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Course Outline Insurance Law

INSURANCE

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62 views5 pages

Course Outline Insurance Law

INSURANCE

Uploaded by

jovelyn davo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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COR JESU COLLEGE OF LAW

Insurance Law
Atty. Janine Flores-Ceballos

Class policies:
Basis for evaluation/grading:
Class participation 40% (includes recitations, quizzes, attendance, and
special assignment/project.
Mid terms 30%
Final exams 30%

A. Laws governing insurance.


B. The insurance commission and the commissioner.
Cases:
Philippine American Life Insurance Co. v. Ansaldo, G.R. No. 76452, [July 26,
1994], 304 PHIL 675-682.
Jurisdiction over pre-need plans
See Philippine Health Care Providers, Inc. v. Commissioner of Internal
Revenue, G.R. No. 167330, [June 12, 2008], 577 PHIL 285-297 and
reversed on reconsideration [September 18, 2009], 616 PHIL 387-423).
See: Pre-Need Code (R.A. 9829);
C. General concept of insurance and business of insurance.
Sec. 2 Insurance Code (“IC” or R.A. 10607)
D. Characteristics of insurance.
1. contract of adhesion.
2. aleatory (but not wagering. Art. 2010 Civil Code).
3. executory and conditional (as to the insurer); executed (as to the
insured).
4. voluntary and consensual contract (Art. 1306 Civil Code).
5. personal contract.
6. contract of indemnity (non-life or property).
7. uberrimae fidae.
8. synallagmatic contract (see Vitug separate opinion in UCPB General
Insurance Co., Inc. v. Masagana Telemart, Inc., G.R. No. 137172
(Resolution), [April 4, 2001], 408 PHIL 423-447).

E. Elements of insurance
1. insurable interest.
2. designated peril insured against.
3. risk of loss or damage being assured (assumed) by the insurer.
4. consideration.
5. risk distribution.

F. Functions of insurance
Cases:
• White Gold Marine Services Inc. v. Pioneer Insurance and Surety
Corp., G.R. No. 154514, [July 28, 2005], 502 PHIL 692-701.
• Verendia v. Court of Appeals, G.R. No. 76399, 75605, [January 22,
1993], 291 PHIL 439-448.
• Philamcare Health Systems, Inc. v. Court of Appeals, G.R. No.
125678, [March 18, 2002], 429 PHIL 82-95.
• Fortune Insurance and Surety Co., Inc. v. Court of Appeals, G.R. No.
115278, [May 23, 1995], 314 PHIL 184-200.
• Gulf Resorts Inc. v. Phil. Charter Insurance Corp., G.R. No. 156167,
[May 16, 2005], 497 PHIL 837-863.
• Eternal Gardens Memorial Park Corp. v. Philippine American Life
Insurance Co., G.R. No. 166245, [April 8, 2008], 574 PHIL 161-174.
H. Insurable interest
Sec. 10 to 25 IC; Art. 195 Family Code
i.Definition
ii. concept and purpose of insurable interest
iii. When interest should exist
In life insurance (Sec. 10)
• In one’s own life
• In life of another (cestui que vie); key person insurance.
In property (Sec. 13)
• Measure of interest in property
• Double and over-insurance (Sec. 94-96)
• Several interests are involved.
• Change of interest in the thing insured.
Cases:
• Cha v. CA; 277 SCRA 690 (1997)
• Lalican v. Insular Life 597 SCRA v 159 (2009)
• Geagonia v CA, 241 SCRA152 (1995)
• Gaisano Cagayan v Insuarnce Co. of North America; G.R. No.
147839; June 8, 2006.
• Tai Tong Chuache, Inc. v Insurance Commission; G.R. No. L-55397
February 29, 1988.

I. The Contract of Insurance


i.“doing insurance business “(Sec. 2 IC)
ii. When is the contract perfected?
iii Parties of Insurance Contract (Secs. 6-9 IC).
iv. What may be insured (Secs. 3-5 IC)
v. Insurance not a wagering/gaming contract
vi. Construction/interpretation.

J. Risk & Coverages (Loss)


• DBP Pool v Radio Mindanao Network 430 SCRA 314, G.R. 147039
Jan 27, 2006.
K. Classes of Insurance:
I. Life insurance
Definition, suicide, assignment, measure of indemnity (Secs. 181-
184, 186 ICP)

• SunLife v CA, 211 SCRA 554, G.R. 92383 July 17, 1992.
• Calanoc v CA, 98 Phil 79 (1955).
• Finman v CA, 213 SCRA 493 (1992).
• Biagtan v Insular, 44 SCRA 58.

II. Non-Life

a. Marine Insurance (Sec. 101 ICP)


Roque v IAC, G.R. No. L-66935, Nov. 11, 1985
Choa Tiek Seng v CA, G.R. No. 84507, March 15, 1990
Filipino Merchants Insurance v CA G.R. No. 85141, Nov. 28, 1989

b. Fire insurance (Secs 169-175 ICP)


Hostile fire vs friendly fire
Malayan Ins. v Pap Co. 703 SCRA 314.

c. Casualty (Sec. 176 ICP)

• Fortune Ins v CA, 244 SCRA 308

Suretyship
Definition ( Sec 177 ICP), Nature of liability of surety (178 ICP),
• National Power Corp v CA, 222 SCRA 415
• Prudential v Equinox 533 SCRA 257
Motor vehicle insurance Compulsory Motor Vehicle Insurance
(Secs 386-387 ICP)
Authorized driver
No Fault Clause
• Shafer v Judge 167 SCRA 386, G.R. No. 78848 November 14,
1988.
• Paramount v Remondeulaz, 686 SCRA 567, G.R. 173773 Nov
28 2012.
L. Double Insurance
M. Reinsurance
N. Claim Settlement
O. Bancassurance

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