Professional Documents
Culture Documents
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* FIRST DIVISION.
412
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port its allegation that the renewals of the policies were taken
only after a request was made to TRANSASIA to furnish them a
copy of the certificate attesting that M/V Asia Korea was
CLASSED AND CLASS MAINTAINED. Notwithstanding
PRUDENTIALs claim that no certification was issued to that
effect, it renewed the policy, thereby, evidencing an intention to
waive TRANSASIAs alleged breach. Clearly, by granting the
renewal policies twice and successively after the loss, the intent
was to benefit the insured, TRANSASIA, as well as to waive
compliance of the warranty.
Same Same Loan and Trust Receipts Notwithstanding its
designation, the tenor of the Loan and Trust Receipt evidences
that the real nature of the transaction between the parties was that
the amount indicated therein was not intended as a loan whereby
the insured is obligated to pay the insurer, but rather, the same
was a partial payment or an advance on the policy of the claims
due the former.The Court of Appeals held that the real
character of the transaction between the parties as evidenced by
the Loan and Trust Receipt is that of an advance payment by
PRUDENTIAL of TRANSASIAs claim on the insurance, thus: x x
x We agree. Notwithstanding its designation, the tenor of the
Loan and Trust Receipt evidences that the real nature of the
transaction between the parties was that the amount of
P3,000,000.00 was not intended as a loan whereby TRANSASIA
is obligated to pay PRUDENTIAL, but rather, the same was a
partial payment or an advance on the policy of the claims due to
TRANSASIA.
Same Same Same Words and Phrases The clear import of
the phrase at the expense of and under the exclusive direction and
control as used in the Loan and Trust Receipt grants solely to
the insurer the power to prosecute, even as the same is carried in
the name of the insured, thereby making the latter merely an agent
of the former, the principal, in the prosecution of the suit against
parties who may have occasioned the loss.We find that per the
Loan and Trust Receipt, even as TRANSASIA agreed to
promptly prosecute suit against such persons, corporation or
corporations through whose negligence the aforesaid loss was
caused or who may otherwise be responsible therefore, with all
due diligence in its name, the prosecution of the claims against
such third persons are to be carried on at the expense of and
under the exclusive direction and control of PRUDENTIAL
GUARANTEE AND ASSURANCE INC. The clear
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415
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416
then the loss or damage shall be paid within ninety days after
such receipt. Refusal or failure to pay the loss or damage within
the time prescribed herein will entitle the assured to collect
interest on the proceeds of the policy for the duration of the delay
at the rate of twice the ceiling prescribed by the Monetary Board,
unless such failure or refusal to pay is based on the ground that
the claim is fraudulent.
417
418
419
CHICONAZARIO, J.:
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3 Rollo (G.R. No. 151890), pp. 7576 Rollo (G.R. No. 151991), pp. 4344.
420
The Facts
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After a careful review and evaluation of your claim arising from the
abovecaptioned incident, it has been ascertained
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4 Rollo (G.R. No. 151991), pp. 8889 Rollo (G.R. No. 151890), pp. 115
116. pp. 3031.
5 Records, pp. 15.
6 Sec. 243 of the Insurance Code reads: The amount of any loss or
damage for which an insurer may be liable, under any policy other than
life insurance policy, shall be paid within thirty days after proof of loss is
received by the insurer and ascertainment of the loss or damage is made
either by agreement between the insured and the insurer or by
arbitration but if such ascertainment is not had or made within sixty
days after such receipt by the insurer of the proof of loss, then the loss or
damage shall be paid within ninety days after such receipt. Refusal or
failure to pay the loss or damage within the time prescribed herein will
entitle the assured to collect interest on the proceeds of the policy for the
duration of the delay at the rate of twice the ceiling prescribed by the
Monetary Board unless such failure or refusal to pay is based on the
ground that the claim is fraudulent.
422
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10
Further, citing Section 107 of the Insurance
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Further, citing Section 107 of the Insurance Code, the
court a quo ratiocinated that the concealment made by
TRANSASIA that the vessel was not adequately
maintained to preserve its class was a material
concealment sufficient to avoid the policy and, thus,
entitled the injured party to rescind the contract. The court
a quo found merit in PRUDENTIALs contention that there
was nothing in the adjustment of the particular average
submitted by the adjuster that would show that TRANS
ASIA was not in breach of the policy. Ruling on the
denominated loan and trust receipt, the court a quo said
that in substance and in form, the same is a receipt for a
loan. It held that if TRANSASIA intended to receive the
amount of P3,000,000.00 as advance payment, it should
have so clearly stated as such.
The court a quo did not award PRUDENTIALs claim for
P500,000.00, representing expert survey fees on the ground
of lack of sufficient basis in support thereof. Neither did it
award attorneys fees on the rationalization that the
instant case11 does not fall under the exceptions stated in
Article 2208
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(5) Where the defendant acted in gross and evident bad faith in
refusing to satisfy the plaintiffs plainly valid, just and
demandable claim
(6) In actions for legal support
(7) In actions for the recovery of wages of household helpers, laborers
and skilled workers
(8) In actions for indemnity under workmens compensation and
employers liability laws
(9) In a separate civil action to recover civil liability arising from a
crime
(10) When at least double judicial costs are awarded
(11) In any other case where the court deems it just and equitable that
attorneys fees and expenses of litigation should be recovered. In
all cases, the attorneys fees and expenses of litigation must be
reasonable.
12 CA Rollo, p. 15.
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13 Section 244 of the Insurance Code reads: In case of any litigation for
the enforcement of any policy or contract of insurance, it shall be the duty
of the Commissioner or the Court, as the case may be, to make a finding
as to whether the payment of the claim of the insured has been
unreasonably denied or withheld and in the affirmative case, the
insurance company shall be adjudged to pay damages which shall consist
of attorneys fees and other expenses incurred by the insured person by
reason of such unreasonable denial or withholding of payment plus
interest of twice the ceiling prescribed by the Monetary Board of the
amount of the claim due the insured, from the date following the time
prescribed in section two hundred fortytwo or in section two hundred
fortythree, as the case may be, until such claim within the time
prescribed in said sections shall be considered prima facie evidence of
unreasonable delay in payment.
427
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The Issues
I.
II.
III.
IV.
V.
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14 CA Rollo, p. 145.
428
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VI.
VII.
VIII.
I.
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429
II.
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I.
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431
ATTY. LIM
Q Please tell the court, Mr. Witness, the result of the
evaluation of this claim, what final action was taken?
A It was eventually determined that there was a breach of
the policy condition, and basically there is a breach of
policy warranty condition and on that basis the claim
was denied.
Q To refer you (sic) the policy warranty condition, I am
showing to you a policy here marked as Exhibits 1, 1
A series, please point to the warranty in the policy
which you said was breached or violated by the plaintiff
which constituted your basis for denying the claim as
you testified.
A Warranted Vessel Classed and Class Maintained.
ATTY. LIM
Witness pointing, Your Honor, to that portion in Exhibit
1A which is the second page of the policy below the
printed words: Clauses, Endorsements, Special
Conditions and Warranties, below this are several
typewritten clauses and the witness pointed out in
particular the
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433
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23 Francisco L. Jison v. Court of Appeals, 350 Phil. 138, 173 286 SCRA
495, 532 (1998).
434
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435
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436
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liability under the policy continues as before.
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liability under the policy continues as before. There can be
no clearer intention of the waiver of the alleged breach
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437
II.
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29 Records, p. 36.
30 Rollo (G.R. No. 151890), p. 41.
439
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440
from third parties resulting from the fire. In the law on insurance,
subrogation is an equitable assignment to the insurer of all
remedies which the insured may have against third person whose
negligence or wrongful act caused the loss covered by the
insurance policy, which is created as the legal effect of payment
by the insurer as an assignee in equity. The loss in the first
instance is that of the insured but after reimbursement or
compensation, it becomes the loss of the insurer. It has been
referred to as the doctrine of substitution and rests on the
principle that substantial justice should be attained regardless of
form, that is, its basis is the doing of complete, essential, 31and
perfect justice between all the parties without regard to form.
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441
III.
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33 Id.
34 See Article 1933 of the Civil Code which reads: By the contract of
loan, one of the parties delivers to another, either something not
consumable so that the latter may use the same for a certain time and
return it, in which case the contract is called a commodatum or money or
other consumable thing, upon the condition that the same amount of the
same kind and quality shall be paid, in which case the contract is simply
called a loan or mutuum.
442
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443
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The proceeds of the policy maturing by the death of the insured payable
to the beneficiary shall include the discounted value of all premiums paid
in advance of their due dates, but are not due and payable at maturity.
36 Section 243 of the Insurance Code reads: The amount of any loss or
damage for which an insurer may be liable, under any policy other than
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life insurance policy, shall be paid within thirty days after proof of loss is
received by the insurer and ascertainment of the loss or damage is made
either by agreement between the insured and the insurer or by
arbitration but if such ascertainment is not had or made within sixty
days after such receipt by the insurer of the proof of loss, then the loss or
damage shall be paid within ninety days after such receipt. Refusal or
failure to pay the loss or damage within the time prescribed herein will
entitle the assured to collect interest on the proceeds of the policy for the
duration of the delay at the rate of twice the ceiling prescribed by the
Monetary Board, unless such failure or refusal to pay is based on the
ground that the claim is fraudulent.
37 Cathay Insurance Company, Incorporated v. Court of Appeals, G.R.
No. 85624, 5 June 1989, 174 SCRA 11, 18.
444
Sections 243 and 244 of the Insurance Code apply when the
court finds an unreasonable delay or refusal in the
payment of the insurance claims.
In the case at bar, the facts as found by the Court of
Appeals, and confirmed by the records show that there was
an unreasonable delay by PRUDENTIAL in the payment of
the unpaid balance of P8,395,072.26 to TRANSASIA. On
26 October 1993, a day after the occurrence of the fire in
M/V Asia Korea, TRANSASIA filed its notice of claim.
On 13 August 1996, the adjuster, Richards Hogg
International (Phils.), Inc., completed its survey report
recommending the amount of P11,395,072.26 as the total
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indemnity due to TRANSASIA. On 21
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indemnity due to TRANSASIA. 39
On 21 April 1997,
PRUDENTIAL, in a letter addressed to TRANSASIA
denied the latters claim for the amount of P8,395,072.26
representing the balance of the total indemnity.
40
On 21 July
1997, PRUDENTIAL sent a second letter to TRANSASIA
seeking a return of the amount of P3,000,000.00. On 13
August 1997, TRANSASIA was con
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445
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446
SEC. 243. The amount of any loss or damage for which an insurer
may be liable, under any policy other than life insurance policy,
shall be paid within thirty days after proof of loss is received by
the insurer and ascertainment of the loss or damage is made
either by agreement between the insured and the insurer or by
arbitration but if such ascertainment is not had or made within
sixty days after such receipt by the insurer of the proof of loss,
then the loss or damage shall be paid within ninety days after
such receipt. Refusal or failure to pay the loss or damage within
the time prescribed herein will entitle the assured to collect
interest on the proceeds of the policy for the duration of the delay
at the rate of twice the ceiling prescribed by the Monetary Board,
unless such failure or refusal to pay is based on the ground that
the claim is fraudulent.
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447
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448
IV.
This Court
47
in Eastern Shipping Lines,
48
Inc. v. Court of
Appeals, inscribed the rule of thumb in the application of
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449
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450
Fallo
WHEREFORE, the Petition in G.R. No. 151890 is
DENIED. However, the Petition in G.R. No. 151991 is
GRANTED, thus, we award the grant of attorneys fees and
make a clarification that the term double interest as used
in the 6 November 2001 Decision of the Court of Appeals
in CA GR CV No. 68278 should be construed to mean
interest at the rate of 24% per annum, with a further
clarification, that the same should be computed from 13
September 1996 until fully paid. The Decision and
Resolution of the Court of Appeals, in CA
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requiring borrower or debtor to repay loan or debt then due and payable.
See Blacks Law Dictionary, 5th ed., p. 580 (1979), citing Hafer v. Spaeth,
22 Wash. 2d 378, 156 P. 2d 408, 411.
451
No costs.
SO ORDERED.
o0o
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