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V.

Policy
 Forms of Insurance Policies Facts:
 Riders in an insurance policy 1) Petitioner Jaime T. Gaisano was the registered owner of a
 Concept of vauled vs. open vs. running policies 1992 Mitsubishi Montero with plate number GTJ-777

 Agreement limiting the period of action - while Respondent Development Insurance and
Surety Corporation is a domestic corporation engaged
VI. Premium
in the insurance business.
 Nature and necessity of premium in insurance
2) On September 27, 1996, Respondent Development
contracts
Insurance and Surety Corporation issued a
 Effect of non-payment of premiums Comprehensive Commercial Vehicle Policy to Petitioner
 Instances when insured has the right to Gaisano
recover premiums - in the amount of P1.5M over the vehicle for a period
Jaime T. Gaisano vs. Development Insurance and Surety of one year commencing on September 27, 1996.
Corp., G.R. No. 190702, Feb. 27, 2017
- Respondent Development Insurance and Surety
Petitioner: Jaime T. Gaisano (insured) Corporation also issued two other commercial
Respondent: Development Insurance and Surety Corporation vehicle policies to Petitioner Gaisano covering two
(insurer) other motor vehicles for the same period.

3) Respondent Development Insurance and Surety


“The general rule in insurance laws is that unless the premium is Corporation
paid, the insurance policy is not valid and binding. - collects the premiums and other charges on the
Section 77 of the Insurance Code, applicable at the time of the policies, through their agent Trans-Pacific
issuance of the policy, provides: - Trans-Pacific issued a statement of account to
Sec. 77. An insurer is entitled to payment of the premium as soon Petitioner Gaisano’s company, Noah's Ark.
as the thing insured is exposed to the peril insured against. o Noah's Ark immediately processed the
Notwithstanding any agreement to the contrary, no policy or payments and issued a Far East Bank check
contract of insurance issued by an insurance company is valid and dated September 27, 1996 payable to Trans-
binding unless and until the premium thereof has been paid, except Pacific on the same day. 
in the case of a life or an industrial life policy whenever the grace
period provision applies.”

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o The check bearing the amount of P140,893.50 - After investigation, Respondent Development
that represents payment for the three insurance Insurance and Surety Corporation DENIED the claim
policies, with P55,620.60 for the PREMIUM and on the ground that
other charges over the vehicle.
o there was no insurance contract.
o However, NOBODY from Trans-Pacific picked up
- The Respondent Development Insurance and Surety
the check that day (September 27) because
Corporation asserted that the non-payment of the
Trans-Pacific president celebrating his
premium rendered the policy ineffective.
birthday.
- The premium was received by the Respondent
o Trans-Pacific informed Noah's Ark Company that
Development Insurance and Surety Corporation only
its messenger would get the check the next on October 2, 1996,
day, September 28.
o Hence there was no known loss covered by the
4) In the evening of September 27, 1996, while under the
policy to which the payment could be applied.
official custody of Noah's Ark marketing manager
Achilles Pacquing as a service company vehicle, 7) RTC ruled in favor of Petitioner Gaisano.

- the insured vehicle was stolen in the vicinity of SM. - Trial Court considered the premium paid as of
September 27, even if the check was received only on
- Achilles Pacquing reported the loss and despite search
September 28 because
and retrieval efforts, the vehicle was not recovered.
(1) Respondent's agent, Trans-Pacific,
5) Unaware of the incident, Trans-Pacific picked up the check acknowledged payment of the premium on that
the next day, September 28. date, September 27, and
(2) the check that Gaisano issued was honored by
- Trans-Pacific issued an official receipt
respondent in acknowledgment of the authority
acknowledging the receipt for the payment of
of the agent to receive it.
premium and other charges over the vehicle.
- The RTC ruled that it would be unjust and
- The check issued to Trans-Pacific for P140,893.50 was inequitable not to allow a recovery on the policy
deposited with Metrobank for encashment on while allowing respondent to retain the premium
October 1, 1996. paid.
6) On October 1, 1996, Achilles Pacquing informed 8) CA: UPHELD Respondent Development Insurance and
Petitioner Gaisano of the vehicle's loss. Surety Corporation’s position that
- Thereafter, Petitioner Gaisano reported the loss and - an insurance contract becomes valid and binding
filed a claim with Respondent Development only after the premium is paid pursuant to Section
Insurance and Surety Corporation for the insurance 77 of the Insurance Code.
proceeds of P1.5M. 

2
- It found that the premium was not yet paid at the - According to Gaisano, the principle of mutuality of
time of the loss on September 27, contracts is violated, at his expense, IF Respondent
Insurance Company is allowed to be excused from
o but only a day after or on September 28, 1996,
performance on the insurance contract only for one
when the check was picked up by Trans-
vehicle, but not as to the two others, just because no
Pacific. 
loss is suffered as to the two.
o CA also found that none of the exceptions to
- To allow this "would be to place exclusively in the hands
Section 77 is applicable with this case.
of one of the contracting parties the right to decide
o Nevertheless, the CA ordered Respondent whether the contract should stand or not x x x."
Insurance Company to return the premium it
Issue: W/N there was an there a proper contract of insurance
received.
between the petitioner and the respondent, despite the delays
9) Hence Petitioner Jaime T. Gaisano filed this petition before incurred in the payment of the premiums?
the Supreme Court. Gaisano argues that

- the prohibitive tenor of Section 77 does not apply Ruling: NO.


because the parties stipulated for the payment of Insurance is a contract whereby one undertakes for a
premiums. consideration to indemnify another against loss, damage or
liability arising from an unknown or contingent event.
- The parties intended the contract of insurance to be
immediately effective upon issuance, despite non-
payment of the premium, because respondent
trusted petitioner.
Just like any other contract, it requires a cause or
- He adds that Respondent Insurance Company waived
consideration.
its right to a pre-payment in full of the terms of the
policy, and is in estoppel. - The CONSIDERATION is the PREMIUM,
- which MUST BE PAID at the time and in the way and
10) Petitioner Jaime T. Gaisano also argues that assuming
manner specified in the policy.
he is not entitled to recover insurance proceeds, but only
- If not so paid, the policy will lapse and be forfeited
to the return of the premiums paid,
by its own terms.
- then Gaisano should be able to recover the full
GENERAL RULE in insurance laws is that UNLESS THE
amount of what he paid.
PREMIUM is paid, the insurance policy is not valid and
- The insurance policy covered three vehicles yet binding.
Respondent Insurance Company intention was
Section 77 of the Insurance Code, applicable at the time of the
merely to disregard the contract for only the lost
issuance of the policy, provides:
vehicle.

3
Sec. 77. “An insurer is entitled to payment of the premium as 1. Sec. 77: In case of a life or industrial life policy
soon as the thing insured is exposed to the peril insured whenever the grace period provision applies.
against. 2. Sec. 78: where the insurer acknowledged in the policy
or contract of insurance itself the receipt of premium,
Notwithstanding any agreement to the contrary, no policy or
even if premium has not been actually paid
contract of insurance issued by an insurance company is
3. Makati Tuscany Condominium Corporation vs.
valid and binding unless and until the premium thereof has
Court of Appeals: where the parties agreed that
been paid, EXCEPT in the case of a life or an industrial life
premium payment shall be in installments and partial
policy whenever the grace period provision applies.
payment has been made at the time of loss
IN THE CASE AT BAR, There is no dispute that the check was 4. The insurer may grant credit extension for the payment
delivered to and was accepted by Respondent's agent, of the premium. Where the insurer granted the insured
Trans-Pacific, only on September 28, 1996. a credit term for the payment of the premium, and loss
No payment of premium had thus been made AT THE TIME occurs before the expiration of the term
OF THE LOSS of the vehicle on September 27, 1996. 5. Estoppel as when it has consistently granted a 60 to
90-day credit term for the payment of premiums.
While Petitioner Gaisano claims that Trans-Pacific was
informed that the check was ready for pick-up on Petitioner Gaisano FAILED TO ESTABLISH the fact of a grant
September 27, 1996, by Respondent Insurance Company of a credit term in his
favor, or that the grant has been consistent.
- the NOTICE of the availability of the check, by itself,
DOES NOT produce the effect of payment of the While there was mention of a credit agreement between Trans-
premium. Pacific and Respondent Insurance Company,

- such arrangement was not proven and was internal


between agent and principal. 
- Under the principle of relativity of contracts, contracts
Trans-Pacific could not be considered in delay in accepting the bind the parties who entered into it.
check because when it informed Petitioner Gaisano that it - It cannot favor or prejudice a third person, even if he
will only be able to pick-up the check the next day, is aware of the contract and has acted with knowledge.

- Petitioner Gaisano did not protest to this, but Thus the Petitioner Gaisano is not entitled to the insurance
instead ALLOWED Trans-Pacific to do so. proceed
- Thus, AT THE TIME OF LOSS, there was no payment
of premium yet to make the insurance policy
effective.
There are exceptions to the rule that no insurance contract
takes effect unless premium is paid.

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5) Nonetheless, Capital Insurance tendered a check for
P300 as financial aid received by Arce's daughter
Evelina.
- The voucher which Arce’s wife signed stated that it
was in full settlement of the fire loss under the
policy.
- Capital Insurance reiterated that the check was given
NOT AS AN OBLIGATION but as a concession,
because the renewal premium had not been paid.
6) RTC: held that since the Capital Insurance
- could have demanded payment of the premium,
mutuality of obligation requires that it should also
be liable on its policy.
- The RTC also held that the INSURED Pedro Arce was
Arce v. Capital Insurance & Surety Co., Inc., 117 SCRA 63 not bound by the signature of his wife on the check
(1982) voucher because he DID NOT AUTHORIZE her to
Facts: sign the waiver.
1) Pedro Arce owns a residential house,  
- which has been insured with Capital Insurance and Issue: W/N Capital is obligated to satisfy the claim of Pedro
Surety since 1961 under a Fire Policy. Arce despite the latter's failure to pay the premium? NO.
 
2) In 1965, Capital Insurance Held: Unless the premium is paid, there is no insurance; Capital is
- sent Pedro Arce a Renewal Certificate to cover the NOT obligated to Pedro Arce.
 
one-year period from December 5, 1965.
- Capital Insurance also REQUESTED payment of the 1. Sec. 72 of the Insurance Act, as amended by R.A. No. 3540
premium. reads:
3) Pedro Arce anticipating that the premium could not be SEC. 72. An insurer is entitled to payment of premium
paid on time, as soon as the thing insured is exposed to the perils
insured against, unless there is clear agreement to grant
- Arce promised to pay it but he was not able to fulfill credit extension for the premium due. No policy issued
said promise. by an insurance company is valid and binding unless and
- Arce’s house was totally destroyed by fire. until the premium thereof has been paid.
4) Two days later, Arce’s wife presented a claim for 2. The parties in this case had stipulated:
indemnity,
IT IS HEREBY DECLARED AND AGREED that not.
- but she was told that no indemnity was due because withstanding anything to the contrary contained in
the premium was not paid. the within policy, this insurance will be deemed
valid and binding upon the Company ONLY when
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the premium and documentary stamps therefor paid, except in the case of a life or an industrial life policy
have actually been paid in full and duly whenever the grace period provision applies
acknowledged in an official receipt signed by an
authorized official/representative of the Company Facts:

1. It is obvious from both (1) the Insurance Act and (2) 1) Fortune Life and General Insurance Co., Inc. (Fortune)
the stipulation of the parties that time is of the essence - issued a Fire Insurance Policy in favor of Spouses
in respect of the payment of the insurance premium so
Violeta and/or Nicolas on their residential building
that if it is not paid the contract does not take effect
unless there is still another stipulation to the contrary. and all their personal belongings.

- In the instant case, Pedro Arce was given a grace - The insurance was for P600K.
period to pay the premium (promissory note) but the - On January 23, 1987, Violeta only paid P600 of the
period having expired with no payment made, he
P2983.50 premium.
cannot insist that Capital is nonetheless obligated to
him. 2) The insured building of Spouses Tibay was destroyed by
fire.
2. Prior to the amendment, an insurance contract was
effective even if the premium had not been paid so that - Two days after the fire Violeta PAID THE BALANCE
an insurer was obligated to pay indemnity in case of loss and OF THE PREMIUM.
correlatively he had also the right to sue for payment of the
premium. - On the same day, Violeta filed with Fortune a claim
- But the amendment to Sec. 72 has radically changed on the Fire Insurance Policy.
the legal regime in that unless the premium is paid 3) Violeta’s claim was referred to Goodwill Adjustment
there is no insurance. Services, Inc. (GASI).
Sps. Antonio A. Tibay , et.al. vs. Court of Appeals ,et.al., G.R.
- GASI requested the necessary documents for the
No. 119655.  May 24, 1996
investigation and processing;
Petitioner: Sps. Antonio A. Tibay and Violeta R. Tibay and Ofelia M.
Roraldo, Victorina M. Roraldo, Virgilio M. Roraldo, Myrna M. Roraldo - Violeta complied.
and rosabella m. Roraldo. - Violeta also signed a non-waiver agreement with
Respondent: Court Of Appeals and Fortune Life And General GASI.
Insurance Co., Inc..
4) Fortune DENIED the claim of Violeta
Topic: Premiums
- for violation of Policy Condition No. 2 to which it
Doctrine: states: that policy provides for payment of premium
SEC. 77. An insurer is entitled to payment of the premium as soon in full and
as the thing insured is exposed to the peril insured - Sec. 77: Notwithstanding any agreement to the
against. Notwithstanding any agreement to the contrary, no policy
contrary, no policy or contract of insurance issued
or contract of insurance issued by an insurance company is valid
by an insurance company is valid and binding unless
and binding unless and until the premium thereof has been
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and until the premium thereof has been paid of the Accordingly, where the premium has only been partially paid
Insurance Code. and the balance paid only after the peril insured against has
occurred,
- Efforts to settle the case before the Insurance
Commission proved futile. - the insurance contract did not take effect and the
5) Violeta and the other petitioners sued FORTUNE insured CANNOT collect at all on the policy. This is
INSURANCE fully supported by Sec. 77 of the Insurance Code which
provides
- for DAMAGES in the amount of P600K plus 12% interest
per annum, P100K moral damages, and 20% attorney’s SEC. 77. An insurer is entitled to payment of the premium as
fees. soon as the thing insured is exposed to the peril insured
against. Notwithstanding any agreement to the contrary, no
6) RTC: ruled for petitioners. policy or contract of insurance issued by an insurance company
7) CA: reversed the decision by declaring FORTUNE not to is valid and binding unless and until the premium thereof has
be liable but ordered them to return the premium. been paid, except in the case of a life or an industrial life policy
whenever the grace period provision applies
8) Hence this petition for review with petitioners
contending mainly Conformably with the aforesaid stipulations from the Policy
explicitly worded and taken in conjunction with Sec. 77 of
- that contrary to the conclusion of the appellate
the Insurance Code
court, FORTUNE remains liable under the subject
fire insurance policy in spite of the failure of - the payment of partial premium by the assured in
petitioners to pay their premium in full. this particular instance should not be considered
the payment required by the law and the stipulation
Issue
of the parties.
W/N partial payment of premium render the insurance policy - Rather, it must be taken in the concept of a deposit
ineffective? YES to be held in trust by the insurer until such time that the
Ruling: full amount has been tendered and duly receipted for.
- In other words, as expressly agreed upon in the
The Policy clearly provides for payment of premium in full stating contract, full payment must be made before the risk
that: occurs for the policy to be considered effective and
in force.
“This policy including any renewal thereof and/or any
endorsement thereon is not in force until the premium has - Thus, NO VINCULUM JURIS whereby the insurer
bound itself to indemnify the insured according to
been fully paid to and duly receipted by the Company in the
manner provided herein.” law ever arose from the fractional payment of
premium.

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- The insurance contract itself expressly provided that "from 4:00 P.M. of 22 May 1991 to 4:00 P.M. of 22 May
the policy would be effective only when the premium was 1992."
paid in full.
3) On June 13, 1992, Masagana Telemart’s properties were
In the construction of an insurance contract is the intention razed by fire.
of the parties as expressed in the policy.
4) On July 13, 1992, Masagana tendered payment
- Courts have no other function but to enforce the
- and UCPB Insurance accepted, five (5) Equitable
same.
Bank Manager's Checks as renewal premium
Verily, it is elemental law that the payment of premium is payments
requisite to keep the policy of insurance in force.
- for which Official Receipt Direct Premium was issued
- If the premium is not paid in the manner prescribed by UCPB Insurance.
in the policy as intended by the parties the policy is
ineffective. 5) Masagana made its formal demand for indemnification
- Partial payment even when accepted as a partial for the burned insured properties.
payment will not keep the policy alive even for such
6) On the same day, UCPB Insurance returned the five (5)
fractional part of the year as the part payment
bears to the whole payment. manger's checks stating in its letter that it was rejecting
Masagana Telemart’s claim on the following grounds:
a) Said policies expired last May 22, 1992 and were not
renewed for another term;
b) UCPB Insurance had put Masagana and its alleged
broker on notice of non-renewal earlier; and

UCPB Gen. Insurance Co. Inc. vs. Masagana Telamart, Inc. c) The properties covered by the said policies were burned
G.R. No. 137172. April 4, 2001 in a fire that took place last June 13, 1992, or before
Doctrine: If the insurer has granted the insured a credit term for tender of premium payment."
the payment of the premium and loss occurs before the expiration ISSUE:
of the term, recovery on the policy should be allowed even though
the premium is paid after the loss but within the credit term. Whether Section 77 of the Insurance Code of 1978 (P.D. No. 1460)
FACTS: must be strictly applied to Petitioner's advantage despite its
practice of granting a 60- to 90-day credit term for the payment of
1) Masagana Telemart Inc obtained from defendant UCPB premiums?
Insurance
RULING:
- five (5) insurance policies on its properties located
at Taft Avenue, Pasay. NO. MASAGANA WINS THIS TIME. 1999 DECISION SET ASIDE; CA
DECISION AFFIRMED
2) All five (5) policies reflect on their face the effectivity term:

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SEC. 77. An insurer is entitled to payment of the premium as soon extension, and such an agreement is not contrary to morals, good
as the thing insured is exposed to the peril insured against. customs, public order or public policy. [Makati Tuscany
Notwithstanding any agreement to the contrary, no policy or Condominium v. CA]
contract of insurance issued by an insurance company is valid and
ON EXCEPTION #4. If the INSURER has granted the insured a
binding unless and until the premium thereof has been paid,
credit term for the payment of the premium and loss occurs
except in the case of a life or an industrial life policy
before the expiration of the term,
whenever the grace period provision applies.
- recovery on the policy should be allowed even
This was formerly Act 2427, Section 72:
though the premium is paid after the loss but
SEC. 72. An insurer is entitled to payment of premium as soon as within the credit term.
the thing insured is exposed to the peril insured against, unless
It would be unjust and inequitable if recovery on the policy
there is clear agreement to grant the insured credit
would not be permitted against UCPB, which UCPB had
extension of the premium due. No policy issued by an
consistently granted a 60-90-day credit term for the
insurance company is valid and binding unless and until the
payment of premiums despite its full awareness of IC 77.
premium thereof has been paid.
Estoppel bars it from taking refuge under said section 77, since
The New IC 77 does not restate the portion of IC 72
Masagana relied in good faith on such practice.
expressly permitting an agreement to extend the period to
pay the premium. NOTE: There was no valid notice of non-renewal of the
policies in question, as there is no proof at all that the notice
However, there are exceptions to IC 77.
sent by ordinary mail was received by Respondent, and the
1. In case of a life or industrial life policy whenever the copy thereof allegedly sent to Zuellig was never transmitted
grace period provision applies [Sec. 77] to Respondent.

2. Any acknowledgment of the receipt of premiums


conclusive evidence of payment [Sec. 78]

3. If the parties have agreed to the payment in


installments of the premium and partial payment has
been made at the time of loss [Makati Tuscany FACTS FROM THE 1999 CASE:
Condominium v. CA] 1) In 1991, UCPB issued 5 insurance policies covering Masagana
4. The insurer may grant credit extension for the Telamart’s various properties for the period from May 22,
1991 to May 22, 1992.
payment of the premium [Makati Tuscany Condominium]
2) On March 1992 (2 months before policy expiration), UCPB
5. Estoppel evaluated the policies and decided not to renew them
The New IC 77 merely precludes the parties from stipulating upon expiration of their terms on May 22, 1992.
that the policy is valid even if premiums are not paid, but - UCPB advised MAsagana’s broker of its intention
does not expressly prohibit an agreement granting credit not to renew the policies.

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3) On April 1992 (1 month before policy expiration), UCPB gave To constitute a violation the other existing insurance contracts
written notice to Masagana of the non-renewal of the must be upon the same subject matter and with the same interest
policies. and risk. Nonetheless, a party will be estopped from invoking this
given previous knowledge of the co-insurers.
- On June 1992 (the policy already expired), Masagana’s
property covered by 3 UCPB-issued policies was razed FACTS:
by fire.
1) Petitioner American Home Assurance Company (AHAC) is
4) On July 13, 1992, Masagana presented to UCPB’s cashier five
a domestic corporation engaged in the insurance
manager’s checks, representing premium for the renewal of
the policies for another year. business.  

5) It was only on the following day, July 14, 1992, when - Sometime in 1990, respondent Antonio Chua
Masagana filed with UCPB a formal claim for indemnification of obtained from American Home a fire insurance
the insured property razed by fire. On the same day, UCPB covering the
returned the five manager’s checks, and rejected Masagana’s o stock-in-trade of his business , Moonlight
claim since the policies had expired and were not renewed,
Enterprises at Valencia, Bukidnon.  
and the fire occurred on on June 13, 1992.
- The insurance was due to expire on 25 March
6) Masagana filed a civil suit for recovery of the face value of the 1990.
policies covering the insured property razed by fire.
2) On 5 April 1990, Respondent Antonio Chua
7) RTC ruled in favor of Masagana, as it found it to have
complied with the obligation to pay the premium; hence, the - issued a PCI Bank Check to American Home’s
replacement-renewal policy of these policies are effective and agent, James Uy, as payment for the renewal of the
binding for another year (which was May 22, 1992 – May 22, policy.  
1993).
- In turn, the James Uy delivered a renewal
8) CA affirmed the RTC, holding that following previous practice, certificate to Chua.  
Masagana was allowed a 60-90 day credit term for the - The check was drawn against a Manila bank and
renewal of its policies, and that the acceptance of the late
deposited in American Home’s bank account in
premium payment suggested that payment could be made
Cagayan de Oro City. 
later.
- Subsequently, a new insurance policy was issued,
whereby American Home undertook to indemnify Chua
for any damage or loss arising from fire up
to P200,000 for the period 25 March 1990 to 25
American Home Ass. Co. vs. Antonio Chua, G.R. No. 130421.
March 1991.
June 28, 1999
G.R. No. 150751; September 20, 2004 3) On 6 April 1990, Moonlight Enterprises was completely
razed by fire.  
Petitioner: American Home Assurance Company
- Total loss was estimated between P4,000,000
Respondent: Antonio Chua and P5,000,000.  
Doctrine:
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- Respondent Chua filed an insurance claim with renewal certificate issued by petitioner’s agent
American Home and four other co-insurers, namely, James Uy
o Pioneer Insurance and Surety Corporation, - RTC declared that the alleged fraudulent
o Prudential Guarantee and Assurance, Inc., documents were limited to the disparity between
o Filipino Merchants Insurance Co. and Domestic the official receipts issued by the BIR and the
Insurance Company of the Philippines.   income tax returns for the years 1987 to 1989.  All
- American Home refused to honor the claim despite the other documents were found to be genuine.
several demands by Chua - As to Respondent Antonio Chua’s failure to notify
- Thus Chua filed an action against petitioner before American Home of the other insurance contracts
the trial court. covering the same goods, the trial court held that
o American Home failed to show that such
4) In its defense, American Home claimed there was no
omission was intentional and fraudulent.
existing insurance contract when the fire occurred since
Petitioner AHAC was made to pay 750,000 in
Chua DID NOT PAY THE PREMIUM.  
damages.
- American Home also alleged that even assuming
6) CA: affirmed RTC found that Respondent Antonio Chua’s
there was a contract, Chua violated several
claim was substantially proved and American Home’s
conditions of the policy, particularly:  
unjustified refusal to pay the claim entitled Chua’ to the
(1) his submission of fraudulent income tax return and award of damages.
financial statements;
7) American Home filed the petition reiterating its stand that
(2) his failure to establish the actual loss, which
there was no existing insurance contract between the
petitioner assessed at P70,000; and
parties. 
(3) his failure to notify to American Home of any
insurance already effected to cover the insured - It invoked Section 77 of the Insurance Code, which
goods.  These violations, petitioner insisted, justified provides that no policy or contract of insurance
the denial of the claim. issued by an insurance company is valid and
binding unless and until the premium thereof has
been paid and

- cites the case of Arce v. Capital Insurance wherein the


court ruled that until the premium is paid there is no
insurance.
5) RTC: ruled in favor of respondent Chua.  It found that
ISSUES:
- Chua paid by way of check a day before the fire
1. W/N there was a valid payment of premium, considering that
occurred.  
respondent’s check was cashed after the occurrence of the fire
- The check, which was deposited in American Home’s
RULING:
bank account, was even acknowledged in the

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YES. The general rule in insurance laws is that unless the G.R. No. 95546; Nov. 06, 1992
premium is paid the insurance policy is not valid and
Petitioner: Makati Tuscany Condo. Corp
binding.  
Respondent: Court of Appeals and American Home Ass. Co.
The only exceptions are
Facts:
1. life and
2. industrial life insurance. 1) American Home Assurance Co represented by American
International Underwriters issued a policy in favor of
Whether payment was indeed made is a question of fact which is Makati Tuscany Condominium Corporation
best determined by the trial court.   - with a total premium of P466,103.05.
The trial court found, as affirmed by the Court of Appeals, - The company issued a replacement policy.
that there was a valid check payment by Antonio Chua to Premium was again paid.
American Home.   - In 1984, the policy was again renewed and
Well-settled is the rule that the factual findings and conclusions American International issued to Makati Tuscany
of the trial court and the Court of Appeals are entitled to another policy.
great weight and respect, and will not be disturbed on - The petitioner paid 152,000 pesos then refused to
appeal in the absence of any clear showing that the trial furnish the balance.
court overlooked certain facts or circumstances which 2) The American International Underwriters filed an action
would substantially affect the disposition of the case. to recover the unpaid balance of P314,103.05.
According to the RTC the renewal certificate issued to Antonio 3) The Makati Tuscany’s administration explained that
Chua - it discontinued the payment of premiums because
the policy did not contain a credit clause in its
- contained the acknowledgment that premium had
favor and
been paid.  
- as well as the two (2) previous policies, stated the
In the instant case, the best evidence of such authority is the following reservations:
fact that American Home accepted the check and issued the
o acceptance of premiums didn’t waive any of
official receipt for the payment.  American Home is bound by
the company rights to deny liability on any
its agent’s acknowledgment of receipt of payment. claim under the policy arising before such
Section 78 of the Insurance Code explicitly provides: payments or after the expiration of the
credit clause of the policy
An acknowledgment in a policy or contract of insurance of the
receipt of premium is conclusive evidence of its payment, so far as o Subject to no loss prior to premium
to make the policy binding, notwithstanding any stipulation therein payment.
that it shall not be binding until the premium is actually paid. o If there be any loss such is not covered.
4) Makati Tuscany sought for a refund. 
Makati Tuscany Condo. Corp. v. Court of Appeals, GR. No.
95546, 6 Nov. 1992
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5) RTC: dismissed the complaint and counterclaim owing to premiums were paid on installments.
the argument that
The records clearly show that Makati Tuscany and American
- PAYMENT OF THE PREMIUMS of the policies were Home Assurance Co intended subject insurance policies
made during the lifetime or term of said policies,
so risk attached under the policies. - to be binding and effective notwithstanding the
staggered payment of the premiums.
6) CA: ordered Makati Tuscany to pay the balance of the - The initial insurance contract entered into in 1982
premiums owing to the reason that it was part of an was renewed in 1983, then in 1984.
indivisible obligation.
- In those three (3) years, the American Home
Assurance Co accepted all the installment
7) Makati Tuscany now asserts that its payment by
payments.
installment of the premiums for the insurance policies
invalidated them because of the provisions of Sec. 77 of - Such acceptance of payments speaks loudly of the
the Insurance Code disclaiming liability for loss for insurer's intention to honor the policies it issued to
occurring before payment of premiums Makati Tuscany.

Quoting the CA decision:


Issue:
“While the import of Section 77 is that prepayment of premiums is
Whether payment by installment of the premiums due on an strictly required as a condition to the validity of the contract, we
insurance policy invalidates the contract of insurance, in view of are not prepared to rule that the request to make
Sec. 77 of P.D. 612? installment payments duly approved by the insurer, would
Ruling: NO. prevent the entire contract of insurance from going into
effect despite payment and acceptance of the initial
Sec. 77. An insurer is entitled to the payment of the premium as premium or first installment.
soon as the thing is exposed to the peril insured against.
Notwithstanding any agreement to the contrary, no policy or Section 78 of the Insurance Code in effect allows waiver by
contract of insurance issued by an insurance company is valid and the insurer of the condition of prepayment by making an
binding unless and until the premium thereof has been paid, acknowledgment in the insurance policy of receipt of
except in the case of a life or an industrial life policy whenever the premium as conclusive evidence of payment so far as to
grace period provision applies. make the policy binding despite the fact that premium is
actually unpaid.
Makati Tuscany concluded that there cannot be a perfected
contract of insurance upon mere partial payment of the Section 77 merely precludes the parties from stipulating
premiums because under Sec. 77 of the Insurance Code, that the policy is valid even if premiums are not paid,

- no contract of insurance is valid and binding - but DOES NOT EXPRESSLY PROHIBIT an agreement
unless the premium thereof has been paid, granting credit extension.
notwithstanding any agreement to the contrary. - So is an understanding to allow insured to pay premiums
- As a consequence, Makati Tuscany’s seeks a refund in installments not so proscribed.
of all premium payments made on the alleged The reliance by Makati Tuscany on Arce vs. Capital Surety and
invalid insurance policies. Insurance Co. is unavailing
We hold that the subject policies ARE VALID even if the - because the facts therein are substantially different
13
from those in the case at bar.  Concept of Loss
- In Arce vs. Capital Surety, no payment was made
 Liability of insurer in case of loss
by the insured at all despite the grace period
given.  Loss in case of negligence of the insured
- Here, Makati Tuscany paid the initial installment
VIII. Notice of Loss
and thereafter made staggered payments resulting
in full payment of the 1982 and 1983 insurance  Meaning of notice of loss
policies. For the 1984 policy, petitioner paid two (2)
 Insured’s obligation to serve notice and proof
installments although it refused to pay the balance.
of loss
It appearing from the peculiar circumstances that the
 Period need in giving notice of loss
parties actually intended to make three (3) insurance
contracts valid, effective and binding,  Burden of proof of loss
- Makati Tuscany may not be allowed to renege on  Effect of non-compliance with notice
its obligation to pay the balance of the premium requirement
after the expiration of the whole term.
- Moreover, as correctly observed by the appellate
court, where the risk is entire and the contract is Philippine American General Insurance Co., Inc. v. Sweet
indivisible, Lines, Inc., 212 SCRA 194, August 5, 1992
o the insured is not entitled to a refund of the
G.R. No. 87434 August 5, 1992
premiums paid if the insurer was exposed to
the risk insured for any period, however Petitioner: Phil. American Gen. Insurance
brief or momentary.
Respondent: Sweet Lines Inc.
Topic: Notice of Loss
Doctrine:

The parties to a contract of carriage may fix by agreement a


shorter time for the bringing of suit on a claim for the loss of
or damage to the shipment, than that provided by the
statute of limitations.

Such limitation is not contrary to public policy for it does not in


any way defeat the complete vestiture of the right to recover,
but merely requires the assertion of that right by action at
an earlier period than would be necessary to defeat it through
the operation of the ordinary statute of limitations.

VII. Loss
14
FACTS:  Also, Notice of Claims For Loss or Damages IS
REQUIRED to be given to the carrier before the
1) Petitioners Philippine American General Insurance Co. institution of judicial claims.
(PHILAMGEN) and Tagum Plastics (TAGUM) were the
6) The BILLS OF LADING were not formally offered as
insurers and importers, respectively, of an order of
evidence
POLYETHYLENE (the basic material for your common
plastics). - hence THERE WAS NO SHOWING that a contractual
prescriptive period was indicated therein.
2) The POLYETHYLENE are
7) RTC: ruled in favor of petitioners PHILAMGEN and TAGUM
- to be shipped from the United States (through the
Indian Ship, SS Vishva Yash) and are to be received at 8) CA: reversed on the basis of prescription.
Manila. 9) Hence, this petition for review on certiorari.
- After which, from Manila the POLYETHYLENE are to be Issue: W/N Tagum Plastics has timely notified the Respondent
shipped to Davao, Tagum Plastics’ place of business. Sweet Lines of its claim? NO.
3) When the Indian Ship arrived at Manila Ruling:
- it sought the services of Respondent Sweet Lines, Inc.
for the inter-island shipment to Davao.  In the present case and under the aforestated assumption that
the time limit involved is a prescriptive period,
4) However, when the M/V Sweet Love, owned and operated
Respondent Sweet Lines carrier duly raised prescription
by Sweet Lines, arrived at Davao,
as an affirmative defense in its answer setting forth
- Petitioners found that the some of the imported paragraph 5 of the pertinent bills of lading which comprised the
polyethylene were UNDELIVERED or DAMAGED. stipulation thereon by parties, to wit:
5) For this reason, Petitioners filed suit against Respondent
5. Claims for shortage, damage, must be made at the time of delivery
Sweet Lines and the Davao Veterans Arrastre which
to consignee or agent, if container shows exterior signs of damage or
handled the cargoes at the Davao port. shortage.
 The basis for such suit are the BILLS OF LADING,
which serves as the contract between parties that Claims for non-delivery, misdelivery, loss or damage must be filed
within 30 days from accrual.
the goods indicated therein are to be delivered
complete in number and in the condition specified. Suits arising from shortage, damage or loss, non-delivery or
 Militating against the petitioners, however, is the misdelivery shall be instituted within 60 days from date of accrual
of right of action.
prescriptive period included in the bills of lading. It
states that any action arising from shortage or damages
Failure to file claims or institute judicial proceedings as herein provided
must be brought within sixty (60) days from accrual of constitutes waiver of claim or right of action. In no case shall carrier
right of action.

15
be liable for any delay, non-delivery, misdelivery, loss of damage to
cargo while cargo is not in actual custody of carrier. 

 On the issue of the validity of the controverted paragraph 5 of


the BILLS OF LADING above quoted which unequivocally • As the requirements in Article 366, restated with a slight
prescribes a time frame of modification in the assailed paragraph 5 of the BILLS OF
LADING, are reasonable conditions precedent, they are
- THIRTY (30) DAYS for filing a claim with the carrier in not limitations of action.  
case of loss of or damage to the cargo and - Being conditions precedent, their performance must
- SIXTY (60) DAYS from accrual of the right of action precede a suit for enforcement and the vesting of the
for instituting an action in court, which periods must right to file spit does not take place until the
concur, happening of these conditions. 

 Petitioners posit that the alleged shorter prescriptive  Where the contract of shipment contains a reasonable
period which is in the nature of a limitation on requirement of giving notice of loss of or injury to the
Petitioners right of recovery is unreasonable and that goods
Respondent Sweet Lines has the burden of proving
otherwise - the GIVING OF SUCH NOTICE is a condition precedent
to the action for loss or injury or the right to enforce
 It has long been held that Article 366 of the Code of the carrier's liability.
Commerce applies not only to overland and river
transportation but also to maritime transportation.   - The NOTICE requirement is not an empty formalism.

 Moreover, we agree that in this jurisdiction, as viewed from - The fundamental reason or purpose of such a
another angle, it is more accurate to state stipulation is not to relieve the carrier from just liability,
but reasonably to inform it that the shipment has
- that the FILING OF A CLAIM WITH THE CARRIER been damaged and that it is charged with liability
within the time limitation therefor under Article 366 therefor, and to give it an opportunity to examine the
actually constitutes a condition precedent to the nature and extent of the injury.
accrual of a right of action against a carrier for - This protects the carrier by affording it an opportunity
damages caused to the merchandise. to make an investigation of a claim while the matter is
- The shipper or the consignee MUST ALLEGE and fresh and easily investigated so as to safeguard itself
PROVE the fulfillment of the condition and IF HE from false and fraudulent claims. 
OMITS such allegations and proof, no right of action
against the carrier can accrue in his favor.  Stipulations in bills of lading or other contracts of shipment
which require notice of claim for loss of or damage to goods
shipped in order to impose liability on the carrier operate to
16
prevent the enforcement of the contract when not complied whatever right of action they may have in their favor
with, that is, notice is a condition precedent and the carrier is or, token in another sense, that remedial right or
not liable if notice is not given in accordance with the right to relief had prescribed.
stipulation,  as the failure to comply with such a stipulation in a
 SWEET LINES WINS.
contract of carriage with respect to notice of loss or claim for
damage bars recovery for the loss or damage suffered.  IX. Double Insurance

 On the other hand, the VALIDITY OF A CONTRACTUAL  Meaning of Double Insurance


LIMITATION of time for filing the suit itself against a  Requisites
carrier shorter than the statutory period therefor has
generally been upheld as such stipulation merely affects  Double Insurance vs. Over-Insurance
the shipper's remedy and does not affect the liability of  Prohibition against Double Insurance
the carrier.
 Rules governing claims for over-insurance by
 In the absence of any statutory limitation and subject only to double-insurance
the requirement on the reasonableness of the stipulated Geagonia v. Court of Appeals 241 SCRA 152, 160 (1995)
limitation period:
Petitioner: Armando Geagonia
The parties to a contract of carriage may fix by agreement a
Respondent: CA
shorter time for the bringing of suit on a claim for the loss of
or damage to the shipment, than that provided by the Private Respondent: Country Bankers Insurance Corporation
statute of limitations. Topic: Double Insurance
Such limitation is not contrary to public policy for it does not in Doctrine:
any way defeat the complete vestiture of the right to recover,
“A double insurance exists where the same person is insured
but merely requires the assertion of that right by action at
by several insurers separately in respect of the same subject
an earlier period than would be necessary to defeat it through
and interest.
the operation of the ordinary statute of limitations.
However, as to a mortgaged property, the mortgagor and the
 In the case at bar, there is neither any showing of mortgagee have each an independent insurable interest
compliance by PETITIONERS therein and
(1) both interests may be covered by one policy, or
- with the requirement for the filing of a NOTICE OF
CLAIM within the prescribed period nor any allegation (2) each may take out a separate policy covering his
to that effect. interest, either at the same or at separate times.”

- It may then be said that while PETITIONERS may Facts:


possibly have a cause of action, for failure to comply 1) Petitioner Armando Geagonia is the owner of Norman’s
with the above condition precedent they lost Mart.
17
- He obtained from Private Respondent Country 6) The FIRE INSURANCE POLICIES issued by PFIC indicate
Bankers Insurance Corporation a fire insurance policy that the insured was "Messrs. Discount Mart (Mr.
for P100,000 Armando Geagonia, Prop.)"
- covering the Stock-in-trade consisting principally of dry
- with a mortgage clause stating that the LOSS SHALL BE
goods.
PAYABLE TO Messrs. Cebu Tesing Textiles, Cebu City
- The period of the policy was from 22 December 1989 –
as mortgagee.
22 December 1990.
7) Petitioner Geagonia then filed a complaint against the
2) Petitioner Geagonia DECLARED in the policy that
Respondent Country Bankers Insurance Corporation with
Mercantile Insurance Co., Inc. was the co-insurer for
the Insurance Commission for the recovery of
P50,000.00.
P100,000.00 under its fire insurance policy.
3) The policy contained a condition which states that the
8) Insurance Commission: In favor of Petitioner Geagonia,
INSURED shall give notice to the Company of any
insurance or insurances already effected, or which may - ordered Respondent Country Bankers Insurance to pay.
subsequently be effected, covering any of the property - It was Cebu Tesing Textiles which procured the PFIC
insured, and unless such notice be given before the policies without informing him or securing Geagonia’s
occurrence of any loss or damage, all benefits under the consent; and that
policy shall be deemed forfeited. - Cebu Tesing Textiles, as his creditor, had insurable
interest on the stocks.
- However, this condition will not apply when the total
insurance/s in force at the time of the loss or damage 9) Court of Appeals: reversed the decision of the Insurance
is not more than P200,000. Commission.

4) On 27 May 1990, a fire broke out and Petitioner - The PFIC policies indicate that the
Geagonia’s insured stocks-in-trade were completely  assured was Geagonia and
DESTROYED
 Cebu Tesing Textiles was only the mortgagee
- prompting Geagonia to file a claim with Respondent of the goods.
Country Bankers Insurance Corporation.
- The premiums on both policies were paid for by
5) The CLAIM WAS DENIED by Country Bankers Insurance Petitioner Geagonia as shown in the premium
Corporation on the ground that invoices which indicated that it was issued to
- there was a violation of Condition 3 of the policy Geagonia.
- because at the time of the loss, Petitioner Geagonia’s - It was Petitioner Geagonia who took out the policies
stocks-in-trade were likewise covered by 2 other fire on the same property subject of the insurance and
insurance policies issued by Philippines First IN FAILING TO DISCLOSE THE EXISTENCE OF
Insurance Co., Inc. (PFIC). THESE insurances Geagonia violated Condition
number 3.

18
Issue: Mortgagee's insurable interest - to the extent of the debt,
since the property is relied upon as security thereof, and in insuring
W/N there was double insurance?
he is not insuring the property but his interest or lien thereon. It is
Ruling: NO. the value mortgaged which extends only to the amount of the
 Condition 3 of the Country Bankers Insurance debt, not exceeding the value of the mortgaged property.
Corporation’s Policy is a provision which invariably
appears in fire insurance policies and is intended to  Thus, SEPARATE INSURANCES covering different
prevent an increase in the moral hazard. insurable interests may be obtained by the

- It is commonly known as the additional or "other o mortgagor (Petitioner Geagonia) and


insurance" clause and has been upheld as valid o the mortgagee (Cebu Tesing Textiles).
and as a warranty that no other insurance exists.
- The rationale behind the incorporation of "other  A mortgagor may take out insurance for the benefit of
insurance" clause in fire policies is to prevent over- the mortgagee, which is the usual practice. The mortgagee
insurance and thus avert the perpetration of fraud. may be made the beneficial payee in several ways.
Its violation would thus avoid the policy.
 As earlier stated, the insurable interests of a mortgagor and
 However, in order to constitute a violation, the "other a mortgagee on the mortgaged property are distinct and
insurance" and incurring DOUBLE INSURANCE there must separate.
be concurrence of these elements it must be
 Hence in the case, since the two policies of the PFIC do not
- same subject matter, the cover the same interest as that covered by the policy of
- same interest therein, and the the Country Bankers Insurance Corporation

- same risk. - NO DOUBLE INSURANCE EXISTS.


- The non-disclosure then of the former policies was
• as to a mortgaged property, the mortgagor and the not fatal to the Petitioner Geagonia right to recover
mortgagee have each an independent insurable interest on the Country Bankers Insurance’s policy.
therein and
o both interests may be covered by one policy, or

o each may take out a separate policy covering his


interest, either at the same or at separate times.”
Mortgagor's insurable interest - covers the full value of the
mortgaged property, even though the mortgage debt is
equivalent to the full value of the property.

19
1) Wyeth Philippines, Inc. and Reputable Forwarders
Services (respondent)

- had been annually executing a contract of carriage,

- whereby the Reputable Forwarders Services


undertook to transport and deliver the Wyeth’s
products to its costumers, dealers or salesmen.

2) Nov. 18 1993: Wyeth procured a marine policy from


Philippines First Insurance Co., Inc. (respondent) to
secure its interest over its own products.

o Philippines First insured Wyeth’s nutritional,


Malayan Ins. Co., Inc. vs. Phils. First Ins. Co., Inc. and pharmaceutical and other products usual or
Reputable Forwarder Services, Inc., incidental to the insured’s business while the
same were being transported or shipped in the
Petitioner: Malayan Insurance Co., Inc.,
Philippines.
Respondent: Philippines First Insurance Co., Inc. and Reputable
Forwarder Services, Inc. o The marine policy covers all risk of direct physical
loss or damage from any external cause, if by
Topic: Double Insurance land, and provides a limit of 6M per any one land
Doctrine: vehicle.

Sec. 93 of the Insurance Code A double insurance exists 3) Dec. 1 1993: Wyeth executed its annual contract of
where the same person is insured by several insurers carriage with Reputable Forwarders Services.
separately in respect of the same subject and interest. and
- It turned out that the contract was not signed by
risk
Wyeth’s representative/s.
The requisites in order for double insurance to arise are as follows:
o Nevertheless, it was admittedly signed by
a. The person insured is the same; Reputable’s representatives, the terms thereof
b. Two or more insurer insuring separately; faithfully observed by the parties and, is previously
stated, the same contract of carriage had been
c. There is identity of subject matter;
annually executed by the parties every year since
d. There is identity of interest insured; and 1989.
e. There is identity of the risk or peril insured against. - Under the contract, Reputable undertook to answer
Facts: for

20
“all risks with respect to the goods and shall be liable - and that the cause of loss was force majeure, i.e.,
to Wyeth, for the loss, destruction, or damage of the the hijacking incident.
goods/products due to any force majeure while the
8) RTC:
goods/products are in transit and until actual delivery to
the costumers, salesmen, and dealers of the company.” - Reputable is liable to Philippines First for the amount
of indemnity it paid to Wyeth, among others.
- The contract further required Reputable to secure an
insurance policy on Wyeth’s goods. - Malayan liable to indemnify Reputable

- Thus, on Feb. 11 1994, Reputable signed a Special Risk 9) ARGUMENT OF MALAYAN: Malayan argued that inasmuch
Insurance Policy (SR Policy) with Petitioner as there was already a marine policy issued by Philippines
MALAYAN for the amount of 1M. First securing the same subject matter against loss and that
since the monetary coverage/value of the marine policy is
4) Oct. 6 1994: The truck carrying Wyeth’s products (1K boxes of
more than enough to indemnify the hijacked cargo,
Promil infant formula worth around 2.35M), to be delivered
Philippines First alone must bear the loss. Malayan sought the
by Reputable to Mercury Drug Corp. in Libis,
dismissal of the third-party complaint against it.
- WAS HIJACKED by about 10 armed men.

- The hijacked truck was recovered 2 weeks later


without its cargo.
Malayan invoked the following provisions of the Special Risk
5) March 8 1995: Philippines First, after due investigation and
Insurance Policy
adjustment, and pursuant to the Marine Policy,
SR POLICY Section 5. INSURANCE WITH OTHER COMPANIES. The
- paid Wyeth around 2.1M as indemnity. insurance does not cover any loss or damage to property which at the time
6) Philippines First then demanded reimbursement from of the happening of such loss or damage is insured by or would but for the
existence of this policy, be insured by any Fire or Marine policy or policies
Reputable Forwarders Services
except in respect of any excess beyond the amount which would have
- having been subrogated to the rights of Wyeth by been payable under the Fire or Marine policy or policies had this insurance
virtue of the payment. not been effected.

- Reputable ignored the demand. SR POLICY SECTION 12. OTHER INSURANCE CLAUSE. If at the time
of any loss or damage happening to any property hereby insured, there be
7) Aug. 12 1996: Philippines First instituted an action for any other subsisting insurance or insurances, whether effected by the
sum of money against Reputable claiming that insured or by any other person or persons, covering the same property,
the company shall not be liable to pay or contribute more than its ratable
- Philippines First cannot be made liable under the proportion of such loss or damage.
contract of carriage with Wyeth
10) CA: sustained the RTC ruling.
- since the contract was not signed by Wyeth’s
representative/s.
21
(1) Reputable is estopped from assailing the validity of  On the other hand, a private carriers is one wherein the
their contract of carriage with Wyeth on the ground carriage is generally undertaken by special agreement and it
of lack of signature of Wyeth’s representative/s.; does not hold itself out to carry goods for the general
public. A common carrier becomes a private carrier when it
(2) Reputable is liable under the contract for the value of undertakes to carry a special cargo or chartered to a special
the goods even if the same was lost due to fortuitous person only.
event; and  Therefore, for all intents and purposes, Reputable operated
as a private/special carrier with regard to its contract of
(3) Sec. 12 "modified other insurance clause". of the
carriage with Wyeth.
Special Risk Insurance Policy prevails over Sec. 5
“other insurance clause”, it being the latter provision
of the same SR Policy; (2) Reputable is bound by the terms of the contract of carriage.
- however, since the ratable proportion provision of Sec. 12  The extent of a private carrier’s obligations is dictated by
APPLIED ONLY IN CASE OF DOUBLE INSURANCE, the stipulations of a contract it entered into, provided its
which is not present, then it should not be applied stipulations, clause, terms and conditions are not contrary
and Malayan should be held liable for the full to law, morals, good customs, public order, or public policy.
amount of the policy coverage, that is, 1M.  Being a private carrier, the extent of Reputable’s liability is
fully governed by the stipulations of the contract of
Issue: carriage, one of which is that it shall be liable to Wyeth for
(1) W/N Reputable is a private carrier. YES the loss of the goods/products due to any and all causes
whatsoever, including theft, robbery and other force
(2) W/N Reputable is strictly bound by the stipulation in its majeure while the goods/products are in transit and until
contract of carriage with Wyeth, such that is should be liable actual delivery to Wyeth’s customers, salesmen and dealers.
for any risk of loss or damage, for any cause whatsoever,
including that due to theft or robbery and other force (3) Other insurance visàvis over insurance.
majeure. YES
 Sec. 5 is actually the other insurance clause (also called
(3) W/N Sec. 5 and Sec. 12 of the SR Policy is “additional insurance” and “double insurance”).
“nugatory”? NO (issue in related to the topic)
o Sec. 5 does not provide for the nullity of the SR
(4) W/N Reputable should be held solidarily liable with Malayan
Policy but simply limits the liability of Malayan
for the amount due to Philippines First. NO
only up to the excess of the amount that was
Ruling: not covered by the other insurance policy.
(1) Reputable is a private carrier.  The SC cited the case of Geogonia v. CA wherein it was
 Under Art. 1732 of the CC, common carriers are persons, held that the prohibition of the other insurance clause is
corporations, firms or association engaged in the business applied only in case of double insurance.
of carrying or transporting passenger or goods, or both by
land, water or air for compensation, offering their services o The SC ruled that in order to constitute a
to the public. violation of the clause, the other insurance
22
must be upon the same subject matter, the Sec. 93 of the Insurance Code A double insurance exists
same interest therein, and the same risk. where the same person is insured by several insurers
separately in respect of the same subject and interest. and
 Thus, even though the multiple insurance policies
risk
involved were all issued in the name of the same
assured, over the same subject matter and covering the The requisites in order for double insurance to arise are as follows:
same risk,  The person insured is the same;
o it was ruled that there was no violation of the  Two or more insurer insuring separately;
“other insurance clause” since THERE WAS NO
 There is identity of subject matter;
DOUBLE INSURANCE.
 There is identity of interest insured; and
 Sec. 12 of the SR policy, on the other hand, is the over
insurance clause. More particularly,  There is identity of the risk or peril insured against.

o it covers the situation where there is over In the present case, while it is true that the Marine Policy and the
insurance due to double insurance. SR Policy were both issued over the same subject matter,
i.e. goods belonging to Wyeth, and both covered the same peril
o In such case, Sec. 15 of the SR policy provides insured against, it is,
that Malayan shall
- however, beyond cavil that the said policies were
“not be liable to pay or contribute more than its ratable issued to two different persons or entities.
proportion of such loss or damage.”
- It is undisputed that Wyeth is the recognized insured of
o This is in accord with the PRINCIPLE OF
o Philippines First under its Marine Policy, while
CONTRIBUTION provided under Sec. 94 (e) of
the Insurance Code, which states that o Reputable is the recognized insured of Malayan
“where the insured is over insured by double under the SR Policy.
insurance, each insurer is bound, as between himself - The fact that Reputable procured Malayan’s SR Policy
and the other insurers, to contribute ratably to the over the goods of Wyeth pursuant merely to the
loss in proportion to the amount for which he is liable stipulated requirement under its contract of
under his contract. carriage with the Malayan does not make Reputable a
 Clearly, both Sections 5 and 12 presupposes the mere agent of Wyeth in obtaining Malayan’s SR
existence of a double insurance. Policy.

The pivotal question that now arises is whether there is  In addition, the interest of Wyeth over the property
double insurance in this case such that either Sec. 5 or Sec. subject matter of both insurance contracts is also
12 of the SR Policy may be applied. different and distinct from that of Reputable.

- The policy issued by Philippines First was in


23
CONSIDERATION OF the legal and/or equitable a) it is not satisfied as to the insurability of the insured and
interest of Wyeth over its own goods. b) if the INSURED does not pay all overdue premium and
c) all other indebtedness to the INSURER. 
- On the other hand, what was issued by Malayan to
After the death of the INSURED the insurance Company cannot be
Reputable was over the Reputable’s insurable
compelled to entertain an application for reinstatement of the policy
interest over the safety of the goods, which may because the conditions precedent to reinstatement can no longer
become the basis of the latter’s liability in case of loss or be determined and satisfied." - Court in Andres v. The Crown Life
damage to the property and falls within the contemplation Insurance Company, citing  McGuire v. The Manufacturer's Life Insurance
of Sec. 15 of the Insurance Code. Co.

(4) Reputable is not solidarily liable with Malayan. Facts:


1) Eulogio Lalican applied for an insurance policy with the Insular
 There is solidary liability only when the obligation expressly
Life amounting to Php 1,500,000.
so states, when the law so provides or when the nature of
the obligation so requires. - Under the terms of the policy, Eulogio was to pay the
premiums on a quarterly basis, having a grace period of
 In this case, no solidary liability arises because Malayan’s
31 days, for the payment of each premium subsequent to the
and Reputable’s respective liabilities arose from different
first.
obligations – Malayan’s is based on the SR Policy while
Reputable’s is based on the contract of carriage. - If any premium was not paid on or before the due date,
the policy would be in default and
- If the premium remained unpaid until the end of the grace
X. Reinsurance period, the policy would automatically lapse and become
void.
 Concept of Reinsurance
2) Eulogio paid the premiums due on the first two succeeding
 Reinsurance vs. Double Insurance payment dates
 Reinsurance Treaty - but failed to pay subsequent premiums even after the lapse
of the grace period thereby rendering the policy void.
Lalican vs. The Insular Life Assurance Co. Ltd, G.R. No.
183526 August 25, 2009 - Eulogio submitted an application for reinstatement of policy
through Josephine Malaluan, an agent of Insular Life,
together with the payment of the unpaid premiums.
Petitioner: Violeta Lalican
Respondent: The Insular Life Assurance Co. Ltd. - However, the Insular Life notified Eulogio that his
application could not be processed because he failed to
Topic: Reinstatement
pay the overdue interest of the unpaid premiums.
Doctrine:
3) Eulogio submitted to Josephine Malaluan’s house
“The stipulation in a life insurance policy giving the insured the
privilege to reinstate it upon written application does not give the - a second application for reinstatement including the
INSURED absolute right to such reinstatement by the mere filing of payment for the overdue interest as well as for the
an application. premiums due for April and July of that year,

The INSURER has the right to deny the reinstatement if


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- Such was received by Malaluan’s husband on her behalf and Eulogio’s death rendered impossible full compliance with the
was thereby issued a receipt for the amount Eulogio conditions for reinstatement of policy
deposited. - even though, before Eulogio’s death, he managed to file his
- However, on that same day, Eulogio died of cardio- application for reinstatement and deposit the amount for
respiratory arrest secondary to electrocution. payment of his overdue premiums and interest thereon with
4) Violeta, Eulogio’s widow filed with the Insular Life a claim for Malaluan.
payment of the full proceeds of the policy As expressly provided on the policy contract, agents of Insular Life
- but the Insular Life informed Violeta that the claim could not have no authority to approve any application for reinstatement.
be granted - Agents still had to turn over to Insular Life the application
- since at the time of Eulogio’s death, his policy has already for reinstatement and accompanying deposit, for
lapsed and he failed to reinstate the same. processing and approval of the Insular Life.

5) Violeta requested a reconsideration of her claim but the same Eulogio’s Policy remained lapsed and void, not having been
was also rejected. Therefore, Violeta filed a complaint for death reinstated in accordance with the Policy Contract and Application for
claim benefits with the RTC a Reinstatement before Eulogio's death.

- alleging the (1) unfair claim settlement practice Insular Violeta, therefore, CANNOT CLAIM ANY DEATH BENEFITS from
Life and its (2) deliberate failure to act with reasonable Insular Life on the basis of Eulogio’s Policy;
promptness on her insurance claim. - but Violeta is entitled to receive the full refund of the
6) RTC rendered a decision in favor of Insular Life payments made by Eulogio thereon.

7) Violeta elevated her case to the Supreme Court via the petition
for review on Certiorari.
Issue:
Whether or not Eulogio’s policy was reinstated before his death?
Ruling:
No. To reinstate a policy means to restore the same to premium-
paying status after it has been permitted to lapse.
Both the policy contract and application for reinstatement provide
for specific conditions for the reinstatement of a lapsed policy.
According to the Application for Reinstatement,
- the policy would only be considered reinstated upon the
approval of the application by Insular Life
o during the applicant’s “lifetime and good health” and
whatever amount the application paid in connection was
considered to be a deposit only until approval of said
application.

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