Case Digest Insurance
Case Digest Insurance
CASE TITLE:
GAISANO CAGAYAN, INC. v. INSURANCE COMPANY OF NORTH
AMERICA
G.R. NO. 147839 June 08, 2006
AUSTRIA-MARTINEZ, J.
FACTS:
Intercapitol Marketing Corporation (IMC) is the maker of Wrangler
Blue Jeans. Levi Strauss (Phils.) Inc. (LSPI) is the local distributor of
products bearing trademarks owned by Levi Strauss & Co.. IMC and LSPI
separately obtained from respondent fire insurance policies with book debt
endorsements. The insurance policies provide for coverage on “book debts
in connection with ready-made clothing materials which have been sold or
delivered to various customers and dealers of the Insured anywhere in the
Philippines.” The policies defined book debts as the “unpaid account still
appearing in the Book of Account of the Insured 45 days after the time of
the loss covered under this Policy.” The policies also provide for the
following conditions:
1. Warranted that the Company shall not be liable for any unpaid account in
respect of the merchandise sold and delivered by the Insured which are
outstanding at the date of loss for a period in excess of six (6) months from
the date of the covering invoice or actual delivery of the merchandise
whichever shall first occur.
2. Warranted that the Insured shall submit to the Company within twelve
(12) days after the close of every calendar month all amount shown in their
books of accounts as unpaid and thus become receivable item from their
customers and dealers.
ISSUES:
1. Whether or not the CA erred in construing a fire insurance policy
on book debts as one covering the unpaid accounts of IMC and LSPI since
such insurance applies to loss of the ready-made clothing materials sold
and delivered to petitioner
HELD:
1. No, it is provided in the questioned insurance policies that the
subject of the insurance is the goods sold and delivered to the customers
and dealers of the insured. Thus, what were insured against were the
accounts of IMC and LSPI with petitioner which remained unpaid 45 days
after the loss through fire, and not the loss or destruction of the goods
delivered.
2. Yes, the present case clearly falls under paragraph (1), Article
1504 of the Civil Code:
ART. 1504. Unless otherwise agreed, the goods remain at the seller's risk
until the ownership therein is transferred to the buyer, but when the
ownership therein is transferred to the buyer the goods are at the buyer's
risk whether actual delivery has been made or not, except that:
ARIQUEZ, CEDDIE I.
(1) Where delivery of the goods has been made to the buyer or to
a bailee for the buyer, in pursuance of the contract and the ownership in
the goods has been retained by the seller merely to secure performance by
the buyer of his obligations under the contract, the goods are at the buyer's
risk from the time of such delivery.
Thus, when the seller retains ownership only to insure that the buyer
will pay its debt, the risk of loss is borne by the buyer. Petitioner bears the
risk of loss of the goods delivered. IMC and LSPI had an insurable interest
until full payment of the value of the delivered goods. Unlike the civil law
concept of res perit domino, where ownership is the basis for consideration
of who bears the risk of loss, in property insurance, one's interest is not
determined by concept of title, but whether insured has substantial
economic interest in the property.
Moreover, it must be stressed that the insurance in this case is not for
loss of goods by fire but for petitioner's accounts with IMC and LSPI that
remained unpaid 45 days after the fire. Accordingly, petitioner's obligation
is for the payment of money. As correctly stated by the CA, where the
obligation consists in the payment of money, the failure of the debtor to
ARIQUEZ, CEDDIE I.
make the payment even by reason of a fortuitous event shall not relieve
him of his liability. The rationale for this is that the rule that an obligor
should be held exempt from liability when the loss occurs thru a fortuitous
event only holds true when the obligation consists in the delivery of a
determinate thing and there is no stipulation holding him liable even in case
of fortuitous event. It does not apply when the obligation is pecuniary in
nature.
FACTS:
TKC Marketing imported 3,000 metric tons of soya from Brazil to
Manila. It was insured by Malayan at the value of almost 20 million pesos.
The vessel, however, was stranded on South Africa because of a lawsuit
regarding the possession of the soya. TKC consulted Malayan on recovery
of the amount, but the latter claimed that it wasn’t covered by the policy.
The soya was sold in Africa for Php 10 million, but TKC wanted Malayan to
shoulder the remaining value of 10 million as well. Petitioner filed suit due
to Malayan’s reticence to pay. Malayan claimed that arrest by civil
authorities wasn’t covered by the policy. The trial court ruled in TKC’s favor
with damages to boot. The appellate court affirmed the decision under the
reason that clause 12 of the policy regarding an excepted risk due to arrest
by civil authorities was deleted by Section 1.1 of the Institute
War Clauses which covered ordinary arrests by civil authorities. Failure of
the cargo to arrive was also covered by the Theft, Pilferage, and Non-
delivery Clause of the contract. Hence this petition.
ISSUES:
1. Whether or not the arrest of the vessel was a risk covered under
the subject insurance policies.
HELD:
1. Yes, Section 12 or the "Free from Capture & Seizure Clause"
states: "Warranted free of capture, seizure, arrest, restraint or detainment,
and the consequences thereof or of any attempt thereat…”
Should Clause 12 be deleted, the relevant current institute
war clauses shall be deemed to form part of this insurance.” This was really
replaced by the subsection 1.1 of section 1 of Institute
War Clauses (Cargo) which included “the risks excluded from the standard
form of English Marine Policy by the clause warranted free of capture,
ARIQUEZ, CEDDIE I.
FACTS:
Ty was employed as a mechanic operator by Broadway Cotton
Factory at Grace Park, Caloocan. In 1953, he took personal accident
policies from 7 insurance companies (6 defendants), on different dates,
effective for 12 mos. On December 24, 1953, a fire broke out in the factory
were Ty was working. A heavy object fell on his hand when he was trying
to put out the fire. From Dec. 1953 to Feb. 6, 1954 Ty received treatment at
the Nat’l Orthopedic Hospital for six listed injuries. The attending surgeon
certified that these injuries would cause the temporary total disability of Ty’s
left hand.
Insurance companies refused to pay Ty’s claim for compensation
under the policies by reason of said disability of his left hand. Ty filed a
complaint in the municipal court who decided in his favor. CFI reversed on
the ground that under the uniform terms of the policies, partial disability due
to loss of either hand of the insured, to be compensable must be the result
of amputation.
ISSUE:
Whether or not Ty should be indemnified under his accident policies.
HELD:
No. SC already ruled in the case of Ty v. FNSI that were the
insurance policies define partial disability as loss of either hand by
amputation through the bones of the wrist, the insured cannot recover
under said policies for temporary disability of his left hand caused by the
fractures of some fingers. The provision is clear enough to inform the party
entering into that contract that the loss to be considered a disability entitled
to indemnity, must be severance or amputation of the affected member of
the body of the insured.
ARIQUEZ, CEDDIE I.
FACTS:
Petitioner is the owner of Plaza Resort in Agoo, La Union. The
properties were originally insured by American Home Assurance Company
(AHAC), with four insurance policies issued from 1984-85; 1985-86; 1986-
87; and 1987-88, in favor of the Petitioner. In addition, there was an
insurance rider, which is an earthquake shock endorsement, covering only
the two swimming pools on the said properties. Subsequently, AHAC
issued another insurance policy in favor of the petitioner covering 1988-89.
Petitioner sought relief in its favor in the RTC of Pasig, but to no avail.
Appeal has been filed to the Court of Appeals, which the same ruling as
RTC is affirmed. Hence, Petition for Certiorari under Rule 45 was filed with
the Supreme Court.
ISSUE:
Whether the Court of Appeals correctly held that under respondent’s
insurance policy no. 31944, only the two (2) swimming pools, rather than all
the properties covered hereunder, are insured against the risk of
earthquake shock.
ARIQUEZ, CEDDIE I.
HELD:
The Supreme Court denied the petition. First, the designation of the
risk of loss were only limited to the two swimming pools, as stated in the
Earthquake Shock Endorsement. In addition, the premiums paid in
accordance with the insurance policy for this rider is limited only to the two
swimming pools amounting in P393.00. Thus, the insurance claim is only
limited to the two swimming pools.
FACTS:
Eduardo de la Cruz, employed as a mucker in the Itogon-Suyoc
Mines, Inc. in Baguio, he was a holder of an accident insurance
policy "against death or disability caused by accidental means“. On January
1, 1957, for the celebration of the New Year, the Itogon-Suyoc Mines, Inc.
sponsored a boxing contest for general entertainment wherein Eduardo, a
non-professional boxer participated. In the course of his bout with
another non-professional boxer of the same height, weight, and size,
Eduardo slipped and was hit by his opponent on the left part of the back of
the head, causing Eduardo to fall, with his head hitting the rope of the ring.
He was brought to the Baguio General Hospital the following day. He died
due to hemorrhage, intracranial.
Simon de la Cruz, the father of the insured and who was named
beneficiary under the policy, thereupon filed a claim with the insurance
company. The Capital Insurance and Surety Co., Inc. denied stating that
the death caused by his participation in a boxing contest was not
accidental. However, the Court favored Simon.
ISSUE:
Whether or Not the cause of death was accident and that Simon, the
named beneficiary of Eduardo is allowed to claim the insurance.
HELD:
Yes, Simon is entitled for the claim. Eduardo slipped, which was
unintentional. The terms "accident" and "accidental“ as used in insurance
contracts, have not acquired any technical meaning and are construed by
the courts in their ordinary and common acceptation. It happened by
chance or fortuitously, without intention and design, and which is
unexpected, unusual, and unforeseen. It takes place without one's foresight
or expectation, unknown cause, unusual effect of a known cause. Where
the death or injury is not the natural or probable result of the insured's
ARIQUEZ, CEDDIE I.
CASE TITLE: THE INSULAR LIFE ASS. CO., LTD. VS. PAZ Y. KHU,
FELIPE Y. KHU, JR., ET. AL.
G.R. NO. 195176 APRIL 18, 2016
DEL CASTILLO, J.
FACTS:
Felipe N. Khu Sr. applied for a life insurance policy with Insular Life.
Felipe did not declare any sickness or adverse medical condition. Insular
Life thereafter issued him a policy with a face value of P1,000,000 that took
effect on June 22, 1997. Felipe’s policy lapsed due to nonpayment of the
premium covering the period from June 22, 1999 up to June 23, 2000. On
September 7, 1999, Felipe applied for reinstatement of his policy and paid
P25,020 as premium. The new policy had identical information as to that
the original policy. Insular Life advised Felipe that his application for
reinstatement will only be approved if he agreed to certain conditions such
as payment of additional premium and cancellation of riders pertaining to
the premium waiver and accidental death benefits, wherein Felipe agreed.
The new policy took effect on June 22, 1999. Felipe paid the annual
premiums for the years 2000 to 2002. On September 22, 2001, Felipe died.
The respondents filed with Insular Life a claim for the benefits under the
reinstated policy but it was denied by the respondent and it rescinded the
policy because of concealment and misrepresentation by Felipe. The
respondents instituted an action for specific performance with damages.
The RTC ruled in favor of the insured and against the insurer. It also held
that the reinstated insurance policy had already become incontestable by
the time of Felipe’s death on September 22, 2001 since more than two
years had already lapsed from the date of the policy’s reinstatement on
June 22, 1999.
ISSUE:
Whether or not the reinstated insurance policy was already
considered as incontestable at the time of Felipe’s death
HELD:
ARIQUEZ, CEDDIE I.
FACTS:
A petition filed against respondents with the Regional Trial Court for
revocation and/or reduction of insurance proceeds for being void and/or
inofficious. Petitioners were the legitimate wife and children of Loreto
Maramag , while respondents were Loreto’s illegitimate family. Eva de
Guzman Maramag was a concubine of Loreto and a suspect in the killing of
the latter, thus, she is disqualified to receive any proceeds from his
insurance policies from Insular Life Assurance Company, Ltd. and Great
Pacific Life Assurance Corporation.
had been filed nor had the respective shares of the heirs been determined.
Insular further claimed that it was bound to honor the insurance policies
designating the children of Loreto with Eva as beneficiaries pursuant to
Section 53 of the Insurance Code.
Grepalife alleged that Eva was not designated as an insurance policy
beneficiary; that the claims filed by Odessa, Karl Brian, and Trisha Angelie
were denied because Loreto was ineligible for insurance due to a
misrepresentation in his application form that he was born on December
10, 1936 and, thus, not more than 65 years old when he signed it in
September 2001, that the case was premature, there being no claim filed
by the legitimate family of Loreto; and that the law on succession does not
apply where the designation of insurance beneficiaries is clear.
Neither could the plaintiffs invoked the law on donations or the rules
on testamentary succession in order to defeat the right of herein
defendants to collect the insurance indemnity. The beneficiary in a contract
of insurance is not the donee spoken in the law of donation. The rules on
testamentary succession cannot apply here, for the insurance indemnity
does not partake of a donation. As such, the insurance indemnity cannot be
considered as an advance of the inheritance which can be subject to
collation (Del Val v. Del Val, 29 Phil. 534). In the case of Southern Luzon
ARIQUEZ, CEDDIE I.
"With the finding of the trial court that the proceeds to the Life
Insurance Policy belongs exclusively to the defendant as his individual and
separate property, we agree that the proceeds of an insurance policy
belong exclusively to the beneficiary and not to the estate of the person
whose life was insured, and that such proceeds are the separate and
individual property of the beneficiary and not of the heirs of the person
whose life was insured, is the doctrine in America.
However, herein plaintiffs are not totally bereft of any cause of action.
One of the named beneficiary in the insurances taken by the late Loreto
C. Maramag is his concubine Eva Verna De Guzman. Any person who is
forbidden from receiving any donation under Article 739 cannot be named
beneficiary of a life insurance policy of the person who cannot make any
donation to him, according to said article (Art. 2012, Civil Code).
her as a beneficiary in the other policy such that the entire proceeds would
be paid to the illegitimate children of Loreto with Eva pursuant to Section 53
of the Insurance Code.
It ruled that it is only in cases where there are no beneficiaries
designated, or when the only designated beneficiary is disqualified, that the
proceeds should be paid to the estate of the insured. As to the claim that
the proceeds to be paid to Loreto’s illegitimate children should be reduced
based on the rules on legitime, the trial court held that the distribution of the
insurance proceeds is governed primarily by the Insurance Code, and the
provisions of the Civil Code are irrelevant and inapplicable.
With respect to the Grepalife policy, the trial court noted that Eva was
never designated as a beneficiary, but only Odessa, Karl Brian, and Trisha
Angelie; thus, it upheld the dismissal of the case as to the illegitimate
children. It further held that the matter of Loreto’s misrepresentation was
premature; the appropriate action may be filed only upon denial of the claim
of the named beneficiaries for the insurance proceeds by Grepalife.
In this case, it is clear from the petition filed before the trial court that,
although petitioners are the legitimate heirs of Loreto, they were not named
as beneficiaries in the insurance policies issued by Insular and Grepalife.
ISSUE:
Whether or not the members of the legitimate family entitled to the
proceeds of the insurance for the concubine?
HELD:
It is evident from the face of the complaint that petitioners are not
entitled to a favorable judgment in light of Article 2011 of the Civil Code
which expressly provides that insurance contracts shall be governed by
special laws, i.e., the Insurance Code. Section 53 of the Insurance Code
states that the insurance proceeds shall be applied exclusively to the
proper interest of the person in whose name or for whose benefit it is made
unless otherwise specified in the policy.
FACTS:
Roman Concepcion was the husband of Juanita Golpeo and common
law husband of Aquilina Maloles and Elsie Hicban, the rest of the named in
this case are his children. He was one of the members of Southern Luzon
Employees' Association composed of laborers and employees of Laguna
Tayabas Bus Co, and Batangas Transportation Company, its purpose is
mutual aid of its members and their dependents in case of death.
In their resolution member may, put down his common-law wife as
his beneficiary and/or children had with her as the case may be; that in
case of a widower, he may put down his legitimate children with the first
marriage who are below 21 years of age, single, and may at the same time,
also name his common-law wife, if he has any, as dependents and/or
beneficiaries and that such person so named by the member will be sole
persons to be recognized by the Association regarding claims for
condolence contributions.
Roman listed as his beneficiaries his common law wife Aquillina and
his children. After his death, the association was able to collect voluntary
contributions amounting to P2, 505. There were three claimants of the said
contribution; Juanita and her children, Aquillina Maloles, and Elsie Hicban
and her child. Thus the association institutes in RTC Laguna the present
action for interpleading against the three claimants. RTC declared Aquilina
and her children as the sole beneficiary. Hence, this case.
ISSUE:
1. Whether or not the contract between Southern Luzon Employee's
Association and Roman Concepcion partook the nature of insurance and
thus, Insurance Law must be applied. If the contract is in the nature of
insurance; whether or not the amount in dispute belongs exclusively to the
beneficiaries.
ARIQUEZ, CEDDIE I.
HELD:
1. Yes. The Trial Court correctly ruled that while Southern Luzon
Employees' Association is not a regular insurance company; the death
benefit in question is analogous to insurance. Moreover, section 1628 of
the Revised Administrative Code defines a mutual benefit association as
one, among other, "providing for any method of accident or life insurance
among its members out of dues or assessments collected from the
membership."
FACTS:
The late Jose Consuegra, at the time of his death, was employed as
a shop foreman of the office of the District Engineer in the province of
Surigao del Norte. In his lifetime, Consuegra contracted two marriages, the
first with herein respondent Rosario Diaz, out of which marriage were born
two children; and the second, which was contracted in good faith while the
first marriage was subsisting, with herein petitioner Basilia Berdin in the
same parish and municipality, out of which marriage were born seven
children. It is the contention of appellants that the designated beneficiaries
in the life insurance of the late Jose Consuegra should also be the
exclusive beneficiaries in the retirement insurance of said deceased. In
other words, it is the submission of appellants that because the deceased
Jose Consuegra failed to designate the beneficiaries in his retirement
insurance, the appellants who were the beneficiaries named in the life
insurance should automatically be considered the beneficiaries to receive
the retirement insurance benefits.
ISSUE:
Whether or not the designated life insurance beneficiaries of the late
Jose Consuegra are also the exclusive beneficiaries in the retirement
insurance of the said deceased
RULING:
No, the beneficiary named in the life insurance does not automatically
become the beneficiary in the retirement insurance unless the same
beneficiary in the life insurance is so designated in the application for
retirement insurance. In the case of the proceeds of a life insurance, the
same are paid to whoever is named the beneficiary in the life insurance
policy. As in the case of a life insurance provided for in the Insurance Act
(Act 2427, as amended), the beneficiary in a life insurance under the GSIS
ARIQUEZ, CEDDIE I.
may not necessarily be a heir of the insured. The insured in a life insurance
may designate any person as beneficiary unless disqualified to be so under
the provisions of the Civil Code. And in the absence of any beneficiary
named in the life insurance policy, the proceeds of the insurance will go to
the estate of the insured. Retirement insurance is primarily intended for the
benefit of the employee — to provide for his old age, or incapacity, after
rendering service in the government for a required number of years. If the
employee reaches the age of retirement, he gets the retirement benefits
even to the exclusion of the beneficiary or beneficiaries named in his
application for retirement insurance. The beneficiary of the retirement
insurance can only claim the proceeds of the retirement insurance if the
employee dies before retirement. If the employee failed or overlooked to
state the beneficiary of his retirement insurance, the retirement benefits will
accrue to his estate and will be given to his legal heirs in accordance with
law, as in the case of a life insurance if no beneficiary is named in the
insurance policy.
ARIQUEZ, CEDDIE I.
FACTS:
Buenaventura was married to Pascuala with whom he had six. Later
on however, he started living with Carponia although he was still legally
married to Pascuala and had not legally separated from her. While living
with Carponia, Buenaventura obtained an insurance policy from Insular Life
Assurance Co. with a rider for accidental death benefit and designated
Carponia as the revocable beneficiary, referring her therein as his wife.
Barely more than a year after obtaining the policy, Buenaventura died when
he was hit by a falling branch of a tree.
Pascuala also filed her claim as the widow of the deceased insured.
She asserts that she is the one entitled to the insurance proceeds, not the
common-law wife, Carponia. In view of the conflicting claims, Insular Life
brought the matter to court interpleading both parties in the case. The trial
court ruled in favor of Pascuala.
ISSUE:
Whether or not a common-law wife named as beneficiary in the life
insurance policy of a legally married man can claim the proceeds in case of
death of the latter?
HELD:
No. The word "interest" highly suggests that the provision refers only
to the "insured" and not to the beneficiary, since a contract of insurance is
personal in character. Otherwise, the prohibitory laws against illicit
ARIQUEZ, CEDDIE I.
Article 739 provides that void donations are those made between
persons who were guilty of adultery or concubinage at the time of donation.
There is every reason to hold that the bar in donations between legitimate
spouses and those between illegitimate ones should be enforced in life
insurance policies since the same are based on similar consideration. So
long as marriage remains the threshold of family laws, reason and morality
dictate that the impediments imposed upon married couple should likewise
be imposed upon extra-marital relationship.
Article 739 may effectuate. The article says that in the case referred
to in No. 1, the action for declaration of nullity may be brought by the
spouse of the donor or donee; and the guilty of the donee may be proved
by preponderance of evidence in the same action. The underscored clause
neatly conveys that no criminal conviction for the offense is a condition
precedent. The law plainly states that the guilt of the party may be proved
“in the same acting for declaration of nullity of donation.” And, it would be
sufficient if evidence preponderates.
The insured was married to Pascuala Ebrado with whom she has six
legitimate children. He was also living in with his common-law wife with
whom he has two children.
ARIQUEZ, CEDDIE I.
CASE TITLE: SPS. NILO CHA AND STELLA UY CHA, ET. AL. VS.
COURT OF APPEALS , ET. AL.
G.R. NO. 124520 August 18, 1997
PADILLA, J.
FACTS:
Petitioner-spouses Nilo Cha and Stella Uy-Cha, entered into a one-
year lease contract with private respondent CKS Dev’t Corp., on October 5,
1988. CKS impose a condition in the contract stated that: xxx. The
LESSEE shall not insure against fire the chattels, merchandise, textiles,
goods and effects placed at any stall or store or space in the leased
premises w/o first obtaining the written consent and approval of the
LESSOR. If the LESSEE obtain(s) the insurance thereof w/o the consent of
the LESSOR then the policy is deemed assigned and transferred to the
LESSOR for its own benefit.
On the day the leased contract was to expire, fire broke out inside the
leased premises destroying the goods of the spouses. When CKS learned
of the insurance earlier procured by the Cha spouses (without its consent),
it wrote the insurer (United) a demand letter asking that the proceeds of the
insurance contract (between the Cha spouses and United) be paid directly
to CKS, based on its lease contract with Cha spouses.
ISSUE:
Whether or not CKS recover from the insurer the proceeds of the
insurance procured by Cha spouses
HELD:
ARIQUEZ, CEDDIE I.
FACTS:
Intercapitol Marketing Corporation (IMC) is the maker of Wrangler
Blue Jeans and Levi Strauss Phil. Inc. (LSPI)-is distributor of Levis in the
Phils. IMC and LSPI obtained fire insurance policies with book
endorsements from Insurance Company of North America (ICNA). The
insurance policies covered book debts in connection with ready-made
clothings delivered or sold to customers of the Insured anywhere in the
Philippines. Book debts are unpaid account still appearing in the Book of
Account of the Insured 45 days after the time of the loss covered according
to the Policy.
Gaisano Superstore Complex, owned by Gaisano Cagayan, is a
customer and dealer of IMC and LSPI products. Then in Feb 1991, it was
consumed by fire where goods sold by IMC and LSPI were lost or
destroyed.
That ICNA paid the claims of IMC and LSPI, and now has
subrogation rights when it paid IMC and LSPI. That ICNA demanded
payment from Gaisano but it was unheeded.
RTC dismissed ICNA complaint saying that fire was purely incidental-
not attributable to the negligence of the petitioner that it was not
established that Gaisano is the debtor of IMC and LSPI. Base on the
wordings of the sales invoice, IMC and LSPI retained ownership of the
delivered goods and must bear the loss.
HELD:
In this case, the questioned insurance policies provide coverage on
book debts in connection with ready-made clothing materials which have
been sold or delivered to various customers and dealers of the Insured
anywhere in the Philippines. Nowhere is it provided in the questioned
insurance policies that the subject insurance is the goods sold and
delivered to the customers and dealers of the insured.
They have an insurable interest until full payment of the value of the
delivered goods. Unlike the civil law concept of res perit domino, where
ownership is the basis for consideration of who bears the risk of loss, in
property insurance, one's interest is not determined by concept of title, but
whether insured has substantial economic interest in the property.
Section 13 of our Insurance Code defines insurable interest as "every
interest in property, whether real or personal, or any relation thereto, or
liability in respect thereof, of such nature that a contemplated peril might
directly damnify the insured."
Section 14 of the same Code, an insurable interest in property may
consist in: (a) an existing interest; (b) an inchoate interest founded on
ARIQUEZ, CEDDIE I.
CASE TITLE: VICENTE ONG LIM SING, JR. VS. FEB LEASING &
FINANCE CORP
G.R. NO. 168115 JUNE 8, 2007
NACHURA, J.
FACTS:
On March 9, 1995, FEB Leasing and Finance Corporation (FEB)
entered into a lease of equipment and motor vehicles with JVL Food
Products (JVL). On the same date, Vicente Ong Lim Sing, Jr. executed an
Individual Guaranty Agreement with FEB to guarantee the prompt and
faithful performance of the terms and conditions of the aforesaid lease
agreement. Under the contract, JVL was obliged to pay FEB an aggregate
gross monthly rental of P 170,494.00.
ISSUE:
Whether or not JVL as a lessee have an insurable interest over the
leased items
HELD:
Yes. It has been held that the test of insurable interest in property is
whether the assured has a right, title or interest therein that he will be
benefited by its preservation and continued existence or suffer a direct
pecuniary loss from its destruction or injury by the peril insured against.
Section 17 of the Insurance Code provides that the measure of an
insurable interest in property is the extent to which the insured might be
ARIQUEZ, CEDDIE I.
damnified by loss or injury thereof. Thus, in the instant case, JVL is the one
which will be directly damnified in case of loss, damage, or destruction of
any of the properties leased.
Moreover, the stipulation in Section 14 of the leased contract, that the
equipment shall be insured at the cost and expense of the lessee against
loss, damage, or destruction from fire, theft, accident, or other insurable
risk for the full term of the lease, is a binding and valid stipulation in such
contractual arrangement.
Therefore, the petitioner, as a lessee, has an insurable interest in the
equipment and motor vehicles leased.
ARIQUEZ, CEDDIE I.
FACTS:
Grepalife and DBP executed a group life insurance for eligible
housing loan mortgagors of DBP. Dr. Wilfredo Leuterio applied and was
later awarded with an insurance coverage of P86,200.00.
ISSUES:
1. Whether the Court of Appeals erred in holding petitioner liable to
DBP as beneficiary in a group life insurance contract from a complaint filed
by the widow of the decedent/mortgagor?
2. Whether the Court of Appeals erred in not finding that Dr. Leuterio
concealed that he had hypertension, which would vitiate the insurance
contract?
HELD:
ARIQUEZ, CEDDIE I.
(1) The insured private respondent did not cede to the mortgagee all
his rights or interests in the insurance, the policy stating that: “In the event
of the debtor ’ s death before his indebtedness with the Creditor [DBP] shall
have been fully paid, an amount to pay the outstanding indebtedness shall
first be paid to the creditor and the balance of sum assured, if there is any,
shall then be paid to the beneficiary/ies designated by the debtor.” When
DBP’ s claim was denied, it collected the debt from the mortgagor and took
the necessary action of foreclosure on the residential lot of private
respondent.
(2) The medical findings were not conclusive because Dr. Mejia did
not conduct an autopsy on the body of the decedent. The medical
certificate stated that hypertension was “the possible cause of death.”
Hence, the statement of the physician was properly considered by the trial
court as hearsay.
FACTS:
Julian Sy and Jose Sy Bang have formed a business partnership in
Lucena City under the business name of New Life Enterprises, which is
engaged in the sale of construction materials at its place of business, a
two-storey building situated at Iyam, Lucena City. Julian Sy insured the
stocks in trade of New Life Enterprises with Western Guaranty Corporation,
Reliance Surety and Insurance. Co., Inc., and Equitable Insurance
Corporation.
However, the three (3) insurance companies denied Julian’s claim for
insurance. The letters of denial were of the same tenor saying that the
ARIQUEZ, CEDDIE I.
The cases were consolidated for trial and thereafter, the RTC
rendered its decision in favor of the petitioners, ordering the defendants to
insurance claims unreasonably denied by them including interests and
attorney’s fees. Aggrieved, private respondents appealed to the CA, which
reversed the judgment of the trial court. Hence the petition for certiorari
seeking the nullification of the decision of the respondent Court. Before the
SC, the petitioners contend that they are not to be blamed for the
omissions, alleging that insurance agent Leon Alvarez (for Western) and
Yap Kam Chuan (for Reliance and Equitable) knew about the existence of
the additional insurance coverage and that they were not informed about
the requirement that such other or additional insurance should be stated in
the policy, as they have not even read policies.
ISSUE:
Whether or not there is concealment on the part of petitioners thereby
resulting in the forfeiture of all the benefits
HELD:
The Court ruled in the affirmative. In resolving the issue, the Court
stated that there was condition as uniformly contained in the insurance
policies acquired by petitioners, which provides that: The insured shall give
notice to the Company of any insurance or insurance already, or which may
subsequently be effected, covering any of the property or properties
consisting of stocks in trade, goods in process and/or inventories only
hereby insured, and unless such notice be given and the particulars of such
insurance or insurances be stated therein or endorsed on this policy
pursuant to Section 50 of the Insurance Code, by or on behalf of the
Company before the occurrence of any loss or damage, all benefits under
this policy shall be deemed forfeited, provided however, that this condition
shall not apply when the total insurance or insurances in force at the time of
loss or damage is not more than P200,000.00.
The Court further explained that the parties must abide by the terms
of the contract because such terms constitute the measure of the insurer’s
liability and compliance therewith is a condition precedent to the insured’s
right of recovery from the insurer. It was also added by the Court that
obligations arising from contracts have the force of law between the
contracting parties and should be complied with in good faith.
The Court further justified that the insurance policies, in case of
failure to comply with the “Other Insurance Clause”, also provide if any
false declaration be made or used in support thereof, all benefits under this
Policy shall be forfeited. Thus, petitioners cannot claim from Western
Guaranty Corporation, Reliance Surety & Insurance, Co., Inc., and
Equitable Insurance Corporation.
ARIQUEZ, CEDDIE I.
FACTS:
Manuel Forendo filed an application for comprehensive pension plan
with respondent PhilamPlans, Inc. (Philam Plans). Manuel signed the
application and left to Perla (the soliciting agent) the task of supplying the
information needed in the application (Perla was the one who convinced
Manuel to get the plan).
Respondent Ma. Celeste Abcede, Perla’s daughter, signed the
application as sales counselor. (There were blanks especially in the
declaration of Manuel’s health condition that were not filled out. Philam
Plans issued Pension Plan Agreement to Manuel, with petitioner Ma.
Lourdes S. Florendo, his wife, as beneficiary. In time, Manuel paid his
quarterly premiums.
Eleven months later, Manuel died of blood poisoning. Subsequently,
Lourdes filed a claim with Philam Plans for the payment of the benefits
under her husband’s plan but Philam Plans declined her claim, prompting
her to file the present action against the pension plan company before the
Regional Trial Court (RTC) of Quezon City (it was found that Manuel was
on maintenance medicine for his heart condition and had an implanted
pacemaker).
Lourdes (petitioner) points out that the unfilled spaces in Manuel's
pension plan application relating to his medical history, Philam Plans
should have returned it to him for completion. Philam Plans never queried
Manuel directly regarding the state of his health. It made no difference if
Manuel failed to reveal the fact that he had a pacemaker implant in the
early 70s since this did not fall within the five-year timeframe that the
disclosure contemplated. The mere fact that Manuel signed the application
ARIQUEZ, CEDDIE I.
in blank and let Perla fill in the required details did not make her his agent
and bind him to her concealment of his true state of health.
The RTC ruled in favor of Ma. Lourdes. Court of Appeals reversed
the RTC decision holding that insurance policies are traditionally contracts
uberrimae fidae or contracts of utmost good faith. Hence, this appeal.
ISSUE:
Whether or not Ma. Lourdes could claim benefits as the beneficiary of
her husband under the insurance plan despite consideration that her
husband Manuel concealed the true condition of his health
HELD:
The Supreme Court answers this to the negative and AFFIRMED in
its entirety the decision of the Court of Appeals. Manuel signed the pension
plan application, he adopted as his own the written representations and
declarations embodied in it. It is clear from these representations that he
concealed his chronic heart ailment and diabetes from Philam Plans.
Manuel cannot sign the application and disown the responsibility for having
it filled up (by another person).
Manuel still had his pacemaker when he applied for a pension plan in
October 1997 is an admission that he remained under treatment for
irregular heartbeat within five years preceding that application. Manuel had
been taking medicine for his heart condition and diabetes when he
submitted his pension plan application. These clearly fell within the five-
year period.
Pursuant to Section 27 of the Insurance Code (A concealment,
whether intentional or unintentional entitles the injured party to rescind a
contract of insurance). Assuming that it was Perla who filled up the
application form, Manuel is still bound by what it contains since he certified
that he authorized her action. Philam Plans had every right to act on the
faith of that certification.
Moreover, the comprehensive pension plan that Philam Plans issued
contains a one-year incontestability period.
Since Manuel died on the eleventh month following the issuance of
his plan, the one year incontestability period has not yet set in.
Consequently, Philam Plans was not barred from questioning Lourdes’
entitlement to the benefits of her husband’s pension plan.
ARIQUEZ, CEDDIE I.
Ma. Lourdes was not able to claim benefits as the beneficiary of her
husband under the insurance plan.
17. SUBJECT MATTER: CONCEALMENT
CASE TITLE: GREAT PACIFIC LIFE ASS. CO. VS. CA AND NGO HING
G.R. NO. L-31845 APRIL 30, 1979
DE CASTRO, J.
FACTS:
Private respondent Ngo Hing filed an application with the Great
Pacific Life for a twenty-year endownment policy on the life of his one-year
old daughter Helen Go and received a binding deposit receipt with the
following conditions: (1) that the company shall be satisfied that the
applicant was insurable on standard rates; (2) that if the company does not
accept the application and offers to issue a policy for a different plan, the
insurance contract shall not be binding until the applicant accepts the policy
offered; otherwise, the deposit shall be refunded; and (3) that if the
applicant is not insurable according to the standard rates, and the company
disapproves the application, the insurance applied for shall not be in force
at any time, and the premium paid shall be returned to the applicant.
The application was disapproved. The non-acceptance of the
insurance plan by Pacific Life was allegedly not communicated by petitioner
Mondragon to private respondent Ngo Hing. Helen Go died. Thereupon,
private respondent sought the payment of the proceeds of the insurance,
but having failed in his effort, he filed the action for the recovery of the
same before the Court of First Instance of Cebu, which rendered the
adverse decision as earlier referred to against both petitioners.
ISSUE:
Whether or not the binding deposit receipt constituted a temporary
contract of life insurance.
HELD:
NO. Clearly implied from the aforesaid conditions is that the binding
deposit receipt in question is merely an acknowledgment, on behalf of the
company, that the latter's branch office had received from the applicant the
insurance premium and had accepted the application subject for
processing by the insurance company; and that the latter will either
ARIQUEZ, CEDDIE I.
approve or reject the same on the basis of whether or not the applicant is
"insurable on standard rates." Since petitioner Pacific Life disapproved the
insurance application of respondent Ngo Hing, the binding deposit receipt
in question had never become in force at any time.
ARIQUEZ, CEDDIE I.
FACTS:
She contracted a 20 year endowment non-medical life insurance with
the appellee. Then she was operated on for cancer, 2 months prior to the
insurance of the policy. She did not make a disclosure in her application for
insurance. She stated therein that she did not undergone any operation or
suffered any injury within the preceding 5 years. She also stated that she
had never been treated for, nor did she ever have any illness or disease
peculiar to her sex, particularly of the breast, ovaries, uterus and menstrual
disorders.
The application also recited that the declarations of Saturnino
constituted a further basis for the issuance of the policy. On September 19,
1958 Saturnino died of pneumonia, secondary to influenza.
ISSUE:
Whether or not the insured made such false representation of
material facts as to avoid the policy
HELD:
YES. There can be no dispute that the information given by her in the
application for insurance was false, namely, that she never had cancer or
tumors or consulted any physician or undergone any operation within the
preceding period of 5 years.
away with the usual requirement of medical examination before the policy
is issued. The contention is without merit.
19. SUBJECT MATTER: CONCEALMENT
FACTS:
On July 3, 1993, Delia Sotero (Sotero) took out a life insurance policy
from Manila Bankers Life Insurance Corporation (Bankers Life), designating
respondent Cresencia P. Aban (Aban), her niece, as her beneficiary.
Petitioner issued Insurance Policy No. 747411 (the policy), with a face
value of P 100,000.00, in Sotero’s favor on August 30, 1993, after the
requisite medical examination and payment of the insurance premium. On
April 10, 1996, when the insurance policy had been in force for more than
two years and seven months, Sotero died. Respondent filed a claim for the
insurance proceeds on July 9, 1996. Petitioner conducted an investigation
into the claim, and came out with the following findings: 1. Sotero did not
personally apply for insurance coverage, as she was illiterate; 2. Sotero
was sickly since 1990; 3. Sotero did not have the financial capability to pay
the insurance premiums on Insurance Policy No. 747411; 4. Sotero did not
sign the July 3, 1993 application for insurance; and 5. Respondent was the
one who filed the insurance application, and x x x designated herself as the
beneficiary. For the above reasons, petitioner denied respondent’s claim on
April 16, 1997 and refunded the premiums paid on the policy.
ISSUE:
Whether or not Manila Bankers is barred from denying the insurance
claims based on fraud or concealment.
HELD:
Yes. The “incontestability clause” is a provision in law that after a
policy of life insurance made payable on the death of the insured shall have
been in force during the lifetime of the insured for a period of two (2) years
from the date of its issue or of its last reinstatement, the insurer cannot
prove that the policy is void ab initio or is rescindible by reason of
ARIQUEZ, CEDDIE I.
CASE TITLE: SUN LIFE OF CANADA (PHILS), INC. VS. MA. DAISY'S.
SIBYA, ET. AL.
G.R. NO. 211212 JUNE 08, 2016
REYES, J.
FACTS:
On January 10, 2001, Atty. Jesus Sibya, Jr. applied for life insurance
with Sun Life. In his Application for Insurance, he indicated that he had
sought advice for kidney problems. On February 5, 2001, Sun Life
approved Atty. Jesus Jr.'s application and issued his Insurance Policy. On
May 11, 2001, Atty. Jesus Jr. died as a result of a gunshot wound in San
Joaquin, Iloilo.
Sun Life denied the claim on the ground that the details on Atty.
Jesus Jr.'s medical history were not disclosed in his application.
Simultaneously, Sun Life tendered a check representing the refund of the
premiums paid by Atty. Jesus Jr. The respondents claimed that Atty. Jesus
Jr. did not commit misrepresentation in his application for insurance.
The Regional Trial Court held that Sun Life violated Sections 241,
paragraph 1(b), (d), and (e) and 242 of the Insurance Code when it refused
to pay the rightful claim of the respondents. The Court of Appeal affirmed
the RTC decision in ordering Sun Life to pay death benefits and damages
in favor of the respondents.
ISSUE:
Whether or not the CA erred when it affirmed the RTC decision
finding that there was no concealment or misrepresentation when Atty.
Jesus Jr. submitted his insurance application with Sun Life
HELD:
The petition has no merit. Section 48 of RA 10607, as it regulates the
actions of both the insurer and the insured. Under the provision, an insurer
is given two years - from the effectivity of a life insurance contract and while
ARIQUEZ, CEDDIE I.
the insured is alive - to discover or prove that the policy is void ab initio or is
rescindible by reason of the fraudulent concealment or misrepresentation of
the insured or his agent.
After the two-year period lapses, or when the insured dies within the
period, the insurer must make good on the policy, even though the policy
was obtained by fraud, concealment, or misrepresentation.
In the present case, Sun Life issued Atty. Jesus Jr.'s policy on
February 5, 2001. Thus, it has two years from its issuance, to investigate
and verify whether the policy was obtained by fraud, concealment, or
misrepresentation.
Atty. Jesus Jr. admitted in his application his medical treatment for
kidney ailment. Moreover, he executed an authorization in favor of Sun Life
to conduct investigation in reference with his medical history.
Sun Life failed to clearly and satisfactorily establish its allegations,
and is therefore liable to pay the proceeds of the insurance.
ARIQUEZ, CEDDIE I.
CASE TITLE: QUA CHEE GAN V. LAW UNION AND ROCK INSURANCE
CO., LTD., 98 PHIL. 85 (1955)
G.R. NO. L-4611 DECEMBER 17, 1955
REYES, JBL
FACTS:
Qua Chee Gan, a merchant of Albay, owned four bodegas which he
insured with Law Union & Rock Insurance Co., Ltd (Law Union) since
1937 and the lose made payable to the Philippine National Bank (PNB) as
mortgage of the hemp and crops, to the extent of its interest.
Fire of undetermined origin broke out in July 21, 1940, and lasted
almost one week, gutted and completely destroyed Bodegas Nos. 1, 2 and
4, with the merchandise stored therein. Plaintiff-appellee informed the
insurer by telegram on the same date; and on the next day, the fire
adjusters engaged by appellant insurance company and conducted an
extensive investigation.
Que Chee Gan, with his brother, Qua Chee Pao, and some
employees of his, were indicted and tried in 1940 for the crime of arson, it
being claimed that they had set fire to the destroyed warehouses to collect
the insurance. They were, however, acquitted by the trial court in a final
decision dated July 9, 1941. Thereafter, the civil suit to collect the
insurance money proceeded to its trial which rendered a decision in favor
of the insured.
ISSUES:
ARIQUEZ, CEDDIE I.
HELD:
(1) Under the Memorandum of Warranty, there should be no less
than one hydrant for each 150 feet of external wall measurements of the
compound, and since bodegas insured had an external wall per meter of
1640 feet, the insured should have eleven hydrants in the compound, but
he only had two.
Even so, the insurer is barred by estoppel to claim violation of the fire
hydrants warranty, because knowing that the number of hydrants it
demanded never existed from the very beginning, the appellant
nevertheless issued the policies subject to such warranty and received the
corresponding premiums. The insurance company was aware, even before
the policies were issued, that in the premises there were only two hydrants
and two others were owned by the Municipality, contrary to the
requirements of the warranties in question.
It is usually held that where the insurer, at the time of the issuance of
a policy of insurance, has knowledge of existing facts which, if insisted on,
would invalidate the contract from its very inception, such knowledge
constitutes a waiver of conditions in the contract inconsistent with the facts,
and the insurer is stopped thereafter from asserting the breach of such
conditions.
FACTS:
The petitioner is the owner of Norman's Mart located in the public
market of San Francisco, Agusan del Sur. He obtained from the private
respondent, Country Bankers Insurance, a one- year fire insurance policy
No. F-146222 for P100,000.00 and covered the following: "Stock-in-trade
consisting principally of dry goods such as RTW's for men and women
wear and other usual to assured's business." The petitioner declared in the
policy under the subheading entitled CO-INSURANCE that Mercantile
Insurance Co., Inc. was the co-insurer for P50,000.00.
The policy required the insured to notify the insurer of any other
existing insurance. Otherwise, all benefits under said policy shall be
deemed forfeited, provided that the condition shall not apply when loss or
damage is not more than P200,000.00. Fire of accidental origin broke out
and the petitioner's insured stockin-trade were completely destroyed
prompting him to file with the private respondent a claim under the policy.
The private respondent denied the claim because it found that at the time
of the loss the petitioner's stocks-in-trade were likewise covered by other
fire insurance policies for P100,000.00 each, issued by the Cebu Branch of
the Philippines First Insurance Co., Inc. (PFIC). The basis of the private
respondent's denial was the petitioner's alleged violation of the policy
condition referring to “double insurance”. The petitioner then filed a
complaint against the private respondent with the Insurance Commission
(Case No. 3340) for the recovery of P100,000.00 under fire insurance
policy No. F-14622 and for attorney's fees and costs of litigation.
The Insurance Commission found that the petitioner did not violate
Condition 3 as he had no knowledge of the existence of the two fire
insurance policies obtained from the PFIC; that it was Cebu Tesing Textiles
which procured the PFIC policies without informing him or securing his
consent; and that Cebu Tesing Textile, as his creditor, had insurable
interest on the stocks. Private respondent appealed to the Court of Appeals
ARIQUEZ, CEDDIE I.
HELD:
No, the insurable interests of a mortgagor and a mortgagee on the
mortgaged property are distinct and separate. Since the two policies of the
PFIC do not cover the same interest as that covered by the policy of the
private respondent, hence, no double insurance exists. A double insurance
exists where the same person is insured by several insurers separately in
respect of the same subject and interest.
CASE TITLE: MALAYAN INS. CO., INC. VS. PHILS. FIRST INS. CO., INC.
AND REPUTABLE FORWARDER SERVICES, INC.
G.R. NO. 184300 JULY 11, 2012
REYES, J.
FACTS:
Since 1989, Wyeth Philippines, Inc. (Wyeth) and respondent
Reputable Forwarder Services, Inc. (Reputable) had been annually
executing a contract of carriage, whereby the latter undertook to transport
and deliver the former’s products to its customers, dealers or salesmen. On
November 18, 1993, Wyeth procured Marine Policy No. MAR 13797
(Marine Policy) from respondent Philippines First Insurance Co., Inc.
(Philippines First) to secure its interest over its own products. Philippines
First thereby insured Wyeth’s nutritional, pharmaceutical and other
products usual or incidental to the insured’s business while the same were
being transported or shipped in the Philippines. The policy covers all risks
of direct physical loss or damage from any external cause, if by land, and
provides a limit of P6,000,000.00 per any one land vehicle.
ISSUE:
Whether or not there is double insurance in this case such that either
Section 5 or Section 12 of the SR Policy may be applied.
HELD:
No. By the express provision of Section 93 of the Insurance Code,
double insurance exists where the same person is insured by several
insurers separately in respect to the same subject and interest. The
requisites in order for double insurance to arise are as follows:
(1)The person insured is the same;
(2)Two or more insurers insuring separately;
(3)There is identity of subject matter;
(4)There is identity of interest insured; and
(5)There is identity of the risk or peril insured against.
In the present case, while it is true that the Marine Policy and the SR
Policy were both issued over the same subject matter, i.e. goods belonging
to Wyeth, and both covered the same peril insured against, it is, however,
beyond cavil that the said policies were issued to two different persons or
entities. It is undisputed that Wyeth is the recognized insured of Philippines
First under its Marine Policy, while Reputable is the recognized insured of
Malayan under the SR Policy. The fact that Reputable procured Malayan’s
SR Policy over the goods of Wyeth pursuant merely to the stipulated
requirement under its contract of carriage with the latter does not make
Reputable a mere agent of Wyeth in obtaining the said SR Policy.
and/or equitable interest of Wyeth over its own goods. On the other hand,
what was issued by Malayan to Reputable was over the latter’s insurable
interest over the safety of the goods, which may become the basis of the
latter’s liability in case of loss or damage to the property and falls within the
contemplation of Section 15 of the Insurance Code.
FACTS:
Vessel SS "VISHVA YASH" belonging to or operated by the foreign
common carrier, took on board cargoes for shipment to Manila and later for
transhipment to Davao consigned to the order of FEBTC of Manila, with
arrival notice to Tagum Plastics, Inc. (TPI), Davao. Cargoes were covered
by Bills of Lading issued by the foreign common carrier. The cargoes were
likewise insured by the TPI with Philippine American General Insurance
Co., Inc. (Philamgen). Said vessel arrived at Manila and discharged its
cargoes for transhipment to Davao. For this purpose, the foreign carrier
awaited and made use of the services of the vessel called M/V "Sweet
Love" owned and operated by Sweet Lines Inc. (SLI) interisland carrier.
The shipments were discharged from the interisland carrier into the custody
of the consignee. Some bags were shorthanded, missing, torn, spilled,
emptied or contaminated with foreign matters. In resisting the claim, SLI
raised prescription as its defense.
ISSUE:
Whether or not the notice requirement is a condition precedent for
their cause of action to arise.
HELD:
Yes. Paragraph 5 of the bills of lading which unequivocally prescribes
a time frame of 30 days for filing a claim with the carrier in case of loss of or
damage to the cargo and 60 days from accrual of the right of action for
instituting an action in court, both must concur. It has long been held that
Article 366 of the Code of Commerce applies not only to overland and river
transportation but also to maritime transportation. The filing of a claim with
the carrier within the time limitation therefor under Article 366 actually
constitutes a condition precedent to the accrual of a right of action against
a carrier for damages caused to the merchandise. The shipper or the
ARIQUEZ, CEDDIE I.
consignee must allege and prove the fulfillment of the condition and if he
omits such allegations and proof, no right of action against the carrier can
accrue in his favor. As the requirements are reasonable conditions
precedent, they are not limitations of action.
presume that for every loss or damage tallied, a corresponding claim has
been filed or is already in existence as would alert it to the urgency for an
immediate investigation of the soundness of the claim. The report on losses
and damages is not the claim referred to and required by the bills of lading
for it does not fix responsibility for the loss or damage, but merely states
the condition of the goods shipped. The claim contemplated, in whatever
form, must be something more than a notice that the goods have been lost
or damaged; it must contain a claim for compensation or indicate an intent
to claim.
ARIQUEZ, CEDDIE I.
FACTS:
Petitioner was the registered owner of a 1992 Mitsubishi Montero with
plate number GTJ-777 (vehicle), while respondent is a domestic
corporation engaged in the insurance business. On September 27, 1996,
respondent issued a comprehensive commercial vehicle policy to petitioner
in the amount of Pl,500,000.00 over the vehicle for a period of one year
commencing on September 27, 1996 up to September 27, 1997.
Respondent also issued two other commercial vehicle policies to petitioner
covering two other motor vehicles for the same period. To collect the
premiums and other charges on the policies, respondent's agent, Trans-
Pacific Underwriters Agency (Trans-Pacific), issued a statement of account
to petitioner's company, Noah's Ark Merchandising (Noah's Ark). Noah's
Ark immediately processed the payments and issued a Far East Bank
check dated September 27, 1996 payable to Trans-Pacific on the same
day. The check bearing the amount of Pl40,893.50 represents payment for
the three insurance policies, with P55,620.60 for the premium and other
charges over the vehicle. However, nobody from Trans-Pacific picked up
the check that day (September 27) because its president and general
manager, Rolando Herradura, was celebrating his birthday. Trans-Pacific
informed Noah's Ark that its messenger would get the check the next day,
September 28.
the premium and other charges over the vehicle. The check issued to
Trans Pacific for Pl40,893.50 was deposited with Metrobank for
encashment on October 1, 1996.
ISSUE:
Whether there is a binding insurance contract between petitioner and
respondent.
HELD:
The court denies the petition. Insurance is a contract whereby one
undertakes for a consideration to indemnify another against loss, damage
or liability arising from an unknown or contingent event. Just like any other
contract, it requires a cause or consideration. The consideration is the
premium, which must be paid at the time and in the way and manner
specified in the policy. If not so paid, the policy will lapse and be forfeited
by its own terms. The law, however, limits the parties' autonomy as to when
payment of premium may be made for the contract to take effect. The
general rule in insurance laws is that unless the premium is paid, the
insurance policy is not valid and binding.
FACTS:
The petitioner, the insured, was the owner of the residential house in
Tondo, Manila which had been insured with the Capital Insurance since
1961 under Fire Policy No. 24204. On November 27, 1965, the Company
sent to the petitioner the Renewal Certificate No. 47302 to cover the period
of December 5, 1965 to December 5, 1966. The respondent also requested
payment of the corresponding premium in the amount of P38.10.
Anticipating that the premium could not be paid on time, the petitioner,
through his wife, promised to pay it on January 4, 1966. The respondent
accepted the promise but the premium was not paid on January 4, 1966.
When the petitioner’s house was ravaged with fire, the petitioner’s
wife presented a claim for indemnity to the respondent. She was told that
no indemnity was due because the premium on the policy was not paid on
time. Nonetheless, the respondent tendered a check worth P300 as
financial aid which was received by the petitioner’s daughter. The
respondent reiterated that the check was given “not as an obligation, but as
a concession” because the renewal premium was not paid. The petitioner
cashed the check but then sued the respondent on the policy. The CFI
ruled Capital Insurance to pay Pedro Arce the proceeds of the fire
insurance policy.
ISSUE:
Whether or not the petitioners are entitled to claim for the policy
despite of non-payment of their premium
HELD:
No. It is obvious that time is of the essence in respect of the payment
of the insurance premium so that if it is not paid, the contract does not take
effect unless there is still another stipulation to the contrary. In the instant
case, the petitioner was given a grace period to pay the premium but failed
ARIQUEZ, CEDDIE I.
to do so. He cannot insist that the respondent is obligated to him to pay for
the insurance proceeds.
FACTS:
Private respondent Fortune Life and General Insurance Co., Inc.
(FORTUNE) issued Fire Insurance Policy in favor of Violeta R. Tibay and/or
Nicolas Roraldo on their two-storey residential building located at Makati
City, together with all their personal effects therein, with provision that
“(t)his policy xxx is not in force until the premium has been fully paid and
duly receipted by the Company x x x”. Petitioner Violeta Tibay only paid
P600.00 leaving a considerable balance unpaid. The insured building was
completely destroyed by fire. Two days later Violeta Tibay paid the balance
of the premium. On the same day, she filed with FORTUNE a claim on the
fire insurance policy. FORTUNE denied the claim of Violeta for violation of
Policy Condition No. 2 and of Sec. 77 of the Insurance Code. Violeta and
the other petitioners sued FORTUNE for damages. The trial court ruled for
petitioners. The Court of Appeals reversed the court a quo by declaring
FORTUNE not to be liable to plaintiff-appellees therein but ordering
defendant-appellant to return to the former the premium plus interest until
full payment.
ISSUE:
Whether or not fire insurance policy is valid, binding and enforceable
upon mere partial payment of premium
HELD:
NO. The Policy provides for payment of premium in full. Premium is
the elixir vitae of the insurance business because by law the insurer must
maintain a legal reserve fund to meet its contingent obligations to the
public, hence, the imperative need for its prompt payment and full
satisfaction. Accordingly, where the premium has only been partially paid
and the balance paid only after the peril insured against has occurred, the
insurance contract did not take effect and the insured cannot collect at all
ARIQUEZ, CEDDIE I.
FACTS:
In the Supreme Court’s decision (between the same parties) of 15
June 1999, the main issue “whether the fire insurance policies issued by
petitioner to the respondent had been extended or renewed by an implied
credit arrangement though actual payment of premium was tendered on a
later date and after the occurrence of the (fire) risk insured against.” was
resolved in the negative in view of Section 77 of the Insurance Code. It
reversed and set aside the decision of the Court of Appeals. In the motion
filed, petitioner questions the ruling and posits that Sec.77 of Insurance
Code which states that “no policy or contract of insurance issued by an
insurance company is valid and binding unless and until the premium
thereof has been paid...” admits of exceptions as in this case.
ISSUE:
Whether or not Sec. 77 of the Insurance Code admits of exceptions in
property insurance
HELD:
YES. The first exception is provided by Section 77 itself, and that is,
in case of a life or industrial life policy whenever the grace period provision
applies. The second is that covered by Section 78 of the Insurance Code,
which provides: “Any acknowledgment in a policy or contract of insurance
of the receipt of premium is conclusive evidence of its payment, so far as to
make the policy binding, notwithstanding any stipulation therein that it shall
not be binding until premium is actually paid.” A third exception was laid
down in Makati Tuscany Condominium Corporation vs. Court of Appeals,
wherein the Court ruled that Section 77 may not apply if the parties have
agreed to the payment in installments of the premium and partial payment
ARIQUEZ, CEDDIE I.
has been made at the time of loss; that the subject policies are valid even if
the premiums were paid on installments. Tuscany also provided a fourth
exception to Section 77, namely, that the insurer may grant credit extension
for the payment of the premium. This simply means that if the insurer has
granted the insured a credit term for the payment of the premium and loss
occurs before the expiration of the term, recovery on the policy should be
allowed even though the premium is paid after the loss but within the credit
term. Moreover, there is nothing in Section 77 which prohibits the parties in
an insurance contract to provide a credit term within which to pay the
premiums. That agreement is not against the law, morals, good customs,
public order or public policy. The agreement binds the parties.
ARIQUEZ, CEDDIE I.
FACTS:
Petitioner is a domestic corporation engaged in the insurance
business. Respondent obtained from petitioner a fire insurance covering
the stock-in-trade of his business, Moonlight Enterprises, located at
Valencia, Bukidnon. The insurance was due to expire on 25 March 1990.
On 5 April 1990 respondent issued PCI Bank Check to petitioner’s agent,
James Uy, as payment for the renewal of the policy. In turn, the latter
delivered Renewal Certificate to respondent. The check was drawn against
a Manila bank and deposited in petitioner’s bank account in Cagayan de
Oro City. The corresponding official receipt was issued on 10 April.
Subsequently, a new insurance policy was issued for the period 25 March
1990 to 25 March 1991. On 6 April 1990 Moonlight Enterprises was
completely razed by fire. Respondent filed an insurance claim with
petitioner and four other co-insurers. Petitioner refused to honor the claim
notwithstanding several demands by respondent, thus, the latter filed an
action against petitioner before the trial court. In its defense, petitioner
claimed there was no existing insurance contract when the fire occurred
since respondent did not pay the premium.
ISSUE:
Whether or not there was a valid payment of premium that would
result to a valid and binding contract of insurance, considering respondent’s
checks was cashed after the occurrence of fire.
HELD:
YES. Section 78 (now Section 79) of the Insurance Code explicitly
provides: “An acknowledgment in a policy or contract of insurance of the
receipt of premium is conclusive evidence of its payment, so far as to make
ARIQUEZ, CEDDIE I.
the policy binding, notwithstanding any stipulation therein that it shall not be
binding until the premium is actually paid.” This Section establishes a legal
fiction of payment and should be interpreted as an exception to Section 77.
Here, according to the trial court, the renewal certificate issued to
respondent contained the acknowledgment that premium had been paid. It
is not disputed that the check drawn by respondent in favor of petitioner
and delivered to its agent was honored when presented and petitioner
forthwith issued its official receipt. The best evidence of such authority is
the fact that petitioner accepted the check and issued the official receipt for
the payment. It is, as well, bound by its agent’s acknowledgment of receipt
of payment. Since there was a valid payment of premium, then there is a
valid and binding contract of insurance that would hold herein insurer liable.
ARIQUEZ, CEDDIE I.
FACTS:
In 1982, American Home Assurance Co. (A H A C), represented by
American International Underwriters (Phils.), Inc., issued in favor of
petitioner Makati Tuscany Condominium Corporation (TUSCANY)
Insurance Policy (March 1 1982- March 1 1983) for the insurance of
building and premises worth P466,103.05.
The respondent filed an action to recover the unpaid balance of
Php 314,103.05 under Insurance Policy No. AH-CPP-9210651. It
discontinued the payment of premiums because the policy did not contain a
credit clause in its favor and the receipts for the installment payments
covering the policy for 1984-85.
The petitioner counter claims that acceptance of this payment shall
not waive any of the company rights to deny liability on any claim under the
policy arising before such payments or after the expiration of the credit
clause of the policy; and subject to no loss prior to premium payment. If
there be any loss such is not covered. These provisions in the last policy is
no longer present.
Petitioner further claimed that the policy was never binding and valid,
and no risk attached to the policy. It then pleaded a counterclaim for
P152,000.00 for the premiums already paid for 1984-85, and in its answer
with amended counterclaim, sought the refund of P924,206.10
representing the premium payments for 1982-85.
The RTC decided that "While it is true that the receipts issued to the
defendant contained the aforementioned reservations, it is equally true that
ARIQUEZ, CEDDIE I.
ISSUE:
Whether or not payment by installment of the premiums due on an
insurance policy invalidates the contract of insurance, in view of Sec. 77 of
P.D. 612, otherwise known as the Insurance Code, as amended
HELD:
The SC agreed with the CA’s decision and effectively denied the
petition of Makati Tuscany. The court do not agree with the request to
make installment payments duly approved by the insurer, would prevent
the entire contract of insurance from going into effect despite payment and
acceptance of the initial premium or first installment.
FACTS:
Through his lifetime, Eulogio Lalican applied for life insurance with
Insular Life Insurance Co., Ltd. (Insular Life).Through Josephine Malaluan
(agent in Gapan City), Policy No. 9011992 was issued containing a 20-year
endowment variable income package flexi plan (worth in total P1,500,000)
to be paid on quartrly basis. Violeta Lalican (Eulogio's wife) was the primary
beneficiary. Eulogio paid the first two premiums (24 July and 24 October
1997) but failed to pay subsequent one (24 January, even within the 31-day
grace period). Policy thus, in accordance with their agreement, lapsed and
became void. Eulogio's first try to reinstate said plan was not successful.
ISSUE:
Whether Eulogio successfully reinstated the lapsed insurance policy
on his life before his death
HELD:
No. To reinstate a policy means to restore the same to premium-
paying status after it has been permitted to lapse. Both the Policy Contract
and the Application for Reinstatement provide for specific conditions for the
reinstatement of a lapsed policy:
"You may reinstate this policy at any time within three years after it
lapsed if the following conditions are met: (1) the policy has not been
surrendered for its cash value or the period of extension as a term
insurance has not expired; (2) evidence of insurability satisfactory to Insular
Life is furnished; (3) overdue premiums are paid with compound interest at
a rate not exceeding that which would have been applicable to said
premium and indebtedness in the policy years prior to reinstatement; and
(4) indebtedness which existed at the time of lapsation is paid or renewed;"
and, "I/We agree that said Policy shall not be considered reinstated until
this application is approved by the Company during my/our lifetime and
good health and until all other Company requirements for the reinstatement
of said Policy are fully satisfied and any payment made or to be made in
connection with this application shall be considered as deposit only and
shall not bind the Company until this application is finally approved by the
Company during my/our lifetime and good health."
FACTS:
Respondent Malayan Insurance Company, Inc. (Malayan) filed five
separate actions against several defendants for the collection of the
amounts of the cargoes allegedly paid by Malayan under various marine
cargo policies issued to the insurance claimants. The five civil cases,
namely, Civil Cases No. 138761, No. 139083, No. 138762, No. R-81-526
and No. 138879, were consolidated and heard before the Regional Trial
Court (RTC) of Manila, Branch 54.
The defendants in Civil Case No. 138761 and in Civil Case No.
139083 were Malayan International Shipping Corporation, a foreign
corporation based in Malaysia, its local ship agent, Litonjua Merchant
Shipping Agency (Litonjua), and Aboitiz. The defendants in Civil Case No.
138762 were Compagnie Maritime des Chargeurs Reunis (CMCR), its local
ship agent, F.E. Zuellig (M), Inc. (Zuellig), and Aboitiz. Malayan also filed
Civil Case No. R-81-526 only against CMCR and Zuellig. Thus, defendants
CMCR and Zuellig filed a third-party complaint against Aboitiz. In the fifth
complaint docketed as Civil Case No. 138879, only Aboitiz was impleaded
as defendant.
After trial on the merits, the RTC of Manila rendered a Decision dated
27 November 1989, adjudging Aboitiz liable on the money claims. Aboitiz,
CMCR and Zuellig appealed the RTC decision to the Court of Appeals. The
appeal was docketed as CA-G.R. SP No. 35975-CV. During the pendency
of the appeal, the Court promulgated the decision in the
1993 GAFLAC case.
ISSUE:
Whether or not the principal issue common to all three petitions is
whether Aboitiz can avail limited liability on the basis of the real and
ARIQUEZ, CEDDIE I.
HELD:
These consolidated petitions are just among the many others
elevated to this Court involving Aboitiz's liability to shippers and insurers as
a result of the sinking of its vessel, M/V P. Aboitiz, on 31 October 1980 in
the South China Sea. One of those petitions is the 1993 GAFLAC case,
docketed as G.R. No. 100446.
not apply to cases where the injury or average was occasioned by the
shipowner's own fault. Likewise, the shipowner may be held liable for
injuries to passengers notwithstanding the exclusively real and hypothecary
nature of maritime law if fault can be attributed to the shipowner.
FACTS:
Anco Enterprises Company owned the M/T ANCO tugboat and the
D/B Lucio barge which were operated as common carriers. San Miguel
Corporation entered into agreement with ANCO wherein the latter will
shipped its cargoes on board the D/B Lucio, for towage by M/T ANCO.
They further agreed that SMC will insure the cargoes in order to recover
indemnity in case of loss, hence the cargoes was insured with FGU
Insurance Corporation.
The trial court found ANCO liable to pay SMC and consequently FGU
is liable to bear the 53% of the amount of the lost cargoes because the risk
insured against was the cause of the loss. The appellate court affirmed in
toto the decision of the lower court. Hence, the petition.
ISSUE:
Whether or not FGU can be held liable under the insurance policy to
reimburse ANCO for the loss of the Cargoes?
ARIQUEZ, CEDDIE I.
HELD:
It is a basic rule in insurance that the carelessness and negligence of
the insured or his agents constitute no defense on the part of the insurer.
This rule however presupposes that the loss has occurred due to causes
which could not have been prevented by the insured, despite the exercise
of due diligence.
Such blatant negligence being the proximate cause of the loss of the
cargoes and is of such gross character that it amounts to a wrongful act
which must exonerate FGU from liability under the insurance contract.
ARIQUEZ, CEDDIE I.
FACTS:
July 6, 1983 Coca-cola loaded on board MV Asilda, owned and
operated by Felman, 7,500 cases of 1-liter Coca-Cola soft drink bottles to
be transported to Zamboanga City to Cebu. The shipment was insured with
Philamgen. July 7, the vessel sank in Zamboanga del Norte. July 15,
cocacola filed a claim with respondent Felman for recovery of damages.
Felman denied thus prompted cocacola to file an insurance claim with
Philamgen. Philamgen later on claimed its right of subrogation against
Felman which disclaimed any liability for the loss.
Philamgen alleged that the sinking and loss were due to the vessel's
unseaworthiness, that the vessel was improperly manned and its officers
were grossly negligent. Felman filed a motion to dismiss saying that there
is no right of subrogation in favor of Philamgen was transmitted by the
shipper. RTC dismissed the complaint of Philamgen. CA set aside the
dismissal and remanded the case to the lower court for trial on the merits.
Felman filed a petition for certiorari but was denied.
rights and interests of the shipper plus the filing of notice of abandonment
had absolved the ship owner from liability under the limited liability rule.
ISSUES:
(1) Whether the vessel was seaworthy;
(2) Whether limited liability rule should apply; and
(3) Whether Philamgen was properly subrogated to the rights against
Felman.
HELD:
(1) The vessel was unseaworthy. The proximate cause thru the
findings of the Elite Adjusters, Inc., is the vessel's being top-heavy.
Evidence shows that days after the sinking coca-cola bottles were found
near the vicinity of the sinking which would mean that the bottles were in
fact stowed on deck which the vessel was not designed to carry substantial
amount of cargo on deck. The inordinate loading of cargo deck resulted in
the decrease of the vessel's metacentric height thus making it unstable.
(2) Art. 587 of the Code of Commerce is not applicable, the agent is
liable for the negligent acts of the captain in the care of the goods. This
liability however can be limited through abandonment of the vessel, its
equipment and freightage. Nonetheless, there are exceptions wherein the
ship agent could still be held answerable despite the abandonment, as
where the loss or injury was due to the fault of the ship owner and the
captain. The international rule is that the right of abandonment of vessels,
as legal limitation of liability, does not apply to cases where the injury was
occasioned by the fault of the ship owner. Felman was negligent, it cannot
therefore escape liability.
Art. 2207. If the plaintiff's property has been insured, and he has
received indemnity from the insurance company for the injury or loss
arising out of the wrong or breach of contract complained of, the insurance
company shall be subrogated to the rights of the insured against the
wrongdoer or the person who has violated the contract. If the amount paid
by the insurance company does not fully cover the injury or loss, the
aggrieved party shall be entitled to recover the deficiency from the person
causing the loss or injury.
FACTS:
This Petition for Review under Rule 45 was filed by petitioner
Malayan Insurance Co., Inc. (Malayan), assailing the Decision dated 23
December 2005 of the Court of Appeals in C.A. G.R. SP No. 90505, as well
as its Resolution dated 5 April 2006 denying petitioner's motion for
reconsideration.
The central finding that formed the Court of Appeals decision was
that the Marine Risk Note presented as proof that the cargo was insured
was invalid.
ISSUE:
Whether or not an insurer, in an action for recoupment instituted in its
capacity as the subrogee of the insured, may be conferred favorable relief
even if it failed to introduce in evidence the insurance contract or policy, or
even allege the existence may recite the substance and attach a copy of
such document in the complaint.
HELD:
It is elementary that this Court is not a trier of facts. We generally
refer to the trial court and the Court of Appeals on matters relating to the
admission and evaluation of the evidence. In this case, while the trial courts
and the Court of Appeals arrived at differing conclusions, we essentially
agree with the Court of Appeals' analysis of Malayan's cause of action, and
its ordained result.
It appeared that at the very instance the Marine Risk Note was
offered in evidence, Regis already posed its objection to the admission of
said document on the ground that such was "immaterial, impertinent and
irrelevant to this case because the same was issued on March 21, 1995
which is after the occurrence of the loss on February 1, 1995." Because the
trial courts failed to duly consider whether the Marine Risk Note sufficiently
ARIQUEZ, CEDDIE I.
All told, we hold that Malayan was not able to establish its cause of
action as stated in its complaint, based as it was on its right to be
subrogated to ABB Koppel under the insurance contract which it failed to
present as an actionable document, or as evidence before the trial court.
The result reached by the Court of Appeals the dismissal of the instant
complaint is thus correct. As such, there is no need to consider the other
issues raised in the petition.
ARIQUEZ, CEDDIE I.
FACTS:
In a Decision dated July 1, 1999 in Civil Case No. 95-73532, the
Regional Trial Court (RTC) of Manila, Branch 30, ordered International
Container Terminal Services, Inc. (petitioner) to pay FGU Insurance
Corporation (respondent) the following sums: (1) P1,875,068.88 with 12%
interest per annum from January 3, 1995 until fully paid; (2) P50,000.00 as
attorney's fees; and (3) P10,000.00 as litigation expenses.
ISSUES:
1. Whether or not the Court of Appeals seriously erred in failing to
apply the limitation of liability of p3,5000 per package which limits
petitioner's liability, if any, to a total of only P49,000.00
2. Whether or not the Court of Appeals seriously erred in upholding
the marine open policy despite the fact that the same was no
longer in force at the time the shipment was loaded on board the
carrying vessel.
3. Assuming arguendo that petitioner is liable, whether or not the
Court of Appeals seriously erred in affirming the award of 12%
interest despite the fact that the obligation purportedly breached
does not constitute a loan of forbearance of money and despite the
clear guidelines set forth by this honorable court.
HELD:
The rule in our jurisdiction is that only questions of law may be
entertained by this Court in a petition for review on certiorari. This rule,
however, is not ironclad and admits certain exceptions, such as when (1)
the conclusion is grounded on speculations, surmises or conjectures; (2)
the inference is manifestly mistaken, absurd or impossible; (3) there is
grave abuse of discretion; (4) the judgment is based on a misapprehension
of facts; (5) the findings of fact are conflicting; (6) there is no citation of
specific evidence on which the factual findings are based; (7) the findings
of absence of facts are contradicted by the presence of evidence on record;
(8) the findings of the CA are contrary to those of the trial court; (9) the CA
manifestly overlooked certain relevant and undisputed facts that, if properly
considered, would justify a different conclusion; (10) the findings of the CA
are beyond the issues of the case; and (11) such findings are contrary to
the admissions of both parties. In the present case, there is nothing on
record which will show that it falls within the exceptions. Hence, the petition
must be denied.
ARIQUEZ, CEDDIE I.
Petitioner posits that its liability for the lost shipment should be limited
to P3,500.00 per package as provided in Philippine Ports Authority
Administrative Order No. 10-81 (PPA AO 10-81), under Article VI, Section
6.01 of which provides:
are intended to limit the liability of one of the contracting parties, the
arrastre operator.
By its own act of not charging the corresponding arrastre fees based
on the value of the shipment after it came to know of such declared value
from the marine insurance policy, petitioner cannot escape liability for the
actual value of the shipment. The value of the merchandise or shipment
may be declared or stated not only in the bill of lading or shipping manifest,
but also in other documents required by law before the shipment is cleared
from the piers.
We find application of the rule in the case at bar proper, thus, a rate
of 12% per annum from the finality of judgment until the full satisfaction
thereof must be imposed on the total amount of liability adjudged to
PRUDENTIAL. It is clear that the interim period from the finality of judgment
until the satisfaction of the same is deemed equivalent to a forbearance of
credit, hence, the imposition of the aforesaid interest is instructive. The CA
did not commit any error in applying the same.
FACTS:
KCSI and WG&A executed a Ship Repair Agreement wherein KCSI
would renovate and reconstruct WG&A’s M/V “Superferry 3” using its dry
docking facilities pursuant to its restrictive safety and security rules and
regulations. Prior to the execution of the Ship Repair Agreement,
“Superferry 3” was already insured by WG&A with Pioneer. In the course of
its repair, M/V “Superferry 3” was gutted by fire. Claiming that the extent of
the damage was pervasive, WG&A declared the vessel’s damage as a
“total constructive loss” and, hence, filed an insurance claim with Pioneer.
Armed with the subrogation receipt, Pioneer tried to collect from KCSI, but
the latter denied any responsibility for the loss of the subject vessel.
Arbitration ensued, the Construction Industry Arbitration Commission
(CIAC) rendered its Decision declaring both WG&A and KCSI guilty of
negligence. However, the award amount was limited to only PhP50 Million.
ISSUE:
Whether or not the right of subrogation covers total constructive loss
of “Superferry 3”
HELD:
YES. There existed a total constructive loss so that it had to pay
WG&A the full amount of the insurance coverage and, by operation of law,
it was entitled to be subrogated to the rights of WG&A to claim the amount
of the loss. The SC held that payment by the insurer to the insured
ARIQUEZ, CEDDIE I.
CASE TITLE: MALAYAN INS. CO., INC. VS. RODELIO ALBERTO AND
ENRICO ALBERTO REYES
G.R. NO. 194320 FEB.1, 2012
VELASCO JR., J.
FACTS:
An accident occurred at the corner of EDSA and Ayala Avenue,
Makati City, involving four (4) vehicles. Having insured the vehicle against
such risks, Malayan Insurance claimed in its Complaint that it paid the
damages sustained by the assured. Respondent questioned the
subrogation by Malayan. Trial Court ruled in favor of Malayan. Respondent
appealed contending that the evidence on record has failed to establish not
only negligence on the part of respondents, but also compliance with the
other requisites and the consequent right of Malayan Insurance to
subrogation. These were raised for the first time in the appellate court and
noted that the police report, which has been made part of the records of the
trial court, was not properly identified by the police officer who conducted
the on-the-spot investigation of the subject collision.
ISSUE:
Whether or not the subrogation by Malayan Insurance is proper and
valid
HELD:
YES. Malayan has been properly and validly subrogated to the rights
and interests of the assured by operation of law. Respondents are now
deemed to have waived their right to make an objection. It is worth
ARIQUEZ, CEDDIE I.
FACTS:
The defendant undertook to and did insure against loss and damage
by fire the property, goods, wares and merchandise of the plaintiff for the
sum of P30,000.00. While the policy was in full force and effect, the
property therein described was destroyed by fire without the fault or
negligence of the plaintiff.
The lower court rendered judgment for the plaintiff for P16,000, with
legal interest from June 10, 1926, and costs, to which both plaintiff and
defendant duly excepted and filed their respective motions for a new trial
which were overruled, and exceptions duly taken, from which both parties
appeal.
On the morning of the fire the manager of the insurance agent and a
Mr. Heintsch, one of its employees, went to the building in question for the
purpose of making an inspection. James R. Herridge and James Chalmers
Glegg of that firm also went at once to the scene of the fire and placed a
ARIQUEZ, CEDDIE I.
guard around the premises to see that nothing was removed. The evidence
shows that the fire was an ordinary one, and that it did not start in plaintiff’s
bodegas.
Glegg and Zulueta of the firm of Bayne & Company went to the
plaintiff’s premises where the fire occurred, and took an actual, detailed
inventory of all of the merchandise found in plaintiff’s store and bodegas.
The merchandise in the store was not damaged either by fire or water, and
all of it was turned over to, and accepted by, the plaintiff, with an estimated
value of P1,453.13.
After Exhibit 8 was completed showing that the value of the
merchandise in the bodegas at the time of the fire was P4,823.20, Glegg,
Zulueta and Heintsch, as the representative of the insurance company,
went with Tan Chong U.
Arriving upon the scene, they asked Tan Chong U to point out to
them where the missing merchandise and effects had been stored which
he was unable to do, and the only explanation which he could make was
that the missing merchandise and effect had been completely consumed by
the fire, and that no trace of them whatever was left. It also appears that
Mr. Herridge on behalf of the adjustors made demand upon Tan Chong U
as the manager of the plaintiff to furnish him with all the invoices of the
merchandise which the plaintiff claims to have stored in his bodegas at the
time of the fire, with the exception of the alleged invoices of the cigars,
cigarettes and candies, which were previously delivered, in response to
which Tan Chong U stated that it was impossible for him to deliver the
invoices because many of them were not in his possession as he had
made the purchases in cash.
ISSUE:
Can the plaintiff claim for insurance?
HELD:
No, the plaintiff was barred for his claim. Although much latitude
should be given to the insured in presenting his proof of claim as to the
value of his loss, in particular as to the price, kind and quality of the
property destroyed, yet where the proof is conclusive, as in this case, that
the insured made a claim for a large amount of property which was never in
the bodegas at the time of the fire and for a much larger amount of property
than was actually in the bodegas, it makes the whole claim false and
ARIQUEZ, CEDDIE I.
fraudulent, the legal effect of which is to bar plaintiff from the recovery of
the amount of its actual loss.
CASE TITLE: MALAYAN INSURANCE CO., INC., VS. PAP LTD. CO.
(PHIL. BR.)
G.R. NO. 200784 AUG. 07, 2013
MENDOZA, J.
FACTS:
On May 13, 1996, Malayan Insurance Company (Malayan) issued a
Fire Insurance Policy to PAP Co., Ltd. (PAP Co.) for the latter’s
machineries and equipment located at Sanyo Precision Phils. Bldg., Phase
III, Lot 4, Block 15, PEZA, Rosario, Cavite (Sanyo Building). The insurance,
which was for Fifteen Million Pesos (₱15,000,000.00) and effective for a
period of one (1) year, was procured by PAP Co. for Rizal Commercial
Banking Corporation (RCBC), the mortgagee of the insured machineries
and equipment. After the passage of almost a year but prior to the
expiration of the insurance coverage, PAP Co. renewed the policy on an
“as is” basis. Pursuant thereto, a renewal policy was issued by Malayan to
PAP Co. for the period May 13, 1997 to May 13, 1998. On October 12,
1997 and during the subsistence of the renewal policy, the insured
machineries and equipment were totally lost by fire. Hence, PAP Co. filed a
fire insurance claim with Malayan in the amount insured. In a letter, dated
December 15, 1997, Malayan denied the claim upon the ground that, at the
time of the loss, the insured machineries and equipment were transferred
by PAP Co. to a location different from that indicated in the policy.
Specifically, that the insured machineries were transferred in September
1996 from the Sanyo Building to the Pace Pacific Bldg., Lot 14, Block 14,
Phase III, PEZA, Rosario, Cavite (Pace Pacific). Contesting the denial,
PAP Co. argued that Malayan cannot avoid liability as it was informed of
ARIQUEZ, CEDDIE I.
ISSUE:
Whether or not Malayan should be held liable under the fire insurance
policy
HELD:
No. The Court agrees with the position of Malayan that it cannot be
held liable for the loss of the insured properties under the fire insurance
policy.
The transfer from the Sanyo Factory to the PACE Factory increased
the risk. The Court agrees with Malayan that the transfer to the Pace
Factory exposed the properties to a hazardous environment and negatively
affected the fire rating stated in the renewal policy. The increase in tariff
rate from 0.449% to 0.657% put the subject properties at a greater risk of
loss. Such increase in risk would necessarily entail an increase in the
premium payment on the fire policy. Unfortunately, PAP chose to remain
ARIQUEZ, CEDDIE I.
completely silent on this very crucial point. Despite the importance of the
issue, PAP failed to refute Malayan’s argument on the increased risk.
It can also be said that with the transfer of the location of the subject
properties, without notice and without Malayan’s consent, after the renewal
of the policy, PAP clearly committed concealment, misrepresentation and a
breach of a material warranty. Section 26 of the Insurance Code provides:
Section 26. A neglect to communicate that which a party knows and ought
to communicate, is called a concealment and under Section 27 of the
Insurance Code, “a concealment entitles the injured party to rescind a
contract of insurance.”
FACTS:
UMC’s General Manager Alfredo Tan insured UMC’s stocks in trade
of Christmas lights against fire with Country Bankers Insurance
Corporation. A fire gutted the warehouse rented by UMC. Consequently,
UMC, through the appointed adjuster of Country Bankers, submitted its
Sworn Statement of Formal Claim, with proofs of its loss. It demanded for
at least 50% payment of its claim from Country Bankers. However, Country
Bankers rejected the claim due to breach of Condition No. 15 of the
Insurance Policy which states that:
UMC filed a Complaint with the RTC of Manila. The RTC rendered a
Decision in favor of UMC. However, the CA reversed the said decision.
Hence, this petition.
ARIQUEZ, CEDDIE I.
ISSUE:
Whether or not UMC is entitled to claim from Country Bankers the full
coverage of its fire insurance policy?
HELD:
It has long been settled that a false and material statement made with
an intent to deceive or defraud voids an insurance policy. Furthermore, the
Insurance Code provides that a policy may declare that a violation of
specified provisions thereof shall avoid it. Thus, in fire insurance policies,
which contain provisions such as Condition No. 15 of the Insurance Policy,
a fraudulent discrepancy between the actual loss and that claimed in the
proof of loss voids the insurance policy. Mere filing of such a claim will
exonerate the insurer.
In the present case, the claim is twenty five times the actual claim
proved. The most liberal human judgment cannot attribute such difference
to mere innocent error in estimating or counting but to a deliberate intent to
demand from insurance companies payment for indemnity of goods not
existing at the time of the fire. This constitutes the so called fraudulent
claim which, by express agreement between the insurers and the insured,
is a ground for the exemption of insurers from civil liability.
FACTS:
Petitioner spouses Noe and Clarita Quiamco are husband and wife
engaged in the sea transportation business. On April 30, 1997, a decision
in a labor case was rendered against Clarita as representative of Sto. Niño
Ferry Boat Services. Petitioners received the decision on May 7, 1997.
Accordingly, the bond was issued on May 23, 1997 and delivered to
petitioners who filed it in the NLRC on May 24, 1997. On July 16, 1997, the
ARIQUEZ, CEDDIE I.
NLRC dismissed the appeal for petitioners' failure to post the bond within
10 days from receipt of the decision (May 7, 1997). This made the decision
in the labor case final against them.
On appeal, the CA affirmed the RTC's decision but deleted the award
of attorney's fees and litigation expenses for lack of basis. Reconsideration
was denied in a resolution dated November 24, 2005. The CA agreed with
the RTC that the surety agreement between petitioners and respondent
had been perfected. Its perfection was not dependent on the acceptance by
the NLRC of the appeal of petitioners in the labor case. Thus, respondent
correctly paid the indebtedness of petitioners.
ISSUES:
(1) Whether the surety agreement was perfected; and
(2) Whether petitioners are liable to respondent.
HELD:
There is no dispute that the parties entered into a contract of
suretyship wherein respondent as surety bound itself solidarily with
petitioners (the principal debtors) to fulfill an obligation. The obligation was
to pay the monetary award in the labor case should the decision become
final and executory against petitioners.
are to constitute the contract. Here, the object of the contract was the
issuance of the bond. The cause or consideration consisted of the
premiums paid. The bond was issued after petitioners complied with the
requirements. At this point, the contract of suretyship was perfected.
From the moment the contract is perfected, the parties are bound to
comply with what is expressly stipulated as well as with what is required by
the nature of the obligation in keeping with good faith, usage and the law. A
surety is considered in law to be on the same footing as the principal debtor
in relation to whatever is adjudged against the latter. Accordingly, as surety
of petitioners, respondent was obliged to pay on the bond when a writ of
execution was served on it. Consequently, it now has the right to seek full
reimbursement from petitioners for the amount paid.
above-mentioned bond, either in the belief that the SURETY was obligated
to made such payment or in the belief that said payment was necessary in
order to avoid a greater loss or obligation for which the SURETY might be
liable by virtue of the terms of the above-mentioned bond shall be final, and
will not be contested by the undersigned, who jointly and severally bind
themselves to indemnity the SURETY for any such payment or
disbursement.
FACTS:
Respondent Tokyu Construction Company, Ltd., a member of a
consortium of four (4) companies, was awarded by the Manila International
Airport Authority a contract for the construction of the Ninoy Aquino
International Airport (NAIA) Terminal 2 (also referred to as "the project").
On July 2, 1996, respondent entered into a Subcontract Agreement with
G.A. Gabriel Enterprises, owned and managed by Remedios P. Gabriel
(Gabriel), for the construction of the project's Storm Drainage System
(SDS) for P33,007,752.00 and Sewage Treatment Plant (STP) for
P23,500,000.00, or a total contract price of P56,507,752.00. The parties
agreed that the construction of the SDS and STP would be completed on
August 10, 1997 and May 31, 1997, respectively.
performance of the work. Both bonds were valid for a period of one year
from date of issue.
Gabriel denied liability and argued that the delay in the completion of
the project was caused by respondent. She also contended that the
original subcontract agreement was novated by the revised scope of work
and completion schedule. To counter respondent's monetary demands, she
claimed that it was, in fact, respondent who had an unpaid balance.
For its part, Tico averred that it actually treated respondent's demand
as a claim on the performance and surety bonds it issued; but it could not
make payment since the claim was still subject to determination, findings,
and recommendation of its assigned independent adjuster.
ISSUES:
(1) Whether the bonds (surety and performance) are null and void having
been secured without a valid and existing principal contract;
(2) Whether the bonds were invalidated by the modification of the
subcontract agreement without notice to the surety; and
ARIQUEZ, CEDDIE I.
(3) Whether the bonds for which petitioner was being made liable already
expired.
HELD:
Initially, petitioner argued that the surety and performance bonds
(which were accessory contracts) were of no force and effect since they
were issued ahead of the execution of the principal contract. To support
this contention, it now adds that the bonds were actually secured through
misrepresentation, as petitioner was made to believe that the principal
contract was already in existence when the bonds were issued, but it was,
in fact, yet to be executed. We are not persuaded.
upon the debtor's default, at which time, it can be directly held liable by the
creditor for payment as a solidary obligor.
In the instant case, the revision of the subcontract agreement did not
in any way make the obligations of both the principal and the surety more
onerous. To be sure, petitioner never assumed added obligations, nor were
there any additional obligations imposed, due to the modification of the
terms of the contract. Failure to receive any notice of such change did not,
therefore, exonerate petitioner from its liabilities as surety. Neither can
petitioner be exonerated from liability simply because the bonds it issued
were replaced by those issued by Tico.
Notwithstanding the issuance of the new bonds, the fact remains that
the event insured against, which is the default in the performance of
Gabriel's obligations set forth in the subcontract agreement, already took
place. By such default, petitioner's liability set in. Thus, petitioner remains
solidarily liable with Gabriel, subject only to the limitations on the amount of
its liability as provided for in the Bonds themselves.
FACTS:
Chevron Philippines sued First Lepanto-Taisho Insurance Corp. for
payment of unpaid oil and petroleum purchases made by its distributor
Fumitechniks Corp. Fumitechniks applied for and were issued a Surety
Bond by First Lepanto. As stated in the attached rider, the bond was in
compliance with the requirement for the grant of a credit line with Chevron
to guarantee payment/remittance of the cost of fuel products withdrawn
within the stipulated time in accordance with the terms and conditions of
the agreement. Fumitechniks defaulted on its obligation to Chevron. As
such, Chevron notified First Lepanto of Fumitechniks’ unpaid purchases.
First Lepanto then demanded from Fumitechniks the delivery of
documents including, among others, a copy of the agreement secured by
the Surety Bond and information such as terms and conditions of any
arrangement that Fumitechniks might have made or ongoing negotiations
with Chevron in connection with the settlement of its obligations.
Fumitechniks responded by saying that no such agreement was executed
with Chevron. First Lepanto then advised Chevron the non-existence of the
principal agreement as confirmed by Fumitechniks. Chevron formally
demanded from First Lepanto the payment of its claim under the surety
ARIQUEZ, CEDDIE I.
bond. First Lepanto reiterated its position that without the basic contract
subject of the bond, t cannot act on Chevron’s claim. Thus, Chevron sued.
ISSUE:
Whether or not First Lepanto, as surety, is liable to Chevron, the
creditor, in the absence of a written contract with the principal.
HELD:
No. Sec. 175, Insurance Code defines suretyship as a contract or
agreement whereby a party, called the surety, guarantees the performance
by another party, called the principal or obligor, of an obligation or
undertaking in favor of a third party, called the obligee. It arises upon the
solidary binding of a person – deemed the surety – with the principal
debtor, for the purpose of fulfilling an obligation. Such undertaking makes a
surety agreement an ancillary contract as it presupposes the existence of a
principal contract. Although the contract of a surety is in essence
secondary only to a valid principal obligation, the surety becomes liable for
the debt or duty of another although it possesses no direct or personal
interest over the obligations nor does it receive any benefit therefrom. And
notwithstanding the fact that the surety contract is secondary to the
principal obligation, the surety assumes liability as a regular party to the
undertaking. The extent of the surety’s liability is determined by the
language of the suretyship contract or bond itself. It cannot be extended by
implications beyond the terms of the contract.
The law is clear that a surety contract should be read and interpreted
together with the contract entered into between the creditor and the
ARIQUEZ, CEDDIE I.
principal (Sec. 176). A surety contract is merely collateral one, its basis is
the principal contract or undertaking which it secures. Necessarily, the
stipulations in such principal agreement must at least be communicated or
made known to the surety. The bond in this case specifically makes
reference to a “written agreement”. Having accepted the bond, the creditor
is bound by the recital in the surety bond that the terms and conditions of
its distributorship contract be reduced in writing or at the very least
communicated in writing to the surety. Such non-compliance by the creditor
impacts not on the validity or legality of the surety contract but on the
creditor’s right to demand performance.
FACTS:
The Lim spouses opened a chattel mortgage and bought a Ford
Laser from Supercars for Php 77,000 and insured it with Perla Compania
de Seguros. The vehicle was stolen while Evelyn Lim was driving it with an
expired license. The spouses requested for a moratorium on payments but
this was denied by FCP, the assignee of rights over collection of the
mortgage amount of the car. The spouses also called on the insurance
company to pay the balance of the mortgage due to theft but this was
denied by the company due to the spouses’ violation of the Authorized
Driver clause stating (driving with an expired license before being
carnapped):
Any of the following: (a) The Insured (b) Any person driving on the
Insured's order, or with his permission. Provided that the person driving is
permitted, in accordance with the licensing or other laws or regulations, to
drive the Scheduled Vehicle, or has been permitted and is not disqualified
ARIQUEZ, CEDDIE I.
Since the spouses didn’t pay the mortgage, FCP filed suit against
them. The trial court ruled in its favor ordering spouses to pay.
The appellate court reversed their decision. FCP and Perla appealed to the
SC.
ISSUES:
1.Was there grave abuse of discretion on the part of the appellate court in
holding that private respondents did not violate the insurance contract
because the authorized driver clause is not applicable to the "Theft" clause
of said Contract?
2. Whether or not the loss of the collateral exempted the debtor from his
admitted obligations under the promissory note particularly the payment of
interest, litigation expenses and attorney's fees.
HELD:
No. Petition was dismissed.
1. The car was insured against a malicious act such as theft. Therefore the
“Theft” clause in the contract should apply and not the authorized driver
clause. The risk against accident is different from the risk against theft.
The appellate court stated: The "authorized driver clause" in a typical
insurance policy is in contemplation or anticipation of accident in the legal
sense in which it should be understood, and not in contemplation or
anticipation of an event such as theft. The distinction — often seized upon
by insurance companies in resisting claims from their assureds — between
death occurring as a result of accident and death occurring as a result of
intent may, by analogy, apply to the case at bar. There was no connection
between valid possession of a license and the loss of a vehicle. Ruling in a
different way would render the policy a sham because the company can
then easily cite restrictions not applicable to the claim.
CASE TITLE: PARAMOUNT INS. CORP. VS. SPS. YVES AND MARIA
TERESA REMONDEULAZ
G.R. NO. 173773 NOV. 28, 2012
PERALTA, J.
FACTS:
On May 26, 1994, respondents insured with petitioner their 1994
Toyota Corolla sedan under a comprehensive motor vehicle insurance
policy for one year. During the effectivity of said insurance, respondents'
car was unlawfully taken. Hence, they immediately reported the theft to the
Traffic Management Command of the PNP who made them accomplish a
complaint sheet. In said complaint sheet, respondents alleged that a
certain.
Court of Makati City (trial court) praying for the payment of the insured
value of their car plus damages on April 21, 1995.
ISSUES:
(1)Whether or not petitioner is liable under the insurance policy for the
loss of respondents' vehicle.
(2)Whether the loss of respondents' vehicle falls within the concept of
the "theft clause" under the insurance policy.
HELD:
We do not agree. Adverse to petitioner's claim, respondents' policy
clearly undertook to indemnify the insured against loss of or damage to the
scheduled vehicle when caused by theft.
The principal distinction between the two crimes is that in theft the
thing is taken while in estafa the accused receives the property and
converts it to his own use or benefit. However, there may be theft even if
the accused has possession of the property. If he was entrusted only with
the material or physical (natural) or de facto possession of the thing, his
misappropriation of the same constitutes theft, but if he has the juridical
possession of the thing, his conversion of the same constitutes
embezzlement or estafa.
In the instant case, Sales did not have juridical possession over the
vehicle. Here, it is apparent that the taking of respondents' vehicle by
Sales is without any consent or authority from the former. Records would
show that respondents entrusted possession of their vehicle only to the
extent that Sales will introduce repairs and improvements thereon, and not
ARIQUEZ, CEDDIE I.
FACTS:
Arsenia Sonia Castor (Castor) obtained a Motor Car Policy for her
Toyota Revo DLX DSL with Alpha Insurance and Surety Co (Alpha). The
contract of insurance obligates the petitioner to pay the respondent the
amount of P630,000 in case of loss or damage to said vehicle during the
period covered. On April 16, 2007, respondent instructed her driver, Jose
Joel Salazar Lanuza to bring the vehicle to nearby auto-shop for a tune up.
However, Lanuza no longer returned the motor vehicle and despite diligent
efforts to locate the same, said efforts proved futile. Resultantly,
respondent promptly reported the incident to the police and concomitantly
notified petitioner of the said loss and demanded payment of the insurance
proceeds.
ARIQUEZ, CEDDIE I.
Alpha, however, denied the demand of Castor claiming that they are
not liable since the culprit who stole the vehicle is employed with Castor.
Under the Exceptions to Section III of the Policy, the Company shall not be
liable for (4) any malicious damage caused by the insured, any member of
his family or by “A PERSON IN THE INSURED’S SERVICE”.
ISSUE:
Whether or not the loss of respondent’s vehicle is excluded under the
insurance policy
HELD:
No. The words “loss” and “damage” mean different things in common
ordinary usage. The word “loss” refers to the act or fact of losing, or failure
to keep possession, while the word “damage” means deterioration or injury
to property. Therefore, petitioner cannot exclude the loss of Castor’s
vehicle under the insurance policy under paragraph 4 of “Exceptions to
Section III”, since the same refers only to “malicious damage”, or more
specifically, “injury” to the motor vehicle caused by a person under the
insured’s service. Paragraph 4 clearly does not contemplate “loss of
property”.
FACTS:
Wyeth Philippines, Inc. (Wyeth) and respondent Reputable Forwarder
Services, Inc. (Reputable) had been annually executing a contract of
carriage, whereby the latter undertook to transport and deliver the former's
products to its customers, dealers or salesmen. Wyeth procured Marine
Policy No. MAR 13797 (Marine Policy) from respondent Philippines First
Insurance Co., Inc. (Philippines First) to secure its interest over its own
products. Philippines First thereby insured Wyeth's nutritional,
pharmaceutical and other products usual or incidental to the insured's
business while the same were being transported or shipped in the
Philippines. The policy covers all risks of direct physical loss or damage
ARIQUEZ, CEDDIE I.
ISSUES:
HELD:
On the first issue, Reputable is a private carrier. A common carrier
becomes a private carrier when it undertakes to carry a special cargo or
chartered to a special person only. For all intents and purposes, therefore,
Reputable operated as a private/special carrier with regard to its contract of
carriage with Wyeth.
FACTS:
A contract of group life insurance was executed between petitioner
Great Pacific and Development Bank Grepalife agreed to insure the lives of
eligible housing loan mortgagors of DBP. Wilfredo Leuterio, a physician
and a housing debtor of DBP, applied for membership in the group life
insurance plan. In an application form, Dr. Leuterio answered questions
concerning his health condition as follows:
“7. Have you ever had, or consulted, a physician for a heart condition,
high blood pressure, cancer, diabetes, lung, kidney or stomach disorder or
any other physical impairment?
ARIQUEZ, CEDDIE I.
ISSUE:
Whether or not Grepalife is liable.
HELD:
Yes. The medical findings were not conclusive because Dr. Mejia did
not conduct an autopsy on the body of the decedent. The medical
certificate stated that hypertension was “the possible cause of death.”
Hence, the statement of the physician was properly considered by the trial
court as hearsay. Contrary to appellant’s allegations, there was no
sufficient proof that the insured had suffered from hypertension. Aside from
the statement of the insured’s widow who was not even sure if the
medicines taken by Dr. Leuterio were for hypertension, the appellant had
not proven nor produced any witness who could attest to Dr. Leuterio’s
medical history.
FACTS:
Anco Enterprises Company owned the M/T ANCO tugboat and the
D/B Lucio barge which were operated as common carriers. San Miguel
Corporation entered into agreement with ANCO wherein the latter will
shipped its cargoes on board the D/B Lucio, for towage by M/T ANCO.
They further agreed that SMC will insure the cargoes in order to recover
indemnity in case of loss, hence the cargoes was insured with FGU
Insurance Corporation.
ARIQUEZ, CEDDIE I.
The trial court found ANCO liable to pay SMC and consequently FGU
is liable to bear the 53% of the amount of the lost cargoes because the risk
insured against was the cause of the loss. The appellate court affirmed in
toto the decision of the lower court. Hence, the petition.
ISSUE:
Whether or not FGU can be held liable under the insurance policy to
reimburse ANCO for the loss of the Cargoes?
HELD:
It is a basic rule in insurance that the carelessness and negligence of
the insured or his agents constitute no defense on the part of the insurer.
This rule however presupposes that the loss has occurred due to causes
which could not have been prevented by the insured, despite the exercise
of due diligence.
Such blatant negligence being the proximate cause of the loss of the
cargoes and is of such gross character that it amounts to a wrongful act
which must exonerate FGU from liability under the insurance contract.