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23 DE LA SALLE UNIVERSITY – COLLEGE OF LAW | INSURANCE LAW | ATTY.

SERGE CENIZA
[23] New Life Enterprises (NLE) v. CA  After the fire, Julian Sy went to Reliance Insurance
G.R. No. 94071, 207 SCRA 669 March 31, 1992 and filed his claim. He averred that in support of
Petitioner: New Life Enterprise his claim, he submitted the fire clearance, the
Private Respondent: Julian Sy insurance policies and inventory of stocks. He
Topic: Concealment further testified that the three insurance
Digested by: Cindee Michelle Yu companies are sister companies, and as a matter
Doctrine: of fact when he was following-up his claim with
“The unrevealed insurances makes the insured guilty of Equitable Insurance, the Claims Manager told him
a false declaration; a clear misrepresentation and a vital to go first to Reliance Insurance and if said
one because where the insured had been asked to company agrees to pay, they would also pay.
reveal but did not, that was deception.”
 Ultimately, the three insurance companies denied
Facts:
plaintiffs' claim for payment on the ground of
 Julian Sy and Jose Sy Bang formed a business breach of policy conditions.
partnership in the City of Lucena. It was named o Julian Sy apparently violated Policy Condition
New Life Enterprises (NLE), and the partnership No. '3' which requires the insured to give
engaged in the sale of construction materials at its notice of any insurance or insurances already
place of business, a two storey building situated at effected covering the stocks in trade."
Lucena City.
 Because of the denial of their claims for payment
 Julian Sy insured the stocks in trade of NLE to the by the 3 insurance companies, petitioner filed
following insurance companies: separate civil actions before RTC Lucena, which
o Western Guaranty Corporation (350k), cases were consolidated for trial.
o Reliance Surety and Insurance Co. Inc.,
(300k, with additional 700k)  RTC: in favor of New Life and ordered the insurance
o Equitable Insurance Corporation (200k) companies to pay.
 CA: reversed.
 NLE was gutted by fire at about 2:00 o'clock in the
Issue:
morning of October 19, 1982; the cause of fire was
electrical in nature. W/N the forfeiture of the benefits under the insurance
contract is warranted? – YES.

[Block G01 – SY2018-2019 – 1st Term]


23 DE LA SALLE UNIVERSITY – COLLEGE OF LAW | INSURANCE LAW | ATTY. SERGE CENIZA
Ruling: claims adjuster. Availment of the services of the
same agents and adjusters by different companies
1. Condition No. 3 of said insurance policies, otherwise
is a common practice in the insurance business and
known as the "Other Insurance Clause," is uniformly
such facts do not warrant the speculative
contained in all the-aforestated insurance contracts of
conclusion of the trial court.
herein petitioners.
 When the words and language of documents are
 The terms of the contract are clear and clear and plain or readily understandable by an
unambiguous. The insured is specifically ordinary reader thereof, there is absolutely no
required to disclose to the insurer any other room for interpretation or construction anymore.
insurance and its particulars which he may have The parties must abide by the terms of the contract
effected on the same subject matter. The because such terms constitute the measure of the
knowledge of such insurance by the insurer's insurer's liability and compliance therewith is a
agents, even assuming the acquisition thereof by condition precedent to the insured's right of
the former, is not the "notice" that would estop the recovery from the insurer.
insurers from denying the claim. The so-called
2. Policy Condition No. 15, reads in part:
theory of imputed knowledge (knowledge of the
"15. . . . if any false declaration be made or
agent is knowledge of the principal) does not apply
used in support thereof, . . . all benefits under
in this case.
this Policy shall be forfeited . . ."
 Thus, it points out that while petitioner Julian Sy
claimed that he had informed insurance agent
 The condition warrants and justifies the
Alvarez regarding the co-insurance on the
forfeiture of the benefits under the insurance
property, he contradicted himself by inexplicably
contract.
claiming that he had not read the terms of the
policies; that Yap Dam Chuan could not likewise
 As held in Pacific Banking Corp vs CA:
have obtained such knowledge for the same
“The unrevealed insurances makes the insured
reason, aside from the fact that the insurance with
guilty of a false declaration; a clear
Western was obtained before those of Reliance and
misrepresentation and a vital one because where
Equitable; and that the conclusion of the trial court
the insured had been asked to reveal but did not,
that Reliance and Equitable are "sister companies"
that was deception. Otherwise stated, had the
is an unfounded conjecture drawn from the mere
insurer known that there were many co-
fact that Yap Kam Chuan was an agent for both
insurances, it could have hesitated or plainly
companies which also had the same insurance
[Block G01 – SY2018-2019 – 1st Term]
23 DE LA SALLE UNIVERSITY – COLLEGE OF LAW | INSURANCE LAW | ATTY. SERGE CENIZA
desisted from entering into such contract. Hence,
the insured was guilty of clear fraud.

As the insurance policy against fire expressly


required that notice should be given by the
insured of other insurance upon the same
property, the total absence of such notice
nullifies the policy.”

 Petition was granted; New Life won.

[Block G01 – SY2018-2019 – 1st Term]

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