessments, but in no case shall include orders, instructions, rulings and
decisions of the Commissioner. Every Such certificates, together with the
association receiving any such license articles of incorporation of the
shall be subject to the supervision of the association or its constitution and by-
Commissioner: Provided, That no such laws, and all existing laws as may be
license shall be granted to any such pertinent shall constitute the
association if such association has no agreement, as of the date of its issuance,
actuary. between the association and the
All mutual benefit association existing member. The membership certificate
and licensed as such under the shall be in a form previously approved by
provisions of Article Eight, Chapter the Commissioner.
Forty-One of the Revised Administrative Sec. 394. A mutual benefit association
Code, as amended by Act No. 3612, shall, may, by reinsurance agreement, cede in
upon effectivity of this Code, surrender whole or in part any individual risk or
their respective licenses to the risks under certificates of insurance
Commissioner and apply for new licenses issued by it, only to a life insurance
under the provisions of this code if they company authorized to transact business
still desire to continue operating as such or to a professional reinsurer authorized
mutual benefit associations. to accept life risks in the
Sec. 392. No mutual benefit association Philippines: Provided, That copy of the
shall be issued a license to operate as draft of such reinsurance agreement
such unless it has constituted and shall be submitted to the Commissioner
established a Guaranty Fund by for his approval. The association may
depositing with the Commissioner an take credit for the reserves on such
initial minimum amount of ten thousand ceded risks to the extent reinsured.
pesos in cash, or in government Sec. 395. The constitution or by-laws of
securities with a total value equal to a mutual benefit association must
such amount, to answer for any valid distinctly state the purpose for which
benefit claim of any of its members. dues and/or assessments are made and
All moneys received by the collected and the portion thereof which
Commissioner for this purpose must be may be used for expenses.
deposited by him in interest-bearing Death benefit and other relief funds shall
deposits with any bank or banks be created and used exclusively for
authorized to transact business in paying benefits due the members under
the Philippinesfor the account of the their respective membership certificates.
particular association constituting the A general fund shall likewise be created
Guaranty Fund. and used for expenses of administration
Any accrual to such fund, be it interest of the association.
earned or dividend additions on moneys Sec. 396. Every outstanding membership
or securities so deposited, may, with the certificate must have, after three full
prior approval of the Commissioner, be years of being continuously in force, an
withdrawn by the association if there is equity value equivalent to at least
no pending benefit claim against it, fifty per centum of the total membership
including interest thereon or dividend dues collected thereon.
additions thereto. Sec. 397. Every mutual benefit
The Commissioner, prior to or after association must accumulate and
licensing a mutual benefit association, maintain, out of the periodic dues
may require such association to increase collected from its members, sufficient
its Guaranty Fund from the initial reserves for the payment of claims or
minimum amount required to an amount obligations for which it shall hold funds
equal to at least ten per centum of its in securities satisfactory to the
assets, if such assets exceed one Commissioner consisting of bonds of the
hundred thousand pesos, but in no case Government of the Philippines, or any of
shall such increase exceed the maximum its political subdivisions and
amount of capital investment required of instrumentalities, or in such other good
a domestic insurance company under securities as may be approved by the
section two hundred and three of this Commissioner.
Code. (As amended by Presidential Decree No. 1455). The reserve liability shall be established
Sec. 393. Every mutual benefit in accordance with actuarial procedures
association licensed to do business as and shall be approved by the
such shall issue membership certificates Commissioner.
to its members specifying the benefits to The articles of incorporation or the
which such members are entitled. constitution and by-laws of a mutual
benefit association must provide that if A copy of the findings of such
its reserve as to all or any class of examination, together with the
certificates becomes impaired, its board recommendations of the Commissioner,
of directors or trustees may require that shall be furnished the association for its
there shall be paid by the members to information and compliance, and the
the association the amount of the same shall be taken up immediately in
members' equitable proportion of such the meetings of the board of directors or
deficiency as ascertained by said board trustees and of the members of the
and that if the payment be not made it association.
shall stand as an indebtedness against Sec. 400. Every mutual benefit
the membership certificates of the association shall, annually on or before
defaulting members and draw interest the thirtieth day of April of each year,
not to exceed five per centum per render to the Commissioner an annual
annum compounded annually. statement in such form and details as
Sec. 398. A mutual benefit association may be prescribed by the Commissioner,
may invest such portion of its funds as signed and sworn to by the president,
shall not be required to meet pending secretary, treasurer, and actuary of the
claims and other obligations in any of association, showing the exact condition
the classes of investments or types of of its affairs on the preceding thirty-first
securities in which life insurance day of December.
companies doing business in the Sec. 401. No money, aid or benefit to be
Philippines may invest. paid, provided or tendered by any
It may also grant loans to members on mutual benefit association, shall be
the security of a pledge or chattel liable to attachment, garnishment, or
mortgage of personal properties of the other process, or be seized, taken,
borrowers, or in the absence thereof, on appropriated, or applied by any legal or
the security of the membership equitable process to pay any debt of
certificate of the borrowing members, in liability of a member or beneficiary, or
which event such loan shall become a any other person who may have a
first lien on the proceed thereof. right thereunder, either before or after
Sec. 399. The Commissioner or any of payment.
his duly designated representatives, Sec. 402. Any member of a mutual
shall have the power of visitation, audit benefit association shall have the right
and examination into the affairs, at all times to change the beneficiary or
financial condition, and methods of beneficiaries or add another beneficiary
doing business of all mutual benefit or other beneficiaries in accordance with
associations, and he shall cause such the rules and regulations of the
examination to be made at least once association unless he has expressly
every two years or whenever it may be waived this right in the membership
deemed proper and necessary. Free certificate. Every association may, under
access to the books, records and such rules as it may adopt, limit the
documents of the association shall be scope of beneficiaries and provide that
accorded to the Commissioner, to his no beneficiary shall have or obtain any
representatives, in such manner that the vested interest in the proceeds of any
Commissioner or his representatives certificate until the certificate has
may readily verify or determine the true become due and payable under the terms
affairs, financial condition, and method of the membership certificate.
of doing business of such association. In Sec. 403. Any chapter affiliate
the course of such examination, the independently licensed as a mutual
Commissioner or his duly designated benefit association may consolidate or
representatives shall have authority to merge with any other similar chapter
administer oaths and take testimony or affiliate or with the mother association.
other evidence on any matter relating to
the affairs of the association. Sec. 404. Any mutual benefit association
may be converted into and licensed as a
All minutes of the proceedings of the mutual life insurance company by
board of directors or trustees of the complying with the requirements of the
association, and those of the regular or pertinent provisions of this Code and
special meetings of the members, shall submitting the specific plan for such
be take, and a copy thereof, in English or conversion to the Commissioner for his
in Pilipino, shall be submitted to the approval. Such plan, as approved, shall
Commissioner's representatives or then be submitted to the members either
examiners in the course of such in the regular meeting or in a special
examination. meeting called for the purpose for their
adoption. The affirmative vote of at least showing, may apply with the
two-thirds of all the members shall be Commissioner for the lifting of the order
necessary in order to consider such plan and restoration or revival of the license
as adopted. so revoked or suspended.
No such conversion shall take effect Sec. 407. For failure to remove such
unless and until approved by the cause or causes which brought about the
Commissioner. suspension or revocation of the license
Sec. 405. No mutual benefit association of a mutual benefit association, the
shall be dissolved without first notifying Commissioner shall apply under this
the Commissioner and furnishing him Code for an order from the proper court
with a certified copy of the resolution to liquidate such association.
authorizing the dissolution, duly The provisions of titles fourteen and
adopted by the affirmative vote of two- fifteen, chapter three, pertaining to the
thirds of the members at a meeting appointment of a conservator and
called for that purpose, the financial proceedings upon insolvency of an
statements as of the date of the insurance company, shall, insofar as
resolution, and such other papers or practicable, apply to mutual benefit
documents as may be required by the associations.
Commissioner. Sec. 408. To secure the enforcement of
No dissolution shall proceed until and any provision under this title, the
unless approved by the Commissioner Commissioner may issue such rules,
and all proceedings in connection rulings, instructions, orders and
therewith shall be witnessed and circulars, subject to the approval of the
attested by his duly designated Secretary of Finance.
representative. Sec. 409. The violation of any provision
No mutual benefit association shall be of this title shall subject the person
officially declared as dissolved until after violating or the officer of the association
the Commissioner so certifies that all responsible therefor to a fine of not
outstanding claims against the exceeding one thousand pesos, or
association have been duly settled and imprisonment of not exceeding three
liquidated. years, or both such fine and
Sec. 406. The Commissioner shall after imprisonment, at the discretion of the
notice and hearing, have the power court.
either to suspend or revoke the licensed Title 2
issued to a mutual benefit association if TRUSTS FOR CHARITABLE USES
he finds that the association has: Sec. 410. The term "trust for charitable
(a) failed to comply with any uses", within the intent of this Code,
provision of this Code; shall include, all the real or personal
(b) failed to comply with any other properties or funds, as well as those
law or regulation obligatory upon acquired with the fruits or
it; incometherefrom or in exchange or
substitution thereof, given to or received
(c) failed to comply with any by any person, corporation, association,
order, ruling, instruction, foundation, or entity, except the
requirement, or recommendation National Government, its
of the Commissioner; instrumentalities or political
(d) exceeded its power to the subdivisions, for charitable, benevolent,
prejudice of its members; educational, pious, religious, or other
uses for the benefit of the public at large
(e) conducted its business
or a particular portion thereof or for the
fraudulently or hazardously;
benefit of an indefinite number of
(f) rendered its affairs and persons.
condition to one of insolvency; or
Sec. 411. The term "trustee" shall
(g) failed to carry out its aims and include any individual, corporation,
purposes for which it was association, foundation, or entity,
organized due to any cause. except the National Government, its
After receipt of the order from the instrumentalities or political
Commissioner suspending or revoking subdivisions, in charge of, or acting for,
the license, the association must or concerned with the administration of,
immediately exert efforts to remove the trust referred to in the section
such cause or causes which brought immediately preceding and with the
about the order, and, upon proper proper application of trust property.
Sec. 412. The term "trust property" shall regulation, or ruling of the Insurance
include all real or personal properties or Commissioner, or any commission or
funds pertaining to the trust as well as irregularities, and/or conducting
those acquired with the fruits or business in an unsafe or unsound
income therefrom or in exchange or manner as may be determined by the
substitution thereof. Insurance Commissioner, the following:
Sec. 413. All trustees shall, before (a) fines not in excess of five
entering in the performance of the hundred pesos a day; and
duties of their trust, obtain a certificate (b) suspension, or after due
of registration from the Commissioner. hearing, removal of directors
Trustees who are already discharging the and/or officers and/or agents.
duties of their trust on the date this
Code becomes effective may continue as Sec. 416. The Commissioner shall have
such, subject to the provisions of this the power to adjudicate claims and
Code. complaints involving any loss, damage or
All provisions of this Code governing liability for which in insurer may be
mutual benefit associations and such answerable under any kind of policy or
other provisions herein, whenever contract of insurance, or for which such
practicable and necessary, shall be insurer may be liable under a contract
applicable to trusts for charitable uses. of suretyship, or for which
a reinsurer may be sued under any
Chapter VIII contract of reinsurance it may have
THE INSURANCE COMMISSIONER entered into; or for which a mutual
Title 1 benefit association may be held liable
ADMINISTRATIVE AND ADJUDICATORY under the membership certificates it has
POWERS issued to its members, where the
amount of any such loss, damage or
Sec. 414. The Insurance Commissioner
liability, excluding interest, cost and
shall have the duty to see that all laws
attorney's fees, being claimed or sued
relating to insurance, insurance
upon any kind of insurance, bond,
companies and other insurance matters,
reinsurance contract, or membership
mutual benefit associations, and trusts certificate does not exceed in any single
for charitable uses are faithfully claim one hundred thousand pesos.
executed and to perform the duties
imposed upon him by this Code, and The insurer or surety may, in the same
shall, notwithstanding any existing laws action file a counterclaim against the
to the contrary, have sole and exclusive insured or the obligee.
authority to regulate the issuance and The insurer or surety may also file a
sale of variable contracts as defined in cross-claim against a party for any claim
section two hundred thirty-two and to arising out of the transaction or
provide for the licensing of persons occurrence that is the subject matter of
selling such contracts, and to issue such the original action or of a counterclaim
reasonable rules and regulations therein.
governing the same. With leave of the Commissioner, an
The Commissioner may issue such insurer or surety may file a third-party
rulings, instructions, circulars, orders complaint against its reinsurers for
and decision as he may deem necessary indemnification, contribution,
to secure the enforcement of the subrogation or any other relief, in
provisions of this Code, subject to the respect of the transaction that is the
approval of the Secretary of Finance. subject matter of the original action
Except as otherwise specified, decisions filed with the Commissioner.
made by the Commissioner shall The party filing an action pursuant to
be appealable to the Secretary of the provisions of this section thereby
Finance. submits his person to the jurisdiction of
Sec. 415. In addition to the the Commissioner. The Commissioner
administrative sanctions provided shall acquire jurisdiction over the person
elsewhere in this Code, the Insurance of the impleaded party or parties in
Commissioner is hereby authorized, at accordance with and pursuant to the
his discretion, to impose upon the provisions of the Rules of Court.
insurance companies, their directors The authority to adjudicate granted to
and/or officers and/or agents, for any the Commissioner under this section
willful failure or refusal to comply with, shall be concurrent with that of the civil
or violation of any provision of this courts, but the filing of a complaint with
Code, or any order, instruction, the Commissioner shall preclude the
civil courts from taking cognizance of a of any hearing taken by a stenographer
suit involving the same subject matter. appointed by the Commissioner, being
Any decision, order or ruling rendered by certified by such stenographer to be a
the Commissioner after a hearing shall true and correct transcript of the
have the force and effect of a judgment. testimony on this hearing of a particular
Any party may appeal from a final order, witness, or of a specific proof thereof,
ruling or decision of the Commissioner carefully compared by him from his
by filing with the Commissioner within original notes, and to be a correct
thirty days from receipt of copy of such statement of evidence and proceeding
order, ruling or decision a notice of had in such hearing so purporting to be
appeal to the Intermediate Appellate taken and subscribed, may be received
Court in the manner provided for in the as evidence by the Commissioner and by
Rules of Court for appeals from the any court with the same effect as if such
Regional Trial Court to the Intermediate stenographer were present and testified
Appellate Court. (As amended by to the facts so certified. (As amended by
Batas Pambansa Blg. 874). Presidential Decree No. 1455).
As soon as a decision, order or ruling has Title 2
become final and executory, the FEES AND OTHER SOURCES OF FUNDS
Commissioner shall motu proprio or on Sec. 417. (1) For the issuance or renewal
motion of the interested party, issue a of certificates of authority, licenses and
writ of execution requiring the sheriff or certificates of registration, pursuant to
the proper officer to whom it is directed pertinent provisions of this Code, the
to execute said decision, order or award, Commissioner shall collect and receive
pursuant to Rule thirty-nine of the Rules fees which shall be not less than the
of Court. following:
For the purpose of any proceeding under
this section, the Commissioner, or any For each certificate of authority
officer thereof designated by him, issued to an insurance company
empowered to administer oaths and doing business in the Philippines,
affirmation, subpoena witnesses, compel two hundred pesos.
their attendance, take evidence, and For each special certificate of
require the production of any books, authority issued to a servicing
papers, documents, or contracts or other insurance company, one hundred
records which are relevant or material to pesos.
the inquiry. In case of contumacy by, or
For each license issued to a
refusal to obey a subpoena issued to any
general agent of an insurance
person, the Commissioner may invoke
company, fifty pesos.
the aid of any court of first instance
within the jurisdiction of which such For each license issued to an
proceeding is carried on, where such insurance agent, twenty-five
person resides or carries on his own pesos.
business, in requiring the attendance For each license issued to an
and testimony of witnesses and the agent of variable contract policy,
production of books, papers, documents, twenty-five pesos.
contracts or other records. And such
court may issue an order requiring such For each license issued to an
person to appear before the insurance broker, one hundred
Commissioner, or officer designated by pesos.
the Commissioner, there to produce For each license issued
records, if so ordered or to give to an reinsurance broker, one
testimony touching the matter in hundred pesos.
question. Any failure to obey such order For each license issued to an
of the court may be published by such insurance adjuster, one hundred
court as a contempt thereof. pesos.
A full and complete record shall be kept For each certificate of registration
of all proceedings had before the issued to an actuary, fifty pesos.
commissioner, or the officers thereof
designated by him, and all testimony For each certificate of registration
shall be taken down and transcribed by a issued to a resident agent, fifty
stenographer appointed by the pesos.
Commissioner. For each license issued to a rating
A transcribed copy of the evidence and organization, one hundred pesos.
proceeding, or any specific part thereof,
For each certificate of registration (d) Eight million pesos or more but
issued to a non-life company less than ten million pesos, One
underwriter, fifty pesos. thousand six hundred pesos;
For each license issued to a (e) Ten million pesos or more, Two
mutual benefit association, ten thousand pesos;
pesos. Provided, That if the said
For each certificate of registration examination is made in places
issued to a trust for charitable outside the Metropolitan Manila
uses, ten pesos. area, besides these fees, the
Commissioner shall require of the
All certificates of authority and all other company examined the payment
licenses, as well as all certificates of of the actual and necessary
registration, issued to any person, traveling and subsistence
partnership, association or corporation expenses of the examiner or
under the pertinent provisions of this examiners concerned.
Code for which no expiration date has
been prescribed, shall expire on the last For the examination prescribed in
day of June of each year and shall be section three hundred ninety-nine, the
renewed annually upon application Commissioner shall collect and receive a
therefore and payment of the minimum fee of one hundred pesos from
corresponding fee, if the licensee or the mutual benefit association
holder of such license or certificate is examined: Provided, That if such
continuing to comply with all the association has total assets of more than
applicable provisions of existing laws, one hundred thousand pesos, an
and of rules, instructions, orders and additional fee of ten pesos for every fifty
decisions of the Commissioner. thousand pesos in excess thereof shall be
imposed: Provided, further, That such
(2) For the filing of the annual statement fee shall not exceed two thousand pesos.
referred to in section two hundred
twenty-three, the Commissioner shall (4) For the filing of an application to
collect and receive from the insurance withdraw from the Philippines under
company so filing a fee of five hundred title eighteen, the Commissioner shall
pesos: Provided, That a fine of one collect and receive from the foreign
hundred pesos shall be imposed and company so withdrawing a fee of one
collected by the Commissioner for each thousand pesos.
week of delay, or any fraction thereof, in (5) The Commissioner may fix and
the filing of the annual statement. collect fees or charges for documents,
For the filing of annual statement transcripts, or other materials which
referred to in section four hundred, the may be furnished by him not in excess of
Commissioner shall collect and receive reasonable cost. (As amended by Presidential Decree
No. 1455).
from the mutual benefit association so
filing a fee of ten pesos: Provided, That a Sec. 418. If the total expenses of the
fine of ten pesos shall be imposed and Insurance Commissioner for every fiscal
collected by the Commissioner for each year exceed the aggregate amount of the
week of delay, or any fraction thereof, in fees collected under the pertinent
the filing of the annual statement. provisions of this Code, the excess shall
be charged against the Insurance Fund,
(3) For the examination prescribed in
which shall hereafter be created out of
section two hundred forty-six, the
the proceeds of taxes on insurance
Commissioner shall collect and receive
premiums mentioned in section two
fees according to the amount of its total
hundred fifty-five of the National
assets, in the case of a domestic
Internal Revenue Code, as
company, or of its assets in the
amended: Provided, however, That
Philippines, in the case of a foreign
pending the creation of said Insurance
company, as follows:
Fund, the provisions of section two,
(a) Two million pesos or more but three and four of Republic Act Numbered
less than four million pesos, Four Two Hundred Seventy-Five, shall
hundred pesos; continue to remain in force and effect.
(b) Four million pesos or more but MISCELLANEOUS PROVISIONS
less than six million pesos, Eight
Sec. 419. Any person, company or
hundred pesos;
corporation subject to the supervision
(c) Six million pesos or more but and control of the Commissioner who
less than eight million pesos, One violates any provision of this Code, for
thousand two hundred pesos; which no penalty is provided, shall be
deemed guilty of a penal offense, and
upon conviction be punished by a fine
not exceeding ten thousand pesos or
imprisonment of six months, or both, at
the discretion of the court.
If the offense is committed by a
company or corporation, the officers,
directors, or other persons responsible
for its operation, management, or
administration, unless it can be proved
that they have taken no part in the
commission of the offense, shall likewise
be guilty of a penal offense, and upon
conviction be punished by a fine not
exceeding ten thousand pesos or
imprisonment of six months, or both, at
the discretion of the court.
Sec. 420. All criminal actions for the
violation of any of the provisions of this
Code shall prescribed after three years
from the discovery of such
violation: Provided, That such actions
shall in any event prescribe after ten
years from the commission of such
violation.
Sec. 421. Any person, partnership,
association or corporation heretofore
authorized, licensed or registered by the
Insurance Commissioner shall be
deemed to have been authorized,
licensed or registered under the
provisions of this Code and shall be
governed by the provisions
thereof: Provided, however, That where
any such person, partnership,
association or corporation is affected by
the new requirements of this Code, said
person, partnership association or
corporation shall, unless otherwise
herein provided, be given a period of one
year from the effectivity of this Code
within which to comply with the same.
Sec. 422. Except as expressly provided
by this Code, all laws or parts thereof
inconsistent with any provision of this
Code shall be deemed repealed.
Sec. 423. Should any provisions of this
Code or any part thereof be declared
invalid, the other provisions, so far as
they are separable from the invalid ones,
shall remain in force.
Sec. 424. This Code shall take effect
immediately.
DONE in the City of Manila, this 18th
day of December, in the year of Our
Lord, nineteen hundred and seventy-
four.