4B Merc 2 Insurance Credit Trans PPSA
4B Merc 2 Insurance Credit Trans PPSA
4B Merc 2 Insurance Credit Trans PPSA
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clinic owned, operated, or accredited by members and the HMO an insurance policy
it. in the context of the Tax Code.
The Commissioner of Internal Revenue So the issue in the case is actually taxation.
ordered Philippine Health Care The argument of the BIR is that the health
Providers to pay documentary stamp maintenance agreement is a non-life
tax (DST) on its health care agreements. insurance policy because HMO is engaged in
It moved for reconsideration arguing insurance business.
that DST is imposed only on a company
engaged in the business of fidelity bonds (context: kinuha raw silang legal counsel ng
and insurance policies. Philippine Maxicare) My argument was that the
Health Care Providers, Inc., as a health dominant phase of the service of Maxicare is
maintenance organization (HMO), is a rendition of health service, preventive in
service provider and not an insurance nature. True, some members receive
company. indemnity when they get sick but that is only
a minor feature of the services rendered by
Is Philippine Health Care Providers, Maxicare. The dominant feature is
Inc. (now Maxicare) engaged in the preventive, diagnostic of rendition of dental
business of insurance? or medical health service. Because, the
primary principal purpose is rendition of
This case refers to the liability of HMOs or service and not indemnity, our basic
Health Maintenance Organizations. argument is that it is not an insurance
company and not engaged in insurance
The members of the HMOs pay for premium business.
in advance. In consideration of the payment
of the premium by the members, they are No, Maxicare, as an HMO, is not engaged
entitled to avail themselves of the various in insurance business. The basic distinction
medical, dental services of the HMOs. between medical service corporations and
ordinary health and accident insurers is
You don’t have to get sick to be able to avail that the former undertake to provide
yourself of the services of HMOs. You can prepaid medical and health services
have executive check-up even though you are through participating physicians and
not feeling anything. accredited establishments, thus relieving
subscribers of any further financial burden,
Given that the character or the business of the while the latter only undertake to
HMO is to render service and indemnity is indemnify an insured for medical expenses
only a minor feature of its service. Is it an up to, but not beyond, the schedule of rates
insurance company? Is the health contained in the policy. The mere presence
maintenance agreement signed by the of risk would be insufficient to override the
primary purpose of the business to provide
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Even if a contract contains all the elements Is the health care agreement an
of an insurance contract, if its primary insurance contract for the purpose of
purpose is the rendering of service, it is not assessing DST?
a contract of insurance. Under the
principal purpose test, the test applied is No, it will not qualify as in insurance
whether the assumption of risk and contract as discussed above. Also, there is
indemnification of loss (which are no loss, damage or liability on the part of
elements of an insurance business) are the member that should be indemnified by
the principal object and purpose of the Maxicare as an HMO. Under the
organization or whether they are merely agreement, the member pays Maxicare a
incidental to its business. If these are the predetermined consideration in exchange
principal objectives, the business is that for the hospital, medical, and professional
of insurance. But if they are merely services rendered by affiliated physicians.
incidental, and service is the principal In case of availment by a member of the
purpose, then the business is not benefits under the agreement, Maxicare
insurance. does not reimburse or indemnify the
member as the latter does not pay any third
Therefore, since Maxicare substantially party. Instead, it is Maxicare who pays the
provides health care services rather than participating physicians and other health
insurance services, it cannot be considered care providers for the services rendered at
as being in the insurance business. pre-agreed rates. Philippine Health Care
Philippine Health Care Providers, Inc.
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Providers, Inc. v. Commissioner of interpretation also holds true for HMO, right?
Internal Revenue, G.R. No. 167330, ibid. Because the liability is similar to a non-life
insurance policy?
It should be noted, however, that in another
case, it was held that for purposes of Q: What was the context?
determining the liability of a health care A: A member of Fortune Medicare went to
provider to its members, a health care Honolulu, Hawaii for an appendectomy
agreement is in the nature of non-life operation. He spent something like $10,000.
insurance, which is primarily a contract of Under the terms and conditions of the health
indemnity. Once the member incurs maintenance agreement, the member entitled
hospital, medical, or any other expense to reimbursement up to 80% of standard
arising from sickness, injury, or other operating charge.
stipulated contingent. the health care
provider must pay for the same to the Q: What standard operating charge will
extent agreed upon under the contract. be the basis? The standard operating
Limitations as to liability must be charge in Honolulu, Hawaii or the
distinctly specified and clearly reflected in standard operating charge in the
the extent of coverage which the company Philippines?
voluntarily assume, otherwise, any A: So, given that there is ambiguity, that
ambiguity arising therein shall be ambiguity was resolved in favor of the
construed in favor of the member. Fortune insured or the member. 80% of the standard
Medicare, Inc. v. David Robert Amorin, operating charges in Honolulu, Hawaii.
G.R. No. 195872, March 12, 2014 Why? For the purposes of determining
liability of the healthcare provider to the
In Fortune v. Amorin, it is liability to its members, healthcare agreement is in the
members and not to the government. nature of non-life insurance contract.
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Commission. So, given that the a citizen of a country with whom the
jurisdiction and supervision of HMOs are Philippines is at war.
now with the Insurance Commission, are
HMOs engaged in insurance business? May a member of the MILF or its
A: Still NO because the Insurance breakaway group, the Abu Sayyaf, be
Commission may have supervision but it insured with a company licensed to do
does not change the nature of its business. Its business under the Insurance Code of
primary purpose is service and not the Philippines? Explain.
indemnity; therefore, not an insurance
company. A member of the MILF or the Abu Sayyaf
may be insured with a company licensed to
Who are the parties to a contract of do business under the Insurance Code of
insurance? the Philippines, what is prohibited to be
insured is a public enemy. A public enemy
1. Insurer - It assumes the risk of loss and is a citizen or national of a country with
undertakes for a consideration to which the Philippines is at war. Such
indemnify the insured upon the member of the MILF or the Abu Sayyaf is
happening of the designated peril. not a citizen or national of another country,
but of the Philippines. BAR 2000.
Every corporation, partnership, or
association, duly authorized to transact [continuation of who are the parties to a
insurance business by the Insurance contract of insurance]
Commission may be an insurer. A
natural person is not allowed to be an 3. Assured - The insured is also the
insurer. assured when the proceeds are payable
to him. In property insurance, the
2. Insured - is the person whose loss is assured must have insurable interest
the occasion for the payment of the over the property and such insurable
insurance proceeds by the insurer. interest is covered by the insurance
Anyone except a public enemy maybe policy. In life insurance, the insured
insured. A public enemy is a nation, may insure someone else’s life and
including its citizens or subjects, with designate himself as the beneficiary
whom the Philippines is at war. provided that he has insurable interest
over the life of the person whom he
Under RA 10607, only a juridical person insures.
can be an insurer.
4. Beneficiary - He is the third person
There’s something wrong with the slide. It designated by the insured to receive the
should be: a public enemy is a national or proceeds. In case of failure to designate
a beneficiary in a life insurance or the
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earthquake and other similar risks The insurer incurs losses when the cost of
(Section 169, Insurance Code); insurance claims is more than the
b. Loss or damage in marine insurance premiums paid. The amount of premium is
(Section 101, Insurance Code); calculated on the basis of the assumptions
c. Death or injury; made relative to the insured.
d. Casualty or liability in case of accident
or mishap (Section 176, Insurance This is the risk that is an element of the
Code); and, insurance contract as opposed to investment
e. Non-performance by the principal risk.
debtor of his obligation to the creditor.
(Section 177, Insurance Code) Is actuarial risk the same an investment
risk?
Q: When you obtain a fire insurance policy
over a property, does it cover loss It is not the same. As held in the previously
earthquake? cited Philippine Health Care Provider case,
A: Only if earthquake is included as a risk investment risk is a risk that the company
insured against in the fire insurance policy. might fail to earn a reasonable return on its
So the generic term for this type of risk is investment but it is not the kind of risk
called fire. So, you don’t get earthquake associated with insurance called actuarial
policy. But, for you to include earthquake risk. For instance, HMO, undertakes a
though, it has specified in the policy and you business risk when it offers to provide
have to pay corresponding increase of health services. But it is not the risk of the
premium. type peculiar only to insurance companies.
Insurance risk, also known as actuarial
What is an actuarial risk? risk, is the risk that the cost of insurance
claims might be higher than the premiums
It refers to the possibility that the paid.
assumptions made by the actuaries, in
pricing specific insurance policies, may So meaning, in investment risk, eto yun pera
prove to be inaccurate or wrong. Possible mo pero di ka kumita.
assumptions include frequency of losses,
severity of losses and the correlation of What is an insurance premium?
losses between contracts. For example, if
an actuary is using a statistical model and It is the amount of money a person pays for
determines that a policy holder is likely to an insurance policy, in consideration for
live for 35 more years, there is an actuarial the assumption by the insurance of the risk
risk that the policyholder will die of loss as a result of the happening of the
tomorrow. This will then result in large designated peril.
losses for the insurer.
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lease contract in obtaining the policy was held that loss of the insured's car is
without the consent of CKS, is a separate not excluded under the insurance
and distinct issue. Spouses Nilo Cha and policy. The words "loss" and "damage"
Stella Uy Cha, et al. v. Court of Appeals mean different things in common
and CKS Development Corporation, ordinary usage. The word "loss" refers
G.R. No. 124520, August 18, 1997; 2009 to the act or fact of losing, or failure to
BAR. keep possession, while the word
"damage" means deterioration or
State the rules on interpretation of injury to property. By reason of the
insurance contract. exclusive control of the insurance
company over the terms and
a. An insurance contract is a contract of phraseology of the insurance contract,
adhesion, which means that in ambiguity must be strictly interpreted
resolving ambiguities in the provision against the insurer and liberally in
of the insurance contract, the same are favor of the insured, especially to avoid
to be construed liberally in favor of the forfeiture. Alpha Insurance and
insured and strictly against the insurer Surety co. v. Arsenia Sonia Castor,
who drafted the insurance policy. The G.R. No. 198174, September 2, 2013.
ambiguity does not, however,
invalidate the contract. BAR 2012 (Dean: In this case, there are two
clauses. The damage clause and the
In one case, the insured entered into a loss or theft clause. So which should
comprehensive motor vehicle you apply?
insurance contract. Thereafter, the car A: The SC said loss and damage are
was stolen and was reported lost by the two different things. What is applicable
police report. Allegedly, it was the to this case is the theft clause.)
driver of the insured who took the said
car, thus prompting the latter to file a In another case, when a Health Care
claim with the insurer. The claim was Contract stipulates that the provider
denied on the ground that pursuant to shall reimburse the total hospitalization
the insurance contract, an excluding cost including the professional fee
circumstance which would excuse the (based on the total approved charges)
insurer from paying proceeds would to a member who receives emergency
be, "Any malicious damage caused by care in a non-accredited hospital, The
the Insured, any member of his family above coverage applies only to
or by “A PERSON IN THE Emergency confinement within
INSURED'S SERVICE.” In other Philippine Territory. However, if the
words, the insurer argued that the term emergency confinement occurs in a
"damage" would also be applicable to foreign territory, Fortune Care will be
the stolen and lost car of the insured. It obligated to reimburse or pay 80% of
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the approved standard charges which the applicant's "lifetime and good
shall cover the hospitalization costs health" and the insured died before the
and professional fees. insurer could process the application.
The amount the applicant paid in
The member underwent surgery in the connection thereto was only to be
Hawaii, USA while on vacation, The considered as a deposit. Violeta R.
American standard charge, not the Lalican v. The Insular Life
Philippine standard charge, should be Assurance Company Limited, as
applied considering that the operation represented by the President Vicente
took place in the USA. R. Avilon, G.R. No. 183526, August
25, 2009.
Being a contract of adhesion, the terms
of an insurance contract are to be (Dean: In this case, it was provided
construed strictly against the party that for the application of
which prepared the contract — the reinstatement, it is subject to
insurer. Fortune Medicare, Inc. v. approval of the head office during
David Robert U. Amorin, G.R. No. the applicant’s lifetime and good
195872, March 12, 2014. health. Then, the insured died before
the insurance company could
b. While it is a cardinal principle of process the application. Was there
insurance law that a policy or contract reinstatement?
of insurance is to be construed liberally A: The terms are clear and
in favor of the insured and strictly as unambiguous. It is only reinstated upon
against the insurer company, yet, approval by the head office and during
contracts of insurance, like other the lifetime of the insured. He died
contracts, are to be construed before it could be approved. Therefore,
according to the sense and meaning of there is no reinstatement.)
the terms, which the parties themselves
have used. If such terms are clear and Similarly, if loss of hand is defined in
unambiguous, they must be taken and the policy as amputation of the hand,
understood in their plain, ordinary, and the insurer is not liable if the insured
popular sense. Thus, it was held that had an accident which only resulted in
the life insurance policy was not temporary disability of his left hand but
considered reinstated despite issuance the hand was not amputated. Ty v.
of the receipt for payment by the First National Surety, No. L-16138,
spouse of the insurance agent if the April 29, 1961
application for reinstatement provided
that the policy would only be
considered reinstated upon approval of
the application by the insurer during
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insured. The share of the unlawful Yes, as such, they can take insurance on the
beneficiary shall form part of the share of the life of their children, whether legitimate or
lawfully named beneficiary. So, everything illegitimate, because the law makes no
goes to the illegitimate children. distinction as to the kind of children and
there being no statutory prohibition against
What is the rationale for the rule it.
prohibiting the donees specified in
Article 739 of the Civil Code from being Can a person take insurance on the life
designated as beneficiaries in life of another person and designate himself
insurance policy? as the beneficiary?
Life insurance policy is no different from A person can take an insurance on the life
donation insofar as the beneficiary is of another person and designate himself as
concerned. Both are founded on liberality. the beneficiary provided that he has
A beneficiary is like a donee because from pecuniary interest in the person he is
the premiums of the policy which the insuring. In other words, the insured must
insured pays out of liberality, the be any of the persons under Section 10 (b
beneficiary will receive the proceeds of the to d).
insurance. As a consequence, the
proscription in Article 739 of the Civil Blanco took out a P1M life insurance
Code should equally operate in life policy naming his friend and creditor,
insurance contracts. The Insular Life Montenegro, as his beneficiary. When
Assurance co. v. Ebrado, 80 SCRA 181, Blanco died, his outstanding loan
October 28, 1977. obligation to Montenegro was only
P50,000.00. Blanco’s executor
Does a person have insurable interest on contended that only P50,000.00 out of
the life of his parents? the insurance proceeds should be paid to
Montenegro and the balance of
By express exclusion under par. (a), a P950,000.00 should be paid to Blanco’s
person has no insurable interest on the life estate.
of his parents and other ascendants unless
he depends upon them for education and/or Is the executor’s contention correct?
support. (Par. b.) The rationale for their Reason out your answer.
exclusion in par. (a) is that the parents are
logically expected to predecease their The contention of the executor is incorrect.
children. The beneficiary of a life insurance need not
have any insurable interest in the life of the
Do the parents have insurable interest insured. Any person can take insurance on
on the life and health of their illegitimate his own life like what Blanco did and
children? designate anyone as his beneficiary except
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those disqualified to be donees under Carlo and Bianca met in the La Boracay
Article 739 of the Civil Code. Blanco's festivities. Immediately, they fell in love
friend and creditor does not fall within the with each other and got married soon
disqualification. after. They have been cohabiting
blissfully as husband and wife, but they
It would have been different if it was did not have any offspring. As the years
Montenegro, as creditor, who took out an passed by, Carlo decided to take out an
insurance policy on the life of Blanco, as a insurance on Bianca's life for P
debtor. In that case, Montenegro's 1,000,000.00 with him (Carlo) as sole
insurable interest in the life of Blanco beneficiary, given that he did not have a
would be only to the extent of P50,000.00, steady source of income and he always
which is the amount of his credit. BAR depended on Bianca both emotionally
1987. and financially. During the term of the
insurance, Bianca died of what
On July 14, 1985, X, a homosexual, took appeared to be a mysterious cause so
an insurance policy on the life of his that Carlo immediately requested for an
boyfriend, Y. In the insurance autopsy to be conducted. It was
application, X misrepresented that Y established that Bianca died of a natural
was in perfect health although he knew cause. More than that, it was also
all the time that Y was afflicted with established that Bianca was a
AIDS. On October 18, 1987, Y died in a transgender all along —a fact unknown
motor accident. Shortly thereafter, X to Carlo.
filed his insurance claim.
Can Carlo claim the insurance benefit?
Should the insurer pay? Reasons.
Yes. Carlo can claim the insurance benefit.
The insurer is not obliged to pay. X has no If a person insures the life or health of
insurable interest on the life of his another person with himself as beneficiary,
boyfriend, Y. Friendship alone is not the all his rights, title, and interests in the
insurable interest contemplated in life policy shall automatically vest in the
insurance. Insurable interest in the life of person insured. Carlo, as the husband of
others (other than one's own life, spouses, Bianca, has an insurable interest in the life
or children) is merely to the extent of the of the latter because he depended upon
pecuniary interest in that life. Bianca wholly or in part for support. The
fact that Bianca is a transgender is
irrelevant. It is Carlo's reliance on Bianca
Of any person on whom he depends
wholly or in part for education or for support which establishes Carlo's
support, or in whom he has a pecuniary insurable interest in the life of Bianca.
interest BAR 2014.
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a. A mortgagee may insure the life of the The insured shall have the right to change
mortgagor up to the extent of the the beneficiary he designated in the policy,
mortgage debt to the mortgagee. unless he has expressly waived this right in
said policy. Notwithstanding the
b. A seller may insure the life of the buyer foregoing, in the event the insured does not
if the latter has the obligation to deliver change the beneficiary during his lifetime,
a specified property under a contract to the designation shall be deemed
sell. The seller's insurable interest is the irrevocable.
contracted value of the property for
delivery. What are the effects of the irrevocable
designation of the beneficiary in a life
c. A law firm may procure a keyman insurance policy?
insurance policy on its Managing
Partner. In case of irrevocable designation, the
(Dean: It is called keyman because he beneficiary has acquired a vested right on
is the most important person in the the life insurance policy including its
organization.) incident such as the policy loan and cash
surrender value. As such, any act on the
d. An employer corporation has an part of the insured which may impair the
insurable interest on its manager where interest of the irrevocably designated
the death of the manager will be beneficiary is null and void. Thus, the
detrimental to the corporation's beneficiary cannot be changed, no
operations. El Oriente Fabrica de additional beneficiary can be designated
Tabacos, Inc. Juan Posadas, G.R. and the insured cannot take a cash
No. 34774, September 21, 1931. surrender value on the policy unless the
beneficiary consents to any of the
foregoing acts. 2005 Bar.
Of any person upon whose life any
estate or interest vested in him depends.
Bottomline:
If it is irrevocable designation, any act on the
Thus, the usufructuary may insure the life part of the insured that may impair the
of the owner of the naked title if his right interest of the beneficiary is null and void.
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For example, the insured cannot add another named Yinsel. Without the knowledge of
beneficiary or the insured cannot take a cash Yang, Yin changed the designation of
surrender value in the policy unless the the beneficiary to an "irrevocable
beneficiary consents. designation" of Yinsel and Yessel
jointly. When Yang learned of the affair,
Q: So who alone can take the cash she was so despondent that, having
surrender value of the insurance policy if chanced upon Yin and Yessel on a date,
it is one of irrevocable designation? she rammed them down with the car she
A: No more than the beneficiary unless the was driving, resulting in Yin's death and
beneficiary consents. Yessel's complete loss of mobilization.
Yang was sued for parricide, and while
What are the effects of the revocable the case was pending, she filed a claim
designation of the beneficiary? on the proceeds of the life insurance of
Yin as irrevocable beneficiary, or at
The insured may change the beneficiary least his legal heir, and opposed the
during his lifetime, add a beneficiary or claims on behalf of Yessel and her
exclude a beneficiary in case of joint daughter Yinsel. Yang claimed that her
designation of beneficiaries. 1978 and designation as beneficiary in Yin's life
1988 Bar. insurance policy was irrevocable, in the
nature of one "coupled with interest,"
The same rule applies in case the policy is since it was made in accordance with
silent on the nature of the designation, for their mutual agreement to designate one
in such case, the designation is deemed to another as sole beneficiary in their
be revocable. respective life policies. She also claimed
that the beneficiary designation Of
Shortly after Yin and Yang were wed, Yessel and the illegitimate minor child
they each took out separate life Yinsel was void being the product of an
insurance policies on their lives, and illicit relationship, and therefore
mutually designated one another as sole without insurable interest."
beneficiary. Both life insurance policies
provided for a double indemnity clause, a. Is Yang correct in saying that her
the cost for which was added to the designation as beneficiary was
premium rate. During the last 10 years irrevocable?
of their marriage, the spouses had
faithfully paid for the annual premiums b. Do Yessel and Yinsel have insurable
over the life policies from both their interest on the life of Yin?
salaries. Unfortunately, Yin fell in love
with his officemate, Yessel, and they a. Yang is not correct. The insured shall
carried on an affair. After two years, have the right to change the beneficiary
their relationship bore them a daughter he designated in the policy unless he
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Dean’s discussion:
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Dean’s discussion:
Q: What are the two (2) things needed in Dean’s discussion:
able to recover on property or fire As discussed in the case of “Malayan
insurance policy? Insurance vs Philippine First Insurance”,
A: Two things: (a) you must have insurable both of them have insurable interest over the
interest over the property and (b) that interest property. Owner has insurable interest based
must be covered, protected or specified in the on his ownership over the car up to the
insurance policy. extent of the value of the car.
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interest and hence, not entitled to On march 2, 2020, a fired razed the
receive the proceeds from IS insurance building to the ground. Garapal
coverage on his life and also on his Insurance refused to make good its
property. Is starbrite’s contention obligation to Benjie under the insurance
valid? contract.
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a. ALPHA can recover against Mutual Life a. Unless the policy otherwise provides,
Insurance Co, in the life insurance policy as where a mortgagor of property effects
its insurable interest in the life of the person insurance in his own name providing that
insured, Mr. P, existed when the insurance the loss shall be payable to the mortgagee,
took effect. In life insurance, insurable or assigns a policy of insurance to a
interest need not exist at the time of loss. mortgagee, the insurance is deemed to be
upon the interest of the mortgagor, who
b. ALPHA, however, cannot recover on the does not cease to be a party to the original
fire insurance because at the time of loss, it contract, and any act of his, prior to the
had no more insurable interest having sold loss, which would otherwise avoid the
the property to Mr. P. In property insurance, insurance, will have the same effect,
it is not enough that the insured must have although the property is in the hands of the
insurable interest at the time of the issuance mortgagee, but any act which, under the
of the policy but also at the time of loss. contract of insurance, is to be performed by
(BAR 1984) the mortgagor, may be performed by the
mortgagee therein named, with the same
effect as if it had been performed by the
Q: Discuss the insurable interest of the mortgagor.
mortgagor and mortgagee on the
mortgaged property and right to recover b. If an insurer assents to the transfer of an
under the polices. insurance from a mortgagor to a
Answer: mortgagee, and, at the time of his assent,
imposes further obligations on the
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assignee, making a new contract with him, period, the mortgagor can no longer
the acts of the mortgagor cannot affect the recover on the insurance because he has no
rights of said assignee. more insurable interest at the time of loss.
c. If the mortgagor procures fire insurance h. Assume that the mortgagor procured fire
policy without designating the mortgagee insurance after his default and the
as beneficiary, the mortgagor shall obtain mortgagee thereafter obtained his own fire
the proceeds of insurance in case of loss. insurance. If the mortgagor obtained a loan
The mortgagee is not entitled to the from a general creditor to pay the
insurance proceeds because he is not the redemption price, then assigned the policy
beneficiary and/or the insurance policy to the general creditor and the loss occurs,
was not assigned to him. But, as a the mortgagor cannot recover on his fire
mortgagee, he has a lien on the insurance insurance because he has no more
proceeds. insurable interest on the property at the
time of loss, having assigned his policy to
d. If the mortgagor procures fire insurance the creditor. The general creditor cannot
policy and designated the mortgagee as the recover on the fire insurance policy
beneficiary, in case of loss, the mortgagee assigned to him because he has no
shall be entitled to the proceeds of the insurable interest at the time of the
insurance. The loan shall be extinguished issuance of the policy. The mortgagee can
to the extent of the amount of the obtain the proceeds of the fire insurance he
insurance. The insurer shall be subrogated obtained separately.
to the rights of the mortgagor and may
proceed against the one who caused the
loss, if any.
To secure a loan of P10 Million, O
e. If the mortgagor procures fire insurance mortgaged his building to C. In
and designated the mortgagee as accordance with the loan arrangements,
beneficiary up to the extent of the O had the property insurance with Acme
mortgage debt, the insurer is not liable if Insurance Company for P10 Million with
the mortgagor deliberately set the insured C as the beneficiary. C also took an
property on fire. The mortgagee is bound insurance on the building upon his own
by the acts of the mortgagor and cannot interest with Beta Insurance Co, for P5
recover. Million.
f. If the mortgagor and the mortgagee The building was totally destroyed by fire,
separately obtained fire insurance and the a peril insured against in both insurance
mortgagor designated the mortgagee as the policies. It was subsequently determined
beneficiary in the fire insurance, any act that the fire had been intentionally
done by the mortgagor that will avoid the started by O and that, in violation of the
insurance is binding on the mortgagee but loan agreement, O had been storing
he can still recover on the fire insurance he inflammable materials in the building.
separately procured.
How much can C recover from either or
g. If the mortgagor obtained fire insurance both insurance companies?
but the loss occurs after the redemption
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If Cis able to recover P5M from Beta “A” owns a house valued at P5,000,000.00
insurance Co., C, the mortgagee is not which he had insured against fire for
allowed to retain his claim against O, the P7,500,000.00. He obtained a loan from
mortgagor, but it passes by subrogation to “B” in the amount of P3,500,000.00, and
the insurer to the extent of the money paid. to secure payment thereof, he executed a
In this case, Beta Ins. Co. will become deed of mortgage on the house, but
entitled to collect PSM from O, and O will without assigning the insurance policy to
continue to remain liable to C for the balance the latter. For “A’s” failure to pay the
of P5M. Palileo v. Cosio, G.R. No. L-7667, loan upon maturity, “B” initiated
November28, 1955; 1984, 2010 BAR foreclosure proceedings and in the
ensuing public sale, the house was sold by
the sheriff to “B” as highest bidder.
Immediately upon issuance of the
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sheriff’s certificate of sale in his favor, This prompted the business man to file
“B” insured the house against fire for with First Insurance a claim for PSM
P3,500,000.00 with another insurance representing the full value of his goods.
company. In order to redeem the house,
“A” borrowed P3,500,000.00 from “C” First Insurance denied the claim
and, as security device, he assigned the because it discovered that at the time of
insurance policy of P7,500,000.00 to “C”. the loss, the stock-in-trade were
However, before “A” could pay “B” his mortgaged to a creditor who likewise
obligation, the house was accidentally and obtained from Second Insurance
totally burned. Company for insurance coverage for he
stocks at their full value of P5M.
Do “A”, “B”, and “C” have any insurance a. May the businessman and the creditor
interest in the house? May “A”, “B’, and obtain separate insurance coverage over
“C” recover under the policies? If so, how the same stocks-in- trade? Explain.
much?
b. Suppose you are the Judge, how much
As to A: He has insurable interest in his would you allow the businessman and
house, an existing interest, but only for the creditor to recover from their
P5,000,000.00, the value of the said house. respective insurers. Explain.
But, when he assigned it to C, said A had no
more interest in his insurance policy, and A a. Yes. The businessman, as owner, and the
cannot anymore recover on said insurance creditor, as mortgagee, have separate
policy. insurable interests in the same stocks-in-
trade. Each may insure such interest to
As to B: He has insurable interest on A’s protect his own separate interest.
house, having an interest founded upon an b. As judge, I would allow the
existing interest, for P3,500,000.00, the businessman to recover his total loss of
amount of mortgage debt. P5M pesos representing the full value of
his goods which were lost through fire. As
As to C: He has no insurable interest on A’s to the creditor, I would allow him to
house when the insurance took effect and his recover the amount to the extent of or
interest is a mere contingent or expectant equivalent to the value of the credit he
interest not founded on an actual right or extended to the businessman for the
valid contract to A’s house. Hence, C cannot stocks-in-trade which were mortgaged by
recover. the businessman.
Section 18, Insurance Code; BAR 1999.
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in double insurance. This is because there is Who may collect the insurance
a separate or non-identical insurable interest. proceeds?
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d. If the insured is the mortgagor whose This is because this situation allows
property has been foreclosed until expiration for change of interest in the property but
of the redemption period. without corresponding loss of insurance
coverage.
What are the exceptions to the rule?
a. In life, health, and accident insurance (Sec Thus, if a fire insurance policy provides that
20) the loss was payable to the mortgagee, as its
Because for these types of insurance, interest may appear, the remainder to
it is enough that insurable whomsoever during the continuance of the
interest exists at the time of the issuanceof the risk may become owner of the interest
policy. insured, the buyer may recover because it was
so framed for the benefit of whomsoever
b. A change of interest in the thing insured during the continuance of the risk may
after the occurrence of an injury which results become the owner of the interest insured.
in a loss (Sec 21)
This is because the right is already NOTE: A mere transfer of thing insured
vested and the benefit has accrued. before the loss, unaccompanied by a
corresponding change of interest in the
c. A change of interest in one or more of insurance does not transfer the policy but
several things, separately insured by one suspends it to an equivalent extent.
policy (Sec 22)
This is because there is no change of DOUBLE INSURANCE
interest and in insurance with respect to the
remaining properties. Thus, if the insured A double insurance exists where the same
obtains insurance for two separate houses person is insured by several insurers
but covered by one policy and then sold one separately in respect to the same subject and
but both were destroyed by fire. The insured interest. Section 95; 2008 Bar.
can claim on the insurance with respect to the (ST-SIR Same person, Two or more insurers,
unsold property. Subject matter, Interest and Risk)
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reimbursement. Seeking to avoid safety of the goods, which may become the
liability, Malayan invoked Section 5 of basis of the latter’s liability in case of loss
the SR Policy and argued that in as or damage to the property.
much as there was already a marine Malayan Insurance v. Philippine First
policy issued by Phil First securing the Insurance Co., G.R. No. 184300, July 11,
same subject matter against loss and 2012.
that since the monetary coverage/value
of the marine policy is more than enough
to indemnify the hijacked cargo, Phil Armando Geagonia, as the owner of
First alone must bear the loss. Norman’s Mart, obtained insurance
from Country Bankers Insurance
Is there double insurance? Corporation. The insurance policy
contained the condition that the insured
None. Double insurance exists where the shall give notice to Country Bankers of
same person is insured by several insurers any insurance or insurances already
separately in respect to the same subject effected, or which may subsequently be
and interest. The requisites in order for effected, covering any of the property or
double insurance to arise are as follows: properties insured, and unless such
1) The person insured is the same; notice be given and the particulars of
2) Two or more insurers insuring such insurance or insurances be stated
separately; therein or endorsed in this policy before
3) There is identity of subject matter; the occurrence of any loss or damage, all
4) There is identity of interest insured and; benefits under this policy shall be
5) There is identity of the risk or peril deemed forfeited.
insured against.
The building subject of fire insurance
In the present case, while it is true that the was razed by fire. Country Bankers
Marine Policy and the SR Policy were both refused to pay alleging that Geagonia
issued over the same subject matter, i.e. did not inform it of a previous insurance
goods belonging to Wyeth, and both obtained by its creditor Cebu Tesing
covered the same peril insured against, it Textiles over the same property and in
is, however, beyond cavil that the said violation of Condition 3.
policies were issued to two different
persons or entities. Wyeth is the Is the policy avoided by the failure of
recognized insured of Phil First under its Geagonia to inform Country Bankers of
Marine Policy, while Reputable is the other insurance policies over the
recognized insured of Malayan under the property?
SR Policy. The interest of Wyeth over the
property subject matter of both insurance No. Condition 3 or the Other Insurance
contracts is also different and distinct from Clause of the policy is a condition which is
that of Reputable. The policy issued by not proscribed by law. Such a condition is
Phil First was in consideration of the legal a provision which invariably appears in
and/or equitable interest of Wyeth over its fire insurance policies and is intended to
own goods. On the other hand, what was prevent an increase in the moral hazard.
issued by Malayan to Reputable was over However, in order to constitute a violation,
the latter’s insurable interest over the the other insurance must be upon the same
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subject matter, the same interest therein, exceed the face value of the insurance policy
and the same risk. contract.
A double insurance exists where the same (b) Where the policy under which the insured
person is insured by several insurers claims is a valued policy, any sum received
separately in respect of the same subject by him under any other policy shall be
and interest. The insurable interest on the deducted from the value of the policy without
mortgaged property of a mortgagor which regard to the actual value of the subject
covers the full value of the property and the matter insured;
interests of a mortgagee which extends
only to value of debt are distinct and (c) Where the policy under which the insured
separate. Since the two policies of the claims is an unvalued policy, any sum
PFIC do not cover the same interest as that received by him under any policy shall be
covered by the policy of the private deducted against the full insurable value, for
respondent, no double insurance exists. any sum received by him under any policy;
The non-disclosure then of the former
policies was not fatal to the Geagonia’s (d) Where the insured receives any sum in
right to recover on the Country Banker’s excess of the valuation in the case of Valued
policy. Armando Geagoniav. Court of policies, or of the insurable value in the case
Appeals and Country Bankers of unvalued policies, he must hold such sum
Insurance Corporation, G.R. No. in trust for the insurers, according to their
114437, February 6, 1995. right of contribution among themselves;
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Yes, the taking of insurance from the three The owner can choose who he wants to
(3) insurers is valid, there being no claim against to recover the full indemnity
stipulation against obtaining additional provided that the claim will not exceed the
insurance. It is a case of “double face value of the insurer’s respective
insurance”. insurance policies. BAR 2012.
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mortgagee and the mortgagor. On the part Q: HOW DO THESE TWO (2)
of the mortgagee, it has to enter into such THEORIES DIFFER?
form of contract so that in the event of the A: Under the theory of cognition, the
unexpected demise of the mortgagor acceptance is considered to effectively bind
during the subsistence of the mortgage the offeror only from the time it came to his
contract, the proceeds from such insurance knowledge. Under the theory of
will be applied to the payment of the manifestation, the contract is perfected at the
mortgage debt, thereby relieving the heirs moment when the acceptance is declared or
of the mortgagor from paying the made by the offeree. BAR 1997.
obligation. In a similar vein, ample
protection is given to the mortgagor under Q: WHEN IS A CONTRACT OF
such a concept so that in the event of death; INSURANCE PERFECTED?
the mortgage obligation will be A: Pursuant to the cognition theory, an
extinguished by the application of the insurance contract is perfected when the
insurance proceeds to the mortgage applicant-insured has knowledge of the
indebtedness. acceptance and approval by the insurer of his
application.
Consequently, where the mortgagor pays
the insurance premium under the group The cognition theory should be construed in
insurance policy, making the loss payable relation to the provisions of the Insurance
to the mortgagee, the insurance is on the Code on premium payment. Save for the
mortgagor's interest, and the mortgagor exceptions, there is no valid and perfected
continues to be a party to the contract. In insurance contract without payment of
this type of policy insurance, the premium.
mortgagee is simply an appointee of the
insurance fund, such loss-payable clause
does not make the mortgagee a party to the Jason is the proud owner of a newly-
contract. Thus, Grepalife is liable to pay built house worth P5 million. As a
the widow of Dr. Leuterio upon protection against any possible loss or
presentation of proof of prior settlement of damage to his house, Jason applied for a
mortgagor's indebtedness to DBP. Great fire insurance policy thereon with Shure
Pacific Life Assurance Corporation v. Insurance Corporation (Shure) on
Court of Appeals and Medarda October 11, 2016 and paid the premium
Leuterio, G.R. No. 113899, October 13, in cash. It took the company a week to
1999. approve Jason's application. On
October 18, 2016, Shure mailed the
approved policy to Jason which the
PERFECTION OF THE CONTRACT latter received five (5) days later.
OF INSURANCE However, Jason's house had been razed
by fire which transpired a day before his
The Civil Code adopts the “theory of receipt of the approved policy. Jason
cognition”, while the Code of Commerce filed a written claim with Shure under
generally recognizes the “theory of the insurance policy. Shure prays for the
manifestation”, in the perfection of denial of the claim on the ground that
contracts. the theory of cognition applies to
contracts of insurance.
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Decide Jason's claim with reasons. None, an application form does not prove
that insurance was secured. Anybody can
No. What governs insurance contract is the get an application form for insurance, fill it
cognition theory whereby the insurance up at home before filing it with the
contract is perfected only from the time the insurance company. There was no contract
applicant came to know of the acceptance yet. Furthermore, there is no proof that the
of the offer by the insurer. In this case, the insurance company approved the proposal,
loss occurred a day prior to Jason’s no proof that any premium payments were
knowledge of the acceptance by Shure of made, and no proof from the record of
Jason’s application. There being not exhibits as to the date it was accomplished.
perfected insurance contract, Jason is not People of the Philippines v. Yip Wai
entitled to recover from Shure. BAR 2016, Ming, G.R. No. 120959, November14,
2011. 1996.
Dean’s discussion:
Ming and Lam Po Chun came to Manila This summary of this case, is that the
on vacation. Hardly a day passed when prosecution tries to question the motive of the
Chun was brutally beaten up and accused in murdering his girlfriend, the
strangled to death in their hotel room. prosecution would like to establish the theory
On the day of the killing, Ming was that the accused murdered his girlfriend in
touring Manila with Filipino welcomers order to collect life insurance, they presented
while Chun was left in the hotel room a “proposal to life insurance”. Is there a valid
allegedly because she had a headache insurance contract in this case? The Supreme
and was not feeling well enough to do the Court said none, a proposal to life insurance
sights. A witness and evidence were or an application form does not prove a
presented which pointed out to Ming as perfected insurance policy contract. Anybody
the guilty party, sentencing him to can get an application form for insurance.
imprisonment by the RTC. Prosecution
also alleged that there was a motive to Valenzuela Hardwood and Industrial
kill the victim as she was insured and the Supply, Inc. insured with South Sea
accused was the beneficiary. The Surety and Insurance Company, Inc. the
Prosecution presented the “Proposal for logs to be shipped to Manila on board
Life Insurance” as proof, but the same the vessel owned by Seven Brothers.
was a mere photocopy and does not bear Marine Cargo Insurance Policy No.
the victim’s signature which would 84/24229 was issued by South Sea.
indicate that the victim herself applied Hardwood gave the check in
for the insurance. Although there payment of the premium on the
appears a signature of “Apple Lam”, the insurance policy to Mr. Victorio Chua,
same is not the name of the victim and an agent of Columbia Insurance
nobody insures himself under a Brokers, Ltd. The said vessel sank
nickname. resulting in the loss of the insured logs.
Payment of the proceeds of the policy
Is there a valid and perfected insurance was demanded from South Sea but the
contract? latter denied liability under the policy.
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Can Phil Phoenix collect the earned Finding that Maxilite failed to pay the
premiums? insurance premium, FEBIBI sent
written reminders to FEBTC to debit
No, since the premium had not been paid, Maxilite’s account. On 24 and 26
the policy must be deemed to have lapsed. October 1994, Maxilite fully settled its
It is explicit in the policy the Phil. Phoenix trust receipt account. On 9 March 1995,
agreement to indemnify Woodwork for a fire gutted the Aboitiz Sea Transport
loss by fire only arises after payment of Building, where Maxilite’s office and
premium. The non-payment of premiums warehouse were located. As a result,
does not merely suspend but put an end to Maxilite claimed against the fire
an insurance contract since the time of the insurance policy with Makati Insurance
payment is peculiarly of the essence of the Company. Makati Insurance Company
contract. Philippine Phoenix Surety & denied the fire loss claim on the ground
Insurance Company v. Woodwork,Inc., of non-payment of premium. FEBTC
G.R. No. L-25317, August6, 1979. and FEBIBI disclaimed any
responsibility for the denial of the claim.
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entrustees have been debited and premium the loss of the vehicle on September 27,
remitted in favor of the insurer. The goods 1996. While Jaime Gaisano claims that
have been destroyed by fire. Is the insurer is Trans-Pacific was informed that the check
liable? was ready for pick-up on September 27,
1996, the notice of the availability of the
No, since there no premium received by the check, by itself, does not produce the effect
insurer, the insurer is not liable under the cash of payment of the premium. At the time of
and carry rule. The one liable in this case Far loss, there was no payment of premium yet
East Bank for the value of the goods because to make the insurance policy effective.
of its negligence and estoppel in making the Jaime Gaisano also failed to establish the
insured believe that the account have been fact of a grant by respondent of a credit
debited in favor of the insurer. term in his favor, or that the grant has been
consistent.
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25, 1991. The business was completely transaction is exempted from the cash and
razed by fire. Antonio Chua filed an carry rule. In that case, the insurer accepted
insurance claim with American Home all installment payments for three years. Such
and four other co-insurers. American acceptance of payments speaks loudly of the
Home refused to honor the claim insurer’s intention to honor the policies it
alleging that there was no existing issued to the insured. Certainly, basic
contract because Antonio Chua did not principles of equity and fairness would not
pay the premium. allow the insurer to continue collecting and
accepting the premiums, although paid on
Is American Home liable to Antonio installments, and later deny liability on the
Chua? lame excuse that the premiums were not
prepaid in full.
Yes, Section 78 of the Insurance Code
explicitly provides that an Thus, if the premium is payable on
acknowledgment in a policy or contract of four installments, the insured may recover the
insurance of the receipt of premium is full amount if the loss occurred after the first
conclusive evidence of its payment, so far installment payment even pending full
as to make the policy binding, payment of the balance without prejudice to
notwithstanding any stipulation therein the insured’s obligation to pay the remaining
that it shall not be binding until the amount of the premium.
premium is actually paid. This section
establishes a legal fiction of payment and However, if the policy indicates that
should be interpreted as an exception to failure to pay in full any of the scheduled
Section 77. installments on or before the due date shall
render the insurance policy void and
Acknowledgement of premium payment ineffective as of such date, then the failure
when none was received is also a form of to make premium payment on the first due
estoppel. date resulted in a void and ineffective
policy. Hence, there is no credit extension to
consider as the provision itself expressly cuts
off the inception of the insurance policy in
AGREEMENT FOR PARTIAL case of default. Philam Insurance vs. Parc
PREMIUM PAYMENT Chateu Condominium Unit (March 4,
2019)
Q: DOES PAYMENT BY
INSTALLMENT OF PREMIUMS It was also held that the insurer is not
INVALIDATE THE INSURANCE liable for the payment of the insurance
CONTRACT? proceeds if the policy provides for payment
A: As discussed in the case of “Makati of premium in full. Accordingly, where the
Tuscany vs. CA”, Premium may be paid on premium has only been partially paid and the
installments, if allowed by the insurance balance paid only after the peril insured
policy. against has occurred, the insurance contract
It was ruled that where there is an did not take effect and the insured cannot
agreement allowing the insured to pay the collect at all on the policy. Sps. Antonio and
premium in installments and partial payment Violeta Tibay, et al. v. Court of Appeals
has been made at the time of the loss, the
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and Fortune Life and General Insurance policy of the receipt of premium is
Inc., conclusive evidence of its payment so far
as to make the policy binding,
ESTOPPEL notwithstanding any stipulation therein
that it shall not be binding until premium is
actually paid. Third exception was laid in
Masagana Telemart obtained from Makati Tuscany Condominium
UCPB five (5) insurance policies on its Corporation v. Court of Appeals, wherein
Manila properties. The policies were the Court ruled that Section 77 may not
effective from May 22, 1991 to May 22, apply if parties have agreed to the payment
1992. On June 13, 1992, Masagana’s in installments and partial payment has
properties were razed by fire. On July been made at the time of loss. The said case
13, 1992, Masagana Telemart tendered also provided the fourth exception, that is
five checks as renewal premium the insurer may grant credit extension for
payments. A receipt was issued. On July payment of premium. This means that if
14, 1992, Masagana Telemart made its the insurer has granted the insured a credit
formal demand for indemnification for term for the payment of the premium and
the burned insured properties. UCPB loss occurs before the expiration of the
then rejected Masagana’s claims under term, recovery on the policy should be
the argument that the fire took place allowed even the premium is paid after the
before the tender of payment and that it loss but within the credit term. As fifth
did not result in renewal of the policies. exception, estoppelb ars it from taking
Thus, Masagana Telemart filed a refuge under Section 77 since Masagana
complaint against UCPB. On trial, it Telemart relied in good faith on such
was found that Masagana Telemart, practice. UCPB General Insurance Co.,
which had procured insurance coverage Inc. v. Masagana Telemart, Inc., G.R.
from UCPB for a number of years, had No. 137172, April 4, 2001; BAR 2013
been granted a 60 to 90-daycredit term
for the renewal of the policies. Such a
practice had existed up to the time the NOTE: Facts similar to the Masagana ruling
claims were filed. Most of the premium should be decided on a case-by- case basis. It
shave been paid for more than 60 days is submitted that just because the insurer, in
after the issuance. certain cases, accommodated late payments
from the insured does not conclusively bind
Must Section 77 of the Insurance Code the insurer to the same kind of arrangement
be strictly applied despite practice of all through out, particularly, if there is a clear
granting 60-to-90-day credit for and categorical rejection of the application
payment of premium? for renewal because there was no
corresponding timely premium payment.
Yes, Section 77 of the Insurance Code
admits of exception and the first is It would have been different if the insured
provided in the section itself that is in case issued a check or a promissory note, duly
of life or industrial life policy whenever the accepted by the insurer to indicate its
grace period provision applies. The second conformity to the credit extension. The
is that covered by Section 78 which validity, if not fairness, of a credit extension
provides that any acknowledgment in a
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to the mortgagee, the policy was assigned to debtor recover from the fire insurance
him as given in the facts. policy?
A: Yes, since the debtor has still insurable
Q: Mortgagor obtained a loan from a interest over the property after the auction
bank. The mortgagor is a juridical person. sale and before the expiration of the
It likewise obtained fire insurance over the redemption period.
mortgaged property. The mortgagee-bank
assigned its right over the mortgage in Q: Can the judgment creditor/ winning
favor of a non-bank entity. The loan was bidder recover from the fire insurance
not paid, and the mortgage was foreclosed policy over said property?
extrajudicially under Act 3135. After the A: No, since the creditor has no insurable
sale, the non-bank registered the sale. The interest when the fire insurance took effect.
day after the registration of the sale, the In property insurance, insurable must exist
property was destroyed by fire. Can the two times: a) at the time the insurance took
mortgagor recover on the fire insurance effect and; b) at the time of the lost but need
policy? not exist for the mean time.
A: No. Upon the expiration of the redemption
period, the judgment debtor has no more Q: Can the judgment creditor procure a
insurable interest over the property since it separate insurance policy after the auction
failed to redeem the property. In the case, sale?
upon registration of the sale the redemption A: Yes, being a judgment creditor, it has
period is already terminated. insurable interest over the property since it
will gain pecuniary benefit from its
Q: What if the mortgagor assigned the preservation and suffer pecuniary damage by
policy in favor of the mortgagee? its destruction.
A: Yes. Hence, if the mortgagee bank
assigned this right to the mortgagor, then the Q: The property was destroyed by fire
non-bank entity can likewise recover from after the one-year period of registration of
the insurance policy. the sale. Who between the creditor or
debtor can recover from the fire insurance
Q: Debtor is indebted to a creditor. He policy?
procured fire insurance over his property. A: The creditor can recover if he procured a
Can the creditor apply for an insurance separate insurance but he cannot recover if it
policy over the property of the debtor? is from the policy procured by the debtor.
A: NO. The creditor has no insurable interest With respect to the debtor, after the one-year
over the property of the debtor. Creditor period, his right to redeem the property was
cannot obtain pecuniary benefit from its already expired, hence, no more insurable
preservation or suffer pecuniary damage by interest.
its destruction.
RECITATION ROUND 2:
Q: Let’s say the debtor procured a fire
insurance policy. He was unable to pay so Q: The insurance policy provides that the
there was a collection suit and the property premium must be fully paid, the insured
was auctioned. After the auction sale, the made a partial payment of the premium.
property was destroyed by fire. Can the Thereafter, let’s say the property was
destroyed by fire, (fire is the risk insured
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against) may the insured recover on the paid. As discuss in the case of “Makati
fire insurance policy? Tuscany vs. CA”
A: The insured cannot recover, since the
insurance policy provides that the premium NOTE: Installment payment is allowed only
must be fully paid before the insured can if it is stated on the policy.
recover, hence there is no perfected insurance
policy contract yet. Q: Let’s say the insured is allowed to pay
premium on credit, he issued a promissory
Q: The policy allows for a payment of note payable to the order of the insurer, at
premium on installments, it further the same time he issued a check, the check
provides that if the first installment was was however dishonored, for being drawn
not made, then the policy is avoided, against insufficient funds. May the insured
before the premium could be paid, the recover on the fire insurance policy?
property is destroyed by fire. Can the A: In the case of “capital insurance
insured recover. corporation” asked twice in the bar, yes it can
A: No, the insured cannot recover since the recover as long as the loss occurred during
property was destroyed before the payment the credit extension period. The dishonor of
of premium, hence there is no perfected the check is immaterial.
insurance policy contract yet.
Q: What if there is no promissory note, the
Q: Same facts. The policy allows for the check issued and dishonored for
payment of premium on installment basis, insufficiency of funds. Can the insured
there is also a stipulation that, in any of the recover?
installments is not made the policy is A: No, the dishonor of the check is
avoided. The insured was able to make the tantamount to a non-payment of the
first installment payment, before he could premium.
make the second installment, the property
was destroyed by fire. May the insured Q: What if the dishonor happened after
recover? the loss occurred?
A: In this case, the insured can recover since, A: Still no, since under the cash and carry
as an exception of the “cash and carry rule, as a general rule, no policy or contract
rule”, payment of premium by of insurance issued by an insurance company
installments shall amount to a perfected is valid and binding unless and until the
insurance policy contract and the insurer premium thereof has been paid. Any
shall be liable for the face value of the policy agreement to the contrary is void. Unless
provided that there is no delay on the part of there is credit term extension granted to
the insured in paying the installment. Without the insured.
prejudice to recover the balance premiums
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The beneficiary of X cannot collect on the matter, the knowledge of such insurance
policy. Concealment, as a defense against by the insurers' agents, even assuming the
liability by the insurer, may either be acquisition thereof by the insurers, is not
intentional or unintentional. Lack of the notice that would estop the insurers
knowledge on the part of the insured about from denying the claim. New Life
her ailment will not preclude the insurer Enterprises and Julian Sy v. Court of
from raising the defense. The insurer may Appeals, et al., G.R. No. 94071, March 31,
be held in estoppel only if, having known 1992.
of the concealed or misrepresented fact,
still accepts the payment of premium In this case, the argument of the insured is
which is not the situation in this case. BAR that he disclosed the existence of other
1989. insurance in favor of the agent. Is that
disclosure to the agent likewise disclosure to
So she withheld a material fact that she was the insurer? What if the agent did not disclose
operated on. She did not disclose to the to the insurer? Is there concealment? YES.
insurer, this amounted to concealment. The theory of imputed knowledge does not
apply to property insurance. Disclosure to the
agent is not disclosure to the insurer.
SLIDE
Julian Sy, one of the partners, insured the
SLIDE
stocks in trade of New Life Enterprises
with Western Guaranty Corporation, What facts should be disclosed to each
Reliance Surety and Insurance. Co., Inc., party in a contract of insurance?
and Equitable Insurance Corporation.
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before the policy becomes effective. the insurer's action on the application of
BAR 2011. the insured, either by approving it with the
corresponding adjustment for a higher
premium or rejecting the same. Sunlife
Assurance Company of Canada v. Court of
Appeals, G.R. No. 105135, June 22, 1995.
TEST OF MATERIALITY
SLIDE
SLIDE
Cite cases/instances constituting
What is the test of materiality? concealment even though the facts
concealed were not the proximate cause of
Materiality is to be determined not by the the loss.
event, but solely by the probable and
reasonable influence of the facts upon the
party to whom the communication is due,
in forming his estimate of the SLIDE
disadvantages of the proposed contract, or a. "A" applied for a non-medical life
in making his inquiries. insurance. The insured did not inform the
insurer that one week prior to his
Very clearly, based on the test of materiality, application for insurance, he was examined
the facts concealed need not be the cause of and confined at St. Luke's Hospital where
the loss. By materiality, what is meant is, will he was diagnosed for lung cancer. The
the insurer accept the proposal to extend the insured soon thereafter died in a plane
insurance coverage and for what amount of crash. BAR 2001.
premium, if that information was made b. The insured did not disclose that
known to him. his daughter was a mongoloid child even
though the cause of her death was
SLIDE influenza. Great Pacific Life Assurance
Should the fact/s concealed be the Company v. Court of Appeals, G.R. No. L-
proximate cause of the loss in order to 31845, April 30, 1979.
constitute concealment? c. When the insured answered that he
consulted a doctor for cough and flu
SLIDE complications but the insurer discovered
that two weeks prior to his application for
No, the facts concealed need not be the
insurance, he was examined and confined
proximate cause of the loss in order to
at the Lung Center of the Philippines,
constitute concealment. Materiality is to be
where he was diagnosed for renal failure,
determined not by the event, but solely by
even though the insured died in a plane
the probable and reasonable influence of
crash. Sunlife Assurance Company of
the facts upon the party to whom the
Canada v. Court of Appeals, GR. No.
communication is due, in forming his
105135, June 22, 1995.
estimate of the disadvantages of the
proposed contract, or in making his
inquiries. The test is whether the matters d. When the insured consulted a
concealed would have definitely affected doctor and was diagnosed as suffering
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from "sinus tachycardia"; then consulted Hospital even though he died in a plane
the same doctor again and this time was crash. BAR 1996
found to have "acute bronchitis", even
though the cause of the death was
"congestive heart failure," "anemia," and
"chronic anemia." Thelma Vda. de
Canilang v. Court of Appeals and Great
Pacific Life Assurance Corporation, G.R.
No. 92492, June 17, 1993.
e. When the insured did not disclose SLIDE
in this fire insurance application that his What facts need not be communicated to
house had been insured with another each other in a contract of insurance?
insurance company. The fact of the
existence of the other insurance is material
because had he answered truthfully, the SLIDE
insurer would probably have charged him Neither party to a contract of insurance is
higher premium, or would have made bound to communicate information of the
further inquiries, or would have imposed matters following, except in answer to the
some other conditions in the policy to inquiries of the other:
protect its interest. The existence of a large
amount of insurance increases the moral (a) Those which the other knows;
hazard or the temptation to commit arson.
BAR 1997 "(b) Those which, in the exercise of
ordinary care, the other ought to know,
f. When the insured did not mention in his and of which the former has no reason to
application for life insurance that he had suppose him ignorant; "
suffered from viral hepatitis the previous
year even though he had fully recovered (c) Those of which the other waives
from the disease, the medical examination communication;
performed by the insurance company's
physician did not reveal such previous "(d) Those which prove or tend to prove
illness, and showed that he was healthy and the existence of a risk excluded by a
was an insurable risk, even though he died warranty, and which are not otherwise
of an automobile accident. material; and
g. When in his application, in response to "(e) Those which relate to a risk excepted
the question as to whether or not he had from the policy and which are not
ever been hospitalized, he answered in the otherwise material.
negative and forgot in good faith to
mention his confinement at the Kidney
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SLIDE SLIDE
- Information of the nature or Kwong Nam applied for a 20-year
amount of the interest of one endowment insurance on his life with his
insured need not be communicated wife, Ng Gan Zee as beneficiary. On the
unless in answer to an inquiry, same date, Asian Crusader, upon receipt of
except as prescribed by Section 51. the required premium from the insured,
- Neither party to a contract of approved the application and issued the
insurance is bound to corresponding policy. Kwong Nam died of
communicate, even upon inquiry, cancer of the liver with metastasis. All
information of his own judgment premiums had been paid at the time of his
upon the matters in question. death.
It has to be material facts, not opinions. Ng Gan Zee presented a claim for payment
of the face value of the policy. Asian
SLIDE Crusader Life Assurance denied the claim
A fire insurance policy in favor of the on the ground that the answers given by the
insured contained a stipulation that the insured to the questions in his application
insured shall give notice to the company of for life insurance were untrue, claiming
any insurances already effected or which that Kwong Nam misrepresentation when
may subsequently be effected, covering the he answered "No" to the question
property insured and that unless such appearing in the application for life
notice be given before the occurrence of insurance. Also, it was alleged that Kwong
any loss, all benefits shall be forfeited. The Nam was examined in connection with his
face of the policy bore the annotation application for life insurance, but he gave
"Coinsurance declared." The things the medical examiner false and misleading
insured were burned. It turned out that information as to his ailment and previous
several insurances were obtained on the operation by saying that it was associated
same goods for the same term. The insurer with ulcer of the stomach. Asian Crusader
refused to pay on the ground of contended that he was operated on for
concealment. May the insured recover? peptic ulcer 2 years before the policy was
Reason. applied for and that he never disclosed
such an operation. Is there concealment?
SLIDE
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SLIDE
It means that which would have prompted the On the basis of the entries in the death
insurer to inquire and ask questions and certificate of the insured, Manulife
would have meant the approval or rejection conducted an investigation into the
of the application for insurance or charging a circumstances leading to the insured's
higher amount of premium. death. It relied on the medical records of
the hospital where the insured was
SLIDE confined, and that Manulife thereafter
concluded that the insured misrepresented
Is proof of fraudulent intent on the part of
or concealed material facts at the time the
the insured necessary in order to entitle the
insurance policies were applied for; and
insurer to rescind the policy?
accordingly, Manulife denied the death
claims. Should the policy be rescinded?
SLIDE
• The Insurance Code dispensed SLIDE
with proof of fraudulent intent in
- No, in order for the insurer to
case of rescission due to
rescind the policy, there should be
concealment but not so in case of
intent to defraud on the part of the
rescission due to false
insured to rescind the policy. The
representation. Insular Life
medical records that might have
Assurance Co., Ltd. v. Heirs of
established the insured's purported
Alvarez, C.R. Nos. 207526 and
misrepresentation/s or
210156, October 3, 2018; Manulife
concealment/s is inadmissible for
v. Ibanez, November 28, 2016.
being hearsay, given the fact that
Manulife failed to present the
• This is neither because intent to
physician or any responsible
defraud is intrinsically irrelevant in
official of the hospital who could
concealment, nor because
confirm or attest to the due
concealment has nothing to do with
execution and authenticity of the
fraud. To the contrary, it is because
alleged medical records. Manulife
in insurance contracts, concealing
had utterly failed to prove by
material facts is inherently
convincing evidence that it had
fraudulent: "if a material fact is
been beguiled, inveigled, or
actually known to the [insured], its
cajoled into selling the insurance to
concealment must of itself
the insured who purportedly with
necessarily be a fraud. When one
malice and deceit passed himself
knows a material fact and conceals
it, "it is difficult to see how the off as thoroughly sound and
healthy, and thus a fit and proper
inference of a fraudulent intent or
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applicant for life insurance. The Heirs Of Alvarez filed a complaint for
Manulife's sole witness gave no specific performance to demand against
evidence at all relative to the Insular Life to fulfill its obligation as an
particulars of the purported insurer under the Group Mortgage
concealment or misrepresentation Redemption Insurance, and for
nullification of foreclosure against Union
allegedly perpetrated by the
Bank. Was there concealment?
insured, Manulife v, Ibanez,
November 28, 2016.
- It should be noted that when the
Supreme Court ruled that there SLIDE
should be proof of fraudulent
intent to defraud, it should be • None. Section 26 defines concealment
construed to refer to as a neglect to communicate that which
misrepresentation and not a party knows and ought to
concealment. That such proof is communicate. However, Alvarez did
required in misrepresentation is not withhold information on or neglect
to state his age. He made an actual
made clear in Insular Life v.
declaration and assertion about it. What
Alvarez.
this case involves, instead, is an
allegedly false representation. If indeed
SLIDE Alvarez misdeclared his age such that
his assertion fails to correspond with his
factual age, he made a false
Jose Alvarez applied for and was granted a representation, not a concealment. As
housing loan by Union Bank. This loan such, fraudulent intent on the part of the
was secured by a promissory note, a real insured must be established to entitle
estate mortgage over the property of the insurer to rescind the contract. The
Alvarez and a mortgage redemption Insurance Code dispenses with proof of
insurance taken on the life of Alvarez with fraudulent intent in cases of rescission
Union Bank as beneficiary. Alvarez was due to concealment, but not in cases of
among the mortgagors included in the list rescission due to false representation,
of qualified debtors covered by the Group When abundance of documentary
Mortgage Redemption Insurance that
evidence can be referenced to
Union Bank had with Insular Life. Alvarez
demonstrate a design to defraud,
died and subsequently, Union Bank filed
with Insular Life a death claim under presenting singular document with
Alvarez's name pursuant to the Group erroneous entry does not qualify as
Mortgage Redemption Insurance. Insular clear and convincing proof of
Life denied the claim after determining fraudulent intent. Insular Life basically
that Alvarez was not eligible for coverage relied on the Health Statement form
of Group Mortgage Redemption Insurance personally accomplished by Alvarez
as he was supposedly more than 60 years wherein he wrote that his birth year was
old at the time of his loan's approval. With 1942.
the claim's denial, the monthly
amortizations of the loan stood unpaid.
Subsequently, the lot was foreclosed and
sold at a public auction with Union Bank
as the highest bidder.
If the question is, was there concealment?
The answer should none. But if the question
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at the time of, or prior, to the issuance It means that after two years from date of
of the insurance policy; and issuance of the policy or its last
d. Proof of fraudulent intent is not reinstatement, the insurer must make good
necessary in case rescission due to on the policy, even though the policy was
concealment but not so in case of obtained by fraud, concealment, or
rescission due to misrepresentation. misrepresentation. It basically precludes
the insurer from rescinding the policy on
While there are distinctions between the
two, concealment has the same effect as account of concealment or
misrepresentation in terms of entitling the misrepresentation. Sunlife of Canada
insurer to rescind the insurance policy. (Philippines), Inc. v. Sibya, et al., G.R. No.
211212, June 8, 2016; BAR 2012.
THEORY OF IMPUTED
KNOWLEDGE SLIDE
What are the requisites of the
SLIDE incontestability clause?
Explain the incontestability clause.
The requisites are:
The incontestability clause in life a. The insurance is life insurance payable
insurance policy is based on Section 48 of on the death of the insured.
the Insurance Code; The clause is therefore not applicable to
"Whenever a right to rescind a annuity because the annuitant pays lump
contract of insurance is given to the sum to the insurer and gets a certain
insurer by any provision of this amount from the insurer every year until
chapter, such right must be the annuitant/insured dies.
exercised previous to the
commencement of an action on the
contract.
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SLIDE
On March 6, 1997, Felipe N. Khu, Sr. This is a case where the SC applied the rule
(Felipe) applied for a life insurance policy on the petition of insurance policy- always
with Insular Life. This took effect on June resolve in favor of the insured as against the
22, 1997. On June 23, 1999, Felipe's policy insurer, in relation to incontestability clause.
lapsed due to non-payment of the premium
covering the period from June 22, 1999 to
June 23, 2000. On September 7, 1999, SLIDE
Felipe applied for the reinstatement of his Hence, the beneficiaries instituted a
policy and paid the premium. complaint for specific performance with
damages and prayed that the reinstated life
On October 12, 1999, Insular Life advised insurance policy be declared valid,
Felipe that his application for enforceable and binding on Insular Life;
reinstatement may only be considered if he and that the latter be ordered to pay unto
agreed to certain conditions such as Felipe's beneficiaries the proceeds of the
payment of additional premium and the policy.
cancellation of the riders pertaining to
premium waiver and accidental death
benefits, Felipe agreed to these conditions In its Answer, Insular Life countered that
and on December 27, 1999 paid the agreed Felipe did not disclose certain ailments that
additional premium. he already had prior to his application for
reinstatement of his insurance policy; and
that it would not have reinstated the
On January 7, 2000, Insular Life issued the insurance policy had Felipe disclosed the
Endorsement corresponding to the policy. material information on his adverse health
On September 22, 2001, Felipe died. On condition. It further contended that when
October 5, 2001, Felipe's beneficiaries
Felipe died, the policy was still
filed With Insular Life a claim for benefit
under the reinstated policy. This claim was contestable. Was the insurance policy still
denied. Instead, Insular Life advised contestable?
Felipe's beneficiaries that it had decided to
rescind the reinstated policy on the
SLIDE
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concealed during the entire time his Mr. H. Under the Insurance Code, the
insurance policy was being processed. insurer is liable when suicide is
committed after the policy has been in
force for a period of two (2) years from
In January 2019, Mr. H unfortunately the date of issue or its last
committed suicide. Due to her husband's reinstatement. In this case, Mr. H
death, Mrs. W, as beneficiary, filed a claim committed suicide three (3) years after
with XYZ Insurance Co. to recover the issuance of the policy. Thus, XYZ
proceeds of the late Mr. H's life insurance should be liable to the beneficiary of
policy. However; XYZ Insurance Co. Mr. H. BAR 2019; 2013.
resisted the claim, contending that: (I) The
policy is void ab initio because Mr. H
fraudulently concealed or misrepresented SLIDE
his medical condition, i.e., his colon
cancer; and (2) As an insurer in a life Can the incontestability clause be invoked
insurance policy, it cannot be held liable in after the death of the insured if the death
case of suicide. occurred before two (2) years from
issuance of the policy?
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Tan, Alberto Tan, and Arturo Tan v. disclose that he was confined for renal
Court of Appeals and Philippine failure. Three months from issuance of the
American Life Insurance Company, policy, he died of gunshot wounds. The
G.R. No. 48049, June 29, 1989. Supreme Court held that there was no
concealment given the information that he
disclosed and that he further authorized the
insurer to conduct investigation on his
SLIDE medical background. And even assuming
• In other words, the clause can be that there was concealment, the insurer
invoked even after the death of the must make good on the policy because the
insured and not just during his lifetime. insured died within the two-year period,
The rescission need not be always done citing Manila Bankers v. Aban. G.R. NO.
during the lifetime of the insured. The 211212, June 8, 2016.
incontestability clause will only set in
after two (2) years from issuance of the
policy or last reinstatement. Side comment: This case was very
controversial. I wrote an article regarding
• However, in the case of Manila Bankers this in Tribune and when Sun Life read it,
Life Insurance Corporation v. Aban, it they hired me. I did not criticize the Supreme
was held that after the two-year period Court but I urged them to reassess its ruling.
lapsed, or when the insured dies within So Sun Life is now our client and we filed our
the period, the insurer must make good second MR to be referred to the SC en banc.
on the policy, even though the policy So to me, Sun Life v. Sibya is still an obiter
was obtained by fraud, concealment, or dictum.
misrepresentation.
• In Aban, more than two years had SLIDE
lapsed from the issuance of the policy, Based on Aban and Sibya cases, there are
thus, the incontestability clause had now two incontestability clauses:
lapsed. However, the Supreme Court
1. Two years had lapsed from
also said that if the insured died within
the two year period from the issuance of issuance of the policy or last
the policy (not after two [21 years), the reistatement
insurer can no longer rescind the policy 2. The insured died within 2 years
on account of misrepresentation and/or from the issuance of the policy.
concealment, It may be said that this
part of the decision is only an obiter The second application, however, goes
dictum because two (2) years had against the rationale of the incontestability
lapsed anyway, and the incontestability clause. It precludes the insurer from
clause already applied. conducting investigation if the insured
committed concealment and/or
misrepresentation, particularly if the
SLIDE insured died shortly after the issuance of
However, that principle was reiterated in the policy. It is submitted that this ruling
Sun Life of Canada v. Sibya. In this case, should be reassessed.
the insured applied for life insurance. He
disclosed in his application that he sought
Side comment: Even the Insurance
advice for kidney problem but failed to
Commission intervened with this case and
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urged the SC to reconsider their decision 4. Sotero did not sign the application
because of the impact on the insurance for insurance.
industry. Anong impact? Eh what if 5. Aban was the one who filed the
maraming insured mamatay one day after insurance application and
issuance or before 2 years, maraming designated herself as the
magsasara na insurance company. beneficiary.
SLIDE
SLIDE
On July 3, 1993, Delia Sotero (Sotero)
took out a life insurance policy from Ilocos a. Yes. Sotero may validly designate
Bankers Life Insurance Corporation her niece, Aban, as beneficiary.
(Ilocos Life) designating Cresencia Aban When the insured takes insurance
(Aban), her niece, as her beneficiary. on his own life, he can designate
anyone as beneficiary except those
On April 10, 1996, Sotero died. Aban filed disqualified to receive donation
a claim for the insurance proceeds on July under Article 739 of the Civil
9, 1996. Ilocos Life conducted an Code. Aban does not fall within the
investigation into the claim and came out disqualification.
with the following findings: b. Yes. The "incontestability clause"
is a provision in Insurance Code
which provides that after a policy
1. Sotero did not personally apply for
of life insurance made payable on
insurance coverage, as she was
illiterate, the death of the insured shall have
2. Sotero was sickly since 1990. been in force during the lifetime of
3. Sotero did not have the financial the insured for a period of two (2)
capability to pay the premium on years from the date of its issue or of
the policy. its last reinstatement, the insurer
cannot prove that the policy is void
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Pabaya can recover under the insurance A statement in a policy, which imparts that
policy. The statement of Pabaya that he it is intended to do or not to do a thing
planned to assign a security guard on every which materially affects the risk, is a
floor of the insured building, whether warranty that such act or omission shall
incorporated in the policy or not, did not take place.
amount to firm commitment so as to
constitute an express warranty or
representation. The facts indicate that it
was simply planned, not obligatory, or SLIDE
promissory, undertaking. BAR 1986 What is the legal effect when before the
time arrives for the performance of a
warranty, the loss insured against happens?
SLIDE
What are the kinds of warranty? SLIDE
a. A warranty may be expressed or When, before the time arrives for the
implied. performance of a warranty relating to the
➢ A statement in a policy, of a future, a loss insured against happens, or
matter relating to the person or performance becomes unlawful at the
thing insured, or to the risk, as place of the contract, or impossible, the
fact, is an express warranty omission to fulfill the warranty does not
thereof. avoid the policy.
➢ Every express warranty, made at
or before the execution of a
policy, must be contained in the SLIDE
policy itself, or in another When may the insurer rescind for violation
instrument signed by the insured of warranty?
and referred to in the policy as
making a part of it,
➢ Implied warranty is one that is SLIDE
deemed incorporated in the
contract although not expressly • The insurer may rescind the policy in
mentioned therein. An example of case of violation of a material warranty,
implied warranty is the warranty or other material provision of a policy,
of seaworthiness in marine on the part of either party thereto,
insurance policy entitles the other to rescind.
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in its inception, prevents the policy mortgagee even though it was Mario
from attaching to the risk, who committed them. BAR 2010.
SLIDE
To secure a loan of P 10M, Mario SLIDE
mortgaged his building to Armando. In On May 13, 1996, PAM, Inc. obtained a
accordance with the loan arrangements, P15,000,000.00 fire insurance policy from
Mario had the building insured with First Ilocano Insurance covering its machineries
Insurance Company for PIOM,
and equipment effective for one (I) year or
designating Armando as the beneficiary.
until May 14, 1997. The policy expressly
stated that the insured properties were
Armando also took an insurance on the located at "Sanyo Precision Phils.
building upon his own interest with Second Building, Phase Ill, Lots 4 and 6, Block 15,
Insurance Company for P5M. PEZA, Rosario, Cavite." Before its
expiration, the policy was renewed on "as
is" basis for another year or until May 13,
The building was totally destroyed by fire, 1998. The subject properties were later
a peril insured against under both transferred to Pace Factory also in PEZA.
insurance policies. It was subsequently On October 12, 1997, during the effectivity
determined that the fire had been of the renewed policy, a fire broke out at
intentionally started by Mario and that in the Pace Factory which totally burned the
violation of the loan agreement, he had insured properties. The policy forbade the
been storing inflammable materials in the removal of the insured properties unless
building. sanctioned by Ilocano. Condition 9 (c) of
the policy provides that "the insurance
ceases to attach as regards the property
SLIDE
affected unless the insured, before the
How much, if any, can Armando recover occurrence of any loss or damage, obtains
from either or both insurance companies? the sanction of the company signified by
• Armando can receive P5M from Second endorsement upon the policy x x x (c) if the
Insurance Company. As mortgagee, he property insured is removed to any
had an insurable interest in the building. building or place other than in that which
Armando cannot collect anything from is herein stated to be insured." PAM claims
First Insurance Company. First that it has substantially complied With
Insurance Company is not liable for the
notifying Ilocano through its sister
loss of the building. First, it was due to
a willful act of Mario, who committed company, the RBC, Which, in fact,
arson. Second, fire insurance policies referred PAM to Ilocano for the insurance
contain a warranty that the insured will coverage, Is Ilocano liable under the
not store hazardous materials within the policy?
insured's premises. Mario breached this
warranty when he stored inflammable
materials in the building. These two SLIDE
factors exonerate First Insurance Ilocano is not liable under the policy.
Company from liability to Armando as With the transfer of the location of the
subject properties, without notice and
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SLIDE
SLIDE K.S, Young has a business of a candy and
Qua Chee Gan obtained fire insurance fruit store in Escolta and occupied a
policies from Law Union and Rock building as a residence and bodega. Young
Insurance for his four warehouses used for entered into a contract of insurance with
storing copra and hemp. Under the Midland Textile Insurance in case said
policies, Qua Chee Gan should install fire residence and bodega and its contents
hydrants every 150 feet or 11 hydrants in should be destroyed by fire. One of the
the warehouse premises, however, he conditions of said contract of insurance is
installed only two (2) hydrants. found in "warranty B" which provides that
no hazardous goods should be stored or
kept for sale, and no hazardous trade or
Nevertheless, Law Union proceeded with process be carried on, in the building to
the insurance and collected premiums from which this insurance applies, or in any
Qua Chee Gan. In the 1940s, three (3) of building connected therewith. However,
the warehouses were razed by fire Young placed in said residence and bodega
prompting Qua Chee Gan to demand three (3) boxes filled with fireworks
insurance payment from Law Union. The intended to be used in the celebration of
insurance company refused, alleging that Chinese New Year. A few days after, the
the policies should have been avoided for insured building got partially destroyed by
breach of warranties. fire. The said fireworks, however, were
found in the part of the building not
destroyed by the fire and that they in no
May Law Union and Rock Insurance avoid
the policy? way contributed to the fire or to the loss
occasioned thereby.
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Company, G.R. No. L-5715, December 20, insurance claim, in which case, the insured
1910. should take legal action, or the insurance
claim will be processed and paid, in which
case, the next phase is subrogation.
CLAIMS SETTLEMENT AND
SUBROGATION
NOTICE AND PROOF OF LOSS
SLIDE SLIDE
What does loss in insurance mean?
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recovery when the cause of loss is the insurer omits to specify to him, without
willful act of the insured, alone, or in unnecessary delay, as grounds of
connivance with others objection, are waived.
SLIDE SLIDE
What should the insured to after the loss in Anco Enterprises Company owned the
order to recover from the insurer? M/T ANCO tugboat and the D/B Lucio
barge which were operated as common
• After the loss, the insured must submit carriers. San Miguel Corporation (SMC)
the notice and proof of loss within the entered into agreement with ANCO
period stipulated in the policy. wherein the latter will ship its cargoes on
• When a preliminary proof of loss is
board the DIB Lucio, for towage by M/T
ANCO. They further agreed that SMC will
required by a policy, the insured is not insure the cargoes in order to recover
bound to give such proof as would be
indemnity in case of loss, hence the
necessary in a court of justice; but it is
cargoes were insured with FGU Insurance
sufficient for him to give the best
evidence which he has in his power at Corporation. ANCO failed to deliver to
the time. SMC's consignee the cargoes. As a
consequence of the incident, SMC filed a
• If the policy requires, by way of complaint for Breach Of Contract of
Carriage and Damages against ANCO.
preliminary proof of loss, the certificate
or testimony Of a person other than the
insured, it is sufficient for the insured to Subsequently, ANCO filed a Third-Party
use reasonable evidence to the insurer Complaint against FGU on the ground that
that such refusal was not induced by the loss of said cargoes occurred as a result
any just grounds of disbelief in the facts of risks insured against in the insurance
necessary to be certified or testified. policy and during the existence and
lifetime of said insurance policy.
SLIDE
What happens in case of non-submission
or delay in the submission of the notice SLIDE
and/or proof of loss? Is FGU liable under the insurance policy?
The insurer shall be relieved of liability in No. It is a basic rule in insurance that the
case of non-submission or delay in the carelessness and negligence of the insured
submission of the notice and/or proof of or his agents constitute no defense on the
loss, unless the delay in the presentation to part of the insurer. This rule, however,
an insurer of notice or proof of loss is presupposes that the loss has occurred due
waived by the insurer or it omits to take to causes which could not have been
objection promptly and specifically upon prevented by the insured, despite the
that ground. exercise of due diligence. However, when
evidence show that the insured's
negligence or recklessness is so gross as to
All defects in a notice of loss, or in be sufficient to constitute a willful act, the
preliminary proof thereof, which the insurer must be exonerated. In the case at
insured might remedy, and which the
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bar, ANCO's representatives had failed to existing at the time of the fire. United
exercise extraordinary diligence required Merchants Corporation v. Country
of common carriers in the shipment of Bankers Insurance Corporation, G.R. No.
SMC's cargoes. Such blatant negligence 198588, July 11, 2012.
being the proximate cause of the loss of the
cargoes and is of such gross character that
it amounts to a wrongful act which must What if there is no stipulation as regards
exonerate FGU from liability under the discrepancy? There has to be a fraudulent
insurance contract. discrepancy between the amount claimed and
the actual loss suffered by the insured to
negate the liability of the insurer to the
DEAN: Why did I cite this case? In all the
insured.
cases in transpo, the common carrier is
always entitled to recover from the insurer in
case of loss or damage to goods. This is one SLIDE
case where the SC said there was gross It was also ruled that a false and material
negligence on the part of the common carrier statement made with an intent to decide or
that’s why it’s not entitled to recover from the defraud avoids an insurance policy. In this
insurer. I included this to support our case, the insured's verified claim totaled
discussion that when it comes to gross P31,860.85, of which, in accordance with
negligence, the insurer is not liable. the terms of the policy, three-fourths was
asked, or P 23,895.64 but the insurer's
SLIDE inventory of the goods found after the fire
came to P 13,113. The difference between
Does discrepancy between the actual loss
the two claim's estimate of the loss, which
and that claimed in the proof of loss void
was confirmed in the trial court, was P
the policy and adversely affect the right of
18,747.85. In connection with these
the insured to recover?
figures, the insured suggested too low a
valuation by the representatives of the
SLIDE insurer but even when computed at the
The Insurance Code provides that a policy insured's valuation, the goods inventoried
may declare that a violation of specified by the insurer's committee would amount
provisions thereof shall avoid it. Thus, in to P 19,346.30. There would, however, still
fire insurance policies, if so stipulated, a remain a considerable void between the
fraudulent discrepancy between the actual two (2) amounts, of P12.514.55. Tan It v.
loss and that claimed in the proof of loss Sun Insurance, G.R. No. L-27847,
voids the insurance policy. Mere filing of December 12, 1927
such a claim will exonerate the insurer. In
one case, the claim is twenty-five times the SLIDE
actual claim proved. As a consequence, the Pursuant to the fire insurance policy,
policy was voided. The Supreme Court Usiphil Incorporated filed with Finman
stated that the most liberal human General Assurance an insurance claim for
judgment cannot attribute such difference the loss of the insured properties due to
to mere innocent error in estimating or fire. Usiphil also submitted its Sworn
counting but to a deliberate intent to Statement of Loss and Formal Claim
demand from insurance companies together with Proof of Loss as compliance
payment for indemnity of goods not with the requirements of H.H. Bayned, the
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Is the submission of the notice of loss to presentation of the claim and filing of
the agent deemed as notice to the insurer? the proof of death of the insured.
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by reason of such unreasonable denial is not made after the 90th day after the proof
or withholding of payment plus interest of loss.
of twice the ceiling prescribed by the
Monetary Board of the amount of the GUIDELINES ON CLAIMS
claim due the insured, from the date
following the time prescribed in Section
248 or in Section 249, as the case may SLIDE
be, until the claim is fully satisfied. SETTLEMENT
Provided, That failure to pay any such
claim within the time prescribed in said
a. Unfair Claims Settlement, Sanctions
sections shall be considered prima facie
evidence of unreasonable delay in
payment.
SLIDE
SLIDE What constitute unfair claim settlement?
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Has the cause of action already prescribed? date of rejection by the insurer as
this is the time when the cause of
action accrues. In the cases at bar,
no denial of the claims was ever
SLIDE made and hence there has yet been
no accrual of cause of action.
• No, there is absolutely nothing in Therefore, the prescription has not
the law which mandates that the yet set in. Summit Guaranty and
two (2) periods must always Insurance Company Inc. v. Hon.
concur. On the contrary, it is very Jose de Guzman, et al.,
clear that the one-year period is
only required "in proper cases." It
appears that the insurer Q: What happens when the insurer delays the
disregarded this very significant processing of the claim?
phrase when it made its own A: Based on this doctrine, you cannot file a
interpretation of the law, Had the case against the insurance company because
lawmakers intended it to be the the cause of action has not accrued yet.
way petitioner company assumes it
to be, then the phrase "in proper We are currently handling a case, our client
cases" would not have been is the insured, we’re going against a
inserted. multinational insurance company. That’s
what the insurance company has been doing-
• Also, the cause of action did not not rejecting the claim. But because there is
accrue until claim was finally no rejection, based on this case, we cannot
rejected by the insurance company. sue the insurer. Our argument is inaction is
This is because before such final tantamount to denial. There has to be some
rejection there is no real necessity kind of remedy available to the insured.
for bringing suit. The one-year
period should be counted from the
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Accordingly, the mortgagee filed a claim he states, the insurance payment should
with the insurer, and the latter paid the inure to his benefit because he owns the
mortgagee-insured. house.
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Marine Malayan Insurance, et al., G.R. the insured for damages under the
No. 212107, October 28, 2019. insurance, the insurer is subrogated merely
to the rights of the insured. As subrogee, it
Discussion: can recover only the amount that is
recoverable by the latter. Since the right of
This means that the insurer has the right to go the assured is limited by the provisions in
after Keihin-Everett and/or to run after said the bill of lading, a suit by the insurer as a
freight forwarder. subrogee is necessarily subject to like
limitations. St. Paul Fire & Marine
Thus, whatever right or remedy available to Insurance Co. v. Macondray & Co., Inc.,
the insured, the breach of contract of carriage et al., G.R. No. L-27796, March 25, 1976.
against the custom broker, or tort against the
said freight forwarder may be enforced Discussion:
against by the insurer. The limit of liability of 500USD per package
can be enforced by the common carrier,
How much may the insurer recover responsible for the loss or damage, against
from the wrongdoer as a result of the insurance company.
subrogation?
The insurance company only acquires the
rights and remedies of the insured. Whatever
The insurer, after paying the claim of the defenses which may be raised by the insured
insured under the insurance policy, is can also be raised by the insurance company.
subrogated merely to the rights of the
assured. As subrogee, it can recover only Therefore, the limitation of liability, as set
the amount that is recoverable by the latter. forth in the bill of lading, may be enforced by
In one case, a shipment was covered by a the common carrier against the insurance
bill of lading which stipulated, among company.
others, that the carrier’s liability with
respect to lost or damaged shipments is
In another case, it was held that the failure
expressly limited to the C.I.F. value of the
of the insurer to present sufficient proof
goods, upon arrival at the Port of Manila,
that the subrogor sustained damages,
several cartons were received in bad order
which would have entitled it to indemnity,
condition, hence the consignee filed a
precludes recovery on the part of the
claim with the carrier as well as the insurer
insurer. The rights of a subrogee cannot be
but the carrier refused, so it was the insurer
superior to the rights possessed by a
that paid the value of the insured goods,
subrogor. Consequently, an insurer
including other expenses in connection
indemnifies the insured based on the loss
therewith. Thereafter, the insurer sued the
or injury the latter actually suffered from.
carrier, to collect what it paid the insured.
If there is no loss or injury, then there is no
It was held that after paying the claim of
obligation on the part of the insurer to
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indemnify the insured. Should the insurer A helicopter of ABC Co. collided with
pay the insured and it turns out that XYZ’s tramway steel cables in its
indemnification is not due, or if due, the logging area in Surigao resulting in the
amount paid is excessive, the insurer takes destruction of the helicopter and death
the risk of not being able to seek of two pilots. ABC Co. insured at its
recompense from the alleged wrongdoer. expense the helicopter and death of two
Loadstar Shipping Company v. Malayan pilots. ABC Co. insured at its expense
Insurance, G.R. No. 185565, November 26, the helicopter for P8,000,000.00 and the
2014. two pilots for P5,00,000.00 each, and as
a result of the crash, the insurer paid
In this particular case, the Philippine ABC Co. a total indemnity of
Associated Smelting and Refining P13,000,000.00. Nevertheless, ABC Co
Corporation (PASAR) had not established sustained additional damages of about
by an iota of evidence the amount of loss P1,000,000.00 which were not covered
or actual damage it suffered by reason of by insurance.
seawater wettage of the 777.29 metric tons
of copper concentrates. In spite of no proof a. ABC Co. sued XYZ to recover not
of loss, Malayan paid the claim of PASAR only the additional damages, but also
in the amount of P33,934,948.75. The the amount which was already
Supreme Court ruled that Malayan cannot compensated by the insurer. Decide.
make the common carrier answerable for Give reasons.
its mistake in indemnifying PASAR. This
is in line with the principle that a subrogee
steps into the shoes of the insured and can b. What right/recourse, if any, has the
recover only if the insured likewise could insurer in order to be reimbursed for
have recovered. Loadstar Shipping the amount it paid to ABC Co? Give
Company and Loadstar International reasons.
Company v. Malayan Insurace, ibid.
a. ABC Co may bring the action against
In what instances is the insurer not XYZ for its claim for the additional
entitled to the right of subrogation? damages not covered by insurance, but not
for the amount already paid by the insurer.
If a property is insured and the owner
The insurer is not entitled to the right of
received indemnity from the insurer, the
subrogation in the following cases:
latter is deemed subrogated to the rights of
the insured against the wrongdoer, and if
i. In life insurance, because subrogation the amount paid by the insurer does not
exists only when insurance is a contract of fully cover the loss, then the aggrieved
indemnity.
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party is the one entitled to recover the all because there is no loss, thereby
deficiency. effecting voluntary payment.
To allow ABC Co. to bring an action iv. Where the insurer pays the assured the
against XYZ for the amount already paid value of the lost goods without notifying
by the insurer will result in unjust the carrier who has in good faith settled the
enrichment and violate the indemnity assured’s claim for loss, the settlement is
principle of an insurance contract. binding on both the assured and the
insurer, and the latter cannot bring an
action against the carrier on his supposed
b. The insurer is deemed subrogated to the
right of subrogation.
rights of ABC Co against XYZ to the
extent of P8,000.000 insurance paid for the
helicopter only, but not for the life v. When the insured releases the
insurance of the two dead pilots, since wrongdoer, the insurer is released from
subrogation in the New Civil Code refers liability. If the release was done after the
only to property, and not to the life insured has received the payment from the
insurance. insurer, insurer can recover from insured.
Pan Malayan Insurance Corporation v.
Discussion: Court of Appeals, et al., G.R. No. 81026,
April 3, 1990.
It’s not the insured that will bring an action
against XYZ, but the insurer by virtue of the If the insured received partial indemnity
right of subrogation. amount from the wrongdoer but the latter
was completely released by the insured, the
*Continuation of Instances when latter cannot recover the deficiency from
Insurer not entitled to Right of the insurer.
Subrogation*
Manila Mahogany Manufacturing
ii. When the proximate cause of the loss Corporation insured its Mercedes Benz
was the negligence of the insured himself. car with Zenith Insurance Corporation.
The insured can recover because only The car was bumped and damaged by a
gross negligence bars recovery but there is truck owned by San Miguel
no subrogation if there is no wrongdoer or Corporation (SMC). For the damage
violator of the contract. caused, Zenith Insurance paid Manila
Mahogany. However, Zenith Insurance
was not able to collect from SMC,
iii. When the insurer pays the insured for a
because it so happened that SMC
loss due to a risk not covered by the policy
already paid Manila Mahogany for
or payment should not have been made at
which it executed a release claim
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The facts of this case are as follows: ruled that the claim has not yet prescribed
following the Vector ruling. Although in
this case, the Court deemed it necessary to
From 1989 to 1999, National Arts Studio
abandon the ruling in Vector that an
and Color Lab (NASCL) leased the front
insurer may file an action against the
portion of a two-storey building owned by
tortfeasor within 10 years from the time the
Vicente Henson Jr. (Henson). In 1999,
insurer indemnifies the insured, the
NASCL gave up its lease and instead
abandonment of the Vector doctrine
leased the right front portion and the entire
should be prospective in application for the
second-floor of the building. Meanwhile,
reason that judicial decisions applying or
Copylandia Office Systems Corp.
interpreting the laws or the Constitution,
(Copylandia) moved in to the ground floor.
until reversed, shall form part of the legal
system of the Philippines.
A water leak occurred in the building
causing injury to the various equipment of
The rule now is, following the principles of
Copylandia. As the said equipment were
subrogation, the insurer only steps into the
insured, Copylandia filed a claim with its
shoes of the insured. No new obligation
insurer, UCPB General Insurance Co., Inc.
was created between the insurer and the
(UCPB). UCPB paid the claim and, as
wrongdoer. The rights of a subrogee
subrogee, demanded from NASCL for the
cannot be superior to the rights possessed
amount of the payment it made. Since the
by a subrogor. Therefore, for purposes of
demand proved to be futile, UCPB filed a
prescription, the insurer inherits only the
complaint for damages against NASCL.
remaining period within which the insured
may file an action against the wrongdoer.
Meanwhile, Henson transferred ownership The indemnification of the insured by the
of the building to Citrinne Holdings, Inc. insurer only allows it to be subrogated to
(CHI), where he was a stockholder and the former's rights, and does not create a
President. UCPB amended its complaint new reckoning point for the cause of action
impleading CHI as a defendant. that the insured originally has against the
Thereafter, UCPB filed a motion praying wrongdoer. Thus, applying prospectively,
Henson, instead of CHI, be impleaded as a the prescription period to claim
defendant. CHI opposed the complaint on indemnification from a tortfeasor is only
the ground of prescription, arguing that four (4) years. Vicente Henson, Jr. v.
since UCPB’s cause of action is based on UCPB General Insurance Co., G.R. No.
quasi-delict, it must be brought within four 223134, August 14, 2019.
(4) years from its accrual on May 9, 2006.
This should mean that if tortious act was
On the issue of whether the claim of UPCB committed on January 8, 2020, the insured
already prescribed, the Supreme Court party has up to January 8, 2024 to file the
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1. MARINE INSURANCE
"(3) Precious stones, jewels, jewelry,
precious metals, whether in course of
transportation or otherwise; and
What is marine insurance?
Bridges, tunnels and other
Marine insurance is a type of insurance instrumentalities of transportation and
against loss or damage to: communication (excluding buildings, their
furniture and furnishings, fixed contents
"(1) Vessels, craft, aircraft, vehicles, and supplies held in storage); piers,
goods, freights, cargoes, merchandise, wharves, docks and slips, and other aids to
effects, disbursements, profits, moneys, navigation and transportation, including
securities, choses in action, instruments of dry docks and marine railways, dams and
debts, valuable papers, bottomry, and appurtenant facilities for the control of
respondentia interests and all other kinds waterways.
of property and interests therein, in respect
to, appertaining to or in connection with It also covers marine protection and
any and all risks or perils of navigation, indemnity insurance, meaning insurance
transit or transportation, or while being against, or against legal liability of the
assembled, packed, crated, baled, insured for loss, damage, or expense
compressed or similarly prepared for incident to ownership, operation,
shipment or while awaiting shipment, or chartering, maintenance, use, repair, or
during any delays, storage, transshipment, construction of any vessel, craft or
or reshipment incident thereto, including instrumentality in use of ocean or inland
war risks, marine builder's risks, and all waterways, including liability of the
personal property floater risks; insured for personal injury, illness or death
or for loss of or damage to the property of
"(2) Person or property in connection with another person.
or appertaining to a marine, inland marine.
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Who has insurable interest in marine The shipowner also has insurable
insurance? interest on the cargo or goods
loaded into the ship and subject by
a contract of carriage. His insurable
a. The shipowner has in all cases an interest is the extent he will be
insurable interest in the ship, even damnified if the goods are
when it has been chartered by one damaged or lost.
who covenants to pay him its value
in case of loss: Provided, That in If the ship is hypothecated by
this case the insurer shall be liable bottomry, the insurable interest of
for only that part of the loss which the shipowner is only the excess of
the insured cannot recover from the its value over the amount secured
charterer. by bottomry.
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Perils of the sea or perils of navigation Perils of the ship refer to losses which in
pertain to casualties arising from the the ordinary course of events result from
unusual violence or extraordinary causes the ordinary, natural and inevitable action
connected with navigation. It includes such of the sea, or from ordinary wear and tear
losses as are of extraordinary nature which of the ship, or from the negligent failure of
cannot be guarded against by the ordinary the ship’s owner to provide the vessel with
exertion of human skill or prudence, as the adequate crew complement and proper
distinguished from the ordinary wear and equipment to convey the cargo under
tear of the voyage and from injuries ordinary conditions.
suffered by the vessel in consequence of
her not being unseaworthy. La Razon v.
Union Insurance, G.R. No. 139983,
Cite examples of Perils of the Ship
September 1, 1919.
Anything outside of these two is peril of the b. The captain was inexperienced or
sea, which makes the insurer liable. with expired license or in case of
deep seated anger by the crew
against the ship captain, or when
Is the rusting of steel pipes in the course the crew unbolted the sea valve of
of voyage a “peril of the sea”? the vessel causing water to flood
the ship hold. 2010 Bar
Yes, rusting of steel pipes in the course of
voyage a “peril of the sea” in view of the c. Roof deck cargo, reconfiguration
toll on the cargo of wind, water, and salt of the cargo to accommodate more
conditions. Cathay Insurance Co. v. Hon. passengers, lack of weather
Court of Appeals and Remington monitoring equipment, and not
Industrial Sales Corporation, G.R. No. enough life jackets.
76145, June 30, 1987.
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Choa Tiek Seng, doing business under the South Sea and Charter refused to pay
name and style of Seng’s Commercial because the insurance surveyor's report
Enterprises v. Court of Appeals, et al., allegedly showed that the damage is a
G.R. No. 84507, March 15, 1990. factory defect. RTC noted that the
insurance contracts executed by Mayer,
“All Risk” South Sea and Charter are "all risks"
It must be read and applied in relation to policies which insure against all causes
transit and navigation. of conceivable loss or damage. The only
exceptions are those excluded in the
Q: What may be excluded from an “all policy, or those sustained due to fraud or
risk” insurance policy? intentional misconduct on the part of the
A: insured. CA set aside the complaint on
1. Those that are excluded in the policy; the ground of prescription. It held that
and the action is barred under Section 3(6)
2. Those caused by the willful acts of the of the Carriage of Goods by Sea Act
insured since it was filed more than two years
from the time the goods were unloaded
Other than these two, an “all risk” insurance from the vessel. It ruled that this
policy covers both perils of the sea and perils provision applies not only to the carrier
of the ship. but also to the insurer.
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obligations of the carrier under the contract the vessel's crew had lacked sufficient
of carriage. It does not, however, affect the training; (3) the improper loading of the
relationship between the shipper and the logs on only one side of the vessel had led
insurer. The latter case is governed by the to the tilting of the ship to the other side
Insurance Code. In the case at bar, it was during the stormy voyage; and (4) the
the shipper which filed a claim against the extremely bad weather had been a
insurer. The basis of the shipper's claim is fortuitous event.
the "all risks" insurance policies issued by
South Sea and Charter to Mayer. Mayer ATC now seeks your legal advice to
Steel Pipe Corp. v. Court of Appeals and know if its claim was sustainable. What
South Sea Surety, G.R. No. 124050, June
is your advice? Explain your answer.
19, 1997.
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The following warranties are implied ballasts, cables and anchors, cordage and
marine insurance; sails, food, water, fuel and lights, and other
necessary or proper stores and implements
a That the ship is seaworthy to make the for the voyage.
voyage and/or to take in certain
cargoes; Manila Bay, a common carrier, entered
b That the ship shall not deviate from the into a contract with Isabel Roque, doing
voyage insured; business under the name and style of
c That the ship shall carry the necessary Isabela Roque Timber (Isabel) whereby
documents to show nationality or Manila Bay will load and carry on board
neutrality and that it will not carry its barge wooden logs from Palawan to
document which will cast reasonable Manila. Thereafter, Isabel insured the
suspicion thereon; logs against loss with Pioneer.
d That the ship shall not carry Thereafter, during the voyage for the
contraband, especially if it is making delivery of the aforementioned logs, the
voyage through belligerent waters. ship of Manila Bay sank, rendering the
BAR 2000. delivery of the wooden logs to Manila
impossible. This prompted Isabel to
So, demand from Manila Bay payment for
a. Seaworthiness the loss of the shipment plus costs for
b. Deviation unrealized profits. However, Manila
c. Against illegality Bay ignored Isabel's demand.
d. Documents
Thereafter, Isabel demanded from
It goes without saying, there is also warranty Pioneer payment for the lost logs
of insurable interest. pursuant to the insurance policy but
Pioneer refused on the ground that there
When is ship seaworthy? was a breach of implied warranty of
seaworthiness on the part of Isabel,
A ship is seaworthy when it is reasonably hence not covered by the marine
fit to perform the service and to encounter insurance policy. Is Pioneer liable for
the ordinary perils of the voyage payment under the marine insurance
contemplated by the parties to the policy. policy?
A warranty of seaworthiness extends not
only to the condition of the structure of the No, Pioneer is not liable for payment under
ship itself, but requires that it be properly the marine insurance policy. Section 113 of
laden, and provided with a competent the Insurance Code provides: In every
master, a sufficient number of competent marine insurance upon a ship or freight, or
officers and seamen, and the requisite freightage, or upon anything which is the
appurtenances and equipment, such as
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subject of marine insurance, a warranty is to flood the ship hold. The vessel sank.
implied that the ship is seaworthy. Constantino tried to collect from the
insurance company which denied
Since the law provides for an implied liability, given the unworthiness of both
warranty of seaworthiness in every the vessel and its crew.
contract of ordinary marine insurance, it
becomes the obligation of a cargo owner to Constantino countered that he was not
look for a reliable common carrier which owner of the vessel and he could
keeps its vessels in seaworthy condition. therefore not be responsible for
The shipper of cargo may have no control conditions about which he was innocent.
over the vessel but he has full control in the Is the insurance company liable?
choice of the common carrier that will
transport his goods. Or the cargo owner No, the insurance company is not liable
may enter into a contract of insurance because there is an implied warranty in
which specifically provides that the insurer every marine insurance that the ship is
answers not only for the perils of the sea seaworthy whoever is insuring the cargo,
but also provides for coverage of perils of whether it be the shipowner or not. There
the ship, was a breach of warranty, because the logs
were improperly loaded and the crew was
Moreover, the fact that the irresponsible, It is the obligation of the
unseaworthiness of the ship was unknown owner of the cargo to look for a reliable
to the insured is immaterial in ordinary common carrier which keeps its vessel in
marine insurance and may not be used by seaworthy condition. Bar 1986; 2010.
him as a defense in order to recover on the
marine insurance policy. On October 30, 2007, M/V Pacific, a
Philippine registered vessel owned by
Paolo, the owner of an ocean-going Cebu Shipping Company (CSC), sank
vessel, offered to transport the logs of on her voyage from Hong Kong to
Constantino from Manila to Nagoya. Manila. Empire Assurance Company
Constantino accepted the offer, not (Empire) is the insurer of the lost
knowing that the vessel was manned by cargoes loaded on board the vessel
an irresponsible crew with deep-seated which were consigned to Debenhams
resentments against Paolo, their Company. After it indemnified
employer. Constantino insured the Debenhams, Empire as subrogee filed
cargo of logs against both perils of the an action for damages against CSC.
sea and barratry. The logs were
improperly loaded on one side, thereby a. Assume the vessel was not
causing the vessel to tilt on one side. On seaworthy as in fact its hull had
the way to Nagoya, the crew unbolted leaked, causing flooding in the
the sea valve of the vessel causing water
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c. When made in good faith, and upon the earthquake and tsunami struck
reasonable grounds of belief in the three (3) days later and the ship was
necessity to avoid peril; saved. Was the deviation proper?
d. When made in good faith for the
purpose of saving human life or No, because no reasonable ground for
relieving another vessel in distress. avoiding a peril existed at the time of the
deviation.
In the foregoing cases, the deviation is
proper,
What are the kinds of loss in marine
On a clear weather, MV Sundo, insurance?
carrying insured cargo, left the port of
Manila bound for Cebu. While at sea, A loss may be either total or partial. Every
the vessel encountered a strong typhoon loss which is not total is partial. A total loss
forcing the captain to steer the vessel to may be either actual or constructive.
the nearest island where it stayed for
seven (7) days. The vessel ran out of Constructive total loss results when there is
provisions for its passengers. abandonment.
Consequently, the vessel proceeded to
Leyte to replenish its supplies. If there is no constructive loss because the
damage is not commensurate to the threshold
Assuming that the cargo was damaged amounts indicated by law, the insured may
because of such deviation, who between still recover, not based on the total loss, but
the insurance company and the owner of based on actual loss sustained.
the cargo bears the loss? Explain.
Just because there is no total loss doesn’t
The insurance company should bear the mean that the insurer is not liable. The insurer
loss. The deviation was due to a strong is liable but only up to the loss sustained or
typhoon and therefore caused by suffered by the insured.
circumstances beyond the control of the
captain. The deviation was also needed to When may the insured recover an actual
avoid a peril whether or not insured total loss under a marine insurance?
against. The deviation was therefore
proper. Bar 2005 & 2008. The insured may recover for an actual total
loss under a marine insurance in the
T, captain of MV Don Alan, while asleep following cases:
in his cabin, dreamt of an Intensity 8
earthquake along the path of his ship. If the actual total loss is caused by:
On waking up, he immediately ordered
the ship to return to port. True enough,
a. Total destruction of the thing An actual loss may be presumed from the
insured; continued absence of a ship without being
b. The irretrievable loss of the thing heard of. The length of time which is
by sinking, or by being broken up; sufficient to raise this presumption
c. Any damage to the thing which depends on the circumstances of the case.
renders it valueless to the owner for
the purpose for which he held it; or Upon an actual total loss, a person Insured
is entitled to payment without notice of
RC Corporation purchased from abandonment.
Thailand, which it intended to sell
locally. Due to stormy weather, the ship There is also total loss in case of
carrying the rice became submerged in constructive total loss coupled with
sea water and with it the rice cargo. abandonment on the part of the insured.
When the cargo arrived in Manila, RC
filed a claim for total loss with the
insurer, because the rice was no longer What is abandonment?
fit for human consumption. Admittedly,
the rice could still be used as animal Abandonment, in marine insurance, is the
feed. act of the insured by which, after a
constructive total loss, he declares the
Is RC's claim for total loss justified? relinquishment to the insurer of his interest
Explain. in the thing insured.
Yes, RC's claim for total loss is justified. There are two things to warrant total loss
The rice, which was imported from recovery:
Thailand for sale locally, is obviously 1. Constructive Loss
intended for consumption by the public. 2. Abandonment
The complete physical destruction of the
rice is not essential to constitute an actual On the account of travel interest, obviously
loss. Such a loss exists in this case since the there is no abandonment in the context of a
rice, having been soaked in sea water and marine insurance.
thereby rendered unfit for human
consumption, has become totally useless When may a person insured by a
for the purpose for which it was imported. contract of marine insurance abandon te
Bar 1996 thing insured?
"(d) Any other event which effectively A person insured by a contract of marine
deprives the owher of the possession, at the insurance may abandon the thing insured,
port of destination, of the thing insured. or any particular portion thereof separately
valued by the policy, or otherwise
separately insured, and recover for a total fire, a covered peril under the marine
loss thereof, when the cause of the loss is a insurance policies obtained by WG&A
peril insured against: from Pioneer. The estimates given by the
three disinterested and qualified
"(a) If more than three-fourths (3/4) thereof shipyards show that the damage to the
in value is actually lost, or would have to ship would exceed or % of the total
be expended to recover it from the peril; value of the policies — Considering the
extent of the damage, WG&A opted to
"(b) If it is injured to such an extent as to abandon the ship and claimed the value
reduce its value more than three-fourths of its policies.
(3/4);
Is there a constructive total loss?
"(c) If the thing insured is a ship, and the
contemplated voyage cannot be lawfully Yes, in marine insurance, a constructive
performed without incurring either an total loss occurs under any of the
expense to the insured of more than three- conditions: a) If more than three-fourths
fourths (3/4) the value of the thing thereof in value is actually lost or would
abandoned or a risk which a prudent man have to be expended to recover it from the
would not take under the circumstances; or peril; or b) If it is injured to such an extent
as to reduce its value more than three-
"(d) If the thing insured, being cargo or fourths.
freightage, and the voyage cannot be
performed, nor another ship procured by An insurance company issued a marine
the master, within a reasonable time and insurance policy covering a shipment by
with reasonable diligence, to forward the sea from Mindoro to Batangas of 1,000
cargo, without incurring the like expense pieces of Mindoro garden stones against
or risk mentioned in the preceding "total loss only". The stones were loaded
subparagraph, But freightage cannot in any in two lighters, the first with 600 pieces
case be abandoned unless the ship is also and the second with 400 pieces. Because
abandoned. of rough seas, damage was caused the
second lighter resulting in the loss of 325
WG & A Jebsens Shipmgmt, out of the 400 pieces. The owner of the
owner/operator of M/V shipment filed claims against the
"SUPERFERRY 3" and Keppel Cebu insurance company on the ground of
Shipyard, Inc. (KCSI) entered into an constructive total loss inasmuch as more
agreement for the Drydocking and than 3/4 of the value of the stones had
Repair of the above-named vessel. In the been lost in one of the lighter.
course of its repair, M/V "Superferry 3"
was gutted by fire. M/V "Superferry 3" Is the insurance company liable under
suffered widespread damage from the its policy? Why?
The insurance company is not liable under probable cause therefor, and need
its policy covering against "total loss only" not be accompanied with proof of
the shipment of 1,000 pieces of Mindoro interest or of loss.
garden stones. There is no constructive 5. It can be sustained only upon the
total loss that can be claimed since the 3/4 cause specified in the notice
rule is to be computed on the total 1,000 thereof.
pieces of Mindoro garden stones covered 6. It must be accepted by the insurer.
by the single policy coverage.
The acceptance of an abandonment
What are the requisites of a valid may be either express or implied
abandonment? from the conduct of the insurer,
The mere silence of the insurer for
The requisites of a valid abandonment are an unreasonable length of time
as follows: after notice shall be construed as an
1. It must be neither partial nor acceptance.
conditional,
2. It must be made within a 7. An abandonment once made and
reasonable time after receipt of accepted is irrevocable, unless the
reliable information of the loss, but ground upon which it was made
where the information is of a proves to be unfounded.
doubtful character, the insured is
entitled to a reasonable time to If an insurer refuses to accept a valid
make inquiry. abandonment, he is liable as upon an actual
3. It is made by giving notice thereof total loss, deducting from the amount any
to the insurer, which may be done proceeds of the thing insured which may
orally, or in writing: Provided, that have come to the hands of the insured.
if the notice be done orally, a
written notice of such If an insurer refuses to accept a valid
abandonment shall be submitted abandonment, he is liable as upon an actual
within seven (7) days from such total loss, deducting from the amount any
oral notice. proceeds of the thing insured which may
An agent who procured the insurance have come to the hands of the insured.
can also give notice of abandonment
for his principal. What is the effect of abandonment?
An inter-island vessel, insured for P2M Yes, the position of the insurance
against "total and constructive total company as to the absence of
loss," sank in 150 ft of water 1 mile off constructive total loss is well taken.
Parafiaque during a typhoon. After the The sum total of the damage to the
typhoon, the ship owner gave written vessel was only (P40,000.00 for
notice of abandonment of his interest in the salvors, and PI,300.00 for the
the entire sunken ship to the insurance restoration of the vessel to its
company. Refusing to accept the offer of original condition) which amount
abandonment, the insurer hired salvors is not more than 3/4 of the value of
to refloat the vessel at a total cost of the vessel (P2M).
P40,000.00. Because the refloated vessel
needed repairs, the insurer Issued c. Assuming that the ship owner
invitations to bid for repairs, Several failed to give the proper notice of
firms submitted separate sealed bids abandonment, may he still
ranging from PI. 2M to P 1.3M for the recover from the insurer? Why?
complete refurbishing and/or
restoration of the vessel to its original Yes, the shipowner may still
condition. On the basis of the following recover from the insurer, his actual
facts, the insurance company rejected loss, the amount of which is now
the claim of the ship owner for payment only partial loss, being not total
of total loss on the ground that there was loss. But since the said amount was
no constructive total loss. already spent by the insurer on the
vessel, the insurer is no longer
A cargo ship of X Shipping Co. ran While conceptually fire insurance includes
aground off the coast of Cebu during a allied risks as enumerated above, the
storm and lost all its cargo amounting to insured may recover only for the risk/s
P50M. the ship itself suffered damages insured against, as specified in the policy.
estimated at P80M, The cargo owners
filed a suit against X Shipping but it If the fire insurance policy limits the risk to
invoked the doctrine of limited liability fire, can the insured recover if the property is
since it vessel suffered an P80M damage, destroyed by earthquake? It cannot, unless
more than the collective value of all lost earthquake is included as the risk insured
cargo. against, which will, of course, mean higher
amount of premium.
Is X Shipping correct?
EXTENT OF LIABILITY
a. Yes, since under the doctrine, the
value of the lost cargo and the What are the different kinds of insurance
damage to the ship can be set-off. policy? (*In relation to fire insurance)
b. No, since each cargo owner has a
separate and individual claim for ● A policy is either open, valued or
damages. running.
c. Yes, since the extent of the ship's ● An open policy is one in which the
damage was greater than that of the value of the thing insured is not
value of the lost cargo. agreed upon, and the amount of the
d. No, since X Shipping neither insurance merely represents the
incurred a total loss nor abandoned insurer’s maximum liability. The
its ship. value of such thing insured shall be
ascertained at the time of the loss.
● A valued policy is one which
2. FIRE expresses on its face an agreement
that the thing insured shall be
Enumerate the perils covered under a valued at a specific sum
fire insurance. ● A running policy is one which
contemplates successive
Fire insurance is insurance against loss insurances, and which provides that
arising from fire, lightning, windstorm, the object of the policy may be
tornados, earthquakes and other allied from time to time defined,
risks, when such risks are covered by especially as to the subjects of
No, he can only be indemnified for his Jose is P3M and he can recover this amount
loss, not profit thereby; hence, he must under such an open policy.
return P200,000 of the P800,000 he was
able to collect. Bar 1990 Here, a distinction has to be made.
He can recover from any one of them until A fire occurred in the building of the
has recovered his loss. He has the option to Philippine Union Realty Development
proceed against any one of the insurance, but Corporation. It sued for recovery of
the limited liability of the insurers is the damages from Development Insurance
principal value. Corporation on the basis of an insurance
contract between them. Development
Jose constructed a house worth Insurance Corporation argues that the
P5,000,000 which he insured against fire insurance covers only the building and
for the same amount. The insurance for not the elevators, and that the elevators
the same amount was renewed every were insured only after the fire.
year. After a few years, when the house
was already worth P15,000,000 on Is the Development Insurance
account of inflationary prices (in case of Corporation liable for the amount of the
a rebuilding), one-fifth (1/5) of the house building?
was destroyed by fire. As there is
nothing illegal about the contract, how Yes, the Development Insurance
much, if any, can Jose successfully Corporation's claim that the insurance
recover from the Insurance Company? covered only the building and not the
Reason. elevators is absurd, to say the least, The
only remaining question to be settled is the
If the fire policy is a valued one, then Jose amount of the indemnity due under the
can recover 1/5 of P5,000,000, i.e., insurance contract, The policy is an open
P1,000,000. Under the Insurance code, the policy — one which the value of the thing
valuation in a valued policy is conclusive insured is not agreed upon but is left to be
between the parties in the absence of fraud. ascertained in case of loss.292 This means
So Jose cannot claim that since his house that the actual loss, as determined, will
was worth P15,000,000 at the time of the represent the total indemnity due the
loss, he should be able to recover insured from the insurer except only that
P3,000,000 (actual value of 105—1/5 of the total indemnity shall not exceed the
P15,000,000) face value of the policy. The actual loss has
been ascertained in this case and the Court
If the policy is an open policy then under will respect such factual determination in
the law, appraisal of loss is made after the the absence of proof that it was arrived at
fire. Since the house was worth arbitrarily. Development Insurance
P15,000,000 at such time, then the loss of Corporation v. Intermediate Appellate
Court, et al., G.R. No. L-71360, July 16, An alteration in the use or condition of a
1986. thing insured from that to which it is
limited by the policy made without the
Paramount Shirt Manufacturing Co. consent of the insurer, by means within the
(insured) was issued a Fire Policy by control of the insured, and increasing the
which Oriental Assurance Corporation risks, entitles an insurer to rescind a
bound itself to indemnify the former for contract of fire insurance.
any loss or damage caused by fire to its
property. While the aforesaid policy was An alteration in the use or condition of a
in full force and effect, a fire broke out thing insured from that to which it is
on the subject premises destroying the limited by the policy, which does not
goods contained in its ground and increase the risk, does not affect a contract
second floors. It was thereafter learned of fire insurance.
that the insured did not reveal
undeclared co-insurances and that the The following are the requisites of the
insured failed to file the required proof alteration in the use or condition of the
of loss prior to the court action as thing insured in order to entitle the
required under the policy. insurer to rescind.
Distinguish friendly fire from hostile material that was highly flammable. The
fire. furnace fire caused intense heat and
great volumes of smoke and soot that
FRIENDLY FIRE HOSTILE FIRE damaged the furnishings in the rooms of
Is one which is Is a fire that goes X. When X tried to collect on the policy,
deliberate and out of control and Queens Insurance refused to pay
remains within the beyond the limits contending that the damage is not
limits for it. intended for it. To covered by the policy, where the fire is
be covered by fire confined within the furnace. Decide.
insurance, the fire
must be hostile. The refusal of Queens to pay is justified.
The damage is not covered by the policy
Cite examples of damage caused by which only insures "against all direct loss
friendly fire for which the insurer is not and damage by fire." The damage being
liable. claimed by X was caused by intense heat
and great volumes of smoke and soot and
a. Damage caused on the insured curtains not directly by fire. The stipulation in the
in a condominium unit by smoke from policy is paramount, not being contrary to
a lamp when no ignition occurred law. Bar 1989
outside of the lamp.
b. Damage done to sugar by the heat of What is the measure of indemnity in fire
the usual fires employed for refining, insurance policy?
being accumulated by the
mismanagement of the insured, who If there is no valuation in the policy, the
inadvertently kept the top of their measure of indemnity in an insurance
chimney closed. against fire is the expense it would be to the
c. Smoke emitted by cooking stove. insured at the time of the commencement
of the fire to replace the thing lost or
Cite examples of damage caused by injured in the condition in which it was at
hostile fire. the time of the injury; but if there is a
valuation in a policy of fire insurance, the
a. Faulty wiring that caused fired. effect shall be the same as in a policy of
b. Christmas lights that caught fire and marine insurance. This means that the
exploded. measure of indemnity is the value of the
property indicated in the policy.
Queens Insurance Company insured X,
a resident of Baguio City, “against all Whenever the insured desires to have a
direct loss and damage by fire.” X lived valuation named in his policy, insuring
in a house heated by a furnace. His any building or structure against fire, he
servant built a fire in the furnace using may require such building or structure to
meaning of the policy. It was an accident insured got the insurance for his protection.
because the insured did not expect to die by In fact, he removed the magazine from the
entering such contest. Bar 1990 gun and when he pointed the gun to his
temple he did so because he thought that it
Sun-Moon Insurance issued a Personal was safe for him to do so. He did so to
Accident Policy to Henry Dy with a face assure his sister that the gun was harmless.
value of P500,000.00. A provision in the There is none in the policy that would
policy states that “the company shall not relieve the insurer of liability for the death
be liable in respect of bodily injury of the insured since the death was an
consequent upon the insured person accident. BAR 1995, 1993.
attempting to commit suicide or willfully
exposing himself to needless peril except Fortune Insurance and Surety Co., Inc.
in an attempt to save human life”. Six (6) (Fortune) issued a policy to Producers
months later, Henry died of a bullet Bank wherein it stipulated under the
wound in his head. Investigation showed General Exceptions Clause that “the
that one evening Henry was in a happy company shall not be liable under this
mood although he was not drunk. He policy in respect of x x x (b) any loss
was playing with his handgun from caused by any dishonest, fraudulent or
which he had previously removed its criminal act of the insured or any
magazine. He pointed the gun at his officer, employee, partner, director,
sister who got scared. He assured her it trustee or authorized representative of
was not loaded. He then pointed the gun the Insured whether acting alone or in
at his temple and pulled the trigger. The conjunction with others. x x x”
gun fires and Henry slumped dead on
the floor. Henry’s wife, Beverly, as the An armored car of the bank driven by
designated beneficiary, sought to collect Magalong was robbed while
under the policy. Sun-Moon rejected her transferring it to another branch.
claim on the ground that the death of Producers Bank demanded payment
Henry was not accidental. Beverly sued from Fortune but the latter refused to
the insurer. pay as the loss is excluded from the
coverage of insurance policy under the
Decide. Discuss fully. General Exception Clause.
Beverly can recover the proceeds of the Is the Fortune liable under the theft or
policy from the insurer. The death of the robbery insurance policy?
insured was not due to suicide or willful
exposure to needless peril which are the
excepted risks. The insured’s act was No, Fortune is exempt from liability. It
purely on act of negligence which is should be noted that theft or robbery
covered by the policy and for which the insurance policy is a form of casualty
insurance. It has been aptly observed that driver and conductor”. The policy also
in burglary, robbery, and theft insurance, stated that in “the event of the death of
the opportunity to defraud the insurer is so the driver, the Company shall indemnify
great that insurers have found it necessary his personal representatives and at the
to fill up their policies with countless Company’s option may make indemnity
restrictions, many designed to reduce this payable directly to the claimants or
hazard. The purpose of the exception is to heirs of the claimants.” During the
guard against liability should the theft be policy’s lifetime, a taxicab of the insured
committed by one having unrestricted driven by Coquia met an accident and
access to the property. Coquia died. When Fieldmen’s
Insurance Co. refused to pay the parents
It is clear that insofar as Fortune is of Coquia, they instituted a complaint.
concerned, it was its intention to exclude Fieldmen’s Insurance Co. argued that
and exempt from protection and coverage Coquia’s parents have no cause of action
losses arising from dishonest, fraudulent, since the Coquias have no contractual
or criminal acts of persons granted or relationship with it.
having unrestricted access to Producers’
money or payroll. When it used then the Can the parents of Coquia collect on the
term “employee,” it must have had in mind policy?
any person who qualifies as such as
generally and universally understood, or as Yes, pursuant to the stipulations in the
statutorily declared even in a limited sense policy, Fieldmen’s Insurance Co. will
as in the case of Article 106 of the Labor indemnify any authorized Driver who is
Code. Even granting that the contracts with driving the Motor Vehicle of the Manila
Magalong’s employers was labor-only Yellow Taxicab and, in the event of death
contracts, it may fall under the definition of said driver, the Fieldmen’s Insurance
“representative”. Fortune Insurance and Co. shall, likewise, indemnify his personal
Surety Co., Inc. v. Court of Appeals and representatives. In fact, Fieldmen’s
Producers Bank of the Philippines, G.R. Insurance Co. may, at its option, make
No. 115278, May 23, 1995. (might be indemnity payable directly to the claimants
included in the exam) or heirs of claimants. Thus, the policy
under consideration is typical of contracts
Fieldmen’s Insurance Co. issued in pour autrui. It is clear that the Coquias,
favor of the Manila Yellow Taxicab a who are the sole heirs of the deceased are,
common carrier insurance policy with a have a direct cause of action against the
stipulation that the company shall Fieldmen’s Insurance Co. and may collect
indemnify the insured of the sums which on the policy. Melecio Coquia, et al. v.
the latter may be held liable for with Fieldmen’s Insurance Co., Inc., G.R. No.
respect to “death or bodily injury to any L-23276, November 29, 1968.
fare-paying passenger including the
Carlie Surposa was insured with having been expressly included in the
Finman General Assurance enumeration of the circumstances that
Corporation (Finman). While said would negate liability in said insurance
policy was in full force and effect, the policy, it cannot be considered by
insured died as a result of a stab wound implication to discharge the Finman from
without provocation and warning on the liability for, any injury, disability or loss
part of the insured as he and his cousin suffered by Carlie. Thus, the failure of the
were waiting for a ride on their way petitioner insurance company to include
home. Thereafter, Julia Surposa and the death resulting from murder or assault
other beneficiaries of said personal among the prohibited risks leads inevitably
accident insurance policy filed a written to the conclusion that it did not intend to
notice of claim with the Finman which limit or exempt itself from liability for such
denied said claim contending that death.
murder and assault are not within the
scope of the coverage of the insurance Also, where the death or injury is not the
policy as the cause of death wasnot natural or probable result of the insured’s
accidental but a deliberate act of the voluntary act, or if something unforeseen
assailant in killing Carlie. occurs in the doing of the act which
produces the injury, the resulting death is
Is Finman liable under the insurance within the protection of the policies
policy? insuring against death or injury from
accident. In the case at bar, it cannot be
Yes, the personal accident insurance policy pretended that Carlie died in the course of
involved herein specifically enumerated an assault or murder as a result of his
only 10 circumstances wherein no liability voluntary act considering the very nature
attaches to Finman for any injury, of these crimes. Finman General
disability or loss suffered by the insured as Assurance Corporation v. Honorable
a result of any of the stimulated causes. Court of Appeals and Julia Surposa,
The principle of “expresso unius exclusio G.R. No. 100970, September 2, 1992.
alterius” is therefore applicable in the
instant case. Since murder and assault, not
under the no fault indemnity clause but it A: Yes, they can run after the deficiency from
cannot exceed 15,000. It cannot be 15,000 the wrongdoer. They cannot restrict their
per insurer, it could only be 15,000 for the claims from the insurer.
claim or victim.
Dean: So the judgment against A, as
Q: In case they don’t want to enforce the operator, is breach of contract of carriage (for
no fault indemnity clause of the X). The judgment for X (Y ata to dapat) and
Comprehensive Motor Vehicle Insurance Z for tort less any amount that the insurer was
Policy, can they claim more than 15,000 made to pay in favor X, Y and Z.
against insurer?
A: Yes, Dean if the insurance policy would
SURETYSHIP
amount to a different amount or liability
liable solidarily with the principal debtor. What is the liability of a surety
The distinction being that if it is a suretyship company?
issued by a bonding company or insurance
company as accredited by the Insurance "Section 178. The liability of the surety
Commissioner, then the liability is only up to or sureties shall be joint and several with
the obligor and shall be limited to the
the extent of the amount indicated in the
amount of the bond. It is determined
policy. If it is to the extent of the amount strictly by the terms of the contract of
insurance policy or bond is equivalent to the suretyship in relation to the principal
amount of the claim against the principal contract between the obligor and the
debtor, then both of them are liable solidarily. obligee."
But in excess of the amount as set forth in the
bond issued by the surety, the excess cannot The concept is same as surety under the Civil
be said to be an obligation joint and several Code, then the principal obligation is void
with the principal debtor. and obviously the surety likewise has no
obligation under the bond. If the principal
So while it is solidary, it is still dependent on obligation is unenforceable, then the
the face value or the maximum amount obligation of surety is also unenforceable, it
indicated in the policy or the bond issued by being mere accessory obligation.
the surety.
William B. Murphy filed a case for
The other instance we encountered the collection of a sum of money, accounting
concept of suretyship: Remember our and damages against Pedro Mejorada.
discussion regarding bond Murphy likewise prayed for a Writ of
Preliminary Attachment, which the Trial
Q: What will make a bond binding on the Court granted upon a bond of P250,000.00
obligee? issued by Zenith Insurance Corporation in
A: Premium is paid to the surety company or favor of Murphy. A judgment was
even though no premium was paid, if the rendered against Murphy. Thereafter,
bond is delivered to and accepted by the Mejorada proceeded against the balance of
obligee Zenith's attachment bond coverage. An
Alias Writ was issued on the basis of
In the case of Philippines Pryce Corporation Mejorado's contention that Zenith's
vs CA, the check issued in favour of the surety liability not being limited to the amount of
bounced but because the bond was being the bond it has put up but includes all the
delivered to and accepted by the oblige, then actual and consequential damages suffered
the surety is liable for that particular bond by private respondent, there having
despite non-payment of premium intervened malice and bad faith on Zenith's
part. Is Zenith liable for more than the
amount of bond?
"Section 178. The liability of the surety saying that no such agreement was
or sureties shall be joint and several with executed with Chevron. First Lepanto then
the obligor and shall be limited to the advised Chevron the nonexistence of the
amount of the bond. It is determined
strictly by the terms of the contract of principal agreement as confirmed by
suretyship in relation to the principal Fumitechniks. Chevron formally
contract between the obligor and the demanded from First Lepanto the payment
obligee." of its claim under the surety bond. First
(yes po yan talaga ulit ung slide) Lepanto reiterated its position that without
the basic contract subject of the bond, it
Based on what we quoted a while ago under cannot act on Chevron's claim.
Section178 - while the surety is liable
solidarily with the principal debtor, it is only Is First Lepanto liable to Chevron, the
up to the amount indicated in the bond. creditor, in the absence of the principal
contract?
A reading of the bond shows that it Is Finman General liable to Inocencio and
secures the payment of purchases on others so as to implead it in the complaint?
credit by Fumitechniks in accordance
with the terms and conditions of the
"agreement" it entered into with
Chevron. The word "agreement" has Yes, Finman General is solidarily liable.
reference to the distributorship
Under Section 176 of the Insurance Code,
agreement, the principal contract and
by implication included the credit as amended, the liability of a surety in a
agreement in the rider. In this case, surety bond is joint and several with the
Chevron has executed written principal obligor. Finman's bond was
agreements only with its direct posted by Pan Pacific in compliance with
customers but not to distributors like the requirements of Article 31, Labor Code
Fumitechniks and it also never relayed in order to guarantee recruitment
the terms and conditions of its
distributorship agreement to First procedures. Thus, Finman General is
Lepanto after the delivery of the bond. solidarily liable with Pan Pacific.
(First Lepanto-Taisho Insurrance
Corporation v. Chevron Philippines, Inc., The answer obviously is yes because that is
G.R. No. 177839, January 18, 2012.)
the concept of a bond. The bonding company,
as a surety, is liable solidarily with the
This case is a long one but this reiterates that principal obligor or debtor.
if the principal debtor is not liable then the
surety likewise is not liable, it being mere When is a surety entitled to premium
accessory obligation. payment?
This is the case of Maramag vs Maramag. forfeited. Not forfeited as in it will not be
given to anyone but the share forfeited shall
c. In case of joint designation of lawfully pass on to other beneficiaries unless
designated beneficiaries, proceeds shall be otherwise disqualified. In the absence of
divided based on terms of policy. If the other beneficiaries, the proceeds shall be paid
policy is silent, the proceeds shall be in accordance with the policy contract. In
divided equally between or among the case the policy contract is silent then that is
beneficiaries. the only time that the proceeds are payable to
the estate of the insured.
retirement benefits shall accrue to his statutory daily wage in manila and if the
estate and will be distributed among his words "industrial policy are printed on the
legal heirs in accordance with the law on policy."
intestate succession. Re: Claims for
Benefits of the Heirs of the Late Mario V.
Chanliongco, Adm. Matter No. 190-RET,
What are the non-default or forfeiture
October 18, 1977.
options in whole life insurance?
it is committed after the policy has been in joke and assured her that it was not loaded,
force for a period of two (2) years from the then he put the gun to his temple and fired
date of its issue or of its last reinstatement, it.
unless the policy provides a shorter period:
Provided, however, that suicide committed Sun Insurance agreed that it was not
in the state of insanity shall be suicide, but argued that it was not an
compensable regardless of the date of accident and is therefore not covered by
commission. the insurance. Sun Insurance argued that
one of the four exceptions in the said
The insurer, however, is not liable if insurance contract includes bodily injury
suicide in an excepted risk. consequent upon the insured person
attempting to commit suicide or "willfully
exposing himself to needless peril" except
X, in January 30, 2009, or two (2) years in an attempt to save a human life, and that
before reaching the age of 65, insured his the mere act of pointing the gun to his
life for P20M. For reason unknown to his temple showed that Felix willfully exposed
family, he took his own life two (2) days himself to danger.
after his 65th birthday. The policy contains
no excepted risk. Which statement is most
Is Lim's death covered by the insurance
accurate?
policy?
May a Life Insurance be assigned? that Y is not entitled to any amount under
the policy because the assignment without
due notice to the insurer was void. Resolve
A policy of insurance upon life or health
the issues.
may pass by transfer, will or succession
to any person, whether he has an insurable
interest or not, and such person may A life insurance is assignable. A provision,
recover upon it whatever the insured might however, in the policy stating that written
have recovered. The assignee need not notice of such an assignment should be
have insurable interest in the life of the given to the insurer is valid. The failure of
insured. This is because in life insurance, the notice of assignment would thus
insurable interest must exist only at the preclude the assignee from claiming rights
time of the issuance of the policy. The only under the policy. The failure of notice did
exception is to circumvent the rule on not, however, avoid the policy; hence,
insurable interest as when assignment is upon the death of Jose, the proceeds
made in favor of a person who cannot be would, in the absence of a designated
designated beneficiary of the insured. beneficiary, go to the estate of the insured.
The estate, in turn, would be liable for the
loan of P50,000.00 owing in favor of Y.
Is notice to the insurer of the assignment
Bar 1991
necessary for its validity?
liability is based on the amount set forth in be held solidarily liable with the insured
the policy itself. and/or the other parties found at fault. The
liability of the insurer is based on contract;
Lope Maglana met an accident that that of the insured is based on tort.
resulted in his death while driving his
motorcycle on his way to workstation. He But we have seen cases where the tortfeasor
was bumped by a PUJ jeep which was and the operator of the common carrier, as in
driven by Pepito Into and was operated and the case of Tiu vs Arriesgado, that you can
owned by defendant Destrajo, when he make the tortfeasor and the common carrier
overtook another passenger jeep that was joint and severally liable even if they have
going towards the city. Thereafter, the different causes of action insofar as the
heirs of the deceased filed an action against aggrieved party is concerned; and different
Destrajo and the Afisco Insurance source liability.
Corporation (AFISCO) for damages and
attorney's fees. So although the Supreme Court says that only
tortfeasors can be made joint and severally
AFISCO was ordered to reimburse liable, we have cases seen in Transpo and
Destrajo whatever amounts the latter shall portion of insurance that a tortfeasor can be
have paid only up to the extent of its jointly and severally liable with a carrier,
insurance coverage, signifying only eventhough the latter’s liability is based on
secondary liability. The heirs, however, contract.
claimed that AFISCO should not merely be
held secondarily liable because the What we’re saying is that when the SC says
Insurance Code provides that the insurer's the surety or insurance company is not
liability is "direct and primary and/or liable soliadrily with the tortfeasor or
jointly and severally with the operator of third party insured, it is because there is a
the vehicle", although only up to the extent limit to the liability of the insurer – not the
of the insurance coverage. entire amount or claim or judgment
against tortfeasor but only up to extent of
liability as set forth in the policy itself.
Is AFISCO solidarily liable with Destrajo?
System. V. Court of Appeals et.al., G.R. solidarily liable with Cesar, it could be
No. 101439, June 21, 1999 made to pay more than the amount stated
in the policy. This would, however, be
This is just the reiteration of Consolacion vs contrary to the principles underlying
Maglana. insurance contracts. On the other hand, if
the insurer were solidarily liable with
Cesar and it is made to pay only up to the
While driving his car along EDSA, Cesar
amount stated in the insurance policy, the
sideswiped Roberto, causing injuries to the
principles underlying solidary obligations
latter. Roberto sued Cesar and the third-
would be violated. Bar 1996
party liability insurer for damages and/ or
insurance proceeds. The insurance
company moved to dismiss the complaint, This is the same as the first case.
contending that the liability of Cesar has
not yet been determined with finality. The next case is similar to the first 2 cases
that we saw but with a difference as we’ll see
when we discuss the answer.
a. Is the contention of the insurer correct?
Explain.
Poe was run over by a truck which was
b. May the insurer be held liable with insured with Malayan Insurance. Heirs of
Cesar? Poe then filed a complaint against the
owner of the truck and Malayan Insurance.
Malayan Insurance while admitting that it
a. No, the contention of the insurer is not is the insurer of the truck, it asserts that its
correct. There is no need to wait for the liability is limited, and it should not be held
decision of the court determining Cesar's solidarily liable with the owner for all the
liability with finality before the third-party damages awarded to the aggrieved parties.
liability insurer could be sued. The
occurrence of the injury to Roberto Is Malayan Insurance solidarily liable
immediately gave rise to the liability of the with the truck owner?
insurer under its policy. In other words,
where an insurance policy insures directly No, where the insurance contract provides
against liability, the insurer's liability for indemnity against liability to third
accrues immediately upon the occurrence persons, the liability of the insurer is direct
of the injury or event upon which the and third persons can directly sue the
liability depends. insurer. The direct liability of the insurer
under indemnity contracts against third
b. The insurer cannot be held solidarily party liability does not mean, however, that
liable with Cesar. The liability of the the insurer can be held solidarily liable
insurer is based on contract while that of with the insured and/or the other parties
Cesar is based on tort. If the insurer were found at fault, since they are being held
liable under different obligations. The
liability of the insured carrier or vehicle a. The total indemnity in respect of any
owner is based on tort, in accordance with person shall not be less than P 15,000
the provisions of the Civil Code; while that b. The following proofs of loss, when
of the insurer arises from contract, submitted under oath, shall be sufficient
particularly, the insurance policy. The evidence to substantiate the claim:
third-party liability of the insurer is only up
● Police report of accident; and
to the extent of the insurance policy and
● Death certificate and evidence
that required by law; and it cannot be held
sufficient
solidarily liable for anything beyond that
● Medical report and evidence of
amount. Any award beyond the insurance
medical or hospital disbursement
coverage would already be the sole
in respect of which refund is
liability of the insured and/or the other
claimed.
parties at fault. However, Malayan did
not produce evidence to prove its limited
c. Claim may be made against one motor
liability so the Court concluded that it
vehicle only. In the case of an occupant of
had agreed to fully indemnify third-
a vehicle, claim, shall lie against the
party liabilities. Heirs of George Poe v.
insurer of the vehicle in which the
Malayan Insurance Company, G.R. No.
occupant is riding, mounting or
156302, April 7, 2009.
dismounting from. In any other case, claim
shall lie against the insurer of the directly
The insured in this case was made liable offending vehicle. In all cases, the right of
equivalent to the amount of judgment against the party paying the claim to recover
the operator and tortfeasor because it did not against the owner of the vehicle
produce evidence of its limited liability. responsible for the accident shall be
maintained.
Q: What evidence should have been
presented to prove the limit of liability of
You know the P20,000 by way of an
the insurer?
amendment to the Insurance Code.
A: Of course, the policy itself.
the bus was the offending vehicle. The bus Seguros, Inc., to pay immediately within
had a CMVLI policy issued by Dragon five (5) days the required amount under the
Insurance Corporation, X, Y and Z jointly "no-fault clause" as provided for in Section
sued RM Travel and Dragon Insurance for 378 of the Insurance Code. Perla
indemnity under the Insurance Code of the Compania de Seguros, Inc., contends that
Philippines. The lower court applied the under Section 378 of the Insurance Code,
"no-fault" indemnity policy of the statute, the insurer liable to pay the P5,000 is the
dismissed the suit against RM Travel, and insurer of the vehicle in which private
ordered Dragon insurance to pay respondents were riding, not petitioner.
indemnity to all three plaintiffs.
Is Perla Compania de Seguros, Inc., liable?
Do you agree with the court's judgment?
Explain. No, the essence of "no fault indemnity"
clause is to provide victims of vehicular
accidents or their heir's immediate
No. The cause of action of Y is based on
compensation pending final determination
the contract of carriage, while that of X
of who is responsible for the accident.
and Z is based on torts. The court should
From a reading of Section 378, the
not have dismissed the suit against RM
following rules on claims under the no
Travel. The court should have ordered
fault indemnity provision, where the proof
Dragon Insurance to pay each of X, Y,
of fault or negligence is not necessary for
and Z to the extent of the insurance
payment of any claim for death or injury to
coverage. The excess of the claims of X,
passenger or third party, are: 1) claim may
Y, and Z, over and above such insurance
be made against one motor vehicle only; 2)
coverage, if any, should be answered or
if the victim is occupant of a vehicle, the
paid by RM Travel. Bar 2000
claim shall be against the insurer of vehicle
in which he is riding, mounting, or
There was a collision between the IH dismounting from; 3) in any other case, the
Scout, where private respondents were claim shall lie against the insurer of
riding, and a Superlines bus. Private directly offending vehicle; 4) in all cases,
respondents sustained injuries. A the right of other party paying the claim to
complaint for damages was filed against recover against the owner of the vehicle
Superlines, the bus driver and Perla responsible for the accident shall be
Compania de Seguros, Inc., the insurer of maintained. Perla Compania de Seguros
the bus. The vehicle in which the private Inc. v. Hon. Constante Ancheta, et al., G.R.
respondents were riding was insured with No. L-49699, August 8, 1988.
Malayan Insurance Co. Even before
summons could be served, the judge issued
an order for the Perla Compania de
Not liable because it is not insurer of the vehicle and is not disqualified from doing
vehicle where the claimant was an so under any enactment or regulation. At
occupant. the time of the accident, Stokes had been
in the Philippines for more than 90 days.
AUTHORIZED DRIVER CLAUSE Hence, under the law, he could not drive a
motor vehicle without a Philippine driver's
license. He was therefore not an
You will see various clauses in the "authorized driver" under the terms of the
comprehensive motor vehicle insurance insurance policy in question, and Malayan
policy. We now take a look at authorized was right in denying the claim of the
driver clause. insured. James Stokes, as Attorney-in-Fact
of Daniel Stephen Adolfson v. Malayan
Daniel Adolfson had a subsisting Malayan Insurance Co, Inc., G.R. No. L-34768,
car insurance policy with coverage against February 24, 1984.
own damage as well as third party liability
when his car figured in a vehicular You can drive but not more than 30 days. For
accident with another car, resulting to laws of other countries, you’re allowed to
damage in both vehicles. At the time of the drive for (inaudible), but beyond that
accident, Adolfson's car was being driven whatever foreign license that you have will
by James Stokes, who was authorized to do no longer be valid.
so by Adolfson. Stokes, an Irish tourist
who had been in the Philippines for only
Andrew Palermo, filed a complaint against
90 days, had a valid and subsisting Irish Pyramid Insurance Co., Inc., for payment
driver's license but without a Philippine of his claim under a Private Car
driver's license. Comprehensive Policy MV 1251.
Adolfson filed a claim with Malayan but In its answer, Pyramid Insurance Co., Inc.,
the latter refused to pay contending that alleged that it disallowed the claim
Stokes was not an authorized driver under because at the time of the accident, the
the "Authorized Driver" clause of the insured was driving his car with an expired
insurance policy in relation to Section 21 driver's license
of the Land Transportation Code. Is
Malayan Insurance liable to pay
Adolfson? Does the authorized driver clause apply to
the insured himself so as to excuse
Pyramid Insurance from liability?
No. Under the authorized driver clause, an
authorized driver must not only be
permitted to drive by the insured but it is
also essential that he is permitted under No, the requirement that the driver be
the law and regulations to drive the motor permitted in accordance with the licensing
or other laws or regulations to drive the proper driver's license at the time of the
Motor Vehicle and is not disqualified from accident. The Restriction 4 in Leonardo
driving such motor vehicle by order of a Anit's driver's license provided that he can
Court of Law or by reason of any only drive four-wheeled vehicles weighing
enactment or regulation in that behalf, not more than 4,500 kgs. Since the insured
applies only when the driver is driving on truck he was driving weighed more than
the insured's order or with his permission. 4,500 kgs, he therefore violated the
It does not apply when the person driving "authorized driver" clause 5 of the
is the insured himself. Andrew Palermo v. insurance policy. Is Standard Insurance
Pyramid Insurance Co., Inc., G.R. No. L- liable to pay Lao?
36480, May 31, 1988; 1991 Bar
SLIDE
We have to add: without prejudice to his
liability under the Land Transportation
Code. For insofar as the liability of the No, if the license of the third party driving
insurer is concerned, it does not matter that the private motor vehicle prohibits him
the driver/operator/owner of the vehicle, if from driving a vehicle exceeding the
he’s the one driving, does not have a valid weight of 4,500 kgs, the Standard
license. Insurance is not liable if the weight
exceeds 4,500 kgs. The license provides
The next slide is variation in the sense that to for the extent of authority. Rudy Lao v.
be an authorized driver, you should be the Standard Insurance co., Inc., G.R. No.
owner itself or person authorized by the 140023, August 14, 2003
owner but without valid license
corresponding to the type of vehicle that the
driver is operating. Lets take a look at this So the license provides for the extent of
case. authority so while you may have a license,
SLIDE that license must correspond to the type of
vehicle that you are driving. Otherwise,
unless you are the owner yourself, the
Rudy Lao is the owner of a Fuso truck
insurer is not liable.
insured with Standard Insurance Co., Inc.
While the policy was in effect, the insured
truck bumped another truck, also owned by Capital Insurance & Surety Co., Inc.
Lao. Lao filed a claim with the insurance insured for one (I) year the jeepney of
company for the proceeds from his policy. Agapito Gutierrez against passenger and
However, the claim was denied by the third-party liability. The policy provides in
insurance company on the ground that it Item 13 that the authorized driver must be
was found that the driver of the insured the holder of a valid and subsisting
truck, Leonardo Anit, did not possess a professional driver's license. A driver with
an expired Traffic Violation Receipt or own damage, theft and third-party liability.
expired Temporary Operator's Permit is While the car was in the repair shop, one
not considered an authorized driver. The of the employees of the said repair shop
insured jeepney figured in an accident. As took it out for a joyride after which it
a result, a passenger fell off the vehicle and figured in a vehicular accident. This
died. At the time of the accident, Teofilo resulted to the death of the driver and some
Ventura, the jeepney driver, did not have of the passengers as well as to extensive
his license but he had with him instead a damage to the car.
carbon copy of a traffic violation report Villacorta filed a claim for total loss with
(TVR) issued by a policeman. However, the said insurance company. However, it
the said TVR was already expired because denied the claim on the ground that the
it only served as a temporary operator's accident did not fall within the provisions
permit for 15 days from receipt. of the policy either for the Own Damage or
Theft coverage, invoking the policy
provision on "Authorized Driver Clause".
Does the insurance cover a jeepney whose
driver's TVR or temporary operator's
permit had already expired? Is Empire Insurance liable under the
Authorized Driver Clause?
No, where the driver's temporary
operator's permit had expired, and the No, Empire Insurance is not liable
insurance policy states that a driver with an under the Authorized Driver Clause,
expired TVR or expired temporary
but under the Theft Clause. The main
operator's permit is not considered an
authorized driver within the meaning of the purpose of the authorized driver clause is
policy, the expiration of the same bars that a person other than the insured owner,
recovery under the policy. In liability who drives the car on the insured's order,
insurance, the parties are bound by the such as his driver, or with his permission,
terms of the policy and the right of the such as friend or member of the family or
insured to recover is governed thereby. employees of a car service shop must be
Agapito Gutierrez v. Capital Insurance &
Surety co., Inc., G.R. No. L-26827, June duly licensed drivers and have no
29, 1984 disqualification to drive a motor vehicle.
The mere happenstance that the employee
of the shop owner diverts the use of his car
to unauthorized purpose does not mean
THEFT CLAUSE
that the authorized driver clause has been
violated such as to bar recovery, provided
This is a case is in relation to theft and that the employee is qualified to drive
authorized driver clauses. under a valid license. Jewel Villacorta v.
Insurance Commissioner, et al., G.R. No.
Villacorta had her Colt Lancer car insured 54171, October 28, 1980; 1981 Bar.
with Empire Insurance Company against
Kung merong compulsory motor vehicle The higher the premium, the higher the
insurance, meron din compulsory insurance amount of recovery. You will not get back
for agency hired workers. what you paid but you will get a certain
amount of income on your premium.
VARIABLE CONTRACTS
It is basically a combination of insurance and
banking.
What is a variable contract?
Note: An insurance company cannot issue a
The term variable contract shall mean any variable contract without the permission of
policy or contract on either a group or on the Insurance Commission.
an individual basis issued by an insurance
company providing for benefits or other
contractual payments or values thereunder BUSINESS OF INSURANCE
to vary so as to reflect investment results of
any segregated portfolio of investments or Requirements Important Rules:
of a designated separate account in which
amounts received in connection with such a. Contract of insurance involves public
contracts shall have been placed and interest, regulation by the State is
accounted for separately and apart from necessary. No insurer or insurance
other investments and accounts. This company is allowed to engage in the
contract may also provide benefits or insurance business without a license or
values incidental thereto payable in fixed a certificate of authority from the
or variable amounts, or both. It shall not be Insurance Commission.
deemed to be a security or securities. b. Before a foreign corporation can
transact business it must first obtain a
Q: Why is it variable contract? license to transact business and secure
A: Under a variable contract, your premium the proper authorizations under
will also be used as an investment. It is existing law.
possible for you to get a certain amount even c. The law makes no distinction whether
though the insured will not die. So let’s say the transaction is one that is isolated or
after 5 years of premium payment, you get in the regular course of business, for an
this kind of benefit. insurance company to secure a license
from the Insurance Commission.
The most common example of a variable d. Engaging in insurance without license
contract is when you surrender the policy and from the Insurance Commission is a
get the surrender value. Under this variable criminal offense without prejudice to
contract, the insurance company will invest the imposition of administrative
your premium in certain products. sanctions under 438 of the IC.
e. No person shall act an insurance agent regulate the issuance and sale of
without first procuring license from the variable contracts as defined in
Insurance Commission. Section 232 and to provide for the
f. Capital requirement (P900 million by licensing of persons selling such
end 2019 and 1.3 billion by 2022). contracts, and to issue such
reasonable rules and regulations
Q: Is an insurance company a wholly governing the same;
nationalized activity?
A: It is not. In fact, there are foreign b. The Commissioner may issue such
insurance companies in the Philippines. ruling, instructions, circulars,
Those foreign corporations, of course, cannot orders and decision as he may
be allowed to engage in insurance business in deem necessary to secure the
the Philippines without authorization from enforcement of the provisions of
the Insurance Commission. this Code, subject to the approval
of the Secretary of Finance.
Q: How much is the extent of foreign
ownership in an insurance company? Except as otherwise specified,
A: It depends on the capital of the insurance decisions made by the
company but one thing is certain, it is not a Commissioner shall be appealable
wholly nationalized activity. to the Secretary of Finance;
contract, or membership certificate does This is the difference between the ruling of
not exceed in any single claim Five million the SEC and the ruling of the insurance
pesos. commissioner.
between Philamlife and its agents is not Capt. Nuval to receive the insurance
included within the meaning of an pertaining to the beneficiaries.
insurance business, Section 2 of the
Insurance Code cannot be invoked to give Is Capt. Nuval authorized to receive the
jurisdiction over the same to the Insurance proceeds?
Commissioner. Philippine American Life
Insurance Company, et al. v. Hon. Yes, in group insurance policies, the
Armando Ansaldo, G.R. No. 76542, July employer is the agent of the insurer. Group
26, 1994. insurance is essentially a single insurance
contract that provides coverage for many
It is the claim of the insured against the individuals. In its original and most
insurance company that is within the common form, group insurance provides
jurisdiction of the Insurance Commissioner life or health insurance coverage for the
and not the claim of an insurance agent employees of one employer. The coverage
against the insurance company. terms for group insurance are usually
stated in a master agreement or policy that
is issued by the insurer to a representative
INSURANCE AGENT
of the group or to an administrator of the
--excluded since not part of the BAR insurance program, such as an employer.
The employer acts as a functionary in the
But I maintained this part which is the collection and payment of premiums and in
concept of group policy insurance: performing related duties.
other plans which the Commission Commission. Pre-need companies are under
may from time to time approve." the supervision of the Insurance
Commission. Therefore, theoretically, it
The fact that pre-need plans are defined in should be an exempt security but not so held
Section 3.9 of the SRC could only mean by the SC. So, preneed plans are securities
that it is treated as one of the securities and they are not exempt securities. They are
being regulated by the SRC. Otherwise, securities that have to be registered before it
there is no reason for its inclusion in the can be sold within the Philippines to the
said law, which was primarily enacted for general public.
the purpose of regulating a socially
conscious free market that ensures full and
B. REGISTRATION OF PRE-NEED
fair disclosure of securities. PLANS
Can the issuer contract the services of The application of a general agent shall not
the general agent for the sale of the pre- be approved unless a salesman is qualified
need plans? What are the requirements? and licensed by the Insurance
Commission. The general agent shall cease
solicitation and selling of pre-need plans
when no natural person holds a valid period of at least 60 days within which to
license representing the general agent. pay accrued installments, counted from the
due date of the first unpaid installment.
The general agent must be authorized in
the general agency agreement or by a Nonpayment of a plan within the grace
written power of attorney to receive period shall render the plan a lapsed plan.
notices, summons, and legal processes for Any payment by the planholder after the
and in behalf of the pre-need company grace period shall be reimbursed forthwith,
concerned in connection with actions or unless the planholder duly reinstates the
legal proceedings against said pre-need plan. The planholder shall be allowed a
company. period of not less than two (2) years from
the lapse of the grace period or a longer
A license issued to a general agent shall period as provided in the contract within
authorize only the individual or individuals which to reinstate his plan. No cancellation
named in the license. Exercise or attempted of plans shall be made by the issuer during
exercise of such authority by an individual such period when reinstatement may be
not so named in the license, with the effected.
knowledge or consent of the licensee shall
constitute cause for the revocation, Within 30 days from the expiration of the
suspension, or non-renewal of the license. grace period and 30 days prior to the
expiration of the reinstatement period,
which is two (2) years from the lapse of the
D. DEFAULT AND TERMINATION
grace period, the pre-need company shall
give written notice to the planholder that
What is a lapsed plan? Can a lapsed his plan will be cancelled if not reinstated
plan be reinstated? within two (2) years from the lapse of the
grace period or a longer period as provided
"Lapsed plan" refers to a plan that is in the contract. Failure to give either of the
delinquent in payment of installments required notices shall preclude the pre-
provided for in the contract, the need company from treating the plans as
delinquency of which extends beyond the cancelled.
grace period provided for in the plan or
contract. How can a planholder terminate his pre-
need plan?
The pre-need company must provide in all
contracts issued to planholders a grace
stipulated. The benefit of division against guarantor has compromised with the
the coguarantors ceases in the same cases creditor, he cannot demand of the debtor
and for the same reasons as the benefit of more than what he has really paid.
excussion against the principal debtor.
Slide: What happens if the guarantor
NTD: there is a benefit of division among the pays without notifying the debtor?
guarantors so if there are four (4) guarantors
securing a 10mil obligation so each of them If the guarantor should pay without
2.5mil each (joint obligation) unless there is notifying the debtor, the latter may enforce
solidarity stipulated. Unlike in surety the against him all the defenses which he could
entire 10mil obligation can be enforced have set up against the creditor at the time
against any. the payment was made. Also, if the
guarantor has paid without notifying the
Slide: What right does a guarantor who debtor, and the latter not being aware of the
pays for a debtor acquire against the payment, repeats the payment, the former
latter? has no remedy whatever against the debtor,
but only against the creditor. Nevertheless,
The guarantor who pays for a debtor must in case of a gratuitous guaranty, if the
be indemnified by the latter. The indemnity guarantor was prevented by a fortuitous
comprises: event from advising the debtor of the
(i) the total amount of the debt; payment, and the creditor becomes
insolvent, the debtor shall reimburse the
(ii) the legal interests thereon from
guarantor for the amount paid.
the time the payment was made
known to the debtor, even
Slide: What are the instances when the
though it did not earn interest
guarantor, even before having paid may
for the creditor; proceed against the principal debtor?
(iii) the expenses incurred by the
guarantor after having notified The guarantor, even before having paid,
the debtor that payment had may proceed against the principal debtor:
been demanded of him; a. when he is sued for the payment;
(iv) damages, if they are due. b. in case of insolvency of the
principal debtor;
Note, however, that if the debt was for a
c. when the debtor has bound himself
period and the guarantor paid it before it
became due, he cannot demand to relieve him from the guaranty
reimbursement of the debtor until the within a specified period, and this
expiration of the period unless the payment period has expired;
has been ratified by the debtor. d. when the debt has become
demandable, by reason of the
Slide: Does the guarantor who pays for a expiration of the period for
debtor acquire a right to subrogation? payment;
e. after the lapse of 10 years, when the
Yes. The guarantor who pays is subrogated principal obligation has no fixed
by virtue thereof to all the rights which the period for its maturity, unless it be
creditor had against the debtor. If the of such nature that it cannot be
under the Guarantee Agreement directly stay order has the effect of staying
against ABC Corp. without having to enforcement only with respect to claims
exhaust all the properties of XYZ, Inc. and made against the debtor, its guarantors and
without need of any prior recourse against persons not solidarity liable with the
XYZ, Inc. In 2013, a huge storm destroyed debtor:
XYZ, Inc.’s facilities indefinitely halting
its business operations. In 2014, XYZ Inc. Section 6. Stay Order. - If the court finds
filed a Petition for Voluntary the petition to be sufficient in form and
Rehabilitation under the Financial substance, it shall, not later than five (5)
Rehabilitation and Insolvency Act of 2010 working days from the filing of the
(FRIA) before the RTC which, acting as a petition, issue an order: (a) appointing a
Rehabilitation Court, issued a Stay Order rehabilitation receiver and fixing his bond;
in favor of XYZ Inc. In 2015, Veterans (b) staying enforcement of all claims,
Bank demanded payment of the entire loan whether for money or otherwise and
from ABC Corp. Invoking the RTC’s Stay whether such enforcement is by court
Order, ABC Corp. denied Veterans Bank’s action or otherwise, against the debtor, its
claim. Veterans Bank filed a collection suit guarantors and persons not solidarily liable
against ABC Corp. before the RTC. with the debtor x x x.
Decide.
The Guarantee Agreement, however,
NTD: Taken up in FRIA the stay order shows that ABC, Corp. waived its right of
does not benefit the surety, it benefits the excussion under Article 2058 of the Civil
guaranty, it does not benefit a person who Code. In effect, the nature of the guarantee
binds himself solidarily with the principal obligation assumed by ABC, Corp. under
debtor the Guarantee Agreement was transformed
into a suretyship thus solidarily binding
ANS. The Stay Order issued by the itself with XYZ, Inc.
Rehabilitation Court does not preclude the
RTC from hearing and deciding Veterans • Under a normal contract of
Bank’s complaint. guarantee, the guarantor binds himself to
the creditor to fulfill the obligation of the
The Stay Order relied upon by ABC Corp. principal debtor in case the latter should
merely ordered the staying and suspension fail to do so. The guarantor who pays for a
of enforcement of all claims and debtor, in turn, must be indemnified by the
proceedings against XYZ, Inc. and not latter. However, the guarantor cannot be
against other persons or entities solidarily
compelled to pay the creditor unless the
liable with the debtor. Section 18(c) of the
latter has exhausted all the property of the
FRIA explicitly states that a stay order
shall not apply “to the enforcement of debtor and resorted to all the legal
claims against sureties and other persons remedies against the debtor. This is what is
solidarily liable with the debtor, and third otherwise known as the benefit of
party or accommodation mortgagors as excussion. Conversely, if this benefit of
well as issuers of letters of credit, x x x”. In excussion is waived, the guarantor can be
addition, under Rule 4, Section 6 of A.M. directly compelled by the creditor to pay
No. 00-8-10SC or the Interim Rules of the entire debt even without the exhaustion
Procedure on Corporate Rehabilitation, a of the debtor’s properties.
Slide: What is the concept and nature of Slide: Distinguish surety from
suretyship? guaranty.
If a person binds himself solidarily with the By a guaranty a person, called the
principal debtor, the contract is called a guarantor, binds himself to the creditor to
Suretyship. fulfill the obligation of the principal debtor
in case the latter fails to do so. On the other
A Contract of Suretyship is an agreement hand, if a person himself is solidarily liable
whereby a party, called the surety,
with the principal debtor, the contract is
guarantees the performance by another
party, called the principal or obligor, of an called a suretyship
obligation or undertaking in favor of
another party, called the obligee. Although Guaranty Surety
the Contract of a Surety is secondary only Guarantor is Surety is
to a valid principal obligation, the surety secondarily liable. primarily liable.
becomes liable for the debt or duty of Insurer of solvency of Insurer of the
another although it possesses no direct or debtor (a guarantor debt (a surety
personal interest over the obligations nor agrees that the promises to pay
does it receive any benefit therefrom. The creditor, after the principal’s
terms of the contract of suretyship in the law. There is no question that a surety
relation to the principal contract between should not be made to pay more than its
the obligor and the obligee. assumed obligation under the surety bonds.
However, a surety’s liability for the
Thus, the surety’s liability is joint and payment of interest is not by reason of the
several with the obligor, limited to the suretyship agreement itself but because of
amount of the bond, and determined the delay in the payment of its obligation
strictly by the terms of the contract of under the said agreement. Commonwealth
suretyship in relation to the principal Insurance v. Court of Appeals, G.R. No.
contract between the obligor and the 130886, January 29, 2004.
obligee.
NTD: Example, the contract says 500k plus
Article 1356 of the Civil Code provides interest. The surety or guaranty can be held
that contracts shall be obligatory in liable for more than 500k. The interest is not
whatever form they may have been entered included in the 500k limit set in the contract.
into, provided all the essential requisites It is different if it says 500k inclusive of
for their validity are present. Thus, an oral interest and other cost then the limit is only
agreement which has all the essential 500k.
requisites for validity may be guaranteed
by a surety contract. To rule otherwise What if the contract says 500k inclusive of
contravenes the clear import of Article interest and other cost. Does this include
1356 of the Civil Code. compensator interest? Supreme Court said
no. The amount can exceed 500k when
Slide: Can a surety become liable to pay compensatory interest is imposed by reason
the legal interest thereby making its of delay.
liability more than the amount of its
issued bonds? REAL ESTATE MORTGAGE
No. A stipulation forbidding the owner c. The mortgagor has the free disposal
from alienating the mortgaged immovable of the property, and in the absence
is void. thereof, that he is legally
authorized for the purpose.
Slide: Can mortgage credit be alienated
or assigned? Third persons who are not parties to the
principal obligation may secure the latter
Yes. The mortgage credit may be alienated mortgaging their own property.
or assigned to a third person, in whole or in
part, with the formalities required by law. In relation thereto, Article 2125 of the Civil
Code further provides:
In addition to the requisites stated in
Article 2085, it is indispensable, in
order that a mortgage may be validly
constituted, that the document in which
it appears be recorded in the Registry of
NTD: Can the mortgaged credit be Property. If the instrument is not
assigned even though the loan is not yet recorded, the mortgage is nevertheless
been paid? binding between the parties.
The mortgaged credit may be assigned Thus, as between the parties to a mortgage,
whether the loan was paid or not yet been the non-registration of a REM deed is
paid. immaterial to its validity. Recording in the
Registry of Property is only necessary in
Bank assigned a mortgage agreement in favor order to bind third persons.
of a non-bank. In the hands of the non-bank
(mortgagee) it foreclosed extra-judicially. NTD: Is an accommodation mortgagor liable
The SC said, although the assignee is a non- to pay deficiency?
bank it only acquires the reduced period of
redemption under the General Banking Law Only to the extent of the value of the
not the rule on foreclosure of mortgage under mortgaged property. Exceptions, if he
Act 3135. expressly assumes the liability or if the
accommodation mortgagor acts as a surety.
Slide: What are the requisites for a valid
constitution of a REM? NTD: You cannot register a REM if it is not
notarized the RD will not accept it. If the
The following requisites are essential for mortgage is not notarized, is it valid? Yes, but
the constitution of a REM: it will not bind third persons.
a. It is constituted to secure the
fulfillment of a principal What if there is a defect in the notarization, is
the mortgage valid? Yes, but it will not bind
obligation;
third persons.
b. The mortgagor must be the
absolute owner of the real estate
Slide: Is a REM valid if the deed
mortgaged;
evidencing the same was notarized
without authority and compliance with
ordered the Sps. Santos to deliver to ABC different under the PPSA). Redemption for
Corp. and/or deposit with the Court the REM purposes is the buying back of the
monthly rentals of the subject property property.
covering the period after expiration of the
redemption up to the time they surrender GR: 1yr period to redeem the property
the possession thereof to ABC Corp.
XPN: Under the General Banking Law,
Can back rentals be awarded in an ex parte mortgagor is a juridical person and
application for writ of possession under mortgagee is a bank and the mode of
Act No. 3135, as amended? foreclosure is extra-judicial. The period is 3
months
ANS: Yes. When the redemption period
expired, ABC Corp. became the owner of During the redemption period the owner of
the subject property and was, from then on, the property is still the mortgagor. He loses
entitled to the fruits thereof. The Sps. ownership when he fails to redeem during the
Santos ceased to be the owners of the period for redemption. So rent accruing
subject property, and had no right to the during the redemption period belongs to the
same as well as to its fruits. Under Section mortgagor.
32, Rule 39 of the Rules of Court, on
Execution, Satisfaction, and Effect of Slide: Does the mortgagor lose
Judgments, all rents, earnings, and income ownership of the mortgaged property
derived from the property pending after extra-judicial foreclosure of the
redemption shall belong to the judgment REM under Act. 3135, as amended?
obligor, but only until the expiration of his
period of redemption. The mortgagor does not lose ownership of
the mortgaged property after foreclosure
After the redemption period expired because he has redemption right under the
without the Sps. Santos redeeming the law. It is only when he fails to redeem the
subject property, ABC Corp. became the real estate mortgage within the period
absolute owner thereof, and the Sps. prescribed by law that the mortgagee may
Santos lost all their rights thereto, consolidate title to the property, resulting
including the right to lease out the same in the mortgagor’s loss of ownership
and collect rentals on said lease. The Sps. thereof.
Santos simply hold the amounts collected
in trust — with the obligation to return the As a consequence, the mortgagor may sell
same to their rightful owners. Sps. Teves v. the property or constitute a second
Integrated Credit and Corporate Services, mortgage thereon, but subject to the
Inc. preferred rights and lien of the mortgagee.
NTD: There is a redemption period for the NTD: the mortgagee need not file a petition
mortgagor or the judgment debtor to redeem for issuance of new title over the mortgaged
the property. For foreclosure, the redemption property after the expiration of the
period is one year from registration of sale. redemption period. The mortgagee may
For execution sale, one year from registration acquire full ownership by filing an affidavit
of sale. No redemption for personal property. of consolidation of title to the property. The
(Note: concept of redemption for REM is affidavit must indicate all relevant dates to
establish that the mortgagor lost his right to Court said that it does not mean future
redeem. So the RD will issue a new title to obligations are embraced by the same chattel
the judgment creditor. mortgage agreement. It will only be
embraced if there will be a fresh chattel
Slide: Is the validity of a mortgage mortgage agreement or an amendment to the
contract that was constituted to secure a existing chattel mortgage agreement.
loan obligation affected by the validity
of the loan contract? For REM, no need to amend the agreement if
a dragnet clause is present. All subsequent
Yes. The validity of accessory contracts loans will be covered by the REM.
mainly flows from the validity of the
principal contracts. A real estate mortgage It is not clear if the same principle that applies
is in the nature of an accessory contract; to chattel mortgage applies to PPSA.
thus, its validity depends on the validity of
the loan contract. Slide: A REM agreement provides:
The issuer is the one who issued ii. With respect to rights to a
the shares or the securities. deposit account, the control
agreement is among the deposit-
The grantor is the debtor or the taking institution, the grantor, and
obligor. the secured creditor, according to
which the deposit-taking institution
Secured creditor encompasses the agrees to follow instructions from
term “mortgagee” under the old the secured creditor with respect to
chattel mortgage law and the payment of funds credited to
“pledgee”. the deposit account without further
consent from the grantor.
For REM, you can sill call the
creditor as a mortgagee. For (Dean: An example would be a
personal property, it is now loan by the grantor secured by
generically called as a secured deposit with the bank.
creditor.
Q: What if it stipulates that upon
Q: Will this violate the rule on default of the grantor, the bank
pactum commissorium? Let’s shall release the deposit in favor
say the control agreement says of the secured creditor based on
the in case the loan is not paid, the control agreement? Will this
then the shares shall be conveyed violate the rule on pactum
in favor of the secured creditor in commissorium?
payment of the debt. A: In a previous case, Integrated
A: You know that as a rule on Realty Corporation v. CA, where
pactum commissorium, there must the assignment of deposits is
be a mortgage (whether REM or considered as a pledge. If it
chattel) or a pledge and then amounts to a pledge, there is no
second, a provision that says that in right to recover deficiency. But
case of default automatic now, under this law, it is clear that
ownership shall be transferred in the bank can, from the instruction
favor of the pledgee or the of the secured creditor, release the
mortgagee. It seems that given this deposits in favor of the secured
provision on control agreement, the creditor upon default of the grantor.
intermediary remits or delivers the Given that it is now allowed by
securities to the secured creditor. It law, it will not amount to pactum
will not amount to pactum commissorium.
commissorium.)
Q: In case there is a conflict
between the rights of the deposit
Other than shares of stock or deposit, a good lien. This includes initial notice,
example would be a developer, selling amendment notice, and termination notice.
subdivision lots, or a car companies selling
cars on installment basis. These are This used to be registration.
receivables. They can be subject of security
interest. They can be assigned by the grantor Q: Why does it include amendment
or the payee. The payee or grantor can assign notice?
the receivables in favor of a secured creditor. A: Because you may include other properties,
you may include additional grantor. The
Intermediary — refers to a person, amount of the obligation may be increased.
including but not limited to, a bank, trust
entity, depositary, broker, or central Q: What is termination notice?
securities depositary, that in the ordinary A: It is similar to the concept of discharge of
course of business or regular activity obligation under the old law. You want to
maintains an account for such securities or have proof, for example, or you want to show
assets, for another person, and is acting in to the whole world that your personal
that capacity. property is not subject to lien anymore. Then,
you can file a termination notice or
Intermediated securities — means essentially the same as a discharge of an
securities credited to a securities account obligation.
and rights in securities resulting from the
credit of securities to a securities account Proceeds — any property received upon
sale, lease or other disposition of collateral,
For example, the shares lodged with the or whatever is collected on or distributed
Philippine Deposit System. with respect to collateral, claims arising
out of the loss or damage to the collateral,
Lien — refers to a qualified right or a as well as a right to insurance payment or
proprietary interest, which may be other compensation for loss or damage of
exercised over the property of another. the collateral.
interests in ships subject to P.D. No. 1521 Yes. A security agreement may provide for
or the Ship Mortgage Decree of 1978. the creation of a security interest in future
property or after-acquired assets, but the
Only aircraft and vessels under these two security interest in that property is created
laws are not included in the coverage of the only when the grantor acquires rights in it
PPSA. or the power to encumber it. It may provide
that a security interest in a tangible asset
Is there a prescribed form of security that is transformed into a product extends
agreement? to the product, but such interest shall be
limited to the value of the encumbered
Yes. A security agreement must be asset immediately before it became part of
contained in a written (including the product. A security agreement may also
electronic) contract signed by the parties. It provide that a security interest in a tangible
must identify the collateral and the secured asset extends to its replacement, but such
obligation. It may consist of one (1) or interest shall be limited to the value of the
more writings that, taken together, encumbered asset immediately before it
establish the intent of the parties to create was replaced.
a security interest.
What is the extent of security interests
What constitutes a sufficient description over right to proceeds and commingled
of collateral? funds?
Can a security agreement provide for (ii) the security interest in the
the creation of a security interest in commingled funds or money shall
future property? be limited to the amount of the
proceeds immediately before they
were commingled; and
(Dean: So it does not include all So if you have 10 sacks commingled with 100
the funds commingled but only the sacks, the right only corresponds to the 10
proceeds immediately before they sacks.
were commingled.)
Can a security agreement provide for
(iii) if at any time after the security interest in accounts
commingling, the balance credited receivables?
to the deposit account or the
amount of the commingled money Yes. A security agreement may provide for
is less than the amount of the security interest in accounts receivable
proceeds immediately before they arising from: (i) a contract for the supply or
were commingled, the security lease of goods or services other than
interest against the commingled financial services; (ii) a construction
funds or money shall be limited to contract or contract for the sale or lease of
the lowest amount of the real property; and (iii) a contract for the
commingled funds or money sale, lease, or license of intellectual
between the time when the property.
proceeds were commingled and the
time the security interest in the Collectibles arising from IP like royalties can
proceeds is claimed. be the subject of security agreements.
Q: First question is can money or funds be Also includes the promissory notes between
commingled? the developer, the realty, the car company
A: Yes. and the buyer.
What is the extent of security interest Can there be a stipulation limiting the
over tangible assets commingled in a grantor’s right to create a security
mass? interest in accounts receivables?
A security interest in a tangible asset that is No. Any stipulation limiting the grantor's
commingled in a mass extends to the mass, right to create a security interest shall be
but such interest shall be limited to the void. A security interest in an account
same proportion of the mass as the quantity receivable shall be effective
of the encumbered asset bore to the notwithstanding any agreement between
quantity of the entire mass immediately the grantor and the account debtor or any
after the commingling. secured creditor limiting in any way the
grantor's right to create a security interest.
Like a warehouseman for example,
commingling those sacks of rice, sacks of Will the creation of a security interest in
sugar, palay. a receivable affect the rights and
obligations of the debtor of the Who are the parties to, and what are the
receivable? form and contents of a Control
Agreement?
No. The creation of a security interest in a
receivable does not, without the consent of Parties Forms/Contents
the debtor of the receivable, affect its rights Securities Executed in Stipulate that the
writing by the issuer or the
and obligations, including the payment
issuer or the intermediary
terms contained in the contract giving rise intermediary, agrees to follow
to the receivable. However, a payment the grantor instructions from
instruction may change the person, and the the secured
address, or account to which the debtor of secured creditor with
creditor respect to the
the receivable is required to make
security, without
payment. further consent
from the grantor
When and how can a security interest be Deposit Executed in Stipulate that the
perfected? Account writing among deposit-taking
the deposit- institution agrees
taking to follow
A security interest shall be perfected when institution, the instructions from
it has been created and the secured creditor grantor and the secured
has taken one of the following actions: the secured creditor with
(i) registration of a notice with the creditor respect to the
payment of funds
Registry;
credited to the
(ii) possession, whether actual or deposit account
constructive, of the collateral either without further
by the secured creditor or a consent from the
depositary acting for the secured grantor
Commodity Executed in Stipulate that the
creditor; or
Contracts writing among commodity
(iii) control [conclusion of a control the grantor, intermediary will
agreement] of investment property secured apply any value
and deposit account. creditor and distributed on
intermediary account of the
commodity
A security interest in any tangible asset
contract as
may be perfected by registration or directed by the
possession, while a security interest in secured creditor
investment property and deposit account without further
may be perfected by registration or consent by the
commodity
conclusion of a control agreement.
customer or
grantor
For purposes of registration of security notice with the Registry. That notice will
interest, what constitutes as a sufficient bind third persons.
notice?
Q: What happens, for example, pending
An initial notice of security interest is release of the loan, the notice has been
deemed sufficient if: (i) it identifies the registered with the registry and a
grantor by an identification number; (ii) it judgment creditor comes in?
identifies the secured creditor or an agent A: Because a notice has been filed before the
of the secured creditor by name; (iii) it release of the loan, the secured creditor has a
provides an address for the grantor and better right over the attaching or judgment
secured creditor or its agent; (iv) it creditor as long as the loan is actually
describes the collateral; and (v) the released.
prescribed fee has been tendered, or an
arrangement has been made for payment of When does the notice take effect?
fees by other means.
A notice shall be effective at the time it is
If the grantor is a natural person, that discoverable on the records of the Registry,
grantor shall be identified through the and shall remain effective for the duration
name appearing in any of the grantor's of the term indicated in the notice unless a
government-issued identification, If the continuation notice is registered before the
grantor is a juridical person, that grantor term lapses. The period of effectiveness of
shall be identified through its name in the a notice may be continued by registering an
most recently registered articles of amendment notice that identifies the initial
incorporation, or in an agreement notice by its registration number.
constituting the legal person. Continuation of notice may be registered
only within six (6) months before the
Can the notice be registered even before expiration of the effective period of the
a security agreement is concluded? notice.
the changes to the security interest requires amendment notice likewise should be
the grantor's consent. If the amendment registered.
notice adds collateral that is not proceeds,
it must be authorized by the grantor in Just to compare our discussion with future
writing. If the amendment notice adds a debts.
grantor, it must be authorized by the added
grantor in writing. Such amendment Q: Can a surety agreement or guarantor
notices shall be effective as to the added agreement cover future debts?
collateral or grantor from the date of its A: Yes, as long as those future debts are
registration and shall be effective only as actually incurred by the debtor.
to each secured creditor who authorizes it.
If a secured creditor assigns a perfected Q: How about in REM? Are future debts
security interest, an amendment notice included?
may be registered to reflect the assignment. A: Yes, if the agreement has a dragnet clause.
If none, only existing obligations.
As we said, if you acquire other property, you
have to amend the notice. Q: What about security interest over
personal property?
Q: What if there is a new or future A: There must be a corresponding
obligation? Should the future obligation be amendment to the agreement to embrace
subject of an amendment notice? those future debts.
A: A chattel mortgage cannot secure future
obligations unlike REM. It cannot apply to Q: What if the security agreement says it
after-acquired obligations. The concept of covers present and future obligations? Is it
dragnet clause does not apply to chattel void?
mortgage. In a REM, if there is a dragnet A: It is not void but it amounts to a promise
clause, there no need to amend or execute a on the part of the grantor that when the loans
refreshed agreement to embrace the second are actually incurred, there will be an
or future loan. In a chattel mortgage, there is amendment or a refreshed agreement. The
a need to have an amendment or a fresh amendment notice should be filed of course
agreement because under the old law, there is with the registry to bind third persons.
an affidavit of good faith that the chattel
mortgage shall only secure a valid and When can the grantor demand
existing obligation. Now, that provision is amendment or termination of notice?
gone. However, an amendment is required
if there be additional obligations. In other A grantor may give a written demand to the
words, future obligations may be included secured creditor to amend or terminate the
but subject to the amendment to the effectiveness of the notice if: (i) all the
existing mortgage agreement. An obligations under the security agreement to
which the registration relates have been
or the intermediary shall have priority A: This provision retains the power of the
over a competing security interest warehouseman with respect to payment of his
perfected by any method. fees.
(ii) Before the grantor receives assets through either a public or private
possession of the inventory disposition.
or livestock, or acquires
rights in intellectual Just like the old law, there are two ways to
property, the purchase enforce:
money secured creditor 1. Judicial process
gives written notification to It means it is an action for specific
the holder of the conflicting performance to compel payment of
perfected security interest obligation. Just like in REM, the
in the same types of filing of action for collection shall
inventory, livestock, or preclude the remedy of enforcement
intellectual property, The of security interest on a personal
notification sent to the property.
holder of the conflicting
security interest may cover In Caltex v. CA under the old law
multiple transactions [let’s contextualize it under the new
between the purchase law], if you have a loan secured by a
money secured creditor and REM and a security interest over a
the grantor without the need personal property, we know that if the
to identify each transaction. secured creditor files an action for
(Dean: Again, priority in time, collection, it is tantamount to waiver
priority in right.) of the lien over the real estate and
likewise of the personal property.
d) The purchase money security interest
in equipment or consumer goods In REM, if there is foreclosure of
perfected timely in accordance with mortgage and an action to collect
subsections (a) and (b), shall have deficiency, the action to collect
priority over the rights of a buyer, deficiency is tantamount to waiver of
lessee, or lien holder which arise the foreclosure of the chattel
between delivery of the equipment or mortgage.
consumer goods to the grantor and the
time the notice is registered. So the remedy if you have various
collaterals is to exhaust the
How can the secured creditor enforce its foreclosure procedure. Only after that
security interest? you have exhausted the same, you can
sue for the deficiency if any.
The secured creditor may enforce its
security interest whether through a judicial Q: What about this law (PPSA)?
process or through an extrajudicial A: We should apply the same. There
process, including the sale of the secured is no case in the contrary anyway. The
Now, for personal property, here, the This is how it goes when there is an
law allows the secured creditor to take opposition or resistance from a grantor →
possession of the property through Judicial Process.
expedited means via application with
the court for the issuance of an order From these provisions, it seems that there is
to take possession of a collateral. If no notice requirement to the grantor. So once
there is opposition or objection from there is default, the secured creditor may file
the grantor, you cannot take the law in the application or petition to get possession
your own hands. You have to go the of the collateral but the court may direct the
court and secure an order to take grantor (meaning, the court may notify the
possession of the collateral. grantor) to take appropriate action to protect
his interest.
You all know that there is no pleading
called application. You either do it via Can a higher-ranking secured creditor
a petition or motion. So how do you do take over enforcement?
it? What will be the caption of your
pleading? You have to file it via a Yes. Even if another secured creditor or a
petition for the issuance of a writ of lien holder has commenced enforcement, a
possession.) secured creditor whose security interest
has priority over that of the enforcing
• The secured creditor shall provide the secured creditor or lien holder shall be
debtor, grantor, and, if the collateral is entitled to take over the enforcement
a fixture, any real estate mortgagee, a process. This right may be invoked at any
copy of the application, including all time before the collateral is sold or
supporting documents and evidence for otherwise disposed of, or retained by the
the order granting the secured creditor secured creditor or until the conclusion of
possession of the collateral; and an agreement by the secured creditor for
that purpose.
• The secured creditor is entitled to an
order granting possession of the Q: A second creditor, subordinate to the
collateral upon the court finding that a first, was able to enforce it, to take the
So in the law on mortgage and pledge whether the sale satisfies the good faith and
combined, the creditor may participate in a commercial reasonableness requirement:
sale of the collateral as long as it is a public i. that the person or entity who
sale. presides over the auction is an
experienced dealer in the type of
Extra-judicial disposition property sold;
The secured creditor may, subject to the ii. that the participating bidders do not
guidelines below, select the method, engage in collusive practices that
manner, time, place, and other aspects of prevent free and open competition;
the sale or other disposition, lease or iii. that the records of the proceedings,
license, including whether to sell or including the identities and
otherwise dispose of, lease or license respective submissions of the
encumbered assets individually, in groups bidders, are documented in writing
or altogether, provided, that the disposition and subsequently maintained; and
is undertaken in good faith and satisfies the iv. that the highest bidder is duly
commercial reasonableness requirement. awarded the collateral.
The secured creditor shall, no later than ten The winning bidder must fully pay the bid
(10) days before the extra-judicial price at the conclusion of the auction.
disposition of the collateral, cause the Otherwise, the collateral may be awarded
posting With the Registry Of a notice that to the next highest bidder. (Dean: The
sufficiently describes the collateral to be winning bidder must pay in cash at the
sold and specifies the method, manner, conclusion of the auction.)
time, place, and other details of the sale,
The Registry shall ensure that all such Any government agency that regularly
notices posted are publicly accessible and undertakes public auctions in the course of
searchable. its regular activities may be engaged by
any secured creditor to preside over public
[In adherence with the commercial auctions over securitized movable
reasonableness requirement, the secured collateral, through rules and regulations
creditor may also cause the advertisement that must be submitted to the Department
of the disposition through any other means of Finance for prior approval. Private
or medium as the secured creditor may entities such as auction houses, industry
deem as suitable, to maximize awareness groups of secured creditors, or
of the sale among dealers in the type of organizations of recognized dealers of
property to which the collateral belongs.] specific movables may likewise adopt
rules and regulations for the conduct of
All collateral shall be disposed through public auctions, subject to the approval of
auction. Below are the indicators that must the Department of Finance. Any public
be taken into account in determining auction of movable collateral conducted by
How will the proceeds from the sale be Q: So what if the document is
applied? documented as a pledge but effective
during this law? Does that mean that
The proceeds of disposition shall be the pledgor or pledgee once it caused
applied in the following order: the sale of the thing pledged and the
i. the reasonable expenses of taking, proceeds are not enough to pay for
holding, preparing for disposition, the obligation, can he still run after
and disposing of the collateral, the pledgor?
including reasonable attorney's A: Yes, under this new law. No matter
fees and legal expenses incurred by how you call it. A security interest over
the secured creditor; a personal property that is perfected
ii. the satisfaction of the obligation during the PPSA is governed by the
secured by the security interest of PPSA. Therefore, the right to recover
the enforcing secured creditor; and deficiencies applies.)
iii. the satisfaction of obligations
secured by any subordinate
b. The reasonable expenses of holding the notice before the sale and 30-day (time for the
collateral shall include all expenses mortgagor to pay for the obligation) before
incurred by the secured creditor in the you can sell the property.
preservation and care of the collateral
in his possession with the diligence of Same concept for PPSA. There is redemption
a good father of a family. but it is not in the concept that we know
generally. It is not the right to buy back after
c. The secured creditor shall be liable to the sale. Once it is sold, there is no right to
the grantor for the value of the loss and buy it back.
deterioration that may be suffered due
to his failure to preserve and care for Can the secured creditor retain the
the collateral. collateral?
b. A proposal for the acquisition of the a. A prior interest that was perfected
collateral in partial satisfaction of the under any law that existed or in force
secured obligation, only if the secured before the effectivity of the PPSA
creditor receives the affirmative ("Prior Law") continues to be deemed
consent of each addressee of the perfected under the PPSA until the
proposal in writing within 20 days after earlier of: (i) the time the prior interest
the proposal is sent to that person. would cease to be perfected under prior
law; and (ii) the beginning of full
In other words, the retention of the collateral implementation of the PPSA.
need not be in the full payment of the b. The priority of a prior interest as
obligation. The secured creditor may against the rights of a competing
quantify the amount that these properties are claimant is determined by the prior law
only so much that I will retain the collaterals if: (i) the security interest and the rights
and the X amount will apply to the obligation, of all competing claimant arose before
either full obligation or partial obligation the effectivity of the PPSA; and (ii) the
only. In either case, if there is no objection priority status of these rights has not
from other parties involved, the secured changed since the effectivity of the
creditor may retain the collateral and acquire PPSA. For this purpose, the priority
ownership of the same. status of a prior interest has changed
only if:
Q: Is this similar to pactum a. It was perfected when the
commissorium? PPSA took effect, but ceased to
A: It is not because there is still notice be perfected; or
consent required on the part of the grantor b. It was not perfected under prior
and other affected parties. law when the PPSA took effect,
and was only perfected under
Q: What will make it pactum the PPSA.
commissorium? c. The enforcement of all existing
A: If it is automatic transfer of ownership in security interests during the
favor of the creditor upon default. transitional period shall be governed by
the PPSA.
What are the rules on security interest
created or provided for by an agreement Q: What happens to the chattel mortgage
or other transaction that was made or then that was registered with the RD or a
entered into before the effectivity of the pledge over a personal property embodied
PPSA and that had not been terminated in an instrument?
before the effectivity of the PPSA (Prior A: They bind the whole world as long as
Interest)? those procedures are complied with.
treated. Metrobank v. Naguiat G.R. No. insolvent bank, for specific performance,
178407 March 18, 2015. breach of contract, damages, or whatever.
The term is defined in an all-encompassing
Q: During the pendency of the civil case and broad manner so as to include any
with the RTC of Pasig City, Fil-Agro cause of action against the insolvent bank,
was placed under the receivership of the regardless of its nature or character,
PDIC pursuant to Resolution No. 1486 irrespective of whether the relief sought
of the Monetary Board of the BSP. would directly affect the property of the
Thereafter, the RTC of Malolos City bank under liquidation. In fact, Section
was constituted as the liquidation court 30(2) of R.A. No. 7653 authorizes the
tasked to adjudicate disputed claims receiver to defend any action against the
against Fil-Agro and assist the PDIC in insolvent bank.
undertaking its liquidation. Antonio,
however, insists that his claim against Section 30 of R.A. No. 7653 reads:
Fil-Agro is not a disputed claim within SEC. 30. Proceedings in Receivership and
the purview of Section 30 of R.A. No. Liquidation. - Whenever, upon report of
7653 because ownership of the the head of the supervising or examining
mortgaged property has not yet vested department, the Monetary Board finds that
on Fil-Agro. He maintains that the a bank or quasi-bank:
Court's ruling in Vda. de Ballesteros a. is unable to pay its liabilities as they
cannot be applied here where become due in the ordinary course of
foreclosure of the subject properties was business: Provided, that this shall not
not made by the insolvent bank. Decide. include inability to pay caused by
extraordinary demands induced by
We took it up in SPCL. When a bank is financial panic in the banking
placed under liquidation, all the claims must community;
be filed in the liquidation proceeding. So b. has insufficient realizable assets, as
when you have a claim, there’s an action for determined by the Bangko Sentral, to
collection, there’s a judgment for the meet its liabilities; or
liquidation of the bank, that judgment should c. cannot continue in business without
be treated as a claim to the liquidation involving probable losses to its
proceeding. All claims basically shall be depositors or creditors; or
made in the liquidation proceeding. Just to d. has willfully violated a cease and desist
clarify, all claims against the bank under order under Section 37 that has become
liquidation. Claims of the bank shall be final, involving acts or transactions
filed separately in the appropriate courts. which amount to fraud or a dissipation
of the assets of the institution, in which
Jurisprudentially, it has long been resolved cases, the Monetary Board may
that "disputed claims" covers all claims summarily and without need for prior
whether they be against the assets of the hearing forbid the institution from
doing business in the Philippines and implement the distribution plan adopted by
designate the Philippine Deposit the PDIC for general application to all
Insurance Corporation as receiver of closed banks. Simply put, if there is a
the banking institution. judicial liquidation of an insolvent bank,
all claims against the bank should be filed
For a quasi-bank, any person of recognized in the liquidation proceeding. This holds
competence in banking or finance may be true regardless of whether or not the claim
designated as receiver. is initially disputed in a court or agency
before it is filed with the liquidation court.
The receiver shall immediately gather and Fil-Agro Rural Bank, Inc. v. Villaseöor,
take charge of all the assets and liabilities Jr., G.R. Nos. 226761 & 226889, July 28,
of the institution, administer the same for 2020
the benefit of its creditors, and exercise the
general powers of a receiver under the This pertains to the power of a receiver of a
Revised Rules of Court but shall not, with bank placed under receivership.
the exception of administrative
expenditures, pay or commit any act that This is a new case. Even though it involves a
will involve the transfer or disposition of bank, the claims should be filed against the
any asset of the institution: Provided, That closed bank in the liquidation proceeding and
the receiver may deposit or place the funds PDIC will be the one to carry out the
of the institution in non-speculative liquidation of the bank. PDIC must do so with
investments, The receiver shall determine a petition for the assistance of the court.
as soon as possible, but not later than
ninety (90) days from take-over, whether What is important to point out is that
the institution may be rehabilitated or while this case is decided in 2020, it was
otherwise placed in such a condition that it decided under the old law before RA 11211
may be permitted to resume business with [NCBA]. Under RA 11211, there is no
safety to its depositors and creditors and more power on the part of the receiver to
the general public: Provided, That any rehabilitate the bank. Once the bank is
determination for the resumption of placed under receivership, it must proceed
business of the institution shall be subject with liquidation right away.
to prior approval of the Monetary Board.
If a bank which has been ordered closed
The above legal provision recognizes the by the Bangko Sentral ng Pilipinas
exclusive jurisdiction of the liquidation (Bangko Sentral) and is placed under
court to adjudicate disputed claims against the receivership of the Philippine
the closed bank, assist in the enforcement Deposit Insurance Corporation, how
of individual liabilities of the stockholders, can a secured creditor enforce its claim
directors, and officers, and decide on all on the basis of the preference and
other issues as may be material to concurrence of credit under the law?