Professional Documents
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Part Three From I - III
Part Three From I - III
INSURANCE LAW
TY-SY Case Summaries Where the insurer denies liability for a loss alleged to be due to a
risk not insured against, but fails to establish the truth of such
PART THREE: NON-LIFE INSURANCE fact by concrete proofs, the Court rules that the insurer is liable
under the terms and conditions of the policy by which it has
WHAT MAY BE INSURED AGAINST bound itself. In this case, the dismissal order without hearing and
reception of evidence to prove that the firing incident was indeed a
HEIRS OF COSCOLLUELA v. RICO GENERAL result of a civil commotion, rebellion or insurrection constitutes
G.R. No. 84628 | November 16, 1989 reversible error on the part of the trial court.
Digest by: Ryan James Amistad The Court stresses that it would be a grave and dangerous procedure
for the courts to permit insurance companies to escape liability through
a motion to dismiss without the benefit of hearing and evidence every
DOCTRINE OF THE CASE time someone is killed, or as in this case, property is damaged in an
ambush. The question on the nature of the firing incident for the
The burden of proof to show that the insurer is not liable because purpose of determining whether or not the insurer is liable must first be
of an excepted risk is on the insurance company. Where the threshed out and resolved in a full-blown trial.
insurer denies liability for a loss alleged to be due to a risk not
insured against, but fails to establish the truth of such fact by The evidence to be received does not even have to relate to the
concrete proofs, the Court rules that the insurer is liable under the existence of an official government proclamation of the nature of the
terms and conditions of the policy by which it has bound itself. incident because the latter is not an explicit requirement in the
exception clause resolved in a mere motion to dismiss and is, for
purposes of this petition for review on certiorari, immaterial. This
Facts of the case
particular issue on when to take cognizance of a rebellion for purposes
of the law on contracts and obligations should have been developed
Heirs of Ildefonso Coscoluella, Sr. Inc. (“The Heirs”, for brevity) is a
during the trial on the merits or may have to await remedial legislation
domestic corporation and the registered owner of an Isuzu Pickup
in Insurance Law or a decision in a more appropriate case.
truck. The vehicle was insured with Rico General Insurance
Corporation (Rico General) for a consideration of P100,000.00.
Rico General's invocation of the exception clause in the insurance
policy as the basis for its non-liability and the consequent dismissal of
On August 28, 1987 and within the period covered by the insurance,
the complaint is without merit. It is an established rule that when the
the insured vehicle was severely damaged and rendered unserviceable
terms of an insurance contract contain limitations on liability, the
when fired upon by a group of unidentified armed persons at
court "should construe them in such a way as to preclude the
Hacienda Puyas, Barangay Blumentritt, Murcia, Negros Occidental.
insurer from non-compliance with his obligations." A policy of
insurance with a narration of exceptions tending to work a forfeiture of
The Heirs filed its claim of P80,000.00 for the repair of the vehicle but
the policy shall be interpreted liberally in favor of the insured and
Rico General in a letter dated October 8, 1987, refused to grant it.
strictly against the insurance company or the party for whose benefit
they are inserted.
Rico General’s Defense:
Rico General alleged that the firing was "an indirect consequence
The facts alleged in the complaint do not give a complete
of rebellion, insurrection or civil commotion." That the firing by
scenario of the real nature of the firing incident. Hence, it was
armed men is a risk excepted under the provisions in their insurance
incumbent upon the trial judge to have made a deeper scrutiny
policy:
into the circumstances of the case by receiving evidence instead
of summarily disposing of the case. This case does not present a
The Company shall not be liable under any Section of the Policy
pure question of law but demands a factual determination of whether
in respect of:—
the incident was a result of events falling under the exceptions to the
3. Except in respect of claims arising under Sections I and II of
liability of insurance company contained in the policy of insurance.
the policy, any accident, loss, damage or liability directly
PRATS v. PHOENIX
or indirectly, proximately or remotely occasioned by,
contributed to by or traceable to, or arising out of, or in G.R. No. L-28607 | February 21, 1929
connection with flood, typhoon, hurricane, volcanic eruption,
earthquake or other convulsion of nature, invasion, the act of Digest by: Carlo L. Bahalla
foreign enemies, hostilities or warlike operations (whether
war be declared or not), civil commotion, mutiny, rebellion, DOCTRINE OF THE CASE
insurrection, military or usurped power, or by any direct or
indirect consequences of any of the said occurrences and in Prats cannot recover under the insurance policy because under
the event of any claim hereunder, the insured shall prove Section 89 of the Insurance Code, the insurer is not liable when
that the accident, loss or damage or liability arose the thing is lost due to the willful act or in connivance with the
independently of, and was in no way connected with, or insured. The Supreme Court concluded that not only the plaintiff
occasioned by, or contributed to, any of the said caused the fire to be set, or connived therein, but also that it
occurrences, or any consequence thereof, and in default of submitted fraudulent proof
such proof, the Company shall not be liable to make any
payment in respect of such claim."
Facts of the case
The Heirs argued that the quoted provision does not apply in the
absence of an official governmental proclamation of any of the above On July 10, 1923, Prats, Hanna and Bejar registered two mercantile
enumerated conditions. partnerships for the purpose of engaging in mercantile business. It was
apparently contemplated, in so far as any legitimate function may have
been intended, that Prats & Co. should be an importing firm, while
Issue Hanna, Bejar & Co. should engage in retail business.
WON Rico General is liable in the insurance policy. -YES On May 27, 1924, Prats, acting for Hanna, Bejar & Co., purchased a
one-story building at 95 Plaza Gardenia , Manila and soon thereafter,
he begun to assemble in this place the stock of merchandise which
Ruling was the subject of insurance in this case.
The burden of proof to show that the insurer is not liable because Nine policies aggregating P160,000 were taken out by Prats in the
of an excepted risk is on Rico General. name of Hanna, Bejar & Co. on merchandise stored at 95 Plaza
Whether or not Prats & Co., may recover the proceeds from the EAST v. GLOBE
insurance policy. –NO G.R. No. L-35848 | November 22, 1932
There is also evidence that on various occasions before the fire, goods
were removed from the bodega to the store of B. Abolafia, at Manila, Ruling
where they were received without invoice. Some of these goods were
subsequently sent away by Abolafia for sale in the provinces. The evidence shows that the fire started in the second floor of the
building. That floor was constructed of wood. Immediately after the fire
The Supreme Court also noted that about the time the bodega at 95 was extinguished, the deputy chief of the fire department investigated
Plaza Gardenia had been purchased, Domingo Romero assisted one and found three cans containing gasoline and kapok (according to
person, Mr. Osete, to rent a place close to the rear of the building at 95 google, it’s a fibrous cotton-like material) saturated with gasoline.
Plaza Gardenia. Osete appears to have been the individual chosen for
the role of incendiary, and he slept at the place mentioned until the Filoteo Miranda, the proprietor and manager of the East, made no
night of the fire. A night or two before the fire, Osete, accompanied by attempt to deny the presence of these materials while testifying as a
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witness for the East. Eugenio Pineda testified that he had known Regardless of any difference of opinion as to the value of the insured
Filoteo for about 15 years and about six months before the fire, Filoteo furniture and the extent of the damage caused thereto by the fire in
intimated to him that he intended to burn the East Furniture Store question, the fact that the insured only had approximately 202
because it was on the verge of bankruptcy. pieces of furniture in the building at the time of the fire and
sought to compel the insurance companies to pay for 506 pieces
This information was communicated to Atty de Silva which conclusively shows that its claim was not honestly conceived.
communicated it to the insurance agent which caused one of the
policies (the policy issued by Smith, Bell and Co.) to be cancelled. On Condition 12 of each of the insurance policies sued upon provides that
the night of the fire, Eugenio saw the cashier of the East enter the back "if the claim be in any respect fraudulent, or if any false declaration be
door of the building, and that ten minutes later, the building burned. made or used in support thereof, or if any fraudulent means or devices
are used by the Insured or anyone acting on his behalf to obtain any
Atty de Silva corroborated the testimony of Eugenio and further benefit under this policy; or, if the loss or damage be occasioned by the
testified that sometime after the cancellation of the policy, he called wilful act, or with the connivance of the Insured, — all benefit under this
Filoteo to ask why the Smith, Bell and Co insurance was cancelled, policy shall be forfeited."
saying “Why should we not cancel the policy when we heard from
Eugenio that you were going to burn the establishment” to which PARIS-MNL PERFUMERY CO. v. PHOENIX
Miranda replied “That is confidential, please don’t repeat to anybody”. G.R. No. L-25845 | December 17, 1926
It further appears that at the time of the fire, the East was heavily Digest by: Maria Margarita Chua
indebted to the Manila Finance & Discount Corporatin, BPI and Atty
Mendoza.
DOCTRINE OF THE CASE
The SC is thus led to conclude that the fire in question was of
intentional origin and was caused with the connivance of the East. Loss, The immediate cause of which was the peril insured
against, if the proximate cause thereof was NOT excepted in
nd
2 Issue the contract
WON the claims were false and fraudulent – YES "Section 88. Where a peril is especially excepted in a contract of
insurance, a loss, which would not have occurred but for such
peril, is thereby excepted although the immediate cause of the
Ruling loss was a peril which was not excepted.
Overstated claims "Section 89. An insurer is not liable for a loss caused by the willful
The proofs of loss presented to the respective insurance companies act or through the connivance of the insured; but he is not
was attached an inventory of the furniture claimed to have been in the exonerated
building at the time of the fire. But a comparison between the prices
listed in the inventory listed by the plaintiff and the list of furniture sold
by the plaintiff tends to show that the value claimed against the Facts of the case
insurance companies is much higher than the selling price.
Paris is a domestic corporation engaged in the manufacture of
The only book the plaintiff produced and offered in evidence to support perfumery and toilet articles while Phoenix is engaged in the fire
the validity of the inventories was a new book, only the first six pages insurance business in the Philippine Islands. It issued to Paris its fire
of which contain entries. The first page consisting of a testament of insurance policy for P13,000, insuring plaintiff's property against
assets and liabilities as of December 1928, and the second to the fifth fire and by two other insurance company for P1,200 and P5,000
page consisting of a list of furniture and its price, from which list the respectively,
inventory in question appears to have been copied. This seems
significant in view of Filoteo’s testimony that at the end of the two On July 4, 1924, the property was completely destroyed by fire for the
preceding years, he took a physical inventory and in view of his total loss to the plaintiff of P38.025.56; Paris filed for a claim but
inability to account for the whereabouts of those alleged previous defendant wrongfully and unjustly refused to pay it;
inventories.
Defendant denied any liability and refused arbitration, and as a special
It appears that after the fire, at the request of the insurance companies, defense alleges that:
a furniture manufacturer named Guevara, made an inventory of all the
1. the policy in question was issued "to one Peter Johnson,
damaged and undamaged furniture found in the building after the fire.
as proprietor of Paris-Manila Perfumery Co.," and that the
The inventory contains 202 pieces of furniture which to Guevara’s
appraisal totals P4,184.60. It is to be recalled that the plaintiff claimed company was not the insured named in the policy, that the
that there were 506 pieces of furniture with a total value of P52,061.99. insurance was of no legal force and effect with the company.
2. As a second special defense, it is alleged that "the policy of
The plaintiff alleged that the inventory by Guevera was not reliable insurance did not cover any loss or damage occasioned
since Guevera was not a competent appraiser. However, it was found by explosion," and that the loss was occasioned by an
that Guevera had been engaged in the manufacture of furniture in explosion, and was not covered by the policy.
Manila for 18 years. His inventory seems to be reasonable as the same 3. As a third special defense, it is alleged that the policy
furniture was subsequently sold by the sheriff at public auction and provides that, if the claim is fraudulent, and that any false
brought only the sum of P2,650. declaration was made or used to obtain it, all benefits are
thereby forfeited; that the claim of the plaintiff is fraudulent as
The plaintiff also alleged that Guevera’s inventory is not reliable since to the quantity and value of the insured property at the time
some of the furniture found in the building at the time of the fire may of the fire.
have been completely consumed by the fire. However, considering that 4. As a fourth special defense, it is alleged that the policy
most of the insured furniture was located in the ground floor of the becomes forfeited if a loss is occasioned by the willful
building, which was not damaged by the fire, and that the fire lasted
act or connivance of the insured, and that the loss in
only twelve minutes and damaged only the second floor where
question was caused by the willful act of Peter Johnson, and
comparatively few pieces of furniture found at the time of the fire; and
it prays that plaintiff's complaint be dismissed, with costs.
considering the testimony of the deputy chief and Geuvera that judging
from the condition of the remains of the fire, they believed not a single
piece of furniture was completely consumed, the SC cannot bring Unless otherwise expressly stated in the policy the insurance does not
themselves to believe that 304 pieces of wooden furniture to have cover
been entirely consumed without leaving any vestige.
Issue Lampano alleged that there was a verbal agreement between her and
Placida, at the time of the purchase and sale of the house, to the effect
that the latter agreed to deliver to her the insurance policy on the
W/N Phoenix should be liable for the loss because there was no
building; that she did not learn that the policy was in the name of
explosion which is an exemption from the policy - YES
Barretto until after the fire; and that neither Placida nor Barretto has
any right to the insurance or to the money received therefrom.
Ruling Placida denied that she agreed to transfer the policy of insurance to
the Lampano and alleging:
If it be a fact that the fire resulted from an explosion that fact, if proven, (a) that the insurance was taken out and paid for by Barretto
would be a complete defense, the burden of the proof of that fact is before the sale of the house to the Lampano;
upon the defendant, and upon that point, there is a failure of proof (b) that Barretto did this because he had constructed the house
lower court found as a fact that there was no fraud in the insurance, and she was owing him therefor; and
and that the value of the property destroyed by the fire was more than (c) that the insurance was entirely for the personal account and
the amount of the insurance. in the exclusive interest of Barretto.
It will be noted that section 5 excludes not only the damages which Issue
may immediately result from an earthquake, but also any damage
which may follow the earthquake, and that section 6 excludes only the Does Lampano have any right to recover from Barretto any portion of
the insurance money? – NO, the insurance policy is a personal
damages which are the direct result of the explosion itself, and that it
contract between Barretto and the company.
does not except damages which occurred from the fire occuring after
the explosion, even though the explosion may have been the primary
cause of the fire. But assuming, without deciding, that if it be a fact that Ruling
the fire resulted from an explosion that fact, if proven, would be a
complete defense, the burden of the proof of that fact is upon the Insurance Policy Only Between Barretto and Company
defendant, and upon that point, there is a failure of proof. There is no The policy was in the name of Barretto alone. It was, therefore, a
competent evidence as to whether the explosion caused the fire or the personal contract between him and the company and not a contract
fire caused the explosion. which ran with the property. According to this personal contract the
insurance policy was payable to the insured without regard to the
The defendant has assigned numerous and different errors, but nature and extent of his interest in the property, provided that he
exclusive of the first and second, they are largely question of facts and had, as we have said, an insurable interest at the time of the making of
objections to the admissibility of the evidence, and upon all of the the contract, and also at the time of the fire. Where different persons
material questions of fact, the lower court found for the plaintiff. That is have different interests in the same property, the insurance taken by
to say, the lower court found as a fact that there was no fraud in the one in his own right and in his own interest does not in any way inure
insurance, and that the value of the property destroyed by the fire was to the benefit of another.
more than the amount of the insurance. The defendant having issued
In the case at bar Barretto assumed the responsibility for the
its policy which was in legal force and effect at the time of the fire, it is
insurance. The premiums were paid by him without any agreement or
bound by its terms and conditions, and the property having been
right to recoup the amount paid therefor should no loss result to the
destroyed, the burden of proof was upon the defendant to show property. It would not, therefore, be in accordance with law and his
that it was exempt from liability under the terms and conditions of contractual obligations to compel him to account for the insurance
the policy, and upon that point, there is a failure of proof. money, or any part thereof, to the Lampano, who assumed no risk
whatever.
Where different persons have different interests in the same DOCTRINE OF THE CASE
property, the insurance taken by one in his own right and in his
own interest does not in any way inure to the benefit of another. Both at the time of the issuance of the policy and at the time of the
fire, plaintiff Golangco was in legal possession of the premises,
Facts of the case collecting rentals from its occupant. It seems plain that if the
premises were destroyed - as they were - by fire, Golangco would
Barretto – constructed the house and took out an insurance be, as he was, directly damnified thereby; and hence he had an
policy in his name. insurable interest therein (section 13, Insurance Law).
Placida – original owner and seller
Lampano – buyer Facts of the case
Barretto constructed a house for Placida for the agreed price of P6K. Lianco and the Archbishop (name not indicated) entered into a contract
Placida sold the house to Lampano, for the sum of P6K. The house of lease on a parcel of land owned by church. As lessee, Lianco
was destroyed by fire. At the time of the fire Lampano still owed erected a building on the leased portion of the church’s land. Lianco
Placida P2K, and Placida still owed Barretto on the cost of the later transferred ownership of this building to Kaw Eng Si, who later
construction the sum of P2K. transferred the same to Golangco. This transfers by Lianco of his right
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to lease and the building’ownership were without consent of the
Archbishop. An ejectment case was filed (by Archbishop) and a
decision was rendered judicially recognizing the right of Golangco to
receive rent on the building.
Trader’s insurance refused to pay the insurance as pertaining to the DOCTRINE OF THE CASE
rent averring that Golangco has no insurable interest therein.
In principle, anyone who has an insurable interest in property who
derives a benefit therefrom or would suffer loss from its destruction
Issue whether he has or has not title in, or lien upon or possession of the
property.
Whether Golangco has insurable interest (in the property) on the rent
of the building premises which may lawfully/validly be subject of The perfected contract of sale, even without delivery, vests in the
insurance? – YES. vendee an equitable title, an existing interest over the goods
sufficient to be the subject of insurance.
Sec. 13 of the Insurance Code provides that “Every interest in the In 1976, Choa Tiek Seng insured its shipment of fishmeal with Filipino
property, whether real or personal, or any relation thereto, or liability in Merchants Insurance Company for the sum of P267,653.59 against all
respect thereof of such nature that a contemplated peril might directly risks. When the goods arrived, it showed that a substantial part
damnify the insured, is an insurable interest.” thereon, specifically 227 out of 666 bags, were in bad order condition.
By virtue of the contract between Tomas B. Lianco and the Archbishop, Consequently, Choa Tiek Seng made a formal claim against Filipino
Lianco erected the building of which the premises in question form part Merchants Insurance Company for P51,568.62. A formal claim of third-
and became owner thereof . He transferred the ownership of the party complaint was also presented by Choa Tiek Seng against the
premises in question to kaw Eng Si, who in turn transferred it to plaintiff vessel but Filipino Merchants Insurance refused to pay the claim.
Juan Golangco .Lianco and the actual occupant of the premises
acknowledged plaintiff's right to collect rentals thereon in a Later, the trial court rendered judgment in favor of Choa Tiek Seng,
compromise agreement which was incorporated in a judicial judgment. which was affirmed by the appellate court.
Both at the time of the issuance of the policy and at the time of
the fire, plaintiff Golangco was in legal possession of the Filipino Merchants Insurance Company’s contention
premises, collecting rentals from its occupant. It seems plain that Choa does not have insurable interest being only a consignee of the
if the premises were destroyed - as they were - by fire, Golangco goods.
would be, as he was, directly damnified thereby; and hence he
had an insurable interest therein (section 13, Insurance Law). Issues
It is to be noted that the policy so worded indicates that the fire Whether or not Choa Tiek Seng had no insurable interest in the subject
insurance policy includes 'rent or other subject matter of insurance cargo – NO.
in respect of or in connection with any building or any property
contained in any building'.
Ruling
The argument of Trader’s Insurance that a policy of insurance must
specify the interest of the insured in the property insured, if he is not Choa Tiek Seng, as consignee of the goods in transit, has
the absolute owner thereof, is not meritorious because it was the insurable interest over the goods.
Trader’s, not Golangco, who prepared that policy, and it cannot take
advantage of its own acts to plaintiff's detriment; and, in any case, this In principle, anyone who has an insurable interest in property who
provision was substantially complied with by Golangco when he made derives a benefit therefrom or would suffer loss from its destruction
a full and clear statement of his interests to Trader's manager. whether he has or has not title in, or lien upon or possession of the
property.
Side Issue
The contract between Lianco and the Archbishop only forbade Lianco Choa Tiek Seng, being a vendee/consignee of the goods in transit, has
from transferring 'his rights as LESSEE but the contracts Lianco made such existing interest therein as may be the subject of a valid contract
in favor of Kaw Eng Si and plaintiff Golangco did not transfer such of insurance. His interest over the goods is based on the perfected
rights; and hence no written consent thereto was necessary. At worst, contract of sale.
the contract would be voidable, but not a void contract, at the option of
the Archbishop; but this would not deprive Golangco of his insurable The perfected contract of sale between him and the shipper of the
interest until such option were exercised; and it does not appear that it goods operates to vest in him an equitable title even before he
was ever exercised. performed the conditions of the sale. The contract of shipment,
whether under F.O.B., C.I.F., or C. & F., as in this case, is immaterial in
The ejectment case filed by the Archbishop against Lianco did not the determination of whether the vendee has an insurable interest or
remove nor destroy plaintiff's insurable interest: first, because not in the goods in transit. The perfected contract of sale, even without
plaintiff was not a party thereto and cannot be bound thereby; and delivery, vests in the vendee an equitable title, an existing interest over
second, because the judgment of the Municipal Court, had not been the goods sufficient to be the subject of insurance.
executed so far as possession of the premises were concerned; so
that, as far as plaintiff Golangco was concerned, his right to the The equitable title over the goods subject of the contract of sale is
premises and to the rentals thereon continued to exist when the fire sufficient enough to be considered as an insurable interest for the
took place." consignee to insure the goods.
No contract or policy of insurance on property shall be enforceable A Non-Life Insurance Without Insurable Interest Becomes A
except for the benefit of some person having an insurable interest Wagering Contract and is Void
in the property insured.” A non-life insurance policy such as the
fire insurance policy taken by petitioner spouses over their The contract of insurance is a mere wager which is void under Section
merchandise is primarily a contract of indemnity. Insurable interest 25 of the Insurance Code, which provides:
in the property insured must exist at the time the insurance takes
effect and at the time the loss occurs. The basis of such Sec. 25. Every stipulation in a policy of Insurance for the
requirement of insurable interest in property insured is based on payment of loss, whether the person insured has or has
sound public policy: to prevent a person from taking out an not any interest in the property insured, or that the policy
insurance policy on property upon which he has no insurable shall be received as proof of such interest, and every
interest and collecting the proceeds of said policy in case of loss of policy executed by way of gaming or wagering, is void.
the property. In such a case, the contract of insurance is a mere
wager which is void under Section 25 of the Insurance Code.
CKS Has No Insurable Interest Over the Properties of the Sps.
Cha
Facts of the Case In the present case, it cannot be denied that CKS has no insurable
interest in the goods and merchandise inside the leased premises
Petitioner-spouses Nilo Cha and Stella Uy-Cha, as lessees, entered under the provisions of Section 17 of the Insurance Code which
into a lease contract with private respondent CKS Development provide:
Corporation (hereinafter CKS), as lessor.
Sec. 17. The measure of an insurable interest in property
One of the stipulations of the one (1) year lease contract states: is the extent to which the insured might be damnified by
loss of injury thereof.
The LESSEE shall not insure against fire the chattels,
merchandise, textiles, goods and effects placed at any stall Therefore, respondent CKS cannot, under the Insurance Code — a
or store or space in the leased premises without first special law — be validly a beneficiary of the fire insurance policy taken
obtaining the written consent and approval of the LESSOR. by the petitioner-spouses over their merchandise. This insurable
interest over said merchandise remains with the insured, the Cha
If the LESSEE obtain(s) the insurance thereof without the spouses.
consent of the LESSOR then the policy is deemed
assigned and transferred to the LESSOR for its own The automatic assignment of the policy to CKS under the provision of
benefit; the lease contract previously quoted is void for being contrary to law
and/or public policy. The proceeds of the fire insurance policy thus
The Cha spouses insured against loss by fire the merchandise inside rightfully belong to the spouses Nilo Cha and Stella Uy-Cha (herein co-
the leased premises for Five Hundred Thousand (P500,000.00) with petitioners).
the United Insurance Co., Inc. without the written consent of private
respondent CKS. GARCIA v. HONGKONG
G.R. No. 20341 | September 1, 1923
A fire broke out inside the leased premises. When CKS learned of the
insurance earlier procured by the Cha spouses (without its consent), it
Digest by: Julie Andrea Ceros
wrote the insurer (United) a demand letter asking that the proceeds of
the insurance contract (between the Cha spouses and United) be paid
Facts of the Case
directly to CKS, based on its lease contract with the Cha spouses.
United refused to pay CKS. Hence, the latter filed a complaint against On the 19th of March, 1918, Domingo Garcia, then a merchant and
the Cha spouses and United. owner of a bazaar known as "Las Novedades" in the district of Legaspi,
municipality and Province of Albay, entered into a contract with the
defendant whereby it insured his merchandise in the sum of P15,000 at
Issue a premium of P300 per annum. In consideration of such premium, the
defendant issued its fire insurance policy No. 1951 in favor of the
W/N CKS, as lessor, had an insurable interest over the merchandise of plaintiff, not on the merchandise in the building, but on the building
Sps. Cha when they acquired the fire insurance policy from United which contained the merchandise.
Insurance - NO. CKS has no insurable interest over the
merchandise of Sps. Cha. They cannot claim the proceeds of the That for such reason the policy does not contain the true agreement
fire insurance policy. and intent of the parties; that the plaintiff was not the owner of, and did
not have any interest in, the building; and that the policy was so issued
through error, carelessness and negligence of the defendant.
Ruling
On august 30, 1919, Garcia executed a mortgage to the plaintiff Bank
Insurable Interest in Non-Life Insurance Defined on the merchandise insured by the defendant, and that with the
consent of the defendant, the plaintiff endorsed the policy to the Bank.
Sec. 18 of the Insurance Code provides:
Azucena Palomo acquired from Gonzales a parcel of land and building INSURANCE COMPANY FAILED TO ASSAIL THE VALIDITY OF
located in Davao City. Palomo assumed the mortgage of the building in THE INSURANCE POLICY.
favor of S.S.S. Accredited Group of P50,000. It will be recalled that respondent insurance company did not assail the
validity of the insurance policy taken out by petitioner over the
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INSURANCE LAW III – MANRESA 2020-2021 9
mortgaged property. Neither did it deny that the said property was 2. Whether or not SMB is entitled to the full insurance proceeds
totally razed by fire within the period covered by the insurance. amounting to P15,000.00?– NO, SMB, as mortgagee of the insured
Respondent, as mentioned earlier advanced an affirmative defense of property, undoubtedly has an insurable interest therein; but it
lack of insurable interest on the part of the petitioner alleging that could not in any event, recover upon these policies an amount in
before the occurrence of the peril insured against the Palomos had excess of its mortgage credit.
already paid their credit due the petitioner. Respondent having
admitted the material allegations in the complaint, has the burden of
Ruling
proof to show that petitioner has no insurable interest over the
insured property at the time the contingency took place. First Issue
Upon that point, there is a failure of proof. Respondent, it will be noted, Section 50 of the Insurance Act provides that:
exerted no effort to present any evidence to substantiate its claim,
while petitioner did. For said respondent's failure, the decision must be "the insurance shall be applied exclusively to the proper interest of the
adverse to it. person in whose name it is made unless otherwise specified in the
policy"
The respondent insurance company having issued a policy in favor of Section 16 of the Insurance Act provides that:
herein petitioner which policy was of legal force and effect at the
“the measure of an insurable interest in property is the extent to which
time of the fire is bound by its terms and conditions. Upon its
the insured might be damnified by loss or injury thereof”
failure to prove the allegation of lack of insurable interest on the part of
the petitioner, respondent insurance company is and must be held The court held that Harding cannot recover from the insurance
liable. proceeds because had it been that the intent of the SMB and the
insurance companies to protect not only the interest of the mortagee
SAN MIGUEL v. LAW UNION but also the residuary interest of the owner, they could have written it
G.R. No. 14300 | January 19, 1920 as such, and if ever there was a mistake in the written form issued, the
court can reform the contract to conform with the parties’ agreement.
Digest by: Edjan Sumugat Parreño However, it is clear in this case that there is no proof sufficient to prove
that the parties’ SMB and the insurance companies intended to cover
DOCTRINE OF THE CASE: the risk of the owner in addition to that of the mortgagee.
A mortgagee of an insured property has undoubtedly an insurable The facts of the case suggest that from the testimony of Antonio Brias,
interest in the insured property, but could only recover on the it was SMB who was paying for the insurance premiums, instead of
policy to the extent of the credit secured by the mortgage. Dunn (as stipulated in the Mortgage Contract) and it is very clear in the
record that there is no indication that SMB requested the insurance
companies to write insurance upon the insurable interest of the owner
Facts of the case
or intended to make themselves liable to that extent.
On January 12, 1916, D. P. Dunn, then the owner of the property to
Second Issue
which the insurance relates, mortgaged the same to the San Miguel
Brewery to secure a debt of P10,000. In the contract of mortgage Section 16 provides:
Dunn agreed to keep the property insured at his expense to the full
amount of its value in companies to be selected by the Brewery "the measure of an insurable interest in property is the extent to which
Company and authorized the latter in case of loss to receive the the insured might be damnified by loss or injury thereof"
proceeds of the insurance and to retain such part as might be
necessary to cover the mortgage debt. Antiono Brias, general From the facts of the case, the court observed that upon the verbal
manager of SMB made verbal application to Law Union and Rock application Antonio Brias, it informed the insurance company that the
Insurance company for insurance to the extent of P15,000.00 upon brewery was interested only as mortgagee. It would, therefore, be
said property. The 15,000 insurance was shared by Law Union and impossible for the Brewery to recover anything beyond the amount
Compania de Seguros for 7,500 each. secured by its mortgage on the insured property.
On March 1917, Dunn sold the insured property to defendant Harding RCBC v. CA
BUT NO ASSIGNMENT OF INSURANCE of the insurance policies G.R. No. 128833 | April 20, 1998
(property ra ang nabaligya, wala nalabot ang insurance sa property).
The property insured has been destroyed by fire causing SMB to file a Digest by: Gladys Hazel Perocho
complaint for the recovery of the sum amounting to P15,000 as
insurance proceeds from Law Union and Compania de Seguros. DOCTRINE OF THE CASE:
Harding also sought the recovery of insurance proceeds.
A mortgagor and a mortgagee have separated and distinct
insurable interests in the same mortgaged property, such that
Issues each one of them may insure the same property for his own sole
benefit.
1. Whether or not Harding can recover the insurance proceeds? NO.
He is not party to the contract of insurance. His claim is merely of
Facts of the case
an equitable and subsidiary in nature and must be made effective
through SMB in whose name the contract is written.
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GOYU applied for credit facilities and accommodations with RCBC. A case presents a justification to take exception to the strict application of
credit facility in the amount of P30 million was initially granted. The said provision, it having been sufficiently established that it was the
credit facility was alter increased to P50 million, then to P90 million, intention of the parties to designate RCBC as the party for whose
and finally to P117 million. benefit the insurance policies were taken out.
As security for its credit facilities with RCBC, GOYU executed two real
estate mortgages and two chattel mortgages in favor of RCBC. GOYU
obtained in its name a total of ten insurance policies from MICO. In
February 1992, Alchester Insurance Agency, Inc., the insurance agent
where GOYU obtained the Malayan insurance policies, issued nine
endorsements in favor of RCBC seemingly upon instructions of GOYU.
On April 27, 1992, one of GOYU's factory buildings in Valenzuela was PARAMOUNT v. CASTRO
gutted by fire. Consequently, GOYU submitted its claim for indemnity GR No. 195728 and GR No. 211329 | April 19, 2016
on account of the loss insured against. MICO denied the claim on the
ground that the insurance proceeds were also claimed by other Digest by: Rikka Cassandra Reyes
creditors of GOYU alleging better rights to the proceeds than the
insured.
DOCTRINE OF THE CASE:
RCBC, one of GOYU's creditors, also filed with MICO its formal claim
A mortgage redemption insurance is a , a device for the protection
over the proceeds of the insurance policies, but said claims were also
of both the mortgagee and the mortgagor: On the part of the
denied for the same reasons that MICO denied GOYU's claims. Based
mortgagee, it has to enter into such form of contract so that in the
on their stipulations in the mortgage contracts, GOYU was supposed to
event of the unexpected demise of the mortgagor during the
endorse these insurance policies in favor of, and deliver them, to
subsistence of the mortgage contract, the proceeds from such
RCBC. However, because these endorsements do not bear the
insurance will be applied to the payment of the mortgage debt,
signature of any officer of GOYU, the trial court, as well as the Court of
thereby relieving the heirs of the mortgagor from paying the
Appeals, concluded that the endorsements are defective.
obligation. In a similar vein, ample protection is given to the
mortgagor under such a concept so that in the event of death, the
Issue
mortgage obligation will be extinguished by the application of the
insurance proceeds to the mortgage indebtedness.
WON RCBC, as mortgagee, has any right over the insurance policies
taken by GOYU, the mortgagor, in case of the occurrence of loss. –
YES Facts of the case
It is to be noted that nine endorsement documents were prepared by Virgilio died on Februar7 26, 2009 of septic shock. Consequently, a
Alchester in favor of RCBC. The Court is in a quandary how Alchester claim was filed for death benefits under the individual insurance
coverage issued under the group policy.
could arrive at the idea of endorsing any specific insurance policy in
Paramount however denied the claim, on the ground of the failure of
favor of any particular beneficiary or payee other than the insured had
Virgilio to disclose material information, or material concealment or
not such named payee or beneficiary been specifically disclosed by the misrepresentation by answering "no" to questions on whether he had
insured itself. It is also significant that GOYU voluntarily and purposely any adverse health history and whether he had sought medical advice
took the insurance policies from MICO, a sister company of RCBC, and or consultation concerning it. Paramount learned that in 2005, Virgilio
not just from any other insurance company. had sought consultation in a private hospital after complaining of a dull
pain in his lumbosacral area.
On equitable principles, particularly on the ground of estoppel, the Because of the alleged material concealment or misrepresentation, it
Court is constrained to rule in favor of mortgagor RCBC. declared Virgilio's individual insurance certificate (No. 041913)
rescinded, null, and absolutely void from the very beginning.
RCBC, in good faith, relied upon the endorsement documents sent to it
as this was only pursuant to the stipulation in the mortgage contracts. TIMELINE OF CASES FILED:
We find such reliance to be justified under the circumstances of the
case. GOYU failed to seasonably repudiate the authority of the person July 2,2009 - Paramount filed a Complaint with the RTC and prayed
or persons who prepared such endorsements. Over and above this, that Application and Insurance Certificate No. 041913 covering the
GOYU continued, in the meantime, to enjoy the benefits of the credit individual insurance of Virgilio be declared null and void by reason of
facilities extended to it by RCBC. After the occurrence of the loss material concealment and misrepresentation.
insure against, it was too late for GOYU to disown the endorsements
for any imagined or contrived lack of authority of Alchester to prepare October 29, 2009 - The Castros filed a motion to include the PPSBI as
and issue said endorsements an indispensable party-defendant but was denied.
GOYU cannot seek relief under Section 53 of the Insurance Code They argued that due to the death of Virgilio, and by virtue of Group
which provides that the proceeds of insurance shall exclusively apply Policy No. G-086 PPSBI stepped into the shoes of Cherry and Glen
to the interest of the person in whose name or for whose benefit it is under the principle of "indemnity, subrogation, or any other reliefs"
made. The peculiarity of the circumstances obtaining in the instant found in Section 22, Rule 6 of the Rules of Court.
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This motion was likewise denied, on the ground that "what the On the part of the mortgagee, it has to enter into such form of contract
defendants herein want is the introduction of a controversy that is so that in the event of the unexpected demise of the mortgagor during
entirely foreign and distinct from the main cause." The Castro’s Motion the subsistence of the mortgage contract, the proceeds from such
for Reconsideration was again denied in a Resolution dated 19 April insurance will be applied to the payment of the mortgage debt, thereby
2010. relieving the heirs of the mortgagor from paying the obligation. In a
similar vein, ample protection is given to the mortgagor under such a
October 4, 2010- the CA partially granted the Petition by allowing a concept so that in the event of death, the mortgage obligation will be
third-party complaint to be filed against the PPSBI. It ruled that the extinguished by the application of the insurance proceeds to the
Castro’s were freed from the obligation to pay the bank by virtue of mortgage indebtedness.
subrogation, as the latter would collect the loan amount pursuant to the
MRI issued by Paramount in Virgilio's favor.
April 11, 2011- Paramount filed a Petition for Review under Rule 45,
arguing that the case could be fully appreciated and resolved
without involving the PPSBI as a third-party defendant in Civil
Case No. 09-599.
GAISANO CAGAYAN v.
INSURANCE COMPANY OF NORTH AMERICA
Issue G.R. No. 147839 | June 8, 2006
W/N Paramount was correct in opposing PPSBI's inclusion as a third- Digest by: Ryan James Amistad
party defendant, because it is only seeking the nullification of Virgilio's
individual insurance certificate, and not the group insurance policy DOCTRINE OF THE CASE
forged between it and the PPSBI – NO In an obligation to deliver a generic thing, the loss or destruction of
anything of the same kind does not extinguish the obligation. This
Ruling rule is based on the principle that the genus of a thing can never
perish (Genus nunquam perit). An obligation to pay money is
If Paramount succeed in having the individual insurance certificate generic; therefore, it is not excused by fortuitous loss of any
nullified, the PPSBI shall then proceed against the Castro’s. specific property of the debtor.
This would then contradict the provisions of the group insurance policy Facts of the case
that ensure the direct payment by the insurer to the bank which states
that: Intercapitol Marketing Corporation (IMC) is the maker of Wrangler Blue
Jeans.
“Notwithstanding the provision on Section 22 "No Assignment" of
Article IV Benefit Provisions, and in accordance with provisions of Levi Strauss Phils. Inc. (LSPI) is the local distributor of products
Section 6 "Amendment of this Policy" under Article II General bearing trademarks owned by Levi Strauss & Co..
Provisions of the Group Policy, it is hereby agreed that all death
benefits shall be payable to the Creditor, Philippine Postal IMC and LSPI separately obtained a fire insurance policies with
Savings Bank as its interest may appeal” book debt endorsements from the Insurance Company of North
America (Insurance Company, for brevity). The insurance policies
In allowing the inclusion of the PPSBI as a third-party defendant, provide for coverage on "book debts in connection with ready-made
the Court recognizes the inseparable interest of the bank (as clothing materials which have been sold or delivered to various
policyholder of the group policy) in the validity of the individual customers and dealers of the Insured anywhere in the Philippines."
insurance certificates issued by Paramount. The PPSBI need not The policies defined book debts as the "unpaid account still appearing
institute a separate case, considering that its cause of action is in the Book of Account of the Insured 45 days after the time of the loss
intimately related to that of Paramount as against the Castro’s. covered under this Policy."
The soundness of admitting a third-party complaint hinges on causal Gaisano Cagayan Inc. (Gaisano) is a customer and dealer of the
connection between the claim of the plaintiff in his complaint and a products of IMC and LSPI. On February 25, 1991, the Gaisano
claim for contribution, indemnity or other relief of the defendant against Superstore Complex in Cagayan de Oro City, owned by Gaisano, was
the third-party defendant. 48 In this case, the Castro’s stand to incur a consumed by fire. Included in the items lost or destroyed in the fire
bad debt to the PPSBI - the exact event that is insured against by were stocks of readymade clothing materials sold and delivered by
Group Master Policy No. G-086 - in the event that Paramount IMC and LSPI.
succeeds in nullifying Virgilio's Individual Insurance Certificate.
On February 4, 1992, the Insurance Company filed a complaint for
Moreover, the same defenses the third-party plaintiff has against the damages against Gaisano. It alleges that IMC and LSPI filed with the
original plaintiff are just some of the allegations a third-party defendant Insurance Company their claims under their respective fire insurance
may raise in its answer. Section 13 even gives the third-party policies with book debt endorsements; that as of February 25, 1991,
defendant the prerogative to raise a counterclaim against the the unpaid accounts of Gaisano on the sale and delivery of ready-
original plaintiff in respect of the latter's original claim against the made clothing materials with IMC was P2,119,205.00 while with LSPI it
defendant/third-party plaintiff. was P535,613.00; that the Insurance Company paid the claims of IMC
and LSPI and, by virtue thereof, the Insurance Company was
The CA correctly ruled that to admit the Castro’s Third-Party subrogated to their rights against Gaisano; that the Insurance
Complaint, in which they can assert against the PPSBI an Company made several demands for payment upon Gaisano but these
independent claim they would otherwise assert in another action, went unheeded.
would prevent multiplicity of suits.
Considering also that the original case from which these Present Gaisano’s Defense:
Petitions arose has not yet been resolved, the Court deems it proper to It could not be held liable because the property covered by the
have all the parties air all their possible grievances in the original case insurance policies were destroyed due to fortuities event or force
still pending with the RTC. majeure.
What is a mortgage redemption insurance? Insurance Company’s Contention:
In Great Pacific Life Assurance Corp. v. Court of Appeals, a device for 1. While ownership over the ready-made clothing materials was
the protection of both the mortgagee and the mortgagor: transferred upon delivery to Gaisano, IMC and LSPI have
The questioned insurance policies provide coverage for "book debts in Facts of the case
connection with ready-made clothing materials which have been sold
or delivered to various customers and dealers of the Insured anywhere Ang Giok Chip doing business under the name and style of Hua Bee
in the Philippines."; and defined book debts as the "unpaid account still Kong Si was formerly the owner of a warehouse situated at No. 643
appearing in the Book of Account of the Insured 45 days after the time Calle Reina Regente, City of Manila. The contents of the warehouse
of the loss covered under this Policy." Nowhere is it provided in the were insured with the three insurance companies for the total sum of
questioned insurance policies that the subject of the insurance is the P60,000. One insurance policy, in the amount of P10,000, was taken
goods sold and delivered to the customers and dealers of the insured. out with the Springfield Fire & Marine Insurance Company. The
What were insured against were the accounts of IMC and LSPI warehouse was destroyed by fire on January 11, 1928, while the policy
with petitioner which remained unpaid 45 days after the loss issued by the latter company was in force.
through fire, and not the loss or destruction of the goods
delivered. Predicated on this policy the plaintiff instituted action in the Court of
First Instance of Manila against the defendant to recover a proportional
Under Art. 1504 (1) of the Civil Code, where delivery of the goods part of the loss coming to P8,170.59. Four special defenses were
has been made to the buyer or to a bailee for the buyer, in interposed on behalf of the insurance company, one being planted on a
pursuance of the contract and the ownership in the goods has violation of warranty F fixing the amount of hazardous goods which
been retained by the seller merely to secure performance by the might be stored in the insured building. The trial judge in his decision
buyer of his obligations under the contract, the goods are at the found against the insurance company on all points, and gave judgment
buyer's risk from the time of such delivery. Thus, when the seller in favor of the plaintiff for the sum of P8,188.74.
retains ownership only to insure that the buyer will pay its debt, the risk
of loss is borne by the buyer. Accordingly, Gaisano bears the risk of
loss of the goods delivered. WARRANTY F
Gaisano's argument that it is not liable because the fire is a fortuitous It is hereby declared and agreed that during the currency of this policy
event under Article 1174 of the Civil Code is misplaced. It must be no hazardous goods be stored in the Building to which this insurance
stressed that the insurance in this case is not for loss of goods by applies or in any building communicating therewith, provided, always,
fire but for Gaisano's accounts with IMC and LSPI that remained however, that the Insured be permitted to stored a small quantity of the
unpaid 45 days after the fire. Accordingly, Gaisano’s obligation is hazardous goods specified below, but not exceeding in all 3 per cent of
for the payment of money. Where the obligation consists in the the total value of the whole of the goods or merchandise contained in
payment of money, the failure of the debtor to make the payment even said warehouse, viz; . . . .
by reason of a fortuitous event shall not relieve him of his liability. The
rationale for this is that the rule that an obligor should be held exempt
from liability when the loss occurs thru a fortuitous event only holds Issue
true when the obligation consists in the delivery of a determinate thing
W/N warranty F was null and void – NO
and there is no stipulation holding him liable even in case of fortuitous
event. It does not apply when the obligation is pecuniary in nature.
Ruling
Under Article 1263 of the Civil Code, "in an obligation to deliver a
generic thing, the loss or destruction of anything of the same kind does The applicable law is found in the Instance Act, Act No. 2427, as
not extinguish the obligation." If the obligation is generic in the sense amended, section 65 reading:
that the object thereof is designated merely by its class or genus
without any particular designation or physical segregation from all "Every express warranty, made at or before the execution of a policy,
others of the same class, the loss or destruction of anything of the must be contained in the policy itself, or in another instrument signed
same kind even without the debtor's fault and before he has incurred in by the insured and referred to in the policy, as making a part of it." As
delay will not have the effect of extinguishing the obligation. This rule is the Philippine law was taken verbatim from the law of California, in
based on the principle that the genus of a thing can never perish accordance with well settled canons of statutory construction, the court
(Genus nunquam perit). An obligation to pay money is generic; should follow in fundamental points, at least, the construction placed by
therefore, it is not excused by fortuitous loss of any specific property of California courts on a California law. Unfortunately the researches of
the debtor. counsel reveal no authority coming from the courts of California which
is exactly on all fours with the case before us. However, there are
Thus, whether fire is a fortuitous event or Gaisano was negligent are certain consideration lying at the basis of California law and certain
matters immaterial to this case. What is relevant here is whether it indications in the California decisions which point the way for the
has been established that Gaisano has outstanding accounts with decision in this case.
IMC and LSPI.
We, therefore, think it wrong to hold that the California law represents a
radical departure from the basic principles governing the law of
THE INSURANCE POLICY insurance. We are more inclined to believe that the codification of the
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law of California had exactly the opposite purpose, and that in the Woodworks denied making such request. In said Indorsement,
language of the Federal court it was but an affirmance of the generally Philippine Phoenix credited Woodworks with the amount of P3,110.25
accepted doctrine applicable to such contracts. This being true, we turn for the unexpired period of 94 days, and claimed the balance of
to two of such well recognized doctrines. P7,483.11 representing “earned premium from July 21,1960 to 18th
April 1961 or, say 271 days.”
In the first place, it is well settled that a rider attached to a policy is a
part of the contract, to the same extent and with like effect as it actually On July 6, 1961, Philippine Phoenix demanded in writing for the
embodied therein. payment of the earned premium. Woodworks disclaimed any liability
contending that it need not pay premium "because the Insurer did not
In the second place, it is equally well settled that an express warranty stand liable for any indemnity during the period the premiums were not
must appear upon the face of the policy, or be clearly incorporated paid."
therein and made a part thereof by explicit reference, or by words
clearly evidencing such intention. Hence, Philippine Phoenix commenced action to recover the amount of
"earned premium."
Section 65 of the Insurance Act and its counterpart, section 265 of the
Civil Code of California, will bear analysis as tested by reason and Woodworks controverted basically on the theory that its failure to pay
authority. The law says that every express warranty must be the premium after the issuance of the policy put an end to the
"contained in the policy itself." The word "contained," according to the insurance contract and rendered the policy unenforceable.
dictionaries, means "included," inclosed," "embraced,"
"comprehended," etc. When, therefore, the courts speak of a rider
attached to the policy, and thus "embodied" therein, or of a warranty
"incorporated" in the policy, it is believed that the phrase "contained in
the policy itself" must necessarily include such rider and warranty. As
to the alternative relating to "another instrument," "instrument" as here Issue
used could not mean a mere slip of paper like a rider, but something
akin to the policy itself, which in section 48 of the Insurance Act is Whether a property (fire) insurance policy is considered to have lapsed
defined as "The written instrument, in which a contract of insurance is upon non-payment of the premium – YES
set forth." In California, every paper writing is not necessarily an
"instrument" within the statutory meaning of the term. The word Ruling
"instrument has a well defined definition in California, and as used in
the Codes invariably means some written paper or instrument signed THE POLICY PROVIDES PRE-PAYMENT OF PREMIUM.
and delivered by one person to another, transferring the title to, or
giving a lien, on property, or giving a right to debt or duty. (Hoag vs. When the policy is tendered, the insured must pay the premium
Howard [1880], 55 Cal., 564; People vs. Fraser[1913], 137 Pac., 276.) unless credit is given or there is a waiver, or some agreement
obviating the necessity for prepayment. To constitute an
In other words, the rider, warranty F, is contained in the policy itself,
extension of credit, there must be a clear and express agreement
because by the contract of insurance agreed to by the parties it is
therefor.
made to form a part of the same, but is not another instrument signed
by the insured and referred to in the policy as forming a part of it.
In this case:
We cannot believe that it was ever the legislative intention to insert in No clear agreement that a credit extension was accorded to
the Philippine Law on Insurance an oddity, an incongruity, entirely out Woodworks. And even if it were to be presumed that the company had
of harmony with the law as found in other jurisdiction, and destructive extended credit from the circumstances of the unconditional delivery of
of good business practice. the Policy without prepayment of the premium, yet it is obvious that
Woodworks had not accepted the insurer's offer to extend credit, which
We have studied this case carefully and having done so have reached is essential for the validity of such agreement.
the definite conclusion that warranty F, a rider attached to the face of
the insurance policy, and referred to in contract of insurance, is valid An acceptance of an offer to allow credit is as essential to make a valid
and sufficient under section 65 of the Insurance Act. agreement for credit, to change a conditional delivery of an insurance
policy to an unconditional delivery, as it is to make any other contract.
PHILIPPINE PHOENIX v. WOODWORKS Such an acceptance could not be merely a mental act or state of mind,
92 SCRA 419 | August 06, 1979 but would require a promise to pay made known in some manner to
defendant.
Digest by: Hazel Diane B. Estrosas
WOODWORKS DID NOT PAY THE PREMIUM
DOCTRINE OF THE CASE Since the premium had not been paid, the policy must be deemed
to have lapsed. The non-payment of premiums does not merely
Insurance contract lapses upon failure to pay the premium. There suspend but put, an end to an insurance contract, since the time
is no valid and binding insurance contract where no premium is of the payment is peculiarly of the essence of the contract.
paid unless credit is given or there is a waiver or some agreement
obviating the necessity for the prepayment of premiums. The rule is that under policy provisions that upon the failure to make
a payment of a premium or assessment at the time provided for,
Facts of the case the policy shall become void or forfeited, or the obligation of the
insurer shall cease, or words to like effect, because the contract so
Upon Woodworks’ application, Philippine Phoenix issued a Fire prescribes and because such a stipulation is a material and essential
Insurance Policy for P500,000.00 whereby Philippine Phoenix insured part of the contract. This is true, for instance, in the case of life, health
the building, machinery and equipment of Woodworks for a term of one and accident, fire and hail insurance policies.
year from July 21, 1960 to July 21, 1961 against loss by fire. The
premium (P9,846.00) and other charges including the margin fee In this case:
surcharge (P590.76) and the documentary stamps (P156.80) affixed If the peril insured against had occurred, Philippine Phoenix, as
on the Policy, amounted to P10,593.36. But here, Woodworks did not insurer, would have had a valid defense against recovery under the
pay the premium stipulated in the Policy when it was issued nor at any Policy it had issued. It is explicitly stated in the Policy the
time thereafter. company’s agreement to indemnify Woodworks for loss by fire
only “after payment of premium,” supra. Compliance by the insured
On April 19, 1961, or before the expiration of the one-year term, with the terms of the contract is a condition precedent to the right of
Philippine Phoenix notified Woodworks, through its Indorsement, of the recovery.
cancellation of the Policy allegedly upon the latter’s request.
2nd Issue:
WON the insurer is liable. – YES.
After the issuance of the cover note but before the issuance of the two
policies, some of the logs intended to be exported were lost during
loading operations in the Dapitan Bay due to a typhoon.
No separate premium before the loss occurred does not militate The automobile was totally destroyed by fire. Mrs. Harding, furnished
the validity of the contention. the defendant the proofs of her loss and interest, and otherwise
performed all the conditions of said policy on her part, and that the
The fact that no separate premium was paid on the Cover Note before defendant has not paid said loss nor any part thereof, although due
the loss insured against occurred does not militate against the validity demand was made.
of Pacific Timber’s contention. No such premium could have been paid
since by nature of the Cover Note, it did not contain, as all cover notes, Defendant contends that the value of said automobile at the time of the
particulars of the shipment that would serve as basis for the execution and delivery of the said proposal were false and known to be
computation of the premiums. As a logical consequence thereof, no false by the said plaintiff at the time of signing and delivering the said
separate premiums are intended or required to be paid on a cover proposal and were made for the purpose of misleading and deceiving
note. This is a fact admitted by an official of Workmen’s Insurance. the defendant, and inducing the defendant to issue the said policy of
insurance.
At any rate, it is not disputed that Pacific Timber paid in full all
premiums as called for by the statement issued by Workmen’s Issue
Insurance after the issuance of the two marine insurance policies,
thereby leaving no account unpaid due on the insurance coverage, Whether the insurance company is bound by the valuation made in the
which must be deemed to include Cover Note 1010. policy application. YES.
In the case:
If the property hereby insured shall, at the breaking out of any fire, be
collectively of greater value than the sum insured thereon then the
insured shall be considered as being his own insurer for the difference,
and shall bear a ratable proportion of the loss accordingly. Every item,
if more than one, of the policy shall be separately subject to this
condition.
Issue