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Facts: Pickup Truck hit Insured Mitsubishi Colt Lancer;

Insurer pays insured then claims against pickup owner


Mistaken Arguments (No Cause of Action):
Insurance Case Digests | Atty. Norianne Tan | 2015 0. Own damage clause - assumption that no third party
1. “Own Damage” Clause of Contract - does not referred to third party damage
2. Ejusdem Generis - does not cover collission/overturning due to third party

PAN MALAYAN INSURANCE CORP. v. CA


INSURANCE CASE DIGEST SET 1 Sec.
Correct 1
argument
SECTIONS 1-2 1. 2207: Subrogation arises by operation of law upon payment by insurer to the insured
CASE: 2. Not based on privy of contract
SEC 1 PANMALAY paid for the cost of repair of the Mitsubishi Colt
Lancer owned by CANLUBANG after it was hit by a pick-up owned
1. Pen Malayan Insurance Corp vs. CA-- BAGUYOT by respondent Fabie, driven by her unknown driver. PANMALAY
2. Federa Express Corp. vs. American Home Ass. Co.— subrogated the rights of CANLUBANG and filed a complaint against
CALANGI respondents. The RTC and CA dismissed the complaint for there is
3. Fireman’s Fund Insurance Co & Firestone Tire vs. Jamila, no cause of action. The Supreme Court ruled in favor of petitioner
Inc—ESTIPONA stating that if the insured property is destroyed or damaged through
4. FF Cruz & Co., Inc. vs. CA— LEDESMA the fault or negligence of a party other than the assured, then the
5. Rizal Surety & Ins. Co vs. Manila Railroad Co.-- LIM, insurer, upon payment to the assured, will be subrogated to the
AUBBREY rights of the assured to recover from the wrongdoer to the extent that
6. Pioneer Insurance & Surety Corp. vs CA— LIM, YVETTE the insurer has been obligated to pay.
7. Compañia Martima vs. Ins. Co. of North America – MIRANDA

SEC 2 FACTS:
 On December 10, 1985, PANMALAY filed a complaint for
1. CCC Ins. Corp vs. CA – PACAMARRA damages with the RTC of Makati against respondents
2. Assoc. of Baptists vs. Fieldmen’s Ins – RIVERA Erlinda Fabie and her driver. PANMALAY averred that it
3. Landicho vs. GSIS – SANTOS insured a Mitsubishi Colt Lancer car registered in the name
4. Mayer Steel Pipe Corp vs. CA – SORONGON of Canlubang Automotive Resources Corporation
5. Great Pacific Life vs. CA – TAMONDONG [CANLUBANG]; the insured car was hit by a pick-up owned
6. American Home Ass. vs. Tantuco Ent. – TORCUATOR by respondent and suffered damages in the amount of
7. Rizal Surety vs. CA – VELENA P42,052.00; that PANMALAY defrayed the cost of repair of
8. Perla Compania de Seguros Inc vs. CA – YOGUE the insured car and, therefore, was subrogated to the rights
9. Zenith Ins. Corp vs. CA—BAGUYOT of CANLUBANG against respondents and that, despite
10. Vector Shipping Corp vs. AHAC – CALANGI repeated demands, the latter failed and refused to pay the
claim of PANMALAY.
 PANMALAY clarified, among others, that the damage
caused to the insured car was settled under the "own
damage", coverage of the insurance policy.
 Respondents filed a Motion to Dismiss alleging that
PANMALAY had no cause of action against them. They
argued that payment under the "own damage" clause of the
insurance policy precluded subrogation under Article 2207 of
the Civil Code, since indemnification thereunder was made
on the assumption that there was no wrongdoer or no third
party at fault.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 RTC issued an order dismissing PANMALAY's complaint for that the damage was caused by the assured and/or its
no cause of action. These orders were upheld by the Court representatives. On the other hand, the Court of Appeals
of Appeals. in applying the ejusdem generis rule held that Section III-
 Consequently, PANMALAY filed the present petition for 1 of the policy, which was the basis for settlement of
review. CANLUBANG's claim, did not cover damage arising from
 PANMALAY contended, therefore, that its cause of action collision or overturning due to the negligence of third
against private respondents was anchored upon Article 2207 parties as one of the insurable risks. Both tribunals
of the Civil Code, which reads: concluded that PANMALAY could not now invoke Article
If the plaintiffs property has been insured, and he has 2207 and claim reimbursement from private respondents
received indemnity from the insurance company for the as alleged wrongdoers or parties responsible for the
injury or loss arising out of the wrong or breach of contract damage.
complained of, the insurance company shall be subrogated  When PANMALAY utilized the phrase "own damage" —
to the rights of the insured against the wrongdoer or the a phrase which, incidentally, is not found in the
person who has violated the contract insurance policy — to define the basis for its settlement
of CANLUBANG's claim under the policy, it simply meant
ISSUES: that it had assumed to reimburse the costs for repairing
1. Whether or not the insurer PANMALAY may institute an the damage to the insured vehicle.
action to recover the amount it had paid to its assured in  Neither is there merit in the Court of Appeals' ruling that
settlement of an insurance claim against private respondents the coverage of insured risks under Section III-1 of the
as the parties responsible for the damage caused to the policy does not include to the insured vehicle arising
insured vehicle? from collision or overturning due to the negligent acts of
the third party. This is an erroneous interpretation of the
HELD & RATIO: provisions of the section, and also violates a
fundamental rule on the interpretation of property
1. YES, PANLAMAY can institute an action to recover the insurance contracts.
amount it had paid to the insured car.  It is a basic rule in the interpretation of contracts that the
 Article 2207 of the Civil Code is founded on the well- terms of a contract are to be construed according to the
settled principle of subrogation. If the insured property is sense and meaning of the terms which the parties
destroyed or damaged through the fault or negligence of thereto have used. In the case of property insurance
a party other than the assured, then the insurer, upon policies, the evident intention of the contracting parties.
payment to the assured, will be subrogated to the rights  PANMALAY contends that the coverage of insured risks
of the assured to recover from the wrongdoer to the under Section III-1 of the policy is comprehensive
extent that the insurer has been obligated to pay. enough to include damage to the insured vehicle arising
 The right of subrogation is not dependent upon, nor does from collision or overturning due to the fault or
it grow out of, any privity of contract or upon written negligence of a third party. CANLUBANG is apparently
assignment of claim. It accrues simply upon payment of of the same understanding. Based on a police report
the insurance claim by the insurer. wherein the driver of the insured car reported that after
 The trial court held that payment by PANMALAY of the vehicle was sideswiped by a pick-up, the driver
CANLUBANG's claim under the "own damage" clause of thereof fled the scene, CANLUBANG filed its claim with
the insurance policy was an admission by the insurer PANMALAY for indemnification of the damage caused to

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

its car. It then accepted payment from PANMALAY, and latter cannot bring an action against the carrier on his
executed a Release of Claim and Subrogation Receipt in right of subrogation.
favor of latter. 3. Where the insurer pays the assured for a loss, which is
 Considering that the very parties to the policy were not not a risk, covered by the policy, thereby effecting
shown to be in disagreement regarding the meaning and "voluntary payment".
coverage of Section III-1, it was improper for the
appellate court to indulge in contract construction, to
apply the ejusdem generis rule, and to ascribe meaning FEDERAL EXPRESS CORP. v. AMERICAN HOME ASS. CO.
contrary to the clear intention and understanding of G.R. No. 150094
these parties. (Sec. 1; Subrogation; Notice is a Condition Precedent)
 The Court, furthermore, finds it noteworthy that the
meaning advanced by PANMALAY regarding the CASE:
coverage of Section III-1(a) of the policy is undeniably Upon payment of insurance proceeds to Smithkline (the
more beneficial to CANLUBANG than that insisted upon consignee), respondents AHAC and Philam (the insurers) exercised
by respondents herein. By arguing that this section their subrogation rights and filed an action for damages against
covers losses or damages due not only to malicious, but FedEx and Cargohaus (the carriers), imputing negligence on either
also to negligent acts of third parties, PANMALAY in or both of them for the loss or damage of 109 cartons of veterinary
effect advocates for a more comprehensive coverage of biologicals. The vaccines were stored in a ‘cool room’ with two (2)
insured risks. And this, in the final analysis, is more in air-conditioners instead of a refrigerator, despite the instructions and
keeping with the rationale behind the various rules on warning that the goods were ‘perishable’ and must be ‘refrigerated.’
the interpretation of insurance contracts favoring the The trial court held both carriers to be solidarily liable for the
assured or beneficiary so as to effect the dominant loss. FedEx appealed to CA alleging respondents have no
purpose of indemnity or payment. personality to sue since the insured under the policy is Burlington.
The case was dimissed for lack of merit; hence, this petition for
FINAL VERDICT: The petition is granted. Petitioner's complaint for review on certiorari.
damages against private respondents is hereby reinstated and the SC upheld that there was a cause of action. Smithkline is the
case was remanded to the lower court for trial on the merits. proper payee for being the holder of the Certificate of Insurance (i.e.,
bearer instrument based on evidence). Thus, there was a valid right
of the consignee to be subrogated. Nonetheless, SC granted the
Additional information: petition and ruled that the respondents’ claim and right of action are
 General Rule: The insurer will be subrogated to the rights of already barred by prescription for failure to file any written notice or
the assured to recover from the wrongdoer. complaint regarding its claim for damage/loss to the subject cargo
 Exception to the rule: within the period prescribed in the Warsaw Convention and/or the
1. If the assured by his own act releases the wrongdoer for airway bill. In this jurisdiction, the filing of a claim with the carrier
the loss or damage within the time limitation therefor actually constitutes a condition
2. Where the insurer pays the assured the value of the lost precedent to the accrual of a right of action against a carrier for loss
goods without notifying the carrier who has in good faith of or damage to the goods. Failure to comply with such stipulation
settled the assured’s claim for loss, the settlement is bars recovery for the loss or damage suffered. Subrogation Receipt = Sufficient
binding on both the assured and the insurer, and the Insurance Policy = Not Necessary!!

SmithKline - insured
AHAX and Philam - insurers
FedEx - wrongdoers

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

FACTS:  Consequently, Smithkline abandoned the shipment; declared


 26 January 1994: SMITHKLINE Beecham of Nebraska, USA ‘total loss’ for the unusable shipment; and filed a claim with
delivered to BURLINGTON Air Express (agent of Petitioner AHAC through its representative in the Philippines, the
FEDERAL EXPRESS Corporation) a shipment of 109 PHILAM Insurance Co., Inc.
cartons of veterinary biologicals for delivery to consignee o Philam recompensed Smithkline for the whole
SMITHKLINE and French Overseas Company in Makati insured amount of $39,339.00
City.  Subsequently, respondents (AHAC & Philam) filed an action
o It was covered by Burlington Airway Bill No. for damages against FedEx and Cargohaus, imputing
11263825 with the words, ‘REFRIGERATE WHEN negligence on either or both of them in the handling of the
FedEx - carrier/wrongdoer NOT IN TRANSIT’ and ‘PERISHABLE’ stamped on cargo.
AHAC - insurer its face. o Trial Court held herein petitioner, FedEx, solidarily
Burlington - insured o Burlington insured the cargoes for $39,339.00 with liable for the loss.
Smithkline - shipper
American Home Assurance Company (AHAC). o CA dismissed the appeal and found petitioner’s
 On the following day, Burlington turned over the custody of claim that respondents had no personality to sue to
said cargoes to FedEx which transported the same to be devoid of merit.
Manila. o Hence, this petition for review on certiorari.
Delivery
Smithkline -> Burlington
o 29 January 1994: The first shipment of 92 cartons
arrived in Manila and was immediately stored at ISSUES:
CARGOHAUS Inc.’s warehouse. 1. Whether or not there is personality to sue when the payment
o 31 January 1994: Two days later, the second was made by respondents to Smithkline, albeit the insured
shipment of 17 cartons arrived and was immediately under the policy is Burlington.
stored at the warehouse as well. 2. Whether or not FedEx is liable for damage to or loss of the
 10 February 1994: While he was about to cause the release insured goods.
of the subject cargoes, Dario C. Dioneda, a non-licensed
custom’s broker assigned by GETC Cargo Int’l Corp. (i.e., HELD & RATIO:
the company hired by the consignee to facilitate the release 1. YES, the insurer’s subrogatory right to sue for recovery
of its cargoes from the Bureau of Customs), found out that under the bill of lading in case of loss or damage to the
the cartons were stored only in a ‘cool room’ with two (2) cargo is jurisprudentially upheld.
air-conditioners running, instead of placing it in a  Smithkline, being the holder of the Certificate of
refrigerator. Insurance and having an insurable interest in the
o Reason: The cartons where the vaccines were goods, is the proper payee.
contained specifically indicated that it should not be o The wording of the Certificate (i.e., “payable
subjected to hot or cold temperature. (as explained to order x x x upon surrender of this
by an employee of Cargohaus) Certificate”) conveys the right of collecting or
o Result: Upon examination of the samples taken and of being indemnified for loss or damage to
brought by Smithkline to the Bureau of Animal the insured shipment, as fully as if the
Industry of the Department of Agriculture in the property were covered by a special policy
Philippines, it was discovered that the ‘ELISA in the name of the holder itself.
reading of vaccinates sera are below the positive o At the back of the Certificate appears the
reference serum.’ signature of the representative of Burlington,

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

signifying that the document has been duly while the matter is fresh and easily investigated. This equips
indorsed in blank and is deemed a bearer the carrier to safeguard itself from false and fraudulent
instrument. claims.
 Upon payment to Smithkline (the consignee) of an
indemnity for the loss/damage, the insurer’s
(respondents’) entitlement to subrogation pro tanto FIREMAN’S FUND INSURANCE CO. & FIRESTONE TIRE v.
– being of the highest equity – equips it with a cause JAMILA, INC.
of action in case of a contractual breach or Sec. 1
negligence.
o When Smithkline received the insurance CASE:
proceeds, it executed a subrogation receipt An incident occurred when Fireman properties of Firestone
in favor of respondents, authorizing them “to were lost due to acts of its employees who connived with Jamila’s
file claims and begin suit against any such security guard. Prior to this, Firestone and Jamila entered into a
carrier, vessel, person, corporation or contract where the latter supplies security guards to the former with a
government.” provision that the latter assumes responsibility for the acts of its
2. NO, FedEx is not liable since the respondents’ claim and guards. A bond was secured by Jamila and executed by First QC
right of action are already barred by prescription. Insurance (surety) to guarantee Jamila’s obligations under the said
 The respondents, and even the consignee, never contract. Later on, Fireman’s Fund (insurer) was subrogated to
filed with the carrier any written notice or complaint Firestone’s right to get reimbursement from Jamila for Jamila and
regarding its claim for damage of or loss to the First QC Insurance’s failure to pay the amount of the loss despite
subject cargo within the period required by the repeated demands. A complaint was then filed by Firestone and
Warsaw Convention and/or in the airway bill. Fireman’s Fund against Jamila for the recovery of the sum of money.
o In this jurisdiction, the filing of a claim with The court resolved this by determining if there was a cause of action
the carrier within the time limitation therefor against Jamila. The court then found that Firestone had no cause of
actually constitutes a condition precedent action as it was only a nominal party and had already been
to the accrual of a right of action against a indemnified. However, it found that Fireman’s Fund had cause of
carrier for loss of or damage to the goods. action as sanctioned by Article 2207. Fireman’s Fund, as insurer, is
entitled to go after Jamila as it was the one who violated its
FINAL VERDICT: Petition GRANTED; assailed decision contractual commitment to answer for the loss insured against. Upon
REVERSED insofar as it pertains to Petitioner FedEx. payment of the loss, Fireman’s Fund as the insurer, is entitled to
subrogation “pro tanto” to any right of action which Firestone, as the
insured, may have against Jamila whose negligence or wrongful act
Additional information: caused the loss. Cause of Action
 The requirement of giving notice of loss or of injury to the = insurer YES
goods is a reasonable condition precedent; it does not = insured NO
constitute a limitation of action. FACTS: - bayad na eh subrogated na!

 The fundamental reasons for such a stipulation are (1) to  Jamila & Co., Inc. or the Veterans Philippine Scouts Securty
inform the carrier that the cargo has been damaged, and that Agency contracted to supply security guards to Firestone Tire
it is being charged with liability therefor; and (2) to give it an and Rubber Company of the Philippines.
Jamila - wrongdoer
opportunity to examine the nature and extent of the injury QC Insurance - guarantor
Firestone - insured
Fireman’s Fund - insurer

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

o Jamila assumed responsibility for acts of its security 3. Whether or not the complaint of Firestone and Fireman’s
guards. Fund states a cause of action against Jamila? YES and NO.
o First Quezon City Insurance Co. executed a bond
(P20,000.00) to guarantee Jamila’s obligations under said HELD & RATIO:
contract. 3. NO, Firestone has no cause of action.
 18 May 1963: Properties of Firestone worth P11,925.00 were  Firestone is only really a nominal party and had
lost due to acts of its employes who connived with Jamila’s already been indemnified the loss which it sustained.
security guard.  It only joined as a party-plaintiff in order to help
 Fireman’s Fund & Insurance Co. (insurer) paid Firestone said Fireman’s Fund recover the amount of the loss from
amount lost. Jamila and First QC Insurance.
 Fireman’s Fund was subrogated to Firestone’s right to get  Tacit assignment by Firestone of its cause of action
reimbursement from Jamila. against Jamila for breach of contract.
o Jamila and First QC Insurance (surety) failed to pay 4. TYES, Fireman’s Fund has cause of action.
amount of the loss in spite of repeated demands.  This is squarely sanctioned by Article 2207 (refer to
 Fireman’s Fund and Firestone filed a complaint against Jamila Facts).
for the recovery of the sum of P11,925.00 plus interest, o As insurer, Fireman’s Fund is entitled to go
damages, and attorney’s fees. after the person/entity that violated its
o Firestone and Fireman’s Fund’s Argument/s: contractual commitment to answer for the
 Cited Article 2207 (“if the plaintiffs property has been loss insured against.
insured, and he has received indemnity from the o Subrogation has been referred to as the
insurance company for the injury or loss arising out of doctrine of substitution. (“an arm of equity
the wrong or breach of contract complained of, the that may guide or even force one to pay a
insurance company shall be subrogated to the rights debt for which an obligation was incurred but
of the insured against the wrongdoer or the person which was in whole or in part paid by
who has violated the contract.”). another”). It is a normal incident of indemnity
 1 June 1965: Firestone and Jamila entered into insurance. Upon payment of the loss, the
“contract of guard services”. insurer (in this case, Fireman’s Fund) is
[No copy of this contract was ever entitled to be subrogated pro tanto to any
found annexed to the complaint] right of action which the insured may have
o Jamila’s argument: against the third person whose negligence
 Legal subrogation under Article 2207 requires or wrongful act caused the loss.
debtor’s consent and that it takes place in the cases o The right of subrogation is of the highest
st
mentioned in Article 1302, Civil Code. equity. The loss in the 1 instance is that of
 No subrogation since according to plaintiffs the the insured but after
contract between Jamila and Firestone was entered reimbursement/compensation, it becomes
into on 1 June 1965 but the loss complained of the loss of the insurer.
occurred on 18 May 1963.
FINAL VERDICT: Lower court’s dismissal set aside with costs
ISSUES: against Jamila & Co., Inc.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Cruz - Wrongdoer (furniture manufacturer)
Mable - Insured (request to put up firewall)
Insurance Case Digests | Atty. Norianne Tan | 2015 Insurer - partial payment (35k)
Damages awarded - 120k
Appeal Assignment of Error - reduce 35k
SC: Tama. REduce 35k
FF Cruz & Co., Inc vs. CA. ground. The cause of the conflagration was never
Sec 1. discovered. The National Bureau of Investigation found
specimens from the burned structures negative for the
CASE: presence of inflammable substances.
Petitioner owns a furniture manufacturing shop adjacent to  Subsequently, private respondents collected P35,000.00
Respondent’s residential building. Respondent has constantly telling on the insurance on their house and the contents thereof.
Petitioner of his desire to have a firewall built between their property
 Respondents filed an action for damages against
and each time he has been ignored. A fire broke out and
petitioners and won the case and were awarded
Respondent’s property was burned down. Respondent sued
Petitioner for damages and won since Petitioner failed to construct a P120,000 in damages.
firewall in violation of an ordinance requiring him to do so.  Petitioner’s appealed and in their MR in the CA one of their
Respondent seeks to collect the amount from Petitioner but the contentions was that the CA erred in not deducting the
Court of Appeals reduced it by P35,000 because he was indemnified P35,000 that Respondent’s collected from the Insurance.
this amount by his insurer.
The Court cited Art 2207 of the Civil Code, which states that
if a property is insured and indemnified by the insurance company ISSUES:
then the insurer is subrogated to the rights of the insured. If 4. Whether or not the P35,000 should be deducted from the
indemnity is not enough to cover the damage or injury then the damage award?
Insured can only collect the deficiency from the person who caused
the injury. Thus the real party in interest in this case is the Insurer but HELD & RATIO:
it is his discretion whether he wants to collect from Petitioner.
Respondent can only collect the deficiency. 5. While this Court finds that petitioner is liable for damages
to private respondents as found by the Court of Appeals,
the fact that private respondents have been indemnified
by their insurer in the amount of P35,000.00 for the
FACTS: damage caused to their house and its contents has not
 The furniture manufacturing shop of petitioner in escaped the attention of the Court. Hence, the Court
Caloocan City was situated adjacent to the residence of holds that in accordance with Article 2207 of the Civil
private respondents. Sometime in August 1971, private Code the amount of P35,000.00 should be deducted from
respondent Gregorio Mable first approached Eric Cruz, the amount awarded as damages. Said article provides:
petitioner's plant manager, to request that a firewall be  Art. 2207. If the plaintiffs property has been
constructed between the shop and private respondents' insured, and he has received indemnity from the
residence. The request was repeated several times but insurance company for the injury or loss arising
they fell on deaf ears. out of the wrong or breach of contract complained
 In the early morning of September 6, 1974, fire broke out of, the insurance company is subrogated to the
in petitioner's shop. Petitioner's employees, who slept in rights of the insured against the wrongdoer or the
the shop premises, tried to put out the fire, but their efforts person who violated the contract. If the amount
proved futile. The fire spread to private respondents' paid by the insurance company does not fully
house. Both the shop and the house were razed to the cover the injury or loss, the aggrieved party shall

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

be entitled to recover the deficiency from the Shipment for consignee, Suter Inc. was loaded to the vessel
person causing the loss or injury. SS Flying trader. The cargo contained 6 cases of an offset press
6. Under Article 2207, the real party in interest with regard to machine. It was insured by petitioner Rizal Surety. The goods arrived
the indemnity received by the insured is the insurer [Phil. in Manila in good condition and put under the custody of respondent
Air Lines, Inc. v. Heald Lumber Co., 101 Phil. 1031, Manila Port Service. However, when the goods were about to be
(1957).] Whether or not the insurer should exercise the transferred to the consignee’s truck, one of the 6 cases was dropped
rights of the insured to which it had been subrogated lies by respondent’s crane. As a result, Rizal Surety was required to pay
solely within the former's sound discretion. Since the the consignee the amount of P16,500.00 for the goods damaged.
Rizal Surety wants to recover from respondent the full amount it paid
insurer is not a party to the case, its identity is not of
to consignee under the insurance contract. However, the lower court
record and no claim is made on its behalf, the private
held that Rizal Surety is entitled only to P500 due to the limitation
respondent's insurer has to claim his right to annotated in the delivery receipt for the goods. Clause 15 of the
reimbursement of the P35,000.00 paid to the insured. management contract which appeared at the dorsal part of the
Delivery Permit contained an important notice to the effect that the
Company liability is limited only to P500.00 per package, unless the
FINAL VERDICT: WHEREFORE, in view of the foregoing, the value of the goods is otherwise, specified, declared or manifested
decision of the Court of Appeals is hereby AFFIRMED with the and the corresponding arrastre charges have been paid.
following modifications as to the damages awarded for the loss of Under Art. 2207 of the Civil Code, in the event that the
private respondents' house, considering their receipt of property has been insured and the Insurance Company has paid the
P35,000.00 from their insurer: (1) the damages awarded for the indemnity for the injury or loss sustained, it "shall be subrogated to
loss of the house is reduced to P35,000.00; and (2) the right of the rights of the insured against the wrong-doer or the person who
the insurer to subrogation and thus seek reimbursement from has violated the contract." As such, Plaintiff-appellant Insurance
petitioner for the P35,000.00 it had paid private respondents is Company, having been subrogated merely to the rights of the
recognized. consignee, cannot recover from defendants an amount greater than
that to which the consignee could lawfully lay claim. The
management contract is clear. The amount is limited toP500.00.
Additional Info:

There was also a discussion of res ipsa loquitur, regarding the acts FACTS:
of petitioner. Res Ipsa Loquitur is a principle that states that the  The vessel, SS Flying Trader, loaded on board at Italy, a
occurrence of an accident implies negligence however the Court shipment for consignee Suter Inc., bound for Manila
decided not to pursue the issue since Petitioner violated an Philippines.
Ordinance requiring a firewall to be constructed.  The cargo contained 6 cases of OMH, Special Single Colour
Offset Press Machine. The shipment was insured by
RIZAL SURETY & INSURANCE COMPANY v. MANILA petitioner Rizal surety.
RAILROAD COMPANY and MANILA PORT SERVICE  The vessel arrived at the Port of Manila in good condition. It
Sec. 1 was placed in the custody of defendant Manila Port Service
as arrastre operator.
Suter - insured (press machines)
CASE:  However, in the course of the handling, one of the 6 cases
Rizal surety - insurer
Manila Port - wrongdoer was dropped by the crane of the Manila Port Service while

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

the same was being lifted and loaded by the crane into the Under the provision, Plaintiff-appellant Insurance Company, cannot
consignee's truck and as a consequence, the machine was recover from defendants an amount greater than that to which the
heavily damaged. consignee could lawfully lay claim. The management contract is
 As a result, plaintiff Rizal Surety was required to pay the clear. The amount is limited to Five Hundred Pesos (P500.00).
consignee, Suter Inc. the amount of P16,500.00,
representing damages by way of costs of replacement parts Having taken delivery of the shipment aforementioned by virtue of a
and repairs to put the machine in working condition. delivery permit, incorporating thereto, paragraph 15 of the
 Incidentally, clause 15 of the management contract which management contract, the consignee became bound by said
appeared at the dorsal part of the Delivery Permit contained provisions, and because it could have avoided the application of said
an important notice to the effect that the Company liability is maximum limit of P500.00 per package by stating the true value
limited only to P500.00 per package, unless the value of the thereof in its claim for delivery of the goods in question, which,
goods is otherwise, specified, declared or manifested and admittedly, the consignee failed to do.
the corresponding arrastre charges have been paid.
 This delivery permit is presented to claim the delivery from Plaintiff-appellant Rizal Surety and Insurance Company, having been
Manila Port Service. subrogated merely to the rights of the consignee, its recovery
 Plaintiff Rizal Surety is now claiming from defendant Manila necessarily should be limited to what was recoverable by the
Port Service the reimbursement of the total amount it paid in insured.
full to the consignee under the insurance contract in view of
the Art. 2207 of the Civil Code which provides that the FINAL VERDICT: Defendants were jointly and severally to pay
insurance company shall be subrogated to the rights of the plaintiff-appellants to P500.00 with legal interest thereon from
insured. January 31, 1962, the date of the filing of the complaint.
 The lower court held that Rizal Surety’s entitlement is limited
only up to P500 as stated in the delivery permit.

ISSUES: Pioneer Insurance & Surety Corporation vs. Court of Appeals


GR No. 841997; 84157; July 28, 1989
Whether or not Rizal Surety is entitled to the amount paid by it in full,
Section 1
by virtue of the insurance contract.
CASE:
HELD & RATIO:
Jacob S. Lim owner of Southern Air Lines bought 2 aircrafts
NO, it can recover P500 only. Art. 2207 provides the following:
plus spare parts from Japan Domestic Airlines. Pioneer Insurance
became surety to the agreement. Unfortunately, Lim defaulted in
"Art. 2207. If the plaintiff's property has been insured, and he has
received indemnity from the insurance company for the injury or loss payment which prompted Pioneer to pay JDA. The amount paid by
arising out of the wrong or breach of contract complained of, the Pioneer was reimbursed by their reinsurer Malayan Insurance.
insurance company shall be subrogated to the rights of the insured
Pioneer filed a case against Lim holding him liable with the
against the wrong-doer or the person who has violated the contract.
amount paid to JDA. The SC ruled that since the indemnity was paid
If the amount paid by the insurance company does not fully cover the
by the reinsurer, the case should be filed by the same, being the real
injury or loss, the aggrieved party shall be entitled to recover the
deficiency from the person causing the loss or injury." party in interest having subrogated in the rights of Pioneer.

Lim - wrongdoer
Pioneer Insurance - surety/insurer
Japan Domesticc Airlines - insured
Malayan Insurance - reinsurer
Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue

Malayan paid Pioneer already


Insurance Case Digests | Atty. Norianne Tan | 2015

defendants on the ground that Pioneer had already collected


FACTS: the proceeds of the reinsurance on its bond and that it
 Jacob S. Lim was engaged in the airline business as owner- cannot represent a reinsurer to recover the amount in
operation of Southern Air Lines (SAL) a single question.
proprietorship.
 On May 17, 1965, Japan Domestic Airlines (JDA) and Lim ISSUES:
entered into and executed a sales contract for the sale and
purchase of two (2) DC-3A Type Aircrafts and one (1) set of 1. W/N PIONEER CAN REPRESENT THE REINSURER IN
necessary spare parts for total agreed price of US THE CASE AT BAR EVEN AFTER RECEIVING THE
$109,000.00 to be paid in installments. Pioneer Insurance PROCEEDS OF THE SAME?
and Surety Corporation acted as surety in the said
transaction. HELD AND RATIO:
 It was also evident in the facts that Border Machinery and  The applicable law in this case is Art. 2207 of the new Civil
Heavy Equipment Company, Inc., Francisco and Modesto Code which states that: If the plaintiff’s property has been
Cervantes and Constancio Maglana contributed some funds insured, and he has received from the insurance company
used in the purchase of the above aircrafts and spare parts for the injury or loss arising out of the wrong or breach of
which represents their contribution in forming a new contract complained of, the insurance company shall be
corporation with Lim. These same people also executed 2 subrogated to the rights of the insured against the
indemnity agreements in favor of Pioneer which stipulates wrongdoer or the person who has violated the contract. If the
that the indemnitors principally agree and bind themselves to amount paid by the insurance company does not fully cover
jointly and severally indemnify Pioneer for any loss it may the injury or loss, the aggrieved party shall be entitled to
suffer. While Lim executed a deed of chattel mortgage using recover the deficiency from the person causing the loss or
the two aircrafts as security in favor of Pioneer. injury.
 Lim defaulted on his subsequent installments payments  Hence in the case of Phil Air Lines vs Herald Lumber the
prompting JDA to request payments from the surety. Pioneer Court explained that under this legal provision, the real party
paid a total sum of P298,626.12. in interest of the indemnity paid is the insurer and not the
 Pioneer then filed a petition for the extrajudicial foreclosure insured.
of the said chattel mortgage. The Cervanteses and Maglana  In this case Pioneer is suing in its own name and not as an
however, filed a third party claim alleging that they are co- attorney-in-fact of the reinsurer. Based on the provision
owners of the aircrafts. They also filed cross-claims against above, Pioneer is not the real party in interest since it has
Lim alleging that they are not privy with the chattel mortgage received the proceeds from the reinsurer, hence it was
and hence they are seeking for damages for being exposed correct for the CA to dismiss the case against respondents
to litigation and for recovery of sum of money they gave Lim
in purchasing the aircrafts. 2. W/N PIONEER CAN CLAIM FROM THE COUNTER
 During the pendency of the case Pioneer collected the INDEMNITORS?
amount of P295,000 from a reinsurer (Malaya Insurance) of
the Bond executed in favor of the JDA.  No the trial court was correct in ruling that the indemnitors
 The Lower Court ruled holding Lim liable to pay Pioneer but (Cervantes, et al) are not liable to Pioneer.
dismissed its complaint with the other defendants. On  Pioneer having foreclosed the chattel mortgage on the
Appeal the CA dismissed the complaint against all planes and spare parts no longer has further action against

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

the defendants as indemnitors to recover any unpaid cleaning, washing, redrying and reconditioning. A total loss
balance of the price. The indemnity agreement was ipso jure amounted to P60,421.02. Since the hemp was insured with the
extinguished upon the foreclosure of the chattel mortgage. - Insurance Company of North America (Insurance Company),
This is in accordance with Recto Law. Macleod filed a claim against it for the total value of the loss incurred
and the insurance company in turn, paid such amount. The
3. W/N THERE IS A DE FACTO PARTNERSHIP CREATED document of such transaction not only served as the receipt but also
AMONG LIM, BORDER MACHINERY, CERVANTES AND a subrogation agreement, wherein Macleod assigned to the
MAGLANA? W/N THEY SHOULD BE PAID WITH THE insurance company its rights over the insured and damaged cargo.
COUNTER CLAIMS ASKED The Insurance company failed to recover the same amount from
Compañia Maritima, hence this present action. The issue is whether
 As a general rule, a de facto partnership was created when a or not Insurance Company of North America can sue Compañia
corporation fails to incorporate itself. The effect of this is that Maritima under its insurance contract as assignee of Macleod. Yes,
all supposed to be incorporators will share on the profits and the insurance company can recover from the carrier as assignee of
losses of the de facto partnership. the owner of the cargo. Where the insured (shipper) has assigned its
 Although in this case there was no de facto partnership since rights against the carrier to the insurance company, which paid the
it was evident that Lim had no intention to form a amount represented by the loss, the case is not between the insured
corporation. After receiving the aggregate amount of and the insurance company but one between the shipper and the
P178,997.14 from Cervantes et al. Lim refused comply and carrier because the insurance company merely stepped into the
ignored to set up the corporation. That Lim acted on his own shoes of the shipper. And if the shipper has a direct cause of action
in the transaction involving the airplane and spareparts. against the carrier on account of the damage to cargo, such action
Hence it is only right in this instance to require Lim to pay can be asserted or availed of by the insurer as a subrogee of the
cross party plaintiffs P184,878.74 plus moral/exemplary insured and the carrier cannot set up as a defense any defect in the
damages and attorney’s fees. insurance policy because it is not a privy to it.

FACTS:
COMPAÑIA MARITIMA vs. INSURANCE COMPANY OF NORTH  Macleod and Company of the Philippines contracted by
AMERICA telephone the services of the Compañia Maritima, a shipping
Effect of Assignment by insured of its rights against third party to corporation, for the shipment of 2,645 bales of hemp from
insurer the former's Sasa private pier at Davao City to Manila and
for their subsequent transhipment to Boston, Massachusetts,
CASE: U.S.A. on board the S.S. Steel Navigator.
Macleod and Company of the Philippines (Macleod)  Oral contract was later on confirmed by a formal and written
contracted the services of Compañia Maritima for the shipment of booking.
2,645 bales of hemp to Manila and subsequently to Boston,  Two barges loaded the bales of hemp, left Macleod's wharf
Massachusetts. Two barges loaded said bales of hemp and and proceeded to and moored at the government's marginal
proceeded to a wharf where they would await SS Bowline Knot on wharf in the same place to await the arrival of the S.S.
which the hemp was to be loaded. Unfortunately, however, one of Bowline Knot belonging to Compañia Maritima on which the
the two barges sank resulting in the damage or loss of the hemp hemp was to be loaded.
loaded therein. The damaged hemp was brought to a plantation for

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 At the early hours of October 30, LCT No. 1025 (one of the represented by the loss, it is but fair that it be given
two loaded barges) sank, resulting in the damage or loss of the right to recover from the party responsible for the
1,162 bales of hemp loaded therein. loss.
 The damaged hemp was brought to Odell Plantation in  The instant case, therefore, is not one between the
Madaum, Davao, for cleaning, washing, reconditioning, and insured and the insurer, but one between the
redrying. A total of 2,197.75 piculs of the reconditioned hemp shipper and the carrier, because the insurance
out of the original 2,324 piculs. The value of the company merely stepped into the shoes of the
reconditioned hemp was reduced to P84,887.28, or a loss in shipper. And since the shipper has a direct cause of
value of P31,947.72. action against the carrier on account of the damage
 Adding to this last amount the sum of P8,863.30 of the cargo, no valid reason is seen why such
representing Macleod's expenses in checking, grading, action cannot be asserted or availed of by the
rebating, and other fees for washing, cleaning and redrying insurance company as a subrogee of the shipper.
in the amount of P19.610.00, the total loss adds up to  Furthermore, the carrier cannot set up as a defense
P60,421.02. any defect in the insurance policy not only because
 All abaca shipments of Macleod, including the 1,162 bales it is not a privy to it but also because it cannot avoid
loaded on the sunken carrier, were insured with the its liability to the shipper under the contract of
Insurance Company of North America against all losses and carriage which binds it to pay any loss that may be
damages. caused to the cargo involved therein.
 Macleod filed a claim for the loss it suffered as above stated
with said insurance company, and after the same had been FINAL VERDICT: Petitioner is denied.
processed, the sum of P64,018.55 was paid, which was
noted down in a document which aside from being a receipt
of the amount paid, was a subrogation agreement between SECTION 2
Macleod and the insurance company wherein the former
assigned to the latter its rights over the insured and
damaged cargo.
CCC INSURANCE CORPORATION v. COURT OF APPEALS
 The insurance company tried to recover the amount it paid to
Sec. 2: liberal interpretation of the insurance policy for the
Macleod (P60,421.02 the amount supported by receipts) but
benefit of the party insured, and strictly against the insurer
all efforts were futile. Hence, this present action.
CASE:
ISSUES:
5. Whether or not Insurance Company of North America can
Private respondent availed of a car insurance policy over his Dodge
sue Compañia Maritima under its insurance contract as
Kingsway from CCC Insurance Corporation. The insured car, while
assignee of Macleod.
being driven by his driver, met a vehicular accident. The insurance
claim was denied by the insurance company on the ground that the
HELD & RATIO:
one driving the car during the accident was not an “authorized driver”
7. YES, the insurance company can recover from the carrier as
as provided in the insurance contract, The Supreme Court ruled in
assignee of the owner of the cargo.
favor the insured. The driver’s license was genuine and was
 Since the cargo that was damaged was insured with
regularly issued by the government regulatory agency. The insured
respondent company and the latter paid the amount

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

was entitled to rely on the license. In construing an insurance motor vehicle covered by this Policy, or has been so
contract, there is liberal interpretation of the insurance policy for permitted and is not disqualified by order of a court of law or
the benefit of the party insured, and strictly against the insurer by reason of any enactment or regulation from driving such
Motor Vehicle. (Emphasis ours)”

FACTS:
 Private respondent Carlos F. Robes took an insurance, with ISSUES:
the CCC Insurance Corporation, on his Dodge Kingsway car
against loss or damage through accident for an amount not 1. Whether or not the insurance company is liable to pay the
exceeding P8,000.00. insurance claim?
 During the effectivity of the policy, the insured vehicle, while
being driven by the owner's driver (Domingo Reyes), HELD & RATIO:
became involved in a vehicular collision along Rizal Avenue
Extension, Potrero, Malabon, Rizal. 1. YES, as correctly found by the CA, the driver’s license was
 The car was damaged, and the repair was estimated to cost genuine and this finding of fact is now conclusive and may
P5,300.00. not be questioned in this appeal.
 As the insurance company refused either to pay for the  Nevertheless, the appellant insurer insists that,
repair or to cause the restoration of the car to its original under the established facts of this case, Reyes,
condition, Robes instituted a civil case in the CFI Rizal for being admittedly one who cannot read and write,
recovery not only of the amount necessary for the repair of who has never passed any examination for drivers,
the insured car but also of actual and moral damages, and has not applied for a license from the duly
attorneys' fees and costs. constituted government agency entrusted with the
duty of licensing drivers, cannot be considered an
 Resisting plaintiff's claim, the insurance company disclaimed
authorized driver.
liability for payment, alleging that there had been violation of
the insurance contract because the one driving the car at the  As the law stood in 1961, when the claim arose, the
time of the incident was not an "authorized driver." examinations could be dispensed with in the
discretion of the Motor Vehicles Office officials.
 The insurer argued that the one driving the insured vehicle at
the time of the accident was not an authorized driver thereof  There is no proof that the owner of the automobile
within the purview of the following provision of the insurance knew that the circumstance surrounding such
policy: issuance showed that it was irregular.
 The issuance of the license is proof that the Motor
“AUTHORIZED DRIVER: Vehicles Office official considered Reyes, the driver
of the insured- appellee, qualified to operate motor
Any of the following: vehicles, and the insured was entitled to rely upon
such license.
(a) The insured;  The weight of authority is in favor of a liberal
interpretation of the insurance policy for the
(b) Any person driving on the Insured's order or with his benefit of the party insured, and strictly against
permission, provided that the person driving is permitted in the insurer.
accordance with licensing laws or regulations to drive the

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

FINAL VERDICT: WHEREFORE, the decision of the Court of Clinton Bonnel. Such vehicle is insured with Fieldmen’s
Appeals is affirmed, with costs against appellant CCC Insurance Insurance Co., Inc. under its Private Car Comprehensive
Corporation. Policy against loss or damage up to the amount of
P5,000.00.
 In 1961 the vehicle was placed at the Jones Monument
Mobilgas Service Station at Davao City, under the care of
ASSOCIATION OF BAPTISTS FOR WORLD EVANGELISM, INC., said station’s operator so that it could be displayed as for
v. FIELDMEN’S INSURANCE CO., INC., sale.
Sec. 2  In January 1962, Romeo Catiben one of the boys at the
Service Station and a nephew of the wife of the station
CASE: operator, took the said vehicle for a joy ride without the prior
Association of Baptists has an insurable interest in a vehicle permission, authority or consent of either the plaintiff or its
insured with Fieldmen’s Insurance. Said vehicle was placed at a representative, and on its way back to Davao City, said
service station to be displayed for sale. Thereafter, one of the station vehicle, due to some mechanical defect accidentally bumped
boys, together with his companion, took the said vehicle for a joy ride an electric post causing actual damages valued at
without permission, authority or consent of either the plaintiff or its P5,518.61.
representative, and while the same was in his possession he
bumped it against an electric post resulting in damages. ISSUES:
W/N there must be prior criminal conviction for theft for the 1. W/N there must be prior criminal conviction for theft for the
damage to the vehicle to be compensable under Fieldmen’s Private damage to the vehicle to be compensable under Fieldmen’s
Car Comprehensive Policy Private Car Comprehensive Policy
NO. Prior conviction for theft is not necessary to make an
insurer liable under the theft clause of the policy. The
Comprehensive Policy issued by the insurance company includes
loss of or damage to the motor vehicle by "burglary . . . or theft." It is HELD & RATIO:
settled that the act of taking the vehicle for a joy ride constitutes 2. NO, There is no need for prior conviction for theft to make an
theft within the meaning of the insurance policy and that recovery for insurer liable under the theft clause of the policy.
damage to the car is not barred by the illegal use of the car by one of  The Comprehensive Policy issued by the insurance
the station boys. In a civil action for recovery on an automobile company includes loss of or damage to the motor
insurance, the question whether a person using a certain automobile vehicle by "burglary . . . or theft."
at the time of the accident stole it or not is to be determined by a  Upon the facts stipulated by the parties it is admitted
fair preponderance of evidence and not by the rule of criminal that Catiben had taken the vehicle for a joy ride and
law requiring proof of guilt beyond reasonable doubt. Besides, while the same was in his possession he bumped it
there is no provision in the policy requiring prior criminal conviction against an electric post resulting in damages. That act is
for theft. theft within a policy of insurance.
 In a civil action for recovery on an automobile insurance,
the question whether a person using a certain
FACTS: automobile at the time of the accident stole it or not is to
 Association of Baptists (plaintiff) has an insurable interest in be determined by a fair preponderance of evidence
a Chevrolet Carry-all 1955 Model owned by Reverend and not by the rule of criminal law requiring proof of guilt

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

beyond reasonable doubt. Besides, there is no provision  In 1964, GSIS issued to Flaviano Landicho, a civil engineer
in the policy requiring prior criminal conviction for theft. of the Bureau of the Public Works optional additional life
insurance policy no. OG-136107 in the sum of P7,900.
 Before the issuance of said policy, Landicho filed an
FINAL VERDICT: Judgment appealed from is AFFIRMED. application form prepared by GSIS. The application contains
the following provisions:
o (a) xxx (b) xxx
LANDICHO v. GSIS o (c) “That this application serves as a letter of
Sec. 2 authority to the Collective Officer of our Office thru
the GSIS to deduct from my salary the monthly
CASE: premium of P33.36 xxx”
Petitioners are the family left by Flaviano Landicho, a civil o (d) “That the failure to deduct from my salary the
engineer of the Bureau of Public Works. During his lifetime, he was monthly premiums shall not make the policy lapse,
given an optional additional life insurance policy by the GSIS. The however, the premium account shall be considered
basis of the policy is the application prepared by GSIS, which was as indebtedness which I bind myself to the pay the
answered and signed by Landicho. The application states that it System;”
would only take effect “on the first day of the month following the o (e) “That my policy shall be made effective on the
month the first premium is paid.” The application also said that the first day of the month next following the month the
premiums were to come from the deduction made from Landicho’s first premium is paid; xxx”
salary. Landicho died, so his family filed a claim before the GSIS.  Landicho died in 1966 in an airplane crash.
The claim was denied on the ground that Landicho failed to pay his  His wife, Fe Landicho, and their children filed with the GSIS
premiums, and pursuant to the application he signed, the policy a claim of P15,800 as the double indemnity due under the
never took effect. policy.
The issue is whether or not the insurance policy has ever  GSIS denied the claim. Because no premiums had ever
been in force, notwithstanding the non-payment of the premiums. been paid on the policy, and pursuant to provision (e) of the
The Court said the policy is deemed effective. The Civil application, the policy had never taken effect.
Code and jurisprudence state that, in case of any ambiguity or  Landicho’s family posits that provisions (c) and (d) should be
obscurity in stipulations of a contract, especially insurance contracts taken into consideration.
or insurance applications, the same must be construed strictly
against the insurer who personally prepared the contract, and ISSUE:
liberally in favor of the insured who, generally, had no say in the 2. Whether or not the insurance policy in question has ever
drawing up of the contract. been in force, notwithstanding the non-payment of premium
Furthermore, the non-payment was due to the fact that no
deduction was made from Landicho’s salary because GSIS did not HELD & RATIO:
inform the Bureau of Public Works of its obligation to do so. Surely, 3. YES, the policy should be deemed in force.
the negligence of GSIS cannot benefit it.  Art. 1377 of the Civil Code provides that
“interpretation of obscure words or stipulations in a
contract shall not favor the party who caused the
FACTS: obscurity.”

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 It is also settled in jurisprudence that “terms in an CASE:


insurance policy, which are ambiguous, equivocal or Hongkong Government Supplies Department (Hongkong)
uncertain xxx are to be constructed strictly and most contracted with Mayer Steel Pipe Corporation (Mayer) to
strongly against the insurer, and liberally in favor of manufacture and supply various steel pipes and fittings. The insurers
the insured so as to effect the dominant purpose of are South Sea Surety and Insurance Co., Inc. (South Sea) and
indemnity or payment to the insured, especially Charter Insurance Corp. (Charter). When the goods reached
where a forfeiture is involved.” Hongkong, a substantial portion was damaged. So, Hongkong and
o The language of the provisions (c), (d) and Mayer filed an indemnity case against South Sea and Charter under
(e) created an ambiguity that should be the insurance contract. Said insurers did not pay the balance
resolved against the party responsible for its because they claimed that the damage was due to factory defect
preparation. In this case, GSIS. which is not covered by the insurance policy. RTC ruled that it is not
 The above arguments find support in the following a factory defect and that indemnity is proper because an “all risks”
considerations: policy was entered into which insure against all causes of
o The insured usually has no voice in the conceivable loss or damage. While CA agreed with the RTC
preparation or selection of words to be used decision, it dismissed the complaint because the action had
in insurance contracts. Such is what prescribed because it was filed only 2 years after the date the goods
happened to Landicho. have been delivered or should have been delivered. It should have
o Going back to provisions (c) and (d) of the been filed within one year only from said date as based on the
application, the Court notes that no Carriage of Goods by Sea Act.
deduction was made because the collecting Issues:
officer of the Bureau of Public Works was (1) Is the damage, which is claimed as a factory defect,
not advised by the GSIS to make it. Clearly, covered by the insurance policy?
this negligence should not benefit GSIS. (2) Is the action prescribed?
o Finally, GSIS induced, although not Held:
deliberately, Landicho to believe that the (1) Yes. An “all risks” policy was entered into which insure
policy was in force by paying him the against all causes of conceivable loss or damage. No
dividends corresponding to said policy. If factory defect in this case also.
Landicho had been informed that the policy (2) No. The Carriage of Goods by Sea Act defines the
is not yet in effect due to his non-payment, obligations of the carrier under the contract of carriage
in all probability, he would have addressed and not of the insurer. The liability of the insurer is the
this immediately by paying the premiums. one involved in this case which is governed by the
contract of insurance.

FINAL VERDICT: Petition is granted.


FACTS:
 Hongkong Government Supplies Department (Hongkong)
contracted with Mayer Steel Pipe Corporation (Mayer) to
MAYER STEEL PIPE CORPORATION vs. CA manufacture and supply various steel pipes and fittings.
Sec. 2  Mayer shipped the pipes and fittings to Hongkong.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 Mayer insured the pipes and fittings against all risks with 4. YES. An “all risks” insurance policy covers all kinds of loss
South Sea Surety and Insurance Co., Inc. (South Sea) and other than those due to willful and fraudulent act of the
Charter Insurance Corp. (Charter). The pipes and fittings insured.
with a total amount of US$212,772.09 were insured with
South Sea. On the other hand, those with a total amount of Thus, when South Sea and Charter issued the “all risks”
US$149,470 were insured with Charter. policies to Mayer, they bound themselves to indemnify the
 When the goods reached Hongkong, a substantial portion latter in case of loss or damage to the goods insured.
thereof was damaged.
 So, Hongkong and Mayer filed a claim against South Sea Such obligation prescribes in 10 years, in accordance with
and Charter for indemnity under the insurance contract. Art. 144 of the Civil Code.
Charter only paid HK$64,904.75. South Sea and Charter
refused to pay the balance because insurance surveyor’s There was no factory defect in this case also.
report allegedly showed that the damage is a factory defect,
hence, not covered by the insurance policies. 5. NO. Under the said provision of the Carriage of Goods by
 The trial court ruled in favor of Hongkong and Mayer. It Sea Act, only the carrier’s liability is extinguished if no suit is
found that the damage was not due to factory defect. It also brought within one year.
noted that the insurance contracts in this case are “all risks”
policies which insure against all causes of conceivable loss The liability of the insurer is not extinguished because
or damage. the insurer’s liability is based not on the contract of
 The CA affirmed the finding of the trial court that there was carriage but on the contract of insurance.
no factory defect and on the matter of the “all risks” policy.
However, the CA set aside and dismissed the complaint on The Carriage of Goods by Sea Act defines the obligations of
the ground of prescription. It held that the action is barred the carrier under the contract of carriage. It does not,
under the Carriage of Goods by Sea Act since it was filed however, affect the relationship between the shipper and the
two years from the time the goods were unloaded from the insurer. It is rather governed by the Insurance Code.
vessel. Said Act provides that “the carrier and the ship shall
be discharged from all liability in respect of loss or damage FINAL VERDICT: Petition is GRANTED. CA Decision is SET ASIDE.
unless suit is brought within one year after delivery of the RTC Decision is REINSTATED.
goods or the date when the goods should have been
delivered.” According to CA, this also applies to the insurer.
GREAT PACIFIC LIFE ASSURANCE CORP. v. COURT OF
ISSUES: APPEALS and MEDARDA V. LEUTERIO
3. Whether or not the damage, which is claimed by the insurers Sec. 2
as a factory defect, is covered by the insurance policy.
4. Whether or not the action had already prescribed based on CASE:
the Carriage of Goods by Sea Act. Petitioner and DBP had a contract of group life insurance as
petitioner agreed to the life insurance of DBP’s eligible housing loan
HELD & RATIO: mortgagors. Dr. Leuterio applied for membership. In the course of his
application, he said he is in good health. However, around a year
after, he died. Consequently, DBP submitted a death claim to

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

Grepalife, which the latter denied alleging that the doctor concealed  August 6, 1984: Dr. Leuterio died due to massive cerebral
his sickness that led to his death and such concealment is allegedly hemorrhage.
a ground for denial of the claim. o DBP submitted a death claim to Grepalife.
The Court said that Grepalife is liable to private respondent o Grepalife denied the claim alleging that Dr. Leuterio
because DBP already foreclosed on the mortgage contracted by her was not physically healthy when he applied for an
late husband. The private respondent can sue Grepalife even if DBP insurance coverage, insisting that he did not
is the one in contract with it because Sec. 8 of the Insurance Code disclose that he was suffering from hypertension
tells us that unless otherwise provided in the insurance policy, the which caused his death. Allegedly, the non-
mortgagee can perform acts with the same effect as if the mortgagor disclosure constituted concealment that justified the
performed it. The Court also said that this is so especially where the denial of the claim.
mortgagee’s interest is less than the full amount recoverable under  October 20, 1986: The widow of Dr. Leuterio, respondent
the policy. Since a policy of insurance upon life or health may be Medarda Leuterio, filed a complaint with the RTC of Misamis
transferred, the widow of the decedent Dr. Leuterio may file the suit Oriental against Grepalife for Specific Performance with
against Grepalife. DBP also foreclosed in 1995 their residential lot, Damages.
so equity dictates that the insurance proceeds shall inure to the
benefit of the heirs or beneficiaries of the deceased. In addition, ISSUES:
there was no concealment proven so Grepalife cannot refuse 5. Whether or not petitioner is liable to DBP as beneficiary in a
payment of the claim. Therefore, Grepalife is liable to pay group life insurance contract from a complaint filed by the
P86,200.00 even if without proof of the actual outstanding mortgage widow of the decedent/mortgagor.
payable by the mortgagor Leuterio to DBP because unless the 6. Whether or not Dr. Leuterio concealed that he had
interest of a person insured is susceptible of exact pecuniary hypertension, which would vitiate the insurance contract.
measurement, the measure of indemnity is the sum fixed in the 7. Whether or not Grepalife is liable for P86,200.00 without
policy. That is the amount stated in the policy. proof of the actual outstanding mortgage payable by the
mortgagor to DBP.

FACTS: HELD & RATIO:


 A contract of group life insurance was executed between 6. Initially yes, but Grepalife is liable to respondent Leuterio
petitioner Grepalife and Development Bank of the because DBP already foreclosed on the mortgage
Philippines (DBP). Grepalife agreed to insure the lives of contracted by her late husband.
eligible housing loan mortgagors of DBP.  We consider the insurable interest in mortgaged
 November 11, 1983: Dr. Wilfredo Leuterio, a physician and a properties and the parties to this type of contract.
housing debtor of DBP applied for membership in the group o The rationale of a group insurance policy of
insurance plan. In an application form, he answered mortgagors, otherwise known as the
questions concerning his health condition, basically saying to mortgage redemption insurance, is a device
the best of his knowledge, he is in good health. for the protection of both the mortgagee and
 November 15, 1983: Grepalife issued Certificate No. B- the mortgagor.
18558, as insurance coverage of Dr. Leuterio, to the extent o For the mortgagee, it has to enter into such
of his DBP mortgage indebtedness amounting to form of contract so that in the event of the
P86,200.00. unexpected demise of the mortgagor during
the subsistence of the mortgage contract,

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

the proceeds from such insurance will be then be paid to the beneficiary/ies
applied to the payment of the mortgage designated by the debtor.
debt, thereby relieving the heirs of the 1. When DBP submitted the insurance
mortgagor from paying the obligation. claim against petitioner, the latter
o For the mortgagor, ample protection is given denied payment thereof, interposing
to him/her under such a concept so that in the defense of concealment
the event of death; the mortgage obligation committed by the insured.
will be extinguished by the application of the Thereafter, DBP collected the debt
insurance proceeds to the mortgage from the mortgagor and took the
indebtedness. necessary action of foreclosure on
o In this type of policy insurance, the the residential lot of private
mortgagee is simply an appointee of the respondent.
insurance fund, such loss-payable clause 2. Although a policy issued to a
does not make the mortgagee a party to the mortgagor is taken out for the
contract. benefit of the mortgagee and is
o Sec. 8, Insurance Code: Unless the policy made payable to him, yet the
provides, where a mortgagor of property mortgagor may sue thereon in his
effects insurance in his own name providing own name, especially where the
that the loss shall be payable to the mortgagees interest is less than the
mortgagee, or assigns a policy of insurance full amount recoverable under the
to a mortgagee, the insurance is deemed to policy.
be upon the interest of the mortgagor, who o Since a policy of insurance upon life or
does not cease to be a party to the original health may pass by transfer, will or
contract, and any act of his, prior to the loss, succession to any person, whether he has
which would otherwise avoid the insurance, an insurable interest or not, and such person
will have the same effect, although the may recover it whatever the insured might
property is in the hands of the mortgagee, have recovered, the widow of the decedent
but any act which, under the contract of Dr. Leuterio may file the suit against the
insurance, is to be performed by the insurer, Grepalife.
mortgagor, may be performed by the o DBP also foreclosed in 1995 their residential
mortgagee therein named, with the same lot, so equity dictates that the insurance
effect as if it had been performed by the proceeds shall inure to the benefit of the
mortgagor. heirs or beneficiaries of the deceased.
o Insurance Policy: In the event of the debtors 7. NO, there was no concealment proven so Grepalife cannot
death before his indebtedness with the refuse payment of the claim.
Creditor [DBP] shall have been fully paid, an  Concealment exists where the assured had
amount to pay the outstanding indebtedness knowledge of a fact material to the risk, and honesty,
shall first be paid to the creditor and the good faith, and fair dealing requires that he should
balance of sum assured, if there is any, shall communicate it to the assured, but he designedly
and intentionally withholds the same.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 Petitioner merely relied on the testimony of the AMERICAN HOME ASSURANCE COMPANY vs. TANTUCO
attending physician, Dr. Hernando Mejia, as ENTERPRISES, INC.
supported by the information given by the widow of G.R. No. 138941
the decedent. (Sec. 1; Contract of Insurance)
 As the attending physician, Dr. Mejia stated that he CASE:
had no knowledge of Dr. Leuterio’s any previous Respondent owns two oil mills for its coconut oil milling and
hospital confinement. Dr. Leuterio’s death certificate refining business. It appears that respondent commenced its
stated that hypertension was only the possible business operations with only one oil mill. In 1988, it started
cause of death. The private respondent’s statement, operating its second oil mill so the latter came to be commonly
as to the medical history of her husband, was due to referred to as the new oil mill. Both mills were separately covered by
her unreliable recollection of events. Hence, this was fire insurance policies issued by petitioner. Later on, a fire broke out
just hearsay. which consumed the new oil mill so respondent immediately notified
 There was no sufficient proof that the insured had petitioner of it. However, petitioner rejected respondent’s claim for
suffered from hypertension. Aside from the the insurance proceeds alleging that no policy covered the new oil
statement of the insureds widow who was not even mill. Petitioner argues that this specific boundary description clearly
sure if the medicines taken by Dr. Leuterio were for pertains, not to the burned oil mill, but to the other mill. In other
hypertension, the appellant had not proven nor words, the oil mill gutted by fire was not the one described by the
produced any witness who could attest to Dr. specific boundaries in the contested policy.
Leuterio’s medical history. However, the Court said in construing the words used
8. YES, because a life insurance policy is a valued policy. descriptive of a building insured, the greatest liberality is shown by
Unless the interest of a person insured is susceptible of the courts in giving effect to the insurance. It would be absurd to
exact pecuniary measurement, the measure of indemnity is assume that respondent would protect its first oil mill for different
the sum fixed in the policy. amounts and leave uncovered its second one. Notwithstanding the
 The mortgagor paid the premium according to the misdescription in the policy, it is beyond dispute, that what the
coverage of his insurance, which states that a death parties manifestly intended to insure was the new oil mill, based on
benefit is in the amount of P86,200.00. the evidence on record.
 The policy also states that in the event of the Neither did respondent violate the express terms of the Fire
debtors death before his indebtedness with the Extinguishing Appliances Warranty as what petitioner alleged. What
creditor shall have been fully paid, an amount to pay the warranty mandates is that respondent should maintain in efficient
the outstanding indebtedness shall first be paid to working condition within the premises of the insured property, fire
the creditor and the balance of the sum assured, if fighting equipments such as, but not limited to, those identified in the
there is any shall then be paid to the beneficiary/ies list, which will serve as the oil mill's first line of defense in case any
designated by the debtor. part of it bursts into flame. Respondent was able to comply with this.

FINAL VERDICT: Petitioner is ordered to pay the insurance FACTS:


proceeds to the heirs of Dr. Leuterio, upon presentation of proof of
prior settlement of mortgagor’s indebtedness to DBP.  Respondent Tantuco Enterprises, Inc. is engaged in the
coconut oil milling and refining industry. It owns two oil mills
which are located at factory compound at Iyam, Lucena City.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 It appears that respondent commenced its business (a) P4,406,536.40 representing damages for loss
operations with only one oil mill. In 1988, it started operating by fire of its insured property with interest at the
its second oil mill. The latter came to be commonly referred legal rate;
to as the new oil mill. (b) P80,000.00 for litigation expenses;
 The two oil mills were separately covered by fire insurance (c) P300,000.00 for and as attorney's fees; and
policies issued by petitioner American Home Assurance Co., (d) Pay the costs.
Philippine Branch.
o The first oil mill was insured for three million pesos  The appellate court affirmed the decision of the RTC in toto.
(P3,000,000.00) under Policy No. 306-7432324-3 for
the period March 1, 1991 to 1992. Petitioner’s assertion:
o The new oil mill was insured for six million pesos
(P6,000,000.00) under Policy No. 306-7432321-9 for
 Petitioner argues that this specific boundary description
the same term
clearly pertains, not to the burned oil mill, but to the other
 A fire that broke out in the early morning of September mill. In other words, the oil mill gutted by fire was not the one
30,1991 gutted and consumed the new oil mill. described by the specific boundaries in the contested policy.
 Respondent immediately notified the petitioner of the  According to it, the oil mill insured is specifically described in
incident. the policy by its boundaries in the following manner:
o The latter then sent its appraisers who inspected the
burned premises and the properties destroyed.
o Thereafter, in a letter dated October 15, 1991, "Front: by a driveway thence at 18 meters distance by Bldg.
petitioner rejected respondent's claim for the No. 2.
insurance proceeds on the ground that no policy Right: by an open space thence by Bldg. No. 4.
was issued by it covering the burned oil mill. Left: Adjoining thence an imperfect wall by Bldg. No. 4.
o It stated that the description of the insured Rear: by an open space thence at 8 meters distance."
establishment referred to another building thus: "Our
policy nos. 306-7432321-9 (Ps 6M) and 306-  However, it argues that this specific boundary description
7432324-4 (Ps 3M) extend insurance coverage to clearly pertains, not to the burned oil mill, but to the other
your oil mill under Building No. 5, whilst the mill. In other words, the oil mill gutted by fire was not the one
affected oil mill was under Building No. 14.” described by the specific boundaries in the contested policy.
 What exacerbates respondent's predicament, petitioner
posits, is that it did not have the supposed wrong description
Complaint by Respondent:
or mistake corrected.
o Despite the fact that the policy in question was
 A complaint for specific performance and damages was issued way back in 1988, or about three years
consequently instituted by the respondent with the RTC, before the fire, and despite the "Important Notice" in
Branch 53 of Lucena City. the policy that "Please read and examine the policy
 On October 16, 1995, after trial, the lower court rendered a and if incorrect, return it immediately for alteration,"
Decision finding the petitioner liable on the insurance policy, respondent apparently did not call petitioner's
ordering petitioner to pay respondent: attention with respect to the misdescription.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

ISSUE:  Notwithstanding, therefore, the misdescription in the policy, it


1. Whether or not the court of appeals erred in finding that the is beyond dispute, that what the parties manifestly intended
insurance policy covered the new mill, thus making the to insure was the new oil mill. This is obvious from the
petitioner liable for the insurance policy? categorical statement embodied in the policy, extending its
2. Whether or not respondent violated the express terms of the protection:
Fire Extinguishing Appliances Warranty?
HELD: "On machineries and equipment with complete accessories
1. No, it did not err. usual to a coconut oil mill including stocks of copra, copra
2. No, respondent did not violate such warranty. cake and copra mills whilst contained in the new oil mill
building, situate (sic) at UNNO. ALONG NATIONAL HIGH
RATIO: WAY, BO. IYAM, LUCENA CITY UNBLOCKED.''
ISSUE 1.
Construction Of Insurance Contract
 If the parties really intended to protect the first oil mill, then
 In construing the words used descriptive of a building
there is no need to specify it as new.
insured, the greatest liberality is shown by the courts in
 The imperfection in the description of the insured oil mill's
giving effect to the insurance. boundaries can be attributed to a misunderstanding between
 In view of the custom of insurance agents to examine the petitioner's general agent, Mr. Alfredo Borja, and its
buildings before writing policies upon them, and since a policy issuing clerk, who made the error of copying the
mistake as to the identity and character of the building is boundaries of the first oil mill when typing the policy to
extremely unlikely, the courts are inclined to consider that be issued for the new one. As testified to by Mr. Borja.
the policy of insurance covers any building which the parties
manifestly intended to insure, however inaccurate the  Further, Evidence on record reveals that respondent's
description may be. operating manager, Mr. Edison Tantuco, notified Mr. Borja
(the petitioner's agent with whom respondent negotiated for
The first oil mill was already covered by an existing insurance the contract) about the inaccurate description in the policy.
However, Mr. Borja assured Mr. Tantuco that the use of
 It would be absurd to assume that respondent would protect the adjective new will distinguish the insured property.
its first oil mill for different amounts and leave uncovered its The assurance convinced respondent, despite the
second one. impreciseness in the specification of the boundaries, the
 As mentioned earlier, the first oil mill is already covered insurance will cover the new oil mill.
under Policy No. 306-7432324-4 issued by the petitioner. It  The Supreme Court reiterated that:
is unthinkable for respondent to obtain the other policy from o “We again stress that the object of the court in
the very same company. The latter ought to know that a construing a contract is to ascertain the intent of the
second agreement over that same realty results in its over parties to the contract and to enforce the agreement
insurance. which the parties have entered into. In determining
what the parties intended, the courts will read and
Records show that the parties indeed agreed and intended that the construe the policy as a whole and if possible, give
new mill was to be covered by the insurance policy effect to all the parts of the contract, keeping in mind
always, however, the prime rule that in the event of

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

doubt, this doubt is to be resolved against the emergency fire engine. All of these equipments were in
insurer. In determining the intent of the parties to the efficient working order when the fire occurred.
contract, the courts will consider the purpose and
object of the contract.” FINAL VERDICT:
Finding no reversible error in the impugned Decision, the instant
ISSUE 2. petition is hereby DISMISSED.
 Petitioner contends that respondent violated the express
terms of the Fire Extinguishing Appliances Warranty. The
said warranty provides:
RIZAL SURETY & INSURANCE COMPANY vs. COURT OF
"WARRANTED that during the currency of this Policy, APPEALS and TRANSWORLD KNITTING MILLS, INC.
Fire Extinguishing Appliances as mentioned below shall Sec. 2, Contracts of Adhesion
be maintained in efficient working order on the premises
to which insurance applies: CASE:
- PORTABLE EXTINGUISHERS Rizal Surety and New India issued Fire Insurance Policy in favor of
- INTERNAL HYDRANTS Transworld Knitting Mills for P 1 Million initially and increased to P
- EXTERNAL HYDRANTS 1.5 Million. The fire insurance included the building itself as well as
- FIRE PUMP raw materials contained/stored in the buildings. The four storey main
- 24-HOUR SECURITY SERVICES building as well as a 2 storey building where fun and amusement
BREACH of this warranty shall render this policy null and machines and spare parts were stored were caught in a fire.
void and the Company shall no longer be liable for any Transworld issued a claim on the insurance. Rizal Surety contends
loss which may occur." that the 2-storey building was not included in the insurance policy.
The issue is whether or not the 2 storey house is part of the
 The SC agreed with the appellate court's conclusion that insurance policy. The court held that it is covered by the insurance
the aforementioned warranty did not require respondent policy (meaning Rizal Surety would have more to pay). Insurance
to provide for all the fire extinguishing appliances contracts that are in the nature of contracts of adhesion are
enumerated therein. construed strictly against the person who prepared the insurance
 Additionally, it found that neither did it require that the policy. The insurance policy states "xxx contained and/or stored
appliances are restricted to those mentioned in the during the currency of this Policy in the premises occupied by them
warranty. forming part of the buildings situate (sic) within own Compound
 In other words, what the warranty mandates is that xxx", which means that 2 storey building (behind the 4 storey building
respondent should maintain in efficient working condition and part of the compound) is covered by the insurance policy.
within the premises of the insured property, fire fighting
equipments such as, but not limited to, those identified in
the list, which will serve as the oil mill's first line of FACTS:
defense in case any part of it bursts into flame.  On March 13, 1980, Rizal Surety & Insurance Company
 To be sure, respondent was able to comply with the (Rizal Insurance) issued Fire Insurance Policy No. 45727 in
warranty. Within the vicinity of the new oil mill can be favor of Transworld Knitting Mills, Inc. (Transworld), initially
found the following devices: numerous portable fire for One Million (P1,000,000.00) Pesos and eventually
extinguishers, two fire hoses, fire hydrant, and an increased to One Million Five Hundred Thousand

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

(P1,500,000.00) Pesos, covering the period from August 14, caused by the fire on the two-storey annex building.
1980 to March 13, 1981.  On January 4, 1990, the trial court rendered its decision,
 Pertinent portions of subject policy on the buildings insured, ordering defendant Rizal Surety And Insurance Company to
and location thereof, read: pay Transworld Knitting Mills, Inc. the amount of P826,
500.00 representing the actual value of the losses suffered
"On stocks of finished and/or unfinished products, raw by it. The case was dismissed against New India
materials and supplies of every kind and description, the  In Court of Appeals, a decision was rendered wherein New
properties of the Insureds and/or held by them in trust, on India is required to pay P1,818,604.19 while the other Rizal
commission or on joint account with others and/or for which Surety has to pay the plaintiff-appellant P470,328.67, based
they (sic) responsible in case of loss whilst contained on the actual losses sustained by plaintiff Transworld in the
and/or stored during the currency of this Policy in the fire
premises occupied by them forming part of the  On August 20, 1993, from the aforesaid judgment of the
buildings situate (sic) within own Compound at Court of Appeals New India appealed to this Court theorizing
MAGDALO STREET, BARRIO UGONG, PASIG, METRO that the private respondent (Transworld) could not be
MANILA, PHILIPPINES, BLOCK NO. 601. compensated for the loss of the fun and amusement
machines and spare parts stored at the two-storey building
 Said building of four-span lofty one storey in height with because it (Transworld) had no insurable interest in said
mezzanine portions is constructed of reinforced concrete goods or items. The Court denied such appeal with finality
and hollow blocks and/or concrete under galvanized iron roof  Petitioner Rizal Insurance and private respondent
and occupied as hosiery mills, garment and lingerie factory, Transworld, interposed a Motion for Reconsideration before
transistor-stereo assembly plant, offices, warehouse and the Court of Appeals, and on October 22, 1993, the Court of
caretaker's quarters. Appeals reconsidered its decision, but insofar as legal
 The same pieces of property insured with the petitioner were interest is concerned (all else is retained)
also insured with New India Assurance Company, Ltd., (New
India).
 On January 12, 1981, fire broke out in the compound of ISSUES:
Transworld, razing the middle portion of its four-span Whether or not the fire insurance policy litigated upon protected only
building and partly gutting the left and right sections thereof. the contents of the main building (four-span), and did not include
A two-storey building (behind said four-span building) those stored in the two-storey annex building.
where fun and amusement machines and spare parts
were stored, was also destroyed by the fire. Transworld HELD & RATIO:
filed its insurance claims with Rizal Surety & Insurance NO, fire insurance policy protected not only the main building but the
Company and New India Assurance Company but to no two-storey annex building. Petition is not impressed with merit
avail.
 Stipulation in subject fire insurance policy regarding its
 On May 26, 1982, private respondent brought against the coverage, which reads: "xxx contained and/or stored during
said insurance companies an action for collection of sum of the currency of this Policy in the premises occupied by them
money and damages. forming part of the buildings situate (sic) within own
 Petitioner Rizal Insurance countered that its fire insurance Compound xxx". Since the 2 storey building was behind the
policy sued upon covered only the contents of the four-span 4 storey building and part of the compound, therefrom, it can
building, which was partly burned, and not the damage be gleaned unerringly that the fire insurance policy in

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

question did not limit its coverage to what were stored in the interest in the fun and amusement machines and spare
four-span building. parts, which entitles it to be indemnified for the loss thereof,
 In the case under consideration, both the trial court and the had already been settled in G.R. No. L-111118, entitled
Court of Appeals found that the so called "annex " was not New India Assurance Company, Ltd., vs. Court of Appeals,
an annex building but an integral and inseparable part of the where the appeal of New India from the decision of the Court
four-span building described in the policy and consequently, of Appeals under review, was denied with finality by this
the machines and spare parts stored therein were covered Court on February 2, 1994.
by the fire insurance in dispute. (as they are contained/
stored in the Building)
 Indeed, the stipulation as to the coverage of the fire
Perla Compania de Seguros, Inc vs. CA
insurance policy under controversy has created a doubt
G.R. No. 78860; May 28, 1990
regarding the portions of the building insured thereby. Article
Sec. 1
1377 of the New Civil Code provides:
CASE:
"Art.1377. The interpretation of obscure words or stipulations Milagros Cayas (Cayas) was the registered owner of
in a contract shall not favor the party who caused the a Mazda bus which was insured with Perla Compania de Seguros,
obscurity" Inc. (PCSI). In the insurance policy agreed upon by Cayas and PCSI,
there is a provision stating, “no admission, offer, promise or payment
 Conformably, it stands to reason that the doubt should be shall be made by or on behalf of the Insured without the written
resolved against the petitioner, Rizal Surety Insurance consent of the Company xxx”. In addition, the insurance policy
Company, whose lawyer or managers drafted the fire also expressly provided that the liability of PCSI is only up to
insurance policy contract under scrutiny. (Contract of P12,000 per person and to P50,000 per accident.
adhesion) The Mazda bus figured in an accident in Cavite wherein
 Court in Landicho vs. Government Service Insurance several of its passengers were injured. One of the passenger,
System, ruled: (IMPORTANT DOCTRINE) Edmund Perea, filed a case for damages against Cayas. The other 3
passengers namely: Rosario del Carmen, Ricardo Magsarili and
Charlie Antolin, agreed to a settlement of P4000 each with Cayas
"This is particularly true as regards insurance policies, in without the latter securing a written consent from PCSI. CFI-
respect of which it is settled that the 'terms in an insurance Cavite ruled in favor of Perea ordering Cayas to pay damages.
policy, which are ambiguous, equivocal, or uncertain x x x Thereafter, Cayas filed a case against PCSI for the reimbursement
are to be construed strictly and most strongly against of the amount she paid to Perea, del Carmen, Magsarili and Antolin.
the insurer, and liberally in favor of the insured xxx and The lower court ruled that PCSI should pay the amount of P50,000 to
the reason for this is that the 'insured usually has no voice in Cayas as compensation for the injured passengers.
the selection or arrangement of the words employed and that The issue in this case is the extent of the liability of PCSI.
the language of the contract is selected with great care and PCSI contends that its liability is only up to P12,000 in
deliberation by experts and legal advisers employed by, and accordance with their insurance policy. It stated that its liability is
acting exclusively in the interest of, the insurance company limited to the reimbursement of the payments made by Cayas to
Perea. PCSI contends that due to failure of Cayas to secure a written
 The issue of whether or not Transworld has an insurable consent from the company before she entered into a settlement with

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

del Carmen, Magsarili and Antolin hence, PCSI cannot be liable for  Thereafter, on November 11, 1981, Milagros Cayas filed a
the reimbursement of such. complaint for a sum of money and damages against PCSI
Acccording to SC, contracts are respected as the law in CFI-Cavite.
between the contracting parties and the terms of the contract o She contended that she sought reimbursement of said
constitute the measure of the insurer’s liability and compliance amounts (amount paid to Perea and to the three other
therewith is a condition precedent to the insured’s right of recovery injured passengers) from PCSI, which, notwithstanding the
from the insurer. SC ruled that it being specifically required that fact that her claim was within its contractual liability under
PCSI’s written consent be first secured before any payment in the insurance policy, refused to make such reimbursement.
settlement of any claim could be made, Cayas is precluded from o The court rendered judgment by default ordering PCSI to
seeking reimbursement of the payments made to del Carmen, pay Milagros Cayas P50,000 as compensation for the
Magsarili and Antolin in view of her failure to comply with the injured passengers and P5,000 as moral damages and
condition contained in the insurance policy. Hence, PCSI is only P5,000 as attorney’s fees.
liable for the reimbursement of the amount paid to Perea and the  PCSI appealed to the CA, which affirmed in toto the decision of
extent of liability of PCSI should be only up to P12,000. the lower court.

FACTS: ISSUES:
 Milagros Cayas was the registered owner of a Mazda Bus. 1. WON Milagros Cayas can claim reimbursement from PCSI of the
o Said passenger vehicle was insured with Perla Compania payments she made to the 3 other victims (Del Carmen,
de Seguros, Inc. (PCSI) Magsarili and Antolin) NO!
 The Mazda bus figured in an accident in Naic, Cavite injuring 2. WON the liability of PCSI under the insurance policy is only up to
several of its passengers. P12,000 instead of the P50,000 as determined by the lower court
o Edmund Perea (passenger of said bus) sued Milagros  YES!
Cayas for damages in CFI-Cavite.
o Rosario del Carmen, Ricardo Magsarili and Charlie Antolin RATIO:
(3 other passengers) agreed to a settlement of P4,000.00 1. Cayas cannot claim reimbursement for the amount of
each with Milagros Cayas without the latter securing a payment she made to the 3 other victims because she failed
written consent from PCSI. to obtain a written consent from PCSI before she paid the
 At the pre-trial of the case of Perea against Cayas, Cayas said victims.
failed to appear and hence, she was declared as in default.  PCSI’s Contention: It seeks to limit their liability only to the
After trial, CFI-Cavite rendered a decision in favor of Perea payment made by Cayas to Perea and only up to the
ordering Cayas to compensate Perea with damages in the sum amount of P12,000. PCSI denies liability for the payments
of: made by Cayas to the 3 other injured passengers del
o P10,000 for the medical predicament he found himself as Carmen, Magsarili and Antolin in the amount of P4,000
damaging consequences of Milagros Cayas’ complete lack each or a total of P12,000. PCSI contends that in
of diligence of a good father of a family when she secured accordance with their insurance policy, Cayas should have
the driving services of Oscar Figueroa (driver of the bus); first obtained the written consent of the company before
o P10,000 for exemplary damages; she paid the said 3 injured passengers. Having failed to
o P5,000 for moral damages; and obtain the required written permission, Cayas cannot claim
o P7,000 for attorney’s fees. reimbursement for the payment she made to the three
injured passengers.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 SC’s RULING: or bodily injury sustained by one person as a result of any


o The insurance policy signed by the parties include one accident at P12,000.
a provision which states that, “No admission, offer, o The said amount complied with the minimum fixed
promise or payment shall be made by or on behalf by the law prevailing at the time (PD 612) which is
of the Insured without the written consent of the P12,000 per passenger. PCSI’s liability under the
Company xxx” insurance contract not being less than P12,000
o The terms of the contract constitute the measure and therefor not contrary to law, morals, good
of the insurer’s liability and compliance therewith customs, public order or public policy, said
is a condition precedent to the insured’s right of stipulation must be upheld as effective, valid and
recovery from the insurer. binding as between the parties.
o The condition abovementioned, i.e. securing a o It is important to note that since only the payments
written consent from the company before effecting made to Perea (only one passenger) should be
any payment in settlement of any claim against reimbursed to Milagros Cayas, the extent of
her, is valid and binding upon Milagros Cayas. liability of PCSI should be only up to P12,000.
There is nothing unreasonable, arbitrary or o The SC also observed that although Cayas was
objectionable in this stipulation as would warrant able to prove a total loss of only P44,000, PCSI
its nullification. The said stipulation was obviously was made liable for the amount of P50,000, the
designed to safeguard the insurer’s (PCSI) maximum liability per accident stipulated in the
interest against collusion between the insured and policy. This, according to the SC, is a patent error.
the claimants. An insurance indemnity being merely an
o Contracts are respected as the law between the assistance or restitution in so far as can be
contracting parties finds application in the case at fairly ascertained, it cannot be availed of by
bar. any accident victim or claimant as an
o It being specifically required that PCSI’s instrument of enrichment by reason of an
written consent be first secured before any accident.
payment in settlement of any claim could be
made, Cayas is precluded from seeking FINAL VERDICT: PETITION GRANTED
reimbursement of the payments made to del
Carmen, Magsarili and Antolin in view of her
failure to comply with the condition contained ZENITH INSURANCE CORP. v. CA
in the insurance policy. Hence, PCSI is only Sec. 2
liable for the reimbursement of the amount
paid to Perea. CASE:
Fernandez insured his car with petitioner. The car figured in
2. The Liability of PCSI is only up to P12,000 because the an accident and suffered damages worth P3460. Fernandez filed
insurance policy involved explicitly limits the PCSI’s liability complaint against petitioner for refusing to pay the amount claimed
to P12,000 per person and to P50,000 per accident. (damages). The lower court ruled in favor of Fernandez and ordered
 In the case at bar, the insurance clearly and categorically petitioner to pay moral and exemplary damages, and attorney’s fee
placed PCSI’s liability for all damages arising out of death in an amount more than that prayed for by Fernandez.
The issue is whether or not the amount awarded is proper.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

The Supreme Court ruled that the act of petitioner in


delaying payment was not so wanton and malevolent that would ISSUE:
justify in the increase of moral damages since the reason for the 1. Whether or not the lower court erred in awarding moral
delay is that the parties could not agree as to the amount of actual damages, exemplary damages, and attorney’s fees for
damages. The exemplary damages could not also be awarded more than what is prayed for in the complaint.
because petitioner had not acted in wanton, oppressive or
malevolent manner. HELD & RATIO:

2. YES
 Under the Insurance Code, in case of unreasonable delay in
FACTS: the payment of the proceeds of an insurance policy, the
 On January 25, 1983, respondent Lawrence Fernandez damages that may be awarded are:
insured his car for "own damage" under private car Policy 1. attorney's fees;
No. 50459 with petitioner Zenith Insurance Corporation. 2. other expenses incurred by the insured person by
 On July 6, 1983, the car figured in an accident and suffered reason of such unreasonable denial or withholding of
actual damages in the amount of P3,640.00. After allegedly payment;
being given a run around by Zenith for two (2) months, 3. interest at twice the ceiling prescribed by the Monetary
Fernandez filed a complaint with the RTC-Cebu for sum of Board of the amount of the claim due the injured; and
money and damages resulting from the refusal of Zenith to 4. the amount of the claim.
pay the amount claimed.  In the instant case, there was a finding that private
 Aside from actual damages and interests, Fernandez also respondent was given a "run-around" for two months, which
prayed for moral damages in the amount of P10,000.00, is the basis for the award of the damages granted under the
exemplary damages of P5,000.00, attorney's fees of Insurance Code for unreasonable delay in the payment of
P3,000.00 and litigation expenses of P3,000.00. the claim. However, the act of petitioner of delaying payment
 Zenith alleged that it offered to pay the claim of Fernandez for two months cannot be considered as so wanton or
pursuant to the terms and conditions of the contract, which malevolent to justify an award of P20,000.00 as moral
the private respondent rejected. damages, taking into consideration that the actual damage
 A decision was rendered by the trial court in favor of on the car was only P3,460.
respondent Fernandez.  The reason for petitioner's failure to indemnify private
 Zenith was ordered to pay Fernandez P3640 for actual respondent within the two-month period was that the parties
damages, P20,000 for moral damages, P20,000 for could not come to an agreement as regards the amount of
exemplary damages, P5000 attorney’s fees, and P3000 for the actual damage on the car. The amount of P10,000.00
litigation expenses. prayed for by private respondent as moral damages is
equitable.
 Petitioner contends that while the complaint of private
respondent prayed for P10,000.00 moral damages, the lower  On the other hand, exemplary or corrective damages are
court awarded twice the amount, or P20,000.00 without imposed by way of example or correction for the public good.
factual or legal basis; while private respondent prayed for Exemplary damages will not awarded, as the insurance
P5,000.00 exemplary damages, the trial court awarded company had not acted in wanton, oppressive or malevolent
P20,000.00; and while private respondent prayed for manner.
P3,000.00 attorney's fees, the trial court awarded P5,000.00.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

 The amount of P5,000.00 awarded as attomey's fees is AHAC’s right of subrogation pursuant to Art. 2207 was “not
justified under the circumstances of this case considering dependent upon, nor did it grow out of, any privity of contract or upon
that there were other petitions filed and defended by private written assignment of claim but accrued simply upon payment of the
respondent in connection with this case. insurance claim by the insurer. Hence, petition is denied.
 When contract is silent with respect to a particular matter –
Any doubt that may arise for failure of the contract to provide
with respect to a particular matter should be resolved against FACTS:
the insurer. In a case, the insurer contended that the amount  30 September 1987: Caltex entered into a contract of
recoverable on a car insurance policy is subject to a affreightment with VECTOR Shipping Corp. (the operator)
deductible franchise. It was ruled that the deductions of for the transport of Caltex’s petroleum cargo through the M/T
P250.00 and P274.00 as deductible franchise and 20% Vector (owned by Petitioner Francisco Soriano).
depreciation on parts, respectively, claimed by the insurer as o Caltex insured the cargo with American Home
agreed upon in the contract has no basis, because “the Assurance Corporation (Respondent AHAC) for
policy does not mention any deductible franchise.” Php7,455,421.08 under Marine Open Policy No. 34-
5093-6.
FINAL VERDICT: The appealed decision is MODIFIED.  20 December 1987 (evening): M/T Vector collided with M/T
Doña Paz (owned and operated by SULPICIO Lines Inc.) in
VECTOR SHIPPING CORP. v. AHAC the open sea near Dumali Point in Tablas Strait, which
(Sec. 2; Right of Subrogation) resulted to the sinking of both vessels.
CASE: o The entire petroleum cargo of Caltex on board
Caltex entered into a contract of affreightment with Vector perished.
Shipping for the transport of thousands of barrels of different o 12 July 1988: AHAC paid to Caltex the full amount of
petroleum products through M/T Vector owned by Soriano. The the insurance.
cargo was insured with AHAC for Php7,455,421.08. Unfortunately,  05 March 1992: AHAC filed a complaint against Vector,
the vessel collided with M/T Doña Paz owned by Sulpicio, causing Soriano, and Suplicio to recover the full amount it paid to
both vessels to sink. The entire petroleum cargo on board perished. Caltex.
Caltex received from AHAC the whole amount of insurance  RTC-Makati dismissed the case for having prescribed. It
proceeds. Thereafter, AHAC filed a complaint against Vector, ruled that the action is upon a quasi-delict and as such
Soriano, and Sulpicio. must be commenced within four (4) years from the day the
The lower court held that the action is upon a quasi-delict, quasi-delict occurred as stipulated in Art. 1146(2) of the New
thus, barred by prescription for having filed beyond four (4) years as Civil Code.
required by Art. 1146(2) of NCC. When it was appealed to CA, it  AHAC appealed to the CA, which reversed the decision of
reversed the decision and ruled that it is culpa contractual based on the lower court. It held that the relationship between Caltex
the Contract of Affreightment. Hence, action can be filed within ten and M/V Doña Paz is that of a quasi-delict, while that of
(10) years pursuant to Art. 1144(1) of NCC. Caltex and M/V Vector is culpa contractual based on a
Upon appeal, the SC sided with CA that it is not a quasi- Contract of Affreightment or a charter party.
delict, but clarified that the applicable provision is Art. 1144(2). It is o There is breach of contract of affreightment for
not upon a written contract, but upon an obligation created by law, having misrepresented that the vessel is seaworthy
particularly Art. 2207 of the Civil Code. when in fact it is not.

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue
Insurance Case Digests | Atty. Norianne Tan | 2015

o Thus, the prescriptive period is ten (10) years from 9. NO, the contract of affreightment that Caltex and Vector
the time the right of action accrued as provided for in entered into did not give rise to the legal obligation of Vector
Art. 1144(1) of the New Civil Code. The ticket issued and Soriano to pay the demand for reimbursement by AHAC
for the transportation is by itself a complete written because it concerned only the agreement for the
contract. transport of Caltex’s petroleum cargo.
 The petitioners immediately appealed for the petition for  AHAC’s right of subrogation pursuant to Art. 2207
review on certiorari of CA’s decision. was “not dependent upon, nor did it grow out of, any
privity of contract or upon written assignment of
ISSUES: claim but accrued simply upon payment of the
6. Whether or not the action was already barred by prescription insurance claim by the insurer.” (Pan Malayan
7. Whether or not the contract of affreightment gave rise to the Insurance Corp. v. CA)
legal obligation of petitioners to pay the demand for
reimbursement FINAL VERDICT: Petition DENIED; judgment AFFIRMED.

HELD & RATIO:


8. NO, the legal provision governing this case was not Art. Additional information:
1146, but Art. 1144(2) which provides for a prescriptive  Subrogation is the “substitution of another person in the
period of ten (10) years. place of the creditor, to whose rights he succeeds in relation
 SC clarified that the present action was not upon a to the debt”; and is “independent of any mere contractual
written contract, but upon an obligation created by relations between the parties to be affected by it, and is
law, as opposed to the ratio of the CA. broad enough to cover every instance in which one
o The subrogation of respondent to the rights party is required to pay a debt for which another is
of Caltex as the insured was by virtue of primarily answerable, and which in equity and conscience
express provision of law embodied in Art. ought to be discharged by the latter.”
2207 of the Civil Code (i.e., “x x x the
insurance company shall be subrogated to
the rights of the insured against the
wrongdoer or the person who has violated
the contract. x x x.”).
 The subrogation receipt was enough by itself to
prove the payment to Caltex of the full settlement of
its claim. Due to the duly documented payment
made to the insured, respondent became
subrogated as a matter of course pursuant to Art.
2207.
 “Payment by the insurer to the assured operates as
an equitable assignment to the former of all
remedies which the latter may have against the third
party whose negligence or wrongful act caused the
loss.” (Pan Malayan Insurance Corp. v. CA)

Baguyot Calangi Estipona Ledesma Lim, A. Lim, Y. Miranda Pacamarra Rivera Santos, R. Sorongon Tamondong Torcuator Velena Yogue

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