Professional Documents
Culture Documents
HELD:
Fidelity bond is in the nature of a contract of insurance
against loss from misconduct. Subject to Insurance Act 1.No
2.No
Sec 61-A: A condition, stipulation or agreement in any
policy of insurance, limiting the time for commencing 3. At the time of the first rejection of the insurance
company
an
action thereunder to a period of less than 1 year
from the time when the cause of action accrues is VOID RATIO:
1. The policy states in section 27.S
The cause of action, then, started when the insurer plaintiff's claim had already prescribed since it
denied his claim in the first instance(1984). This was not filed within twelve months from its
rejection of a petition for reconsideration as insisted by rejection by the insurance company as
respondents wasn’t the beginning of the cause of stipulated under paragraph 9 of the General
action. Conditions of Commercial Vehicle
Comprehensive Policy Nos. 5598 and 5599,
6 LOPEZ v. COMPANIA DE SEGUROS to wit:
Consequently, the complaint filed by the obligation prescribes in ten years, in accordance with
appellant herein with the Office of the Article 1144 of the New Civil Code.
Insurance Commission could not have been
an "action or suit."
FACTS: DOCTRINE:
1. Hong Kong Government Supplies A valid cancellation of policy requires the concurrence
Department contracted Mayer Steel Pipe of the following conditions:
Corporation to manufacture and supply 1. Prior notice of cancellation to insured
various steel pipes and fittings. 2. Notice must be based on the occurrence after
2. Prior to the shipping, Mayer insured these effective date of policy of one or more of the
pipes and fittings against all risks with South grounds mentioned
Sea Surety and Insurance Co., Inc. and 3. Must be in writing, mailed or delivered to the
Charter Insurance Corp., with Industrial insured at the address shown in the policy
Inspection Inc. appointed as third-party Must state the grounds relied upon provided in Sec. 64
inspector. of the Insurance Code and upon request of insured, to
3. After examining the pipes and fittings, furnish facts on which cancellation is based
Industrial Inspection certified that they are in
good order condition. However, when the
Facts:
goods reached Hong Kong, it was discovered
that a substantial portion thereof was
damaged. 1. On June 7, 1981, the petitioner (hereinafter
4. The trial court found in favor of the insured. called MICO issued to the private respondent,
However, when the case was elevated to the P14,000.00 effective July 22, 1981, until July
CA, it set aside the decision of the trial court 22, 1982.
and dismissed the complaint on the ground of 2. On October 15,1981, MICO allegedly
prescription. cancelled the policy for non-payment, of the
5. It held that the action was barred under Sec. premium and sent the corresponding notice to
3(6) of the Carriage of Goods by Sea Act Pinca.
(COGSA) since it was filed only on April 17, 3. On December 24, 1981, payment of the
1986, more than two years from the time the premium for Pinca was received by Domingo
goods were unloaded from the vessel. Adora, agent of MICO.
4. On January 15, 1982, Adora remitted this
ISSUE: payment to MICO,together with other
Whether or not the action is barred by prescription payments.
5. On January 18, 1982, Pinca's property was
HELD: completely burned.
6. On February 5, 1982, Pinca's payment was
Sec. 3(6) of the COGSA states that the carrier and the returned by MICO to Adora on the ground that
ship shall be discharged from all liability for loss or her policy had been cancelled earlier. But
damage to the goods if no suit is filed within one year Adora refused to accept it.
after delivery of the goods or the date when they should 7. In due time, Pinca made the requisite
have been delivered. Under this provision, only the demands for payment, which MICO rejected.
carrier’s liability is extinguished if no suit is brought She then went to the Insurance Commission.
within one year. But the liability of the insurer is not It is because she was ultimately sustained by
extinguished because the insurer’s liability is based not the public respondent that the petitioner has
on the contract of carriage but on the contract of come to us for relief.
insurance.
ISSUE:
An insurance contract is a contract whereby one party,
for a consideration known as the premium, agrees to
indemnify another for loss or damage which he may Whether or not petitioner liable, for it alleged that the
suffer from a specified peril. An “all risks” insurance insurance policy was already cancelled due to non-
policy covers all kinds of loss other than those due to payment of premium.
willful and fraudulent act of the insured. Thus, when
private respondents issued the “all risks” policies to HELD:
Mayer, they bound themselves to indemnify the latter
in case of loss or damage to the goods insured. Such On the merits, it must also fail. MICO's arguments that
there was no payment of premium and that the policy
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had been cancelled before the occurence of the loss shall be effective unless it is based on the occurrence,
are not acceptable. Its contention that the claim was after the effective date of the policy, of one or more of
allowed without proof of loss is also untenable. the following:
SEC. 306. xxx xxx xxx (2) The notice must be based on the occurrence, after
the effective date of the policy, of one or more of the
grounds mentioned;
Any insurance company which delivers to an insurance
agant or insurance broker a policy or contract of
insurance shall be demmed to have authorized such (3) The notice must be (a) in writing, (b) mailed, or
agent or broker to receive on its behalf payment of any delivered to the named insured, (c) at the address
premium which is due on such policy or contract of shown in the policy;
insurance at the time of its issuance or delivery or
which becomes due thereon. (4) It must state (a) which of the grounds mentioned in
Section 64 is relied upon and (b) that upon written
On the other hand Article 64 (except "nonpayment of request of the insured, the insurer will furnish the facts
premium") provided the cancellation was made in on which the cancellation is based.
accordance therewith and with Article 65.
There is no proof that the notice, assuming it complied
Section 64 reads as follows: with the other requisites mentioned above, was actually
mailed to and received by Pinca. All MICO's offers to
show that the cancellation was communicated to the
SEC. 64. No policy of insurance other than life shall be insured is its employee's testimony that the said
cancelled by the insurer except upon prior notice cancellation was sent "by mail through our mailing
thereof to the insured, and no notice of cancellation
FINALS | INSURANCE LAW | EMERGENCY DIGESTS
section." without more. The petitioner then says that its 7. The insurance companies refused payment
"stand is enervated (sic) by the legal presumption of on the ground that the claim of P21,000 filed
regularity and due performance of duty." (not realizing by him was fraudulent, being in excess of the
perhaps that "enervated" means "debilitated" not real value of the insured property; that none
"strengthened"). of said companies had been informed of
the existence of the other policies in the
On the other hand, there is the flat denial of Pinca, who other companies, and that the fire was
says she never received the claimed cancellation and intentional.
who, of course, did not have to prove such denial 8. Sta.Ana filed civil cases in RTC against The
Considering the strict language of Section 64 that no Commercial Union Assurance Company,
insurance policy shall be cancelled except upon prior Limited in case No. 31263; the Globe and
notice, it behooved MICO's to make sure that the Rutgers Fire Insurance Company of New
cancellation was actually sent to and received by the York in case No. 31264; and the Phoenix
insured. Assurance Company, Limited, the Guardian
Assurance Company, Limited, and the
"Filipinas, Compania de Seguros", incase No.
Adora. incidentally, had not been informed of the 31322. All the defendants are absolved in
cancellation either and saw no reason not to accept the their alleged liabilities by the RTC. Hence this
said payment. petition.
ISSUE:
9 STA. ANA v. COMMERCIAL UNION Can the insured claim against the insurance
INSURANCE companies?
building. His suit to recover was granted by 1. The purpose of the present action is to
the trial court. Hence, this appeal. recover the sum of P3,000 upon an insurance
policy. The lower court rendered a judgment
ISSUE: Whether a warranty referred to in the policy as in favor of the plaintiff and against the
forming part of the contract of insurance and in the form defendant for the sum of P2,708.78, and
of a rider to the insurance policy, is null and void costs. From that judgment the defendant
because not complying with the Philippine Insurance appealed to this court.
Act. 2. Young occupied a building at '321 Calle
Claveria, as a residence and bodega
HELD: No. The warranty is valid. Petition dismissed. (storehouse). On the 29th of May, 1912,
Midland Textile, in consideration of the
RATIO: payment of a premium of P60, entered into a
The Insurance Act, Section 65, taken contract of insurance with Young promising to
from California law, states: pay the sum of P3,000, in case said residence
and bodega and contents should be
"Every express warranty, made at or before the destroyed by fire.
execution of a policy, must be contained in the policy 3. One of the conditions of said contract was that
itself, or in another instrument signed by the insured no hazardous goods be stored or kept in the
and referred to in the policy, as making a part of it." building.
Warranty F, indemnifying for a value of Php 20,000 and 4. On the 4th or 5th of February, 1913, the
pasted on the left margin of the policy stated: plaintiff placed in said residence and bodega
three boxes which belonged to him and which
It is hereby declared and agreed that during were filled with fireworks for the celebration of
the currency of this policy no hazardous goods be the Chinese new year.
stored in the Building to which this insurance applies or 5. On the 18th day of March, 1913, said
in any building communicating therewith, provided, residence and bodega and the contents
always, however, that the Insured be permitted to thereof were partially destroyed.
stored a small quantity of the hazardous goods 6. Fireworks were found in a part of the building
specified below, but not exceeding in all 3 per cent of not destroyed by the fire; that they in no way
the total value of the whole of the goods or contributed to the fire, or to the loss
merchandise contained in said warehouse, occasioned thereby.
viz; . . . .
ISSUE:
Also, the court stated a book that said, "any express Whether or not the placing of said fireworks in
warranty or condition is always a part of the policy, but, the building insured, under the conditions above
like any other part of an express contract, may be enumerated, they being "hazardous goods," is a
written in the margin, or contained in proposals or violation of the terms of the contract of insurance.
documents expressly referred to in the policy, and so
made a part of it." HELD:
Yes.
“It is well settled that a rider attached to a policy is a
part of the contract, to the same extent and with like The word "stored" has been defined to be a deposit in
effect as it actually embodied therein. In the second a store or warehouse for preservation or safe keeping;
place, it is equally well settled that an express warranty to put away for future use, especially for future
must appear upon the face of the policy, or be clearly consumption; to place in a warehouse or other place of
incorporated therein and made a part thereof by explicit deposit for safe keeping. Said definition does not
reference, or by words clearly evidencing such include a deposit in a store, in small quantities, for daily
intention.” use. "Daily use" precludes the idea of deposit for
preservation or safe keeping, as well as a deposit for
The court concluded that Warranty F is contained in future consumption or safe keeping.
the policy itself, because by the contract of insurance
agreed to by the parties it was made to be a part. It A violation of the terms of a contract of insurance, by
wasn’t a separate instrument agreed to by the parties. either party, will constitute the basis for a termination of
The receipt of the policy by the insured without the contractual relations, at the election of the other.
objection binds him. It was his duty to read the policy The right to terminate the contractual relations exists
and know its terms. He also never chose to accept a even though the violation was not the direct cause of
different policy by considering the earlier one as a the loss. In the present case, the deposit of the
mistake. Hence, the rider is valid. "hazardous goods," in the building insured, was a
violation of the terms of the contract. Although the
11 YOUNG v. MIDLAND TEXTILE hazardous goods did not contribute to the loss, the
insurer, at his election, was relieved from liability Said
FACTS: deposit created a new risk, not included in the terms of
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the contract. The insurer had neither been paid, nor Whether or not the new oil mill is covered by the
had he entered into a contract, to cover the increased fire insurance policy
risk.
7. During the effectivity of the renewed policy, 1. Respondent Oliva Yap was the owner of a
the insured vehicle, while being driven by store in a two-storey building located at No.
Rodolfo Songco, duly licensed driver and 856 Juan Luna Street, Manila, where in 1962
Federico’s son, collided with a car. she sold shopping bags and footwear, such
8. As a result, Federico and Rodolfo died, while as shoes, sandals and step-ins.
Carlos (another son) and his wife Angelita, 2. Chua Soon Poon Oliva Yap's son-in-law, was
and a family friend sustained physical injuries. in charge of the store. On April 19, 1962,
9. The Court of Appeals rendered a decision in respondent Yap took out Fire Insurance
favor of the claimants, holding that where Policy No. 4216 from petitioner Pioneer
inequitable conduct is shown by an insurance Insurance & Surety Corporation with a face
firm, it is estopped from enforcing forfeitures value of P25,000.00 covering her stocks,
in its favor, in order to forestall fraud or office furniture, fixtures and fittings of every
imposition on the insured. kind and description.
10. After Fieldmen's Insurance Co. had led the 3. Among the conditions in the policy executed
insured Songco to believe that he could by the parties are the following:
qualify under the common carrier liability The Insured shall give notice to the
insurance policy, it could not, thereafter, be Company of any insurance or insurances
permitted to change its stand to the detriment already effected, or which may subsequently
of the heirs of the insured. be effected, covering any of the property
11. The failure to apply the Doctrine of Estoppel hereby insured, and unless such notice be
in this case would result in a gross travesty of given and the particulars of such insurance or
justice. insurances be stated in, or endorsed on this
Policy by or on behalf of the Company before
ISSUE: the occurrence of any loss or damage, all
benefits under this Policy shall be forfeited. It
Whether or not the insurance claim is proper? is understood that, except as may be stated
on the face of this policy there is no other
insurance on the property hereby covered
RULING: YES. and no other insurance is allowed except by
the consent of the Company endorsed
The fact that the insured owned a private vehicle, not a hereon. Any false declaration or breach or this
common carrier, was something which the company condition will render this policy null and void.
knew all along. In fact, it exerted the utmost pressure
on the insured, a man of scant education, to enter into 4. At the time of the insurance on April 19, 1962
the contract of insurance. The Court of Appeals also of Policy No. 4219 in favor of respondent Yap,
held that since some of the conditions in the policy an insurance policy for P20,000.00 issued by
were impossible to comply with under the existing the Great American Insurance Company
conditions at the time and inconsistent with the known covering the same properties was noted on
facts, the insurer is estopped from asserting breach of said policy as co-insurance.
such conditions. Except for the fact that the passengers 5. Still later, or on September 26, 1962,
were not fare-paying, their status as beneficiaries respondent Oliva Yap took out another fire
under the policy is recognized. Even if the be assumed insurance policy for P20,000.00 covering the
that there was an ambiguity, such must be strictly same properties, this time from the Federal
interpreted against the party that caused them Insurance Company, Inc., which new policy
As estoppel is primarily based on the doctrine of good was, however, procured without notice to and
faith and the avoidance of harm that will befall the the written consent of petitioner Pioneer
innocent party due to its injurious reliance, the failure Insurance & Surety Corporation and,
to apply it in this case would result in a gross travesty therefore, was not noted as a co-insurance in
of justice. Policy No. 4219.
6. At dawn on December 19, 1962, a fire broke
Citing the case of Qua Chee Gan vs. Law Union & Rock out in the building housing respondent Yap's
Insurance "The contract of insurance is one of perfect above-mentioned store, and the said store
good faith (uberrima fides) not for the insured alone, was burned.
but equally so for the insurer; in fact, it is more so for 7. Respondent Yap filed an insurance claim, but
the latter, since its dominant bargaining position carries the same was denied in petitioner's letter of
with it stricter responsibility." May 17, 1963 on the ground of "breach and/or
violation of any and/or all terms and
conditions" of Policy No. 4219.
14 PIONEER INSURANCE v. YAP 8. On July 17, 1963, Oliva Yap filed with the
Court of First Instance of Manila the present
FACTS: complaint, asking, among others, for payment
of the face value of her fire insurance policy.
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9. In its answer, petitioner alleged that no Richard Hogg International of the damage
property belonging to plaintiff Yap and sustained by the reason of fire.
covered by the insurance policy was 3. Trans Asia executed a document
destroyed by the fire; that Yap's claim was denominated "Loan and Trust Receipt"
filed out of time; and that Yap took out an amounting to Php 3,000,000. Prudential
insurance policy from another insurance Guarantee and Assurance Inc. denied the
company without petitioner's knowledge former's claim and requested for the return of
and/or endorsement, in violation of the the said amount.
express stipulations in Policy No. 4219, 4. The insurance company contends that there
hence, all benefits accruing from the policy was a breach in the policy conditions,
were deemed forfeited. The trial court decided specifically, "Warranted Vessel Classed and
for plaintiff Oliva Yap; and its judgment was Class Maintained".
affirmed in full by the Court of Appeals. 5. The trial court held that Trans Asia failed to
Hence, this petition. prove its compliance with the terms of the
warranty. It further explained that the
ISSUE: concealment made by Trans Asia is sufficient
Whether or not petitioner should be absolved from to avoid the policy. Prudential, as the injured
liability on Fire Insurance Policy No. 4219 on account party, is entitled to rescind to rescind the
of any violation by respondent Yap of the co-insurance contract. The trial court dismissed the
clause therein. complaint and directed Trans Asia to return
the "loan" extended by Prudential.
HELD: 6. The Court of Appeals reversed the decision of
the trial court. It contends that Prudential had
Yes. There was a violation by respondent Oliva Yap of the burden to show that there was a breach in
the co-insurance clause contained in Policy No. 4219 the warranty and which it failed to do so. The
that resulted in the avoidance of petitioner's liability. By Court considered Prudential's admission that,
the plain terms of the policy, other insurance without at the time the insurance contract was entered
the consent of petitioner would ipso facto avoid the into, the vessel was properly classed by the
contract. It required no affirmative act of election on the Bureau Veritas, a classification recignized by
part of the company to make operative the clause the industry. It further contends that then
avoiding the contract, wherever the specified subject warranty was in a form of a rider,
conditions should occur. Its obligations ceased, unless, hence, such contract should be counstrued
being informed of the fact, it consented to the additional against Prudential. Finally, it interpreted the
insurance. The validity of a clause in a fire insurance transaction between the parties as one of
policy to the effect that the procurement of additional subrogation, instead of a loan. Thus, the
insurance without the consent of the insurer amount given to Trans Asia was considered
renders ipso facto the policy void is well-settled. The to be a partial payment to its claim under the
obvious purpose of the aforesaid requirement in the policy.
policy is to prevent over-insurance and thus avert the
perpetration of fraud. The public, as well as the insurer, ISSUES:
is interested in preventing the situation in which a fire 1.) WON there was a breach in the warranty of the
would be profitable to the insured. contract.
2.) WON such contract partakes the nature of a loan.
HELD:
15 PRUDENTIAL GUARANTEE v. TRANS The Supreme Court held that:
ASIA
1.) Prudential failed to establish that Trans Asia had
FACTS: violated and breached the policy condition provided in
1. Trans Asia is the owner of the vessel M/V Asia the insurance contract. The latter was able to establish
Korea. Prudential Guarantee and Assurance proof of loss and coverage of the loss. Prudential also
Inc. insured said vessel for loss/damage of made a categorical admission at the time of the
the hull and machinery arising from perils of procurement of the insurance contract that the vessel
fire and explosion beginning from the period was properly classified by the Bureau Veritas.
of July 1, 1993 until July 1, 1994. Assuming that there was a breach in the policy, the
2. While the policy was in force, a fire broke out. renewal of the insurance policy for two consecutive
Trans Asia file its notice of claim for damages years after the loss is deemed as a waiver on the part
sustained by the vessel. It also reserved its of Prudential. Breach of a warranty or of a condition
right to subsequently notify Prudential as to renders the contract defeasible at the option of the
the full amount of the claim upon final survey insurer; but if he so elects, he may waive his privilege
and determination by the average adjuster and power to rescind by the mere expression of an
intention so to do.
FINALS | INSURANCE LAW | EMERGENCY DIGESTS
6. TC and CA, referring to the annotation and ISSUE: WON the non-payment of the premium due
overruling the defense, held that there was no produced the cancellation of the insurance contract.
violation of the above clause, inasmuch as
"co-insurance exists when a condition of the RULING: NO. Nonpayment of the premium due does
policy requires the insured to bear ratable not produce the cancellation of insurance contract.
proportion of the loss when the value of the
insured property exceeds the face value of the Where between the insurer and the insured, there was
policy," hence there is no co-insurance here. not only a perfected contract of insurance but a partially
performed one as far as the payment of the agreed
ISSUE: WON there is breach of warranty of the above premium was concerned. Thereafter the obligation of
stipulation the insurer to pay the insured the amount for which the
policy was issued in case the conditions therefor had
FINALS | INSURANCE LAW | EMERGENCY DIGESTS
been complied with, arose and became binding upon CFI: ruled in favor of the plaintiff ordering the defendant
it, while the obligation of the insured to pay the to pay plaintiff the said amount
remainder of the total amount of the premium due
became demandable. ISSUE: May the plaintiff recover the unpaid premium
from the defendant?
As the contract had become perfected, the parties
could demand from each other the performance of RULING: NO. Insurance is “a contract whereby one
whatever obligations they had assumed. In the case of undertakes for a consideration to indemnify another
the insurer, it is obvious that it had the right to demand against loss, damage or liability arising from an
from the insured the completion of the payment of the unknown or contingent event.” The consideration is the
premium due or sue for the rescission of the contract. “premium”. “The premium must be paid at the time and
As it chose to demand specific performance of the in the way and manner specified in the policy and, if not
insured's obligation to pay the balance of the premium, so paid, the policy will lapse and be forfeited by its own
the latter's duty to pay is indeed indubitable. terms.”
1. Sometime in early 1982, private respondent and later deny liability on the lame excuse that the
American Home Assurance Co. (AHAC), premiums were not prepared in full.
represented by American International
Underwriters (Phils.), Inc., issued in favor of The Court, therefore, sustain the Court of Appeals. The
petitioner Makati Tuscany Condominium court then quote with approval the well-reasoned
Corporation (TUSCANY) Insurance Policy findings and conclusion of the appellate court
No. AH-CPP-9210452 on the latter's building contained in its Resolution denying the motion to
and premises, for a period beginning 1 March reconsider its Decision —
1982 and ending 1 March 1983, with a total
premium of P466,103.05.
2. The premium was paid on installments on 12 While the import of Section 77 is that prepayment of
March 1982, 20 May 1982, 21 June 1982 and premiums is strictly required as a condition to the
16 November 1982, all of which were validity of the contract, We are not prepared to rule that
accepted by private respondent. the request to make installment payments duly
Successive renewals of the policies were approved by the insurer, would prevent the entire
made in the same manner. contract of insurance from going into effect despite
3. On 1984, the policy was again renewed and payment and acceptance of the initial premium or first
petitioner made two installment payments, installment. Section 78 of the Insurance Code in effect
both accepted by private respondent, the first allows waiver by the insurer of the condition of
on 6 February 1984 for P52,000.00 and the prepayment by making an acknowledgment in the
second, on 6 June 1984 for P100,000.00. insurance policy of receipt of premium as conclusive
4. Thereafter, petitioner refused to pay the evidence of payment so far as to make the policy
balance of the premium. binding despite the fact that premium is actually
Private respondent filed an action to recover unpaid. Section 77 merely precludes the parties from
the unpaid balance of P314,103.05 for stipulating that the policy is valid even if an agreement
Insurance Policy. is not contrary to morals, good customs, public order or
5. Petitioner explained that it discontinued the public policy (premiums are not paid, but does not
payment of premiums because the policy did expressly prohibit an agreement granting credit
not contain a credit clause in its favor. extension, and such De Leon, the Insurance Code, at
6. Petitioner further claimed that the policy was p. 175). So is an understanding to allow insured to pay
never binding and valid, and no risk attached premiums in installments not so proscribed. At the very
to the policy. least, both parties should be deemed in estoppel to
7. It then pleaded a counterclaim for question the arrangement they have voluntarily
P152,000.00 for the premiums already paid accepted.
for 1984-85, and in its answer with amended
counterclaim, sought the refund of More so, The reliance by petitioner on Arce vs. Capital
P924,206.10 representing the premium Surety and Insurance
payments for 1982-85. Co. is unavailing because the facts therein are
substantially different from those in the case at bar.
In Arce, no payment was made by the insured at all
ISSUE: Whether or not payment by installment of the despite the grace period given. In the case before at
premiums due on an insurance policy invalidates the bar, petitioner paid the initial installment and thereafter
contract of insurance, in view of Sec. 77 of P.D. 612, made staggered payments resulting in full payment of
otherwise known as the Insurance Code. the 1982 and 1983 insurance policies. For the 1984
policy, petitioner paid two (2) installments although it
refused to pay the balance.
RULING: NO. The Supreme Court hold that the subject
policies are valid even if the premiums were paid on 21 TIBAY v. CA
installments. The records clearly show that petitioner
and private respondent intended subject insurance DOCTRINE: Clearly the Policy provides for
policies to be binding and effective notwithstanding the payment of premium in full. Accordingly, where the
staggered payment of the premiums. The initial premium has only been partially paid and the
insurance contract entered into in 1982 was renewed balance paid only after the peril insured against
in 1983, then in 1984. In those three (3) years, the has occurred, the insurance contract did not take
insurer accepted all the installment payments. Such effect and the insured cannot collect at all on the
acceptance of payments speaks loudly of the insurer's policy.
intention to honor the policies it issued to petitioner.
Certainly, basic principles of equity and fairness would FACTS:
not allow the insurer to continue collecting and 1. Fortune Life issued a fire insurance Policy to
accepting the premiums, although paid on installments, Tibay on her two-storey residential building at
Zobel Street, Makati City.
FINALS | INSURANCE LAW | EMERGENCY DIGESTS
2. The insurance was for P600,000.00 covering Except only in those specific cases
the period from January 23, 1987 to January where corresponding rules and
23, 1988. On January 23 1987, Tibay only regulations which are or may hereafter
paid P600.00 of 3,000 peso premium and left be in force provide for the payment of
a balance. the stipulated premiums in periodic
3. The insured building was completely installments at fixed percentage, it is
destroyed by fire. Tibay then paid the balance. hereby declared, agreed and
On the same day, she filed a claim on the warranted that this policy shall be
policy. Her claim was accordingly referred to deemed effective, valid and binding
the adjuster, Goodwill, which immediately upon the Company only when the
wrote Violeta requesting her to furnish it with premiums therefor have actually
the necessary documents for the investigation been paid in full and duly
and processing of her claim. Petitioner acknowledged in a receipt signed by
complied, and she signed a non-waiver any authorized official or
agreement. representative/agent of the Company in
4. Fortune denied the claim for violation of the such manner as provided herein.
Insurance Code. Tibay sued for damages in
the amount of P600,000.00 representing the Clearly the Policy provides for payment of premium
total coverage of the policy. in full. Accordingly, where the premium has only
5. The trial court ruled for petitioners and made been partially paid and the balance paid only after
fortune liable for the total value of the insured the peril insured against has occurred, the
building and personal properties. insurance contract did not take effect and the
6. The Court of Appeals reversed the court by insured cannot collect at all on the policy. This is
removing liability from Fortune after returning fully supported by Sec. 77 of the Insurance Code which
the premium. provides —
7. The petitioner contended that Fortune
remained liable under the subject fire
insurance policy in spite of the failure of Sec. 77. An insurer is entitled to
petitioners to pay their premium in full. payment of the premium as soon as the
thing insured is exposed to the peril
Issue: Whether or not a fire insurance policy is valid, insured against. Notwithstanding any
binding, and enforceable upon mere partial payment of agreement to the contrary, no policy or
the premium? contract of insurance issued by an
insurance company is valid and binding
unless and until the premium thereof
Held: No. The pertinent provisions in the Policy on has been paid, except in the case of a
premium read — life or an industrial life policy whenever
the grace period provision applies.
THIS POLICY OF INSURANCE
WITNISSETH THAT only after payment
to the Company in accordance with 22 UCPB GENERAL v. MASAGANA
Policy Condition No. 2 of the total TELEMART
premiums by the insured as stipulated
above for the period aforementioned for FACTS:
insuring against Loss or Damage by Fire 1. In 1991, UCPB issued 5 fire insurance
or Lightning as herein appears, the policies covering Masagana Telamart’s
Property herein described . . . various properties for the period from 22 May
1991 to 22 May 1992.
2. This policy including any renewal On March 1992 [~2 months before policy
thereof and/or any endorsement expiration], UCPB evaluated the policies
thereon is not in force until the and decided not to renew them upon
premium has been fully paid to and expiration of their terms on 22 May
duly receipted by the Company in the 1992. UCPB advised Masagana’s
manner provided herein. broker of its intention not to renew the
policies.
Any supplementary agreement seeking
to amend this condition prepared by 2. On April 1992 [~1 month before policy
agent, broker or Company official, shall expiration], UCPB gave written notice to
be deemed invalid and of no effect. Masagana of the non-renewal of the
policies. On June 1992 [policy already
expired], Masagana’s property covered by 3
xxx xxx xxx UCPB-issued policies was razed by fire.
FINALS | INSURANCE LAW | EMERGENCY DIGESTS
period. This being so, the policy was already may avail himself of the privileges of
enforceable. The company had sufficient time to this paragraph without sufficient
examine the result of their medical examination on the causes as otherwise provided by
person of the appellee. They would not have delivered law.
the policy on January 24, 1973 if the appellee was
unacceptable. Moreover, if premiums were to be paid SECTION 81. A person insured is entitled to
within 90 days then the reckoning period should be the a return of the premium when the contract is
date the policy was delivered and not the date the voidable on account of the fraud or
appellee was physically examined. The 90-day period misrepresentation of the insurer or of his
from the date of physical examination as provided for agent or on account of facts the existence of
in the receipts of payment is of' no moment, since said which the insured was ignorant without his
receipts are an integral part of the insurance policy fault; or when, by any default of the insured
(contract). The official receipts issued by the other than actual fraud, the insurer never
company's agent can only mean that the company incurred any liability under the policy.
ratified the act of Mrs. Margarita Siega in giving the
appellee a grace period of 30 days from January 25, SECTION 82. In case of an over-insurance by
1973 within which to pay the annual premium. several insurers, the insured is entitled to a
ratable return of the premium, proportioned to
When the petitioner advised private respondent on the amount by which the aggregate sum
June 1, 1973, four months after he had paid the first insured in all the policies exceeds the
premium, that his policy had never been in force, and insurable value of the thing at risk.
that he must pay another premium and undergo
another medical examination to make the policy Since his policy was in fact inoperative or ineffectual
effective, the petitioner committed a serious breach of from the beginning, the company was never at risk,
the contract of insurance. hence, it is not entitled to keep the premium. The award
of moral damages to Cortez was proper for there can
Petitioner should have informed Cortez of the deadline hardly be any doubt that he must have suffered moral
for paying the first premium before or at least upon shock, serious anxiety and wounded feelings upon
delivery of the policy to him, so he could have complied being informed by the petitioner six (6) months after it
with what was needful and would not have been misled issued the policy to him and four (4) months after
into believing that his life and his family were protected receiving the full premium, that his policy was in fact
by the policy, when actually they were not. And, if the worthless for it never took effect, hence, he and his
premium paid by Cortez was unacceptable for being family never received the protection that he paid for.
late, it was the company's duty to return it. By accepting
his premiums without giving him the corresponding
protection, the company acted in bad faith. 25 JAIME T. GAISANO v. DEVELOPMENT
INSURANCE
Sections 79, 81 and 82 of P.D. 612 of the Insurance
Code of 1978 provide when the insured is entitled to FACTS:
the return of premium paid.
1. Petitioner was the registered owner of a 1992
SECTION 79. A person insured is entitled to Mitsubishi Montero with plate number GTJ-
a return of premium, as follows: 777 (vehicle), while respondent is a domestic
corporation engaged in the insurance
(a) To the whole premium, if no part business.
of his interest in the thing 2. On September 27, 1996, respondent issued a
insured be exposed to any of comprehensive commercial vehicle policy to
the perils insured against. petitioner in the amount of Pl,500,000.00 over
the vehicle for a period of one year
(b) Where the insure is made for a commencing on September 27, 1996 up to
definite period of time and the September 27, 1997.
insured surrenders his policy, to 3. Respondent also issued two other
such portion of the premium as commercial vehicle policies to petitioner
corresponds with the unexpired covering two other motor vehicles for the
time, at a pro rata rate, unless a same period.
short period rate has been agreed 4. To collect the premiums and other charges on
upon and appears on the face of the the policies, respondent's agent, Trans-
policy, after deducting from the Pacific Underwriters Agency (Trans-Pacific),
whole premium any claim for loss or issued a statement of account to petitioner's
damage under the policy which has company, Noah's Ark
previously accrued: Provided, That 5. Merchandising (Noah's Ark). Noah's Ark
no holder of a life insurance policy immediately processed the payments and
FINALS | INSURANCE LAW | EMERGENCY DIGESTS
issued a Far East Bank check dated as the thing insured is exposed to the peril insured
September 27, 1996 payable to Trans-Pacific against. Notwithstanding any agreement to the
on the same day. contrary, no policy or contract of insurance issued by
6. The check bearing the amount of Pl40,893.50 an insurance company is valid and binding unless and
represents payment for the three insurance until the premium thereof has been paid, except in the
policies, with P55,620.60 for the premium and case of a life or an industrial life policy whenever the
other charges over the vehicle. grace period provision applies.
7. However, nobody from Trans-Pacific picked
up the check that day (September 27)
because its president and general manager,
Rolando Herradura, was celebrating his
birthday.
8. Trans-Pacific informed Noah's Ark that its
messenger would get the check the next day,
September 28. In the evening of September
27, 1996, while under the official custody of
Noah's Ark marketing manager Achilles
Pacquing (Pacquing) as a service company
vehicle, the vehicle was stolen in the vicinity
of SM Megamall at Ortigas, Mandaluyong
City.
9. Pacquing reported the loss to the Philippine
National Police Traffic Management
Command at Camp Crame in Quezon City.
10. Despite search and retrieval efforts, the
vehicle was not recovered. Oblivious of the
incident, Trans-Pacific picked up the check
the next day, September 28. It issued an
official receipt numbered 124713 dated
September 28, 1996, acknowledging the
receipt of P55,620.60 for the premium and
other charges over the vehicle.
11. The check issued to Trans Pacific for
Pl40,893.50 was deposited with Metrobank
for encashment on October 1, 1996.
ISSUE:
HELD: