commercial law - insurance (lex 2014)
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Commercial Law - Insurance (Lex 2014)TRANSCRIPT
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Presidential Decree No. 612 - Insurance Code
Sec. 2 (1) - Contract of insurance
Section 2 (1) of the Insurance Code defines a contract of insurance as an agreementwhereby one undertakes for a consideration to indemnify another against loss, damageor liability arising from an unknown or contingent event. An insurance contract existswhere the following elements concur:
1. The insured has an insurable interest;
2. The insured is subject to a risk of loss by the happening of the designed *(1)peril;
3. The insurer assumes the risk;
4. Such assumption of risk is part of a general scheme to distribute actual lossesamong a large group of persons bearing a similar risk and
5. In consideration of the insurer's promise, the insured pays a premium.
Phil. Health Care Providers, Inc. vs. Commissioner of Internal Revenue, G.R. No.167330 September 18, 2009
Insurance is a contract whereby one undertakes for a consideration to indemnifyanother against loss, damage or liability arising from an unknown or contingent event.The consideration is the premium, which must be paid at the time and in the way andmanner specified in the policy, and if not so paid, the policy will lapse and beforfeited by its own terms.
Antonio A. Tibay vs. Court of Appeals, G.R. No. 119655, May 24, 1996
Philamcare Health Systems vs. Court of Appeals, G.R. No. 125678, March 18, 2002
Insular Life Assurance Company, Ltd. vs. Carponia T. Ebrado, G.R. No. L-44059,October 28, 1977
Definition of contract of insurance
Contracts of insurance are contracts of indemnity upon the terms and conditionsspecified in the policy. The agreement has the force of law between the parties. The
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terms of the policy constitute the measure of the insurer's liability. If such terms areclear and unambiguous, they must be taken and understood in their plain, ordinary andpopular sense.
Filipino Merchants Insurance Co., Inc. vs. Court of Appeals, G.R. No. 85141, November28, 1989
Pacific Banking Corp. vs. Court of Appeals, G.R. No. L-41014, November 28, 1988
Sec. 2 (2) - Doing an insurance business or transacting an insurance business
Various courts in the United States, whose jurisprudence has a persuasive effect onour decisions, have determined that HMOs are not in the insurance business. One testthat they have applied is whether the assumption of risk and indemnification of loss(which are elements of an insurance business) are the principal object and purpose ofthe organization or whether they are merely incidental to its business. If these are theprincipal objectives, the business is that of insurance. But if they are merely incidentaland service is the principal purpose, then the business is not insurance.
Applying the "principal objects and purpose test", there is significant Americancase law supporting the argument that a corporation (such as an HMO, whether or notorganized for profit), whose main object is to provide the members of a group withhealth services, is not engaged in the insurance business.
Consequently, the mere presence of risk would be insufficient to override theprimary purpose of the business to provide medical services as needed, with paymentmade directly to the provider of these services. In short, even if petitioner assumes therisk of paying the cost of these services even if significantly more than what themember has prepaid, it nevertheless cannot be considered as being engaged in theinsurance business.
Phil. Health Care Providers, Inc. vs. Commissioner of Internal Revenue, G.R. No.167330, September 18, 2009
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Sec. 8 - When mortgagor insures mortgaged property
Great Pacific Life Assurance Corp. vs. Court of Appeals, G.R. No. 113899, October 13,1999
Sec. 10 - Insurable Interest
An insurable interest is one of the most basic and essential requirements in aninsurance contract. In general, an insurable interest is that interest which a person isdeemed to have in the subject matter insured, where he has a relation or connectionwith or concern in it, such that the person will derive pecuniary benefit or advantagefrom the preservation of the subject matter insured and will suffer pecuniary loss ordamage from its destruction, termination, or injury by the happening of the eventinsured against. The existence of an insurable interest gives a person the legal right toinsure the subject matter of the policy of insurance. Section 10 of the Insurance Codeindeed provides that every person has an insurable interest in his own life. Section 19of the same code also states that an interest in the life or health of a person insuredmust exist when the insurance takes effect, but need not exist thereafter or when theloss occurs.
Violeta R. Lalican vs. Insular Life Assurance Co. Ltd., G.R. No. 183526, August 25,2009
Hilario Gercio vs. Sun Life Assurance Co. of Canada, G.R. No. 23703, September 28,1925
Armando Geagonia vs. Court of Appeals, G.R. No. 114427, February 6, 1995
El Oriente, Fabrica De Tabacos, Inc. vs. Juan Posadas, G.R. No. 34774, September21, 1931
Tai Tong Chuache & Co. vs. Insurance Commission, et al., G.R. No. L-55397,February 29, 1988
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Sec. 11 - Right to change beneficiary
Hilario Gercio vs. Sun Life Assurance Co. of Canada, G.R. No. 23703, September 28,1925
Insular Life Assurance Company, Ltd. vs. Carponia T. Ebrado, G.R. No. L-44059,October 28, 1977
Philippine American Life Insurance Company vs. Gregorio g. Pineda, G.R. No. 54216,July 19, 1989
Sec. 13 - Insurable interest
Definition of Insurable Interest
Section 13 of the Insurance Code defines insurable interest in property as everyinterest in property, whether real or personal, or any relation thereto, or liability inrespect thereof, of such nature that a contemplated peril might directly damnify theinsured. In principle, anyone has an insurable interest in property who derives abenefit from its existence or would suffer loss from its destruction whether he has orhas not any title in, or lien upon or possession of the property. Insurable interest inproperty may consist in (a) an existing interest; (b) an inchoate interest founded on anexisting interest; or (c) an expectancy, coupled with an existing interest in that out ofwhich the expectancy arises.
Filipino Merchants Insurance Co., Inc. vs. Court of Appeals, G.R. No. 85141, November28, 1989
Sec. 14 - Insurable Interest in property
Mrs. Henry E. Harding, et al. vs. Commercial Union Assurance Co., G. R. No. 12707,August 10, 1918
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Sec. 17 - Insurable interest in property
A lessee has an insurable interest in the equipment and motor vehicles leased.Section 17 of the Insurance Code provides that the measure of an insurable interest inproperty is the extent to which the insured might be damnified by loss or injurythereof.
Vicente Ong Lim Sing, Jr. vs. Feb Leasing & Finance Corp., G.R. No. 168115, June 8,2007
Sec. 18 - Contract of insurance on property not enforceable except for benefitof person having insurable interest in property insured.
Insurable interest in the property insured must exist at the time the insurance takeseffect and at the time the loss occurs. The basis of such requirement of insurableinterest in property insured is based on sound public policy: to prevent a person fromtaking out an insurance policy on property upon which he has no insurable interest andcollecting the proceeds of said policy in case of loss of the property.
Sps. Nilo Cha vs. Court of Appeals, G.R. No. 124520, August 18, 1997
Sec. 19 - Interest in property insured
Violeta R. Lalican vs. Insular Life Assurance Co. Ltd., G.R. No. 183526, August 25,2009
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Sec. 25 - Void stipulations
Sps. Nilo Cha vs. Court of Appeals, G.R. No. 124520, August 18, 1997
Insular Life Assurance Company, Ltd. vs. Carponia T. Ebrado, G.R. No. L-44059,October 28, 1977
Pacific Banking Corp. vs. Court of Appeals, G.R. No. L-41014, November 28, 1988
Sec. 26 - Concealment
Concealment
Thelma Vda. De Canilang vs. Court of Appeals, G.R. No. 92492, June 17, 1993
Section 26 of The Insurance Code is explicit in requiring a party to a contract ofinsurance to communicate to the other, in good faith, all facts within his knowledgewhich are material to the contract and as to which he makes no warranty, and whichthe other has no means of ascertaining.
Sunlife Assurance Company of Canada vs. Court of Appeals, G.R. No. 105135, June22, 1995
Armando Geagonia vs. Court of Appeals, G.R. No. 114427, February 6, 1995
Pacific Banking Corp. vs. Court of Appeals, G.R. No. L-41014, November 28, 1988
Bernardo Argente vs. West Coast Life Insurance Co., G.R. No. 28499, March 19, 1928
Ignacio Saturnino vs. Philippine American Life Insurance Company, G.R. No. L-16163,February 28, 1963
Sec. 27 - Concealment entitles injured party to rescind
Philamcare Health Systems vs. Court of Appeals, G.R. No. 125678, March 18, 2002
Ignacio Saturnino vs. Philippine American Life Insurance Company, G.R. No. L-16163,
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February 28, 1963
Yu Pang Cheng vs. Court of Appeals, et al., G.R. No. L-12465, May 29, 1959
Sec. 28 - Parties to contract of insurance must communicate facts within theirknowledge
"Concealment exists where the assured had knowledge of a fact material to therisk, and honesty, good faith, and fair dealing requires that he should communicate itto the assurer, but he designedly and intentionally withholds the same."
It has also been held "that the concealment must, in the absence of inquiries, be notonly material, but fraudulent, or the fact must have been intentionally withheld."
Ng Gan Zee vs. Asian Crusader Life Assurance Corp., G.R. No. L-30685, May 30, 1983
Thelma Vda. De Canilang vs. Court of Appeals, G.R. No. 92492, June 17, 1993
Sec. 29 - Intentional or fraudulent omission to communicate information
The basis of the rule vitiating the contract in cases of concealment is that itmisleads or deceives the insurer into accepting the risk, or accepting it at the rate ofpremium agreed upon. The insurer, relying upon the belief that the assured willdisclose every material fact within his actual or presumed knowledge, is misled into abelief that the circumstance withheld does not exist, and he is thereby induced toestimate the risk upon a false basis that it does not exist.
Bernardo Argente vs. West Coast Life Insurance Co., G.R. No. 28499, March 19, 1928
Sec. 31 - Materiality of concealment
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Thelma Vda. De Canilang vs. Court of Appeals, G.R. No. 92492, June 17, 1993
Sunlife Assurance Company of Canada vs. Court of Appeals, G.R. No. 105135, June22, 1995
Sec. 38 - Interpretation
Cathay Insurance Co. vs. Court of Appeals, et al., G.R. No. 76145, June 30, 1987
Philippine American Life Insurance Company vs. Gregorio g. Pineda, G.R. No. 54216,July 19, 1989
Sec. 44 - When representation is deemed false
James Stokes vs. Malayan Insurance Co., Inc., G.R. No. L-34768, February 24, 1984
Sec. 48, par. 2 - Incontestability clause
The so-called "incontestability clause" precludes the insurer from raising thedefenses of false representations or concealment of material facts insofar as health andprevious diseases are concerned if the insurance has been in force for at least twoyears during the insured's lifetime.
Emilio Tan vs. Court of Appeals, G.R. No. 48049, June 29, 1989
Sec. 49 - Policy of Insurance
Diosdado C. Ty vs. First National Surety & Assurance Co, Inc., G.R. No. L-16138, April
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29, 1961
Ang Giok Chip vs. Springfield Fire & Marine Insurance Company, G.R. No. 33637,December 31, 1931
Francisco Jarque vs. Smith, G.R. No. 32986, November 11, 1930
Non-presentation of the insurance contract or policy is not necessarily fatal. . . thepresentation in evidence of the marine insurance policy is not indispensable . . .before the insurer may recover from the common carrier the insured value of the lostcargo in the exercise of its subrogatory right. . . . The right of subrogation accruessimply upon payment by the insurance company of the insurance claim.
Asian Terminals, Inc. vs. Malayan Insurance Co., Inc., G.R. No. 171406, April 4, 2011,citing Delsan Transport Lines, Inc. v. Court of Appeals, 420 Phil. 824 (2001)
Sec. 51 - Contents of insurance policy
Finman General Assurance Corporation vs. Court of Appeals, G.R. No. 100970,September 2, 1992
Fortunata Lucero Viuda De Sindayen vs. The Insular Life Assurance Co., G.R. No.41702, September 4, 1935
Philippine American Life Insurance Company vs. Gregorio g. Pineda, G.R. No. 54216,July 19, 1989
Sec. 52 - Cover note
Pacific Timber Export Corporation vs. Court of Appeals, G.R. No. L-38613, February25, 1982
Sec. 53 - Application of insurance proceeds
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It ruled that it is only in cases where there are no beneficiaries designated, or whenthe only designated beneficiary is disqualified, that the proceeds should be paid to theestate of the insured.
Heirs of Loreto C. Maramag vs. Eva Verna de Guzman Maramag, et al., G.R. No.181132 June 5, 2009
RCBC vs. Courts of Appeals, G.R. Nos. 128833, 128834 and 128866, April 20, 1998
Sherman Shafer vs. Regional Trial Court Olongapo City, Branch 75, G.R. No. 78848,November 14, 1988
Philippine American Life Insurance Company vs. Gregorio g. Pineda, G.R. No. 54216,July 19, 1989
Sec. 57 - A policy may benefit whosoever becomes the owner of the insuredinterest
Aboitiz Shipping Corp. vs. Insurance Co. of North America, G.R. No. 168402, August 6,2008
Sec. 60 - Open policy
Development Insurance Corporation vs. Intermediate Appellate Court, G.R. No.L-71360, July 16, 1986
Sec. 61 - Valued policy
Delfin Nario, et al. vs. Philippine American Life Insurance Company, G.R. No. L-22796,June 26, 1967
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Sec. 63 - Void stipulation on period of commencement of action
Sun Insurance Office, Ltd. vs. Court of Appeals, G.R. No. 89741, March 13, 1991
Mayer Steel Pipe Corp. vs. Court of Appeals, G.R. No. 124050. June 19, 1997
Luis Del Castillo vs. Metropolitan Insurance Company, G.R. No. L-2038, March 4, 1950
Sec. 65 - Notice of cancellation
Malayan Insurance Co., Inc. vs. Gregoria Cruz Arnaldo, G.R. No. L-67835, October 12,1987
Sec. 70 - Express warranty
Ang Giok Chip vs. Springfield Fire & Marine Insurance Company, G.R. No. 33637,December 31, 1931
Sec. 72 - Warranty for act or omission
Qua Chee Gan vs. Law Union and Rock Insurance Co., G.R. No. L-4611, December17, 1955
Sec. 74 - Violation of material warranty
General Insurance & Surety Corp. vs. Ng Hua, G.R. No. L-14373, January 30, 1960
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Sec. 75 - Policy may declare that violation of specified provisions thereof shallavoid it
Armando Geagonia vs. Court of Appeals, G.R. No. 114427, February 6, 1995
Sec. 77 - Payment of premium
Laura Velasco vs. Sergio A. F. Apostol, G.R. No. 44588, May 9, 1989
Arturo P. Valenzuela vs. Court of Appeals, G.R. No. 83122, October 19, 1990
We hold that the subject policies are valid even if the premiums were paid oninstallments. The records clearly show that petitioner and private respondent intendedsubject insurance policies to be binding and effective notwithstanding the staggeredpayment of the premiums. The initial insurance contract entered into in 1982 wasrenewed in 1983, then in 1984. In those three (3) years, the insurer accepted all theinstallment payments. Such acceptance of payments speaks loudly of the insurer'sintention to honor the policies it issued to petitioner. Certainly, basic principles ofequity and fairness would not allow the insurer to continue collecting and acceptingthe premiums, although paid on installments, and later deny liability on the lameexcuse that the premiums were not prepaid in full.
Makati Tuscany Condominium Corporation vs. Court of Appeals, G.R. No. 95546,November 6, 1992
South Sea Surety and Insurance Company, Inc. vs. Court of Appeals, G.R. No. 102253,June 2, 1995
Antonio A. Tibay vs. Court of Appeals, G.R. No. 119655, May 24, 1996
UCPB General Insurance Co. vs. Masagana Telamart, G.R. No. 137172, June 15, 1999
The general rule in insurance laws is that unless the premium is paid the insurancepolicy is not valid and binding. The only exceptions are life and industrial lifeinsurance.
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American Home Assurance Co. vs. Antonio Chua, G.R. No. 130421, June 28, 1999
Pedro Arce vs. Capital Insurance & Surety Co., Inc., G.R. No. L-28501, September 30,1982
Santos B. Areola vs. Court of Appeals, G.R. No. 95641, September 22, 1994
Luzon Surety Company, Inc. vs. Pastor T. Quebrar, G.R. No. L-40517, January 31,1984
(now Section 79)
Sec. 78 - Conclusive evidence of payment of premium
South Sea Surety and Insurance Company, Inc. vs. Court of Appeals, G.R. No. 102253,June 2, 1995
American Home Assurance Co. vs. Antonio Chua, G.R. No. 130421, June 28, 1999
Philippine Phoenix Surety & Insurance, Inc. vs. Woodworks, Inc., G.R. No. L-22684,August 31, 1967
(now Section 80 of RA 10607)
Sec. 79 - When insured is entitled to return of premium
Great Pacific Life Insurance Corporation vs. Court of Appeals, G.R. No. L-57308, April23, 1990
(now Section 86 of RA 10607)
Sec. 84 - Insurer liable for loss of which a peril insured against was theproximate cause
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Stronghold Insurance Company, Inc. vs. Court of Appeals, G.R. No. 83376, May 29,1989
(now Section 88 of RA 10607)
Sec. 86 - Excepted peril in case of loss
Paris Manila Perfume Co. vs. Phoenix Assurance Co., G.R. No. 25845, December 17,1926
(now Section 89 of RA 10607)
Sec. 87 - Insurer not liable for loss caused by the willful act or through theconnivance of the insured
East Furniture Inc. vs. Globe & Rutgers Fire Ins. Co. of New York, G.R. No. 35848,November 22, 1932
The East Furniture Inc., vs. Commercial Union Assurance Company, Ltd., G.R. No.35849, November 22, 1932
The East Furniture Inc. vs. The Continental Insurance Co. of New York, G.R. No.35850, November 22, 1932
(now Section 90 of RA 10607)
Sec. 88 - In insurance against fire, insurer is exonerated if notice is not given tohim without unnecessary delay
Pacific Banking Corp. vs. Court of Appeals, G.R. No. L-41014, November 28, 1988
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(now Section 91 of RA 10607)
Sec. 89 - Proof of loss
Yu Ban Chuan vs. Fieldmen's Insurance Co., Inc., et al., G.R. No. L-19851, June 29,1965
(now Section 95 of RA 10607)
Sec. 93 - Double insurance
Armando Geagonia vs. Court of Appeals, G.R. No. 114427, February 6, 1995
New Life Enterprises vs. Court of Appeals, G.R. No. 94071, March 31, 1992
Pacific Banking Corp. vs. Court of Appeals, G.R. No. L-41014, November 28, 1988
Ulpiano Santa Ana vs. Commercial Union Assurance Co., G.R. No. 32889, November20, 1930
Union Manufacturing Co., Inc., et al. vs. Philippine Guaranty Co., Inc., G.R. No.L-27932, October 30, 1972
(now Section 97 of RA 10607)
Sec. 95 - Reinsurance
Philippine American Life Insurance Company vs. Auditor General, G.R. No. L-19255,January 18, 1968
Fieldmen's Insurance Co., Inc. vs. Asian Surety & Insurance Co., Inc., et al., G.R. No.L-23447, July 31, 1970
Ivor Robert Dayton Gibson vs. Pedro A. Revilla, et al., G.R. No. L-41432, July 30, 1979
Artex Development Co., Inc., vs. Wellington Insurance Co., Inc., G.R. No. L-29508,June 27, 1973
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(now Section 101 of RA 10607)
Sec. 99 - Marine insurance
Cathay Insurance Co. vs. Court of Appeals, G.R. No. 76145, June 30, 1987
Choa Tiek Seng vs. Court of Appeals, G.R. No. 84507, March 15, 1990
Filipino Merchants Insurance Co., Inc. vs. Court of Appeals, G.R. No. 85141, November28, 1989
Malayan Insurance Corp. vs. Court of Appeals, G.R. No. 119599, March 20, 1997
Oriental Assurance Corporation vs. Court of Appeals, G.R. No. 94052, August 9, 1991
Pacific Timber Export Corporation vs. Court of Appeals, G.R. No. L-38613, February25, 1982
Isabela Roque vs. Intermediate Appellate Court, G.R. No. L-66935, November 11, 1985
Delsan Transport Lines vs. Court of Appeals, G.R. No. 127897, November 15, 2001
(now Section 115 of RA 10607)
Sec. 113 - Implied warranty that ship is seaworthy
Isabela Roque vs. Intermediate Appellate Court, G.R. No. L-66935, November 11, 1985
Phil-Am General Insurance Co., Inc. vs. Court of Appeals, G.R. No. 116940, June 11,1997
(now Section 131 of RA 10607)
Sec. 129 - Total loss may be either actual or constructive
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Oriental Assurance Corporation vs. Court of Appeals, G.R. No. 94052, August 9, 1991
(now Section 132 of RA 10607)
Sec. 130 - Actual total loss
Pan Malayan Insurance Corporation vs. Court of Appeals, G.R. No. 95070, September5, 1991
(now Section 135 of RA 10607)
Sec. 133, par. 2 - Additional premium for extension of liability
Malayan Insurance Corp. vs. Court Of Appeals, G.R. No. 119599, March 20, 1997
(now Section 141 of RA 10607)
Sec. 139 - Abandonment of thing insured
Oriental Assurance Corporation vs. Court of Appeals, G.R. No. 94052, August 9, 1991
(now Section 169 of RA 10607)
Sec. 167 - Fire insurance
Rizal Surety & Insurance Company vs. Court of Appeals, G.R. No. 112360, July 18,2000
Union Manufacturing Co., Inc., et al. vs. Philippine Guaranty Co., Inc., G.R. No.
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L-27932, October 30, 1972
Paulo Ang, et al. vs. Fulton Fire Insurance Co., et al., G.R. No. L-15862, July 31, 1961
(now Section 176 of RA 10607)
Sec. 174 - Casualty insurance
Travellers Insurance & Surety Corp. vs. Court of Appeals, G.R. No. 82036, May 22,1997
Jewel Villacorta vs. Insurance Commission, G.R. No. L-54171, October 28, 1980
Figuracion Vda. De Maglana vs. Francisco Z. Consolacion, G.R. No. 60506, August 6,1992
Fortune Insurance and Surety Co., Inc. vs. Court of Appeals, G.R. No. 115278, May 23,1995
Jacqueline Jimenez Vda. De Gabriel vs. Court of Appeals, G.R. No. 103883, November14, 1996
Association of Baptists For World Evangelism, Inc. vs. Fieldmen's Insurance Co., Inc.,G.R. No. L-28772, September 21, 1983
Finman General Assurance Corporation vs. Court of Appeals, G.R. No. 100970,September 2, 1992
Fortune Insurance and Surety Co., Inc. vs. Court of Appeals, G.R. No. 115278, May 23,1995
Agapito Gutierrez vs. Capital Insurance & Surety Co., Inc., G.R. No. L-26827, June 29,1984
Malayan Insurance Co., Inc. vs. Court of Appeals, G.R. No. L-59919, November 26,1986
Malayan Insurance Co., Inc. vs. Court of Appeals, G.R. No. L-36413, September 26,1988
Andrew Palermo vs. Pyramid Insurance Co., Inc., G.R. No. L-36480, May 31, 1988
Pan Malayan Insurance Corp. vs. Court of Appeals, G.R. No. 81026, April 3, 1990
Perla Compania De Seguros, Inc. vs. Court of Appeals, G.R. No. 96452, May 7, 1992
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FCP Credit Corporation, vs. Court of Appeals, G.R. No. 96493, May 7, 1992
Sun Insurance Office, Ltd. vs. Court of Appeals, G.R. No. 92383, July 17, 1992
James Stokes vs. Malayan Insurance Co., Inc., G.R. No. L-34768, February 24, 1984
(now Section 177 of RA 10607)
Sec. 175 - Contract of suretyship
Mercantile Insurance Co. vs. Felipe Ysmael, Jr. & Co., G.R. No. 43862, January 13,1989
Pioneer Insurance & Surety Corp. vs. Court of Appeals, G.R. No. 76509, December 15,1989
Section 175 of the Insurance Code defines a suretyship as "a contract or agreementwhereby a party, called the suretyship, guarantees the performance by another party,called the principal or obligor, of an obligation or undertaking in favor of a thirdparty, called the obligee. It includes official recognizances, stipulations, bonds, orundertakings issued under Act 536, as amended."
Prudential Guarantee and Assurance, Inc. vs. Equinox Land Corp., G.R. Nos.152505-06, September 13, 2007
Intra-Strata Assurance Corp., et al. vs. Republic of the Phil., G.R. No. 156571, July 9,2008
(now Section 178 of RA 10607)
Sec. 176 - Liability of surety or sureties
Finman General Assurance Corp. vs. William Inocencio, G.R. Nos. 90273-75,November 15, 1989
Under Section 176 of the Insurance Code, the liability of petitioner and RadonSecurity is solidary in nature. There is solidary liability only when the obligationexpressly so states, or when the law so provides, or when the nature of the obligation
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so requires. Since the law provides that the liability of the surety company and theobligor or principal is joint and several, then either or both of them may be proceededagainst for the money award.
Raul Sesbreo v. Court of Appeals, G.R. No. 89252, May 24, 1993
AFP General Insurance Corp. vs. Noel Molina, et al., G.R. No. 151133, June 30, 2008
(now Section 179 of RA 10607)
Sec. 177 - Surety is entitled to payment of premium
Philippine Pryce Assurance Corporation vs. Court of Appeals, G.R. No. 107062,February 21, 1994
AFP General Insurance Corp. vs. Noel Molina, et al., G.R. No. 151133, June 30, 2008
(now Section 181 of RA 10607)
Sec. 179 - Life insurance
Luz Pineda vs. Court of Appeals, G.R. No. 105562, September 27, 1993
Insular Life Assurance Company, Ltd. vs. Carponia T. Ebrado, G.R. No. L-44059,October 28, 1977
Delfin Nario, et al. vs. Philippine American Life Insurance Company, G.R. No. L-22796,June 26, 1967
Simon De La Cruz vs. Capital Insurance & Surety Co., Inc., G.R. No. L-21574, June30, 1966
(now Section 247 of RA 10607)
Sec. 241 - Unfair claim settlement practices
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Section 241 of the Insurance Code provides that no insurance company doingbusiness in the Philippines shall refuse without just cause to pay or settle claimsarising under coverages provided by its policies. And, under Section 243, the insurerhas 30 days after proof of loss is received and ascertainment of the loss or damagewithin which to pay the claim. If such ascertainment is not had within 60 days fromreceipt of evidence of loss, the insurer has 90 days to pay or settle the claim. And, incase the insurer refuses or fails to pay within the prescribed time, the insured shall beentitled to interest on the proceeds of the policy for the duration of delay at the rate oftwice the ceiling prescribed by the Monetary Board. Notably, Seaboard alreadyincurred delay when it failed to settle petitioner New World's claim as Section 243required. Under Section 244, a prima facie evidence of unreasonable delay in paymentof the claim is created by the failure of the insurer to pay the claim within the timefixed in Section 243. Consequently, Seaboard should pay interest on the proceeds ofthe policy for the duration of the delay until the claim is fully satisfied at the rate oftwice the ceiling prescribed by the Monetary Board.
New World International Development (Phils.), Inc. vs. NYK-Filjapan Shipping Corp., etal., G.R. Nos. 171468 & 174241, August 24, 2011
(now Section 248 of RA 10607)
Sec. 242 - Period for payment of proceeds of life insurance policy
The term "ceiling prescribed by the Monetary Board" means the legal rate ofinterest of 12% per annum provided in Central Bank Circular 416, pursuant toPresidential Decree 116. Section 244 of the Insurance Code also provides for anaward of attorney's fees and other expenses incurred by the assured due to theunreasonable withholding of payment of his claim.
New World International Development (Phils.), Inc. vs. NYK-Filjapan Shipping Corp., etal., G.R. Nos. 171468 & 174241, August 24, 2011
(now Section 249 of RA 10607)
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Sec. 243 - Failure of insurer to pay claim within time prescribed
Cathay Insurance Co., Inc. vs. Court of Appeals, G.R. No. 85624, June 5, 1989
(now Section 250 of RA 10607)
Sec. 244 - Failure to pay claim within time prescribed evidence ofunreasonable delay in payment
Cathay Insurance Co., Inc. vs. Court of Appeals, G.R. No. 85624, June 5, 1989
Zenith Insurance Corporation vs. Court of Appeals, G.R. No. 85296, May 14, 1990
Phil. American Life Insurance Company vs. Court of Appeals, G.R. No. 126223,November 15, 2000
(now Section 255 of RA 10607)
Sec. 248 - Conservatorship
Elias C. Garcia vs. National Labor Relations Commission, G.R. No. L-67825,September 4, 1987
(now Section 257 of RA 10607)
Sec. 251 - Receiver or liquidator
Pioneer Insurance and Surety Corporation vs. Willelmo C. Fortun, et al., G.R. No.L-44959, April 15, 1987
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(now Section 307 of RA 10607)
Sec. 299, par. 2 - Insurance agents and brokers
Mapalad Aisporna vs. Court of Appeals, G.R. No. L-39419, April 12, 1982
(now Section 315 of RA 10607)
Sec. 306, par. 2 - Authority of agent or broker to receive premium
Malayan Insurance Co., Inc. vs. Gregoria Cruz Arnaldo, G.R. No. L-67835, October 12,1987
South Sea Surety and Insurance Company, Inc. vs. Court of Appeals, G.R. No. 102253,June 2, 1995
(now Section 370 of RA 10607)
Sec. 361 - Rebate from premium specified in policy is prohibited
Nora Lumibao vs. Intermediate Appellate Court, G.R. No. 64677, September 13, 1990
(now Section 387 of RA 10607)
Sec. 374 - Insurance required for operation of motor vehicle in publichighways
"Compulsory Motor Vehicle Liability Insurance (third party liability, or TPL) isprimarily intended to provide compensation for the death or bodily injuries sufferedby innocent third parties or passengers as a result of a negligent operation and use of
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motor vehicles. The victims and/or their defendants [dependents] are assured ofimmediate financial assistance, regardless of the financial capacity of motor vehicleowners.
xxx xxx xxx
The injured for whom the contract of insurance is intended can sue directly theinsurer. The general purpose of statutes enabling an injured person to proceed directlyagainst the insurer is to protect injured persons against the insolvency of the insuredwho causes such injury, and to give such injured person a certain beneficial interest inthe proceeds of the policy, and statutes are to be liberally construed so that theirintended purpose may be accomplished. It has even been held that such a provisioncreates a contractual relation which inures to the benefit of any and every person whomay be negligently injured by the named insured as if such injured person werespecifically named in the policy. (S 449 7 Am. Jur., 2d, pp. 118-119)"
Sherman Shafer vs. Regional Trial Court Olongapo City, Branch 75, G.R. No. 78848,November 14, 1988
GSIS vs. Court of Appeals, G.R. No. 101439, June 21, 1999
Figuracion Vda. De Maglana vs. Francisco Z. Consolacion, G.R. No. 60506, August 6,1992
First Quezon City Insurance Co. vs. Court of Appeals, G.R. No. 98414, February 8,1993
First Integrated Bonding & Insurance Co. vs. Harold M. Hernando, G.R. No. 51221, July31, 1991
(now Section 390 of RA 10607)
Sec. 377 - Insurance policy required for registration of motor vehicle
Perla Compania De Seguros, Inc. vs. Court of Appeals, G.R. No. 78860, May 28, 1990
Paramount Insurance Corp. vs. Maximo M. Japzon, G.R. No. 68037, July 29, 1992
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(now Section 391 (c) of RA 10607)
Sec. 378 (iii) - Claim may be made against one motor vehicle only
Perla Compania De Seguros, Inc. vs. Constante A. Ancheta, G.R. No. L-49699, August8, 1988
(now Section 397 of RA 10607)
Sec. 384 - Period for filing notice of claim
Summit Guaranty and Insurance Company, Inc. vs. Jose C. De Guzman, G.R. No.L-50997, June 30, 1987
Summit Guaranty and Insurance Company, Inc., vs. Gregoria C. Arnaldo, G.R. No.L-48679, June 30, 1987
Summit Guaranty and Insurance Company, Inc., vs. Ramon V. Jabson, G.R. No.L-48758, June 30, 1987
Summit Guaranty and Insurance Company, Inc. vs. Gregoria C. Arnaldo, G.R. No.L-48546, February 29, 1988
The requirement that any claim or action for recovery of damage under aninsurance policy must be brought within one year from the date of the accident wasintended to ensure that suits be brought by the insured while evidence as to the originand cause of destruction have not yet disappeared.
Country Bankers Insurance Corp. vs. Travelers Insurance and Surety Corp., G.R. No.82509, August 16, 1989
Travellers Insurance & Surety Corp. vs. Court of Appeals, G.R. No. 82036, May 22,1997
(now Section 437 of RA 10607)
Sec. 414, par. 2 - Administrative and adjudicatory powers of Insurance
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Commissioner
Midland Insurance Corporation vs. Intermediate Appellate Court, G.R. No. 71905,August 13, 1986
Almendras Mining Corp. vs. Office of the Insurance Comm., G.R. No. L-72878, April 15,1988
Philippine American Life Insurance Company vs. Armando Ansaldo, G.R. No. 76452,July 26, 1994
(now Section 439, par. 6 of RA 10607)
Sec. 416, par. 7 - Ruling or order of the Insurance Commission; appealable
Summit Guaranty & Insurance Company, Inc. vs. Court of Appeals, G.R. No. L-51539,December 14, 1981
Almendras Mining Corp. vs. Office of the Insurance Comm., G.R. No. L-72878, April 15,1988
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Endnotes
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* Note from the Publisher: The term "designed" should read as "designated".