7. YU PANG CHENG v.

CA
GR No. L-12465, May 29, 1959
Digested by: Bryan B. Mejia, JD-2

FACTS:
 Yu Pang Eng submitted his application for insurance consisting of the medical
declaration made by him to the medical examiner and agent of defendant and paid the
first premium, after which, defendant issued to the insured the insurance policy.
 On December 27, 1950, the insured entered St. Luke's Hospital for medical treatment
but after two months, he died of "infiltrating medullary carcinoma, Grade 4, advanced
cardiac and of lesser curvature, stomach metastases spleen."
 Plaintiff, Yu Pang Cheng, brother and beneficiary of the insured, demanded the
payment of the proceeds of the insurance policy. Defendant, in its answer, set up the
defense that the insured was guilty of misrepresentation and concealment of material
facts in that he gave false and untruthful answers to certain questions asked him in his
application for insurance which were material to the risk insured against and have the
effect of avoiding the insurance policy.

ISSUE: W/N the insured is guilty of concealment of some facts material to the risk insured
against which has the effect of avoiding the policy as found by respondent court.

RULING: YES. The Supreme Court ruled that the negative answers given by the insured
regarding his previous ailment, or his concealment of the fact that he was hospitalized and
treated for some time of peptic ulcer and had suffered from dizziness, anemia, abdominal
pains and tarry stools, deprived defendant of the opportunity to make the necessary inquiry
as to the nature of his past illness so that it may form its estimate relative to the approval of
his application. Had defendant been given such opportunity, considering the previous illness
of the insured as disclosed by the records of the Chinese General Hospital, defendant would
probably had never consented to the issuance of the policy in question.

DOCTRINE:
Concealment of Medical Records: Our Insurance Law provides that A neglect to
communicate that which a party knows and ought to communicate, is called
concealment" (Section 25, Act No. 2427). Whether intentional or unintentional, the
concealment entitles the insurer to rescind the contract of insurance (Section 26).