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San Beda College of Law

30
MEMORY AID IN COMMERCIAL LAW

INSURANCE CODE
(P.D. No. 1460)

I. GENERAL CONCEPTS 7. Personal – each party having in view


the character, credit and conduct of
CONTRACT OF INSURANCE the other.
 An agreement whereby one undertakes
for a consideration to indemnify another REQUISITES OF A CONTRACT OF
against loss, damage or liability arising INSURANCE (The Insurance Code of the
from an unknown or contingent event. Philippines Annotated, Hector de Leon,
(Sec. 2, par. 2, IC) 2002 ed.)
1. A subject matter which the insured
“DOING AN INSURANCE BUSINESS OR has an insurable interest.
TRANSACTING AN INSURANCE 2. Event or peril insured against which
BUSINESS” (Sec. 2, par. 4) may be any future contingent or
1. Making or proposing to make, as unknown event, past or future and a
insurer, any insurance contract; duration for the risk thereof.
2. Making or proposing to make, as 3. A promise to pay or indemnify in a
surety, any contract of suretyship as fixed or ascertainable amount.
a vocation, not as a mere incident to 4. A consideration known as “premium”.
any other legitimate business of a 5. Meeting of the minds of the parties.
surety;
3. Doing any insurance business, 5 CARDINAL PRINCIPLES IN INSURANCE
including a reinsurance business; 1. Insurable Interest
4. Doing or proposing to do any 2. Principle of Utmost Good Faith
business in substance equivalent to  An insurance contract requires utmost
any of the foregoing good faith (uberrimae fidei) between
the parties. The applicant is enjoined to
II. CHARACTERISTICS OF AN INSURANCE disclose any material fact, which he
CONTRACT (The Insurance Code of the knows or ought to know.
Philippines Annotated, Hector de Leon,  Reason: An insurance contract is an
2002 ed.) aleatory contract. The insurer relies on
1. Consensual – it is perfected by the the representation of the applicant, who
meeting of the minds of the parties. is in the best position to know the state
2. Voluntary – the parties may of his health.
incorporate such terms and 3. Contract of Indemnity
conditions as they may deem  It is the basis of all property insurance.
convenient. The insured who has insurable interest
3. Aleatory – it depends upon some over a property is only entitled to
contingent event. recover the amount of actual loss
4. Unilateral – imposes legal duties only sustained and the burden is upon him to
on the insurer who promises to establish the amount of such loss
indemnify in case of loss. (Reviewer on Commercial Law,
5. Conditional – It is subject to Professors Sundiang and Aquino)
conditions the principal one of which Rules:
is the happening of the event a. Applies only to property
insured against. insurance except when the
6. Contract of indemnity – Except life creditor insures the life of his
and accident insurance, a contract debtor.
of insurance is a contract of b. Life insurance is not a contract
indemnity whereby the insurer of indemnity.
promises to make good only the loss c. Insurance contracts are not
of the insured. wagering contracts. (Sec. 4)
4. Contract of Adhesion (Fine Print Rule)

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
31
MEMORY AID IN COMMERCIAL LAW

 Most of the terms of the contract do e. For recovery of loss in excess of


not result from mutual negotiations insurance coverage
between the parties as they are
prescribed by the insurer in final printed CONSTRUCTION OF INSURANCE
form to which the insured may “adhere” CONTRACT
if he chooses but which he cannot  The ambiguous terms are to be
change. (Rizal Surety and Insurance Co., construed strictly against the insurer,
vs. CA, 336 SCRA 12) and liberally in favor of the insured.
5. Principle of Subrogation However, if the terms are clear, there is
 It is a process of legal substitution no room for interpretation. (Calanoc vs.
where the insurer steps into the shoes of Court of Appeals, 98 Phil. 79)
the insured and he avails of the latter’s
rights against the wrongdoer at the time III. DISTINGUISHING ELEMENTS OF AN
of loss. INSURANCE CONTRACT
 The principle of subrogation is a normal 1. The insured possesses an insurable
incident of indemnity insurance as a interest susceptible of pecuniary
legal effect of payment; it inures to the estimation;
insurer without any formal assignment or 2. The insured is subject to a risk of loss
any express stipulation to that effect in through the destruction or
the policy. Said right is not dependent impairment of that interest by the
upon nor does it grow out of any private happening of designated perils;
contract. Payment to the insured makes 3. The insurer assumes that risk of loss;
the insurer a subrogee in equity. 4. Such assumption is part of a general
(Malayan Insurance Co., Inc. v. CA, 165 scheme to distribute actual losses
SCRA 536; see also Art. 2207, NCC) among a large group or substantial
 Purposes: (The Insurance Code of the number of persons bearing somewhat
Philippines Annotated, Hector de Leon, similar risks; and
2002 ed.) 5. The insured makes a ratable
1. To make the person who caused the contribution (premium) to a general
loss legally responsible for it. insurance fund.
2. To prevent the insured from  A contract possessing only the first 3
receiving a double recovery from the elements above is a risk-shifting device.
wrongdoer and the insurer. If all the elements, it is a risk-
3. To prevent tortfeasors from being distributing device. (The Insurance Code
free from liabilities and is thus of the Philippines Annotated, Hector de
founded on considerations of public Leon, 2002 ed.)
policy.
 Rules: IV. PERFECTION OF AN INSURANCE
1. Applicable only to property insurance. CONTRACT
2. The insurer can only recover from the  An insurance contract is a consensual
third person what the insured could have contract and is therefore perfected the
recovered. moment there is a meeting of minds with
3. There can be no subrogation in cases: respect to the object and the cause or
a. Where the insured by his own act consideration.
releases the wrongdoer or third party  What is being followed in insurance
liable for the loss or damage; contracts is what is known as the
b. Where the insurer pays the insured the “cognition theory”. Thus, “an
value of the loss without notifying the acceptance made by letter shall not bind
carrier who has in good faith settled the person making the offer except from
the insured’s claim for loss; the time it came to his knowledge”.
c. Where the insurer pays the insured for (Enriquez vs. Sun Life Assurance Co. of
a loss or risk not covered by the policy. Canada, 41 Phil. 269)
(Pan Malayan Insurance Company v.
CA, 184 SCRA 54) Binding Receipt
d. In life insurance  A mere acknowledgment on behalf of
the company that its branch office had

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
32
MEMORY AID IN COMMERCIAL LAW

received from the applicant the 5. Interest of the insured in the


insurance premium and had accepted property if he is not the absolute
the application subject to processing by owner;
the head office. 6. Risk insured against; and
7. Duration of the insurance.
Cover Note (Ad Interim)
 A concise and temporary written  Persons entitled to recover on the
contract issued to the insurer through its policy (sec. 53): The insurance proceeds
duly authorized agent embodying the shall be applied exclusively to the proper
principal terms of an expected policy of interest of the person in whose name or
insurance. to whose benefit it is made, unless
Purpose: It is intended to give otherwise specified in the policy.
temporary insurance protection coverage  Kinds:
to the applicant pending the acceptance 1. OPEN POLICY – value of thing insured
or rejection of his application. is not agreed upon, but left to be
 Duration: Not exceeding 60 days unless ascertained in case of loss. (Sec. 60)
a longer period is approved by Insurance  The actual loss, as determined,
Commissioner (Sec. 52). will represent the total indemnity
due the insured from the insurer
Riders except only that the total indemnity
 Printed stipulations usually attached to shall not exceed the face value of
the policy because they constitute the policy. (Development Insurance
additional stipulations between the Corp. vs. IAC, 143 SCRA 62)
parties. (Ang Giok Chip vs. Springfield, 2. VALUED POLICY – definite valuation of
56 Phil. 275) the property insured is agreed by both
 In case of conflict between a rider and parties, and written on the face of
the printed stipulations in the policy, the policy. (Sec. 61)
rider prevails, as being a more  In the absence of fraud or
deliberate expression of the agreement mistake, the agreed valuation will be
of the contracting parties. (C. Alvendia, paid in case of total loss of the
The Law of Insurance in the Philippines, property, unless the insurance is for
1968 ed.) a lower amount.
3. RUNNING POLICY – contemplates
Clauses successive insurances and which provides
 An agreement between the insurer and that the object of the policy may from
the insured on certain matter relating to time to time be defined (Sec. 62)
the liability of the insurer in case of loss.
(Prof. De Leon, p.188) V. TYPES OF INSURANCE CONTRACTS
1. Life insurance
Endorsements a. Individual life (Secs. 179–183, 227)
 Any provision added to the contract b. Group life (Secs. 50, last par., 228)
altering its scope or application. (Prof. c. Industrial life (Secs. 229–231)
De Leon, p.188) 2. Non-life insurance
a. Marine (Secs. 99–166)
POLICY OF INSURANCE b. Fire (Secs. 167–173)
 The written instrument in which a c. Casualty (Sec. 174)
contract of insurance is set forth. (Sec. 3. Contracts of bonding or suretyship
49) (Secs. 175–178)
Note:
 Contents: (Sec. 51) 1. Health and accident insurance are
1. Parties either covered under life (Sec. 180) or
2. Amount of insurance, except in open casualty insurance. (Sec. 174).
or running policies; 2. Marine, fire, and the property aspect
3. Rate of premium; of casualty insurance are also referred to
4. Property or life insured; as property insurance.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
33
MEMORY AID IN COMMERCIAL LAW

shall be forfeited when the


VI. PARTIES TO INSURANCE CONTRACT beneficiary is the principal
1. Insurer - Person who undertakes to accomplice or accessory in
indemnify another. willfully bringing about the
 For a person to be called an death of the insured in which
insurance agent, it is necessary event, the nearest relative
that he should perform the of the insured shall receive
function for compensation. the proceeds of said
(Aisporna vs. CA, 113 SCRA 459) insurance if not otherwise
2. Insured - The party to be indemnified disqualified. (Sec. 12)
upon the occurrence of the loss. He must b. PROPERTY
have capacity to contract, must possess  The beneficiary of property
an insurable interest in the subject of insurance must have an insurable
the insurance and must not be a public interest in such property, which
enemy. must exist not only at the time
 A public enemy- a nation with the policy takes effect but also
whom the Philippines is at war when the loss occurs. (Sec. 13
and it includes every citizen or and 18).
subject of such nation. Effects of Irrevocable Designation Of
3. Beneficiary - A person designated to Beneficiary
receive proceeds of policy when risk  Insured cannot:
attaches. 1. Assign the policy
 Rules in the designation of the 2. Take the cash surrender value of
beneficiary: the policy
a. LIFE 3. Allow his creditors to attach or
i. A person who insures his own execute on the policy;
life can designate any person 4. Add new beneficiary; or
as his beneficiary, whether 5. Change the irrevocable
or not the beneficiary has an designation to revocable, even
insurable interest in the life though the change is just and
of the insured subject to the reasonable.
limitations under Art. 739  The insured does not even retain the
and Art. 2012 of the NCC. power to destroy the contract by
 Reason: in essence, a life refusing to pay the premiums for the
insurance policy is no beneficiary can protect his interest by
different form a civil paying such premiums for he has an
donation insofar as the interest in the fulfillment of the
beneficiary is concerned. obligation. (Vance, p. 665, cited in de
Both are founded on the Leon, p. 101, 2002 ed.)
same consideration of
liberality. (Insular Life vs. VII. INSURABLE INTEREST
Ebrado, 80 SCRA 181) A. In General
ii. A person who insures the life  A person has an insurable interest in
of another person and name the subject matter if he is so connected,
himself as the beneficiary so situated, so circumstanced, so
must have an insurable related, that by the preservation of the
interest in such life. (Sec. same he shall derive pecuniary benefit,
10) and by its destruction he shall suffer
iii. As a general rule, the pecuniary loss, damage or prejudice.
designation of a beneficiary B. Life
is revocable unless the  Every person has an insurable interest
insured expressly waived the in the life and health:
right to revoke in the policy. a. of himself, of his spouse and of
(Sec. 11) his children;
iv. The interest of a beneficiary
in a life insurance policy

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
34
MEMORY AID IN COMMERCIAL LAW

b. of any person on whom he INSURABLE INSURABLE


depends wholly or in part for INT INTEREST IN
education or support; ER PROPERTY
c. of any person under a legal ES
obligation to him to pay money T
or respecting property or IN
services, of which death or LIF
illness might delay or prevent E
performance; and Must exist only at the Must exist at the
d. of any person upon whose life time the policy takes time the policy
any estate or interest vested in effect and need not takes effect and
him depends. (Sec. 10) exist at the time of when the loss
loss occurs
 When it should exist: When the
Unlimited except in Limited to actual
insurance takes effect; not thereafter or
life insurance value of interest in
when the loss occurs. effected by creditor property insured.
 Amount: on life of debtor.
GENERAL RULE: There is no limit in the The expectation of An expectation of a
amount the insured can insure his life. benefit to be derived benefit to be
EXCEPTION: In a creditor-debtor from the continued derived from the
relationship where the creditor insures existence of life need continued
not have any legal existence of the
the life of his debtor, the limit of
basis whatever. A property insured
insurable interest is equal to the amount reasonable must have a legal
of the debt. probability is basis.
Note: If at the time of the death of the sufficient without
debtor the whole debt has already been more.
paid, the creditor can no longer recover The beneficiary need The beneficiary
on the policy because the principle of not have an insurable must have
indemnity applies. interest over the life insurable interest
of the insured if the over the thing
C. Property insured himself insured.
secured the policy.
 Every interest in property whether real However, if the life
or personal, or any relation thereto, or insurance was
liability in respect thereof, of such obtained by the
nature that the contemplated peril beneficiary, the
might directly damnify the insured (Sec. latter must have
13), which may consist in: insurable interest
1. an existing interest; over the life of the
2. any inchoate interest insured.
founded on an existing
interest; or SPECIAL CASES
3. an expectancy coupled with 1. In case of a carrier or depositary
an existing interest in that  A carrier or depository of any kind has
out of which the expectancy an insurable interest in a thing held by
arises. (Sec. 14) him as such, to the extent of his liability
 When it should exist: When the but not to exceed the value thereof
insurance takes effect and when the loss (Sec. 15)
occurs, but need not exist in the 2. In case of a mortgaged property
meantime.  The mortgagor and mortgagee each
 Amount: The measure of insurable have an insurable interest in the
interest in property is the extent to property mortgaged and this interest is
which the insured might be damnified by separate and distinct from the other.
loss or injury thereof. (Sec. 17) a. Mortgagor – As owner, has an
insurable interest therein to the
extent of its value, even though the
mortgage debt equals such value.
The reason is that the loss or

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
35
MEMORY AID IN COMMERCIAL LAW

destruction of the property insured the mortgagor as the claim is discharged


will not extinguish the mortgage but it passes by subrogation to the
debt. insurer to the extent of the money paid
b. Mortgagee – His interest is only up by such insurer. (Palileo vs. Cosio)
to the extent of the debt. Such
interest continues until the mortgage VIII. RISK
debt is extinguished.  What may be insured against:
1. Future contingent event resulting in
 The lessor cannot be validly a loss or damage – Ex. Possible future
beneficiary of a fire insurance policy fire
taken by a lessee over his merchandise, 2. Past unknown event resulting in loss
and the provision in the lease contract or damage – Ex. Fact of past sinking
providing for such automatic assignment of a vessel unknown to the parties
is void for being contrary to law and 3. Contingent liability – Ex. Reinsurance
public policy. (Cha vs. Court of Appeals,
227 SCRA 690) IX. PREMIUM PAYMENTS
 Consideration paid an insurer for
STANDARD OR OPEN OR LOSS undertaking to indemnify the insured
UNION PAYABLE against a specified peril.
MORTGAGE MORTGAGE  Basis of the right of the insurer to
CLAUSE CLAUSE collect premiums: Assumption of risk.
Subsequent acts Acts of the
of the mortgagor mortgagor affect GENERAL RULE: No policy issued by an
cannot affect the the mortgagee. insurance company is valid and binding
rights of the Reason: until actual payment of premium. Any
assignee Mortgagor does agreement to the contrary is void. (Sec.
not cease to be a 77)
party to the
contract. (Secs. 8 EXCEPTIONS:
and 9) 1. In case of life or industrial life
insurance, when the grace periods
Effects of Loss Payable Clause applies; (Sec. 77)
a. The contract is deemed to be upon 2. When the insurer makes a written
the interest of the mortgagor; hence, he acknowledgment of the receipt
does not cease to be a party to the premium; (Sec. 78)
contract. 3. Section 77 may not apply if the
b. Any act of the mortgagor prior to the parties have agreed to the payment
loss, which would otherwise avoid the of the premium in installments and
insurance affects the mortgagee even if partial payment has been made at
the property is in the hands of the the time of the loss. (Makati
mortgagee. Tuscany Condominium Corp. v. CA,
c. Any act, which under the contract of 215 SCRA 462)
insurance is to be performed by the 4. Where a credit term has been
mortgagor, may be performed by the agreed upon. (UCPB vs. Masagana
mortgagee with the same effect. Telemart, 308 SCRA 259)
d. In case of loss, the mortgagee is 5. Where the parties are barred by
entitled to the proceeds to the extent of estoppel. (UCPB vs. Maagana
his credit. Telemart, 356 SCRA 307)
e. Upon recovery by the mortgagee to
the extent of his credit, the debt is  Section 77 merely precludes the
extinguished. parties from stipulating that the policy is
valid even if the premiums are not paid.
 In case a mortgagee insures his own (Makati Tuscany Condominium Corp. v.
interest and a loss occurs, he is entitled CA, 215 SCRA 462)
to the proceeds of the insurance but he
is not allowed to retain his claim against

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
36
MEMORY AID IN COMMERCIAL LAW

Effect of Acknowledgment of Receipt


of Premium in Policy: Conclusive PREMIUM ASSESSMENT
evidence of its payment, so far as to
make the policy binding, notwithstanding Levied and paid to Collected to meet
any stipulation therein that it shall not meet anticipated actual losses.
be binding until the premium is actually losses.
paid. (Sec. 78)
Payment is not Payment is
enforceable against enforceable once
the insured. levied unless
otherwise agreed
ENTITLEMENT OF INSURED TO RETURN upon.
OF PREMIUMS PAID

A. Whole: Not a debt. It becomes a debt


1. If the thing insured was never once properly levied
exposed to the risks insured unless otherwise
against; (Sec. 79) agreed.
2. If contract is voidable due to the
fraud or misrepresentation of X. TRANSFER OF POLICY
insurer or his agents; (Sec. 81) 1. Life Insurance
3. If contract is voidable because of  It can be transferred even without the
the existence of facts of which consent of the insurer except when there
the insured was ignorant without is a stipulation requiring the consent of
his fault; (Sec. 81) the insurer before transfer. (Sec. 181)
4. When by any default of the  Reason: The policy does not represent
insured other than actual fraud, a personal agreement between the
the insurer never incurred insured and the insurer.
liability; (Sec. 81) 2. Property insurance
5. When rescission is granted due to  It cannot be transferred without the
the insurer’s breach of contract. consent of the insurer.
(Sec. 74)  Reason: The insurer approved the
B. Pro rata: policy based on the personal
1. When the insurance is for a qualification and the insurable interest
definite period and the insured of the insured.
surrenders his policy before the 3. Casualty insurance
termination thereof;  It cannot be transferred without the
 Exceptions: consent of the insurer. (Paterson cited
a. policy not made for a in de Leon p. 82)
definite period of time  Reason: The moral hazards are as great
b. short period rate is as those of property insurance.
agreed upon
c. life insurance policy CHANE OF INTEREST IN THE THING
2. When there is over-insurance INSURED
(Sec. 82);  The mere (absolute) transfer of the
thing insured does not transfer the
Instances when premiums are not policy, but suspends it until the same
recoverable: person becomes the owner of both the
1. When the risk has already policy and the thing insured. (Sec. 58)
attached and the risk is entire and  Reason: Insurance contract is personal.
indivisible. GENERAL RULE: A change of interest in
2. In life insurance. any part of a thing insured
3. When the contract is rescindable unaccompanied by a corresponding
or rendered void ab initio by the change of interest in the insurance
fraud of the insured. suspends the insurance to an equivalent
4. When the contract is illegal and extent, until the interests in the thing
the parties are in pari delicto.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
37
MEMORY AID IN COMMERCIAL LAW

and the interest in the insurance are a. A party knows a fact which he
vested in the same person. (Sec. 20) neglects to communicate or
disclose to the other.
b. Such party concealing is duty
bound to disclose such fact to
EXCEPTIONS: the other.
1. In life, health and accident c. Such party concealing makes no
insurance.(Sec. 20); warranty as to the fact
2. Change in interest in the thing concealed.
insured after occurrence of an d. The other party has not the
injury which results in a loss. means of ascertaining the fact
(Sec. 21); concealed.
3. Change in interest in one or e. Material
more of several distinct things  Effects: Entitles insurer to rescind,
separately insured by one policy. even if the death or loss is due to a
(Sec. 22); cause not related to the concealed
4. Change of interest, by will or matter (Sec. 27).
succession, on the death of the Note: Good Faith is not a defense in
insured. (Sec. 23); concealment. Sec. 27 clearly provides
5. Transfer of interest by one of that, “the concealment whether
several partners, joint owners, intentional or unintentional entitles the
or owners in common, who are injured party to rescind the contract of
jointly insured, to others. (Sec. insurance.”
24);
6. When a policy is so framed that Test of Materiality: Determined not by
it will inure to the benefit of the event, but solely by the probable
whomsoever, during the and reasonable influence of the facts
continuance of the risk, may upon the party to whom the
become the owner of the communication is due, in forming his
interest insured. (Sec. 57); estimate of the advantages of the
7. When there is an express proposed contract, or in making his
prohibition against alienation in inquiries (Sec. 31).
the policy, in case of alienation,  Exception to Sec. 31:
the contract of insurance is not a. Incontestability clause
merely suspended but avoided. b. Matters under Sec.110 (marine
(Art. 1306, NCC). insurance)

XI. ASCERTAINMENT AND CONTROL OF  The waiver of medical examination in


RISK AND LOSS a non-medical insurance contract
renders even more material the
A. Four Primary Concerns of the information required of the applicant
Parties: concerning the previous conditions of
1. Correct estimation of the risk; health and diseases suffered. (Sunlife v.
2. Precise delimitation of the risk; Sps. Bacani, 246 SCRA 268).
3. Control of the risk;
4. Determining whether a loss occurred  The right to information of material
and if so, the amount of such loss. facts may be waived, either by the terms
of the insurance or by neglect to make
B. Devices used for ascertaining and inquiries as to such facts where they are
controlling risk and loss: distinctly implied in other facts of which
1. Concealment – A neglect to information is communicated. (Sec.33)
communicate that which a party knows
and ought to communicate (Sec. 26)  Where matters of opinion or judgment
 Requisites: are called for, answers made in good
faith and without intent to deceiver will
not avoid the policy even though they

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
38
MEMORY AID IN COMMERCIAL LAW

are untrue. Reason: The insurer cannot that purpose. (Insular Life Assur. Co. vs.
rely on those statements. He must make Feliciano, 74 Phil. 469)
further inquiry. (Philamcare Health
Systems vs. CA, G.R. No. 125678, March 3. Warranties – Statement or promise
18, 2002). by the insured set forth in the policy or
by reference incorporated therein, the
2. Representations – Factual untruth or non-fulfillment of which in
statements made by the insured at the any respect, and without reference to
time of, or prior to, the issuance of the whether insurer was in fact prejudiced
policy to give information to the insurer by such untruth or non-fulfillment,
and induce him to enter into the renders the policy voidable by the
insurance contract. They are considered insurer.
an active form of concealment.  Purpose: To eliminate potentially
 Requisites of a false representation increasing hazards which may either be
(misrepresentation): due to the acts of the insured or to the
a. The insured stated a fact which change to the condition of the property.
is untrue.  Kinds:
b. Such fact was stated with a. EXPRESS – an agreement expressed in
knowledge that it is untrue and a policy whereby the insured stipulates
with intent to deceive or which that certain facts relating to the risk are
he states positively as true or shall be true, or certain acts relating
without knowing it to be true to the same subject have been or shall
and which has a tendency to be done.
mislead. b. IMPLIED - it is deemed included in the
c. Such fact in either case is contract although not expressly
material to the risk. mentioned. Example: In marine
 Characteristics: insurance, seaworthiness of the vessel.
a. It is not a part of the contract but  Effects of breach of warranty:
merely a collateral inducement to it. a. Material
b. It may be oral or written. GENERAL RULE: Violation of material
c. It is made at the same time of issuing warranty or of a material provision of a
the policy or before but not after. policy will entitle the other party to
d. It may be altered or withdrawn before rescind the contract. (Sec. 74)
the insurance is effected but not EXCEPTIONS:
afterwards. a. Loss occurs before the time of
e. It always refers to the date the performance of the warranty.
contract goes into effect. b. The performances becomes
 Kinds: unlawful at the place of the
a. AFFIRMATIVE – affirmation of a fact contract.
when the contract begins; and c. Performance becomes
b. PROMISSORY – promise to be impossible. (Sec. 73)
performed after policy was issued. b. Immaterial (ex. Other insurance
 Effect of Misrepresentation: the injured clause)
party is entitled to rescind from the time GENERAL RULE: It will not avoid the
when the representation becomes false. policy.
EXCEPTION: When the policy expressly
Test of Materiality: Same as that in provides or declares that a violation
concealment. thereof will avoid it. (Sec. 75)

 Where the insured merely signed the WARRANTY REPRESENTATION


application form and made the agent of Part of the contract Mere collateral
the insurer fill the same for him, it was inducement
held that by doing so, the insured made Written on the May be written in
the agent of the insurer his own agent policy, actually or by the policy or may
and he was responsible for his acts for reference be oral.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
39
MEMORY AID IN COMMERCIAL LAW

Presumed material Must be proved to 2. Life – such right must be availed of


be material during the first two years from the date
Must be strictly Requires only of issue of policy or its last
complied with substantial truth reinstatement; prior to
and compliance “incontestability.” (Sec. 48)
4. Conditions – Events signifying in its
broadest sense either an occurrence or a CANCELLATION OF NON-LIFE
non-occurrence that alters the INSURANCE POLICY
previously existing legal relations of the  Right of the insurer to abandon the
parties to the contract. They may be contract on the occurrence of certain
conditions precedent or conditions grounds after the effectivity date of a
subsequent. non-life policy.
 Effect of breach:  Grounds:
a. Condition precedent – prevents 1. Non-payment of premium;
the accrual of cause of action 2. Conviction of a crime out of acts
b. Condition subsequent – avoids increasing the hazard insured
the policy or entitles the insurer against;
to rescind 3. Discovery of fraud or material
 The insurer may also protect himself misrepresentation;
against fraudulent claims of loss and this 4. Discovery of willful or reckless acts
he attempts to do by inserting in the of omissions increasing the hazard
policy various conditions which take the insured against;
form of conditions precedent. For 5. Physical changes in property making
instance, there are conditions requiring the property uninsurable; and
immediate notice of loss or injury and 6. Determination by the Insurance
detailed proofs of loss within a limited Commissioner that the continuation
period. of the policy would violate the
Insurance Code. (Sec. 64)
5. Exceptions – Provisions that may  Requirements:
specify excepted perils. It makes more 1. Prior notice of cancellation to
definite the coverage indicated by the the insured;
general description of the risk by 2. Notice must be in writing,
excluding certain specified risk that mailed or delivered to the
otherwise would be included under the named insured at the address
general language describing the risks shown in the policy;
assumed. 3. Notice must state which of the
 Effect: Limit the coverage of the grounds set forth in Sec. 64 is
contract. relied upon and upon request of
the insured, the insurer must
RESCISSION furnish facts on which the
 Grounds: cancellation is based;
A. Concealment 4. Grounds should have existed
B. Misrepresentation after the effectivity date of the
C. Breach of material warranty policy.
D. Breach of a condition subsequent
XII. INCONTESTABILITY CLAUSE
 Waiver of the right to rescind:
Acceptance of premium payments  Clause in life insurance policy that
despite the knowledge of the ground for stipulates that the policy shall be
rescission. (Sec. 45) incontestable after a stated period.
 Limitations on the right of the insurer  Requisites:
to rescind: 1. Life insurance policy
1. Non-life – such right must be 2. Payable on the death of the insured
exercised prior to the commencement of 3. It has been in force during the
an action on the contract; lifetime of the insured for a period
of at least two years from the date

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
40
MEMORY AID IN COMMERCIAL LAW

of its issue or of its last property with the same insurance


reinstatement company.
Note: The period of 2 years may be  Effect in case of loss:
shortened but it cannot be extended by 1. The insurer is bound only to pay to
stipulation. the extent of the real value of the
property lost;
2. The insured is entitled to recover the
 Incontestability only deprives the amount of premium corresponding to
insurer of those defenses which arise in the excess in value of the property;
connection with the formation and
operation of the policy prior to loss. B. DOUBLE INSURANCE – exists where
(Prof. De Leon, p. 173 citing Wyatt and same person is insured by several
Wyatt, p. 878) insurers separately in respect to same
subject and interest. (Sec. 93)
BARRED DEFENSES NOT  Requisites:
DEFENSES BARRED 1. Person insured is the same;
OF THE INSURER 2. Two or more insurers insuring
1. Policy is void ab 1. That the person separately;
initio taking the insurance 3. Subject matter is the same;
2. Policy is lacked insurable 4. Interest insured is also the same;
rescindable by interest as required 5. Risk or peril insured against is
reason of the by law;
likewise the same.
fraudulent 2. That the cause of
concealment or the death of the
misrepresentation of insured is an  Effects: Where double insurance is
the insured or his excepted risk; allowed, but over insurance results:
agent 3. That the (Sec. 94)
premiums have not 1. The
been paid (Secs. 77, insured, unless the policy otherwise
227[b], 228[b], provides, may claim payment from
230[b]);
the insurers in such order as he may
4. That the
conditions of the
select, up to the amount for which
policy relating to the insurers are severally liable
military or naval under their respective contracts;
service have been 2. Where
violated (Secs. the policy under which the insured
227[b], 228[b]); claims is a valued policy, the insured
5. That the fraud is must give credit as against the
of a particularly valuation for any sum received by
vicious type; him under any other policy without
6. That the
beneficiary failed to
regard to the actual value of the
furnish proof of subject matter insured;
death or to comply 3. Where
with any condition the policy under which the insured
imposed by the claims is an unvalued policy he must
policy after the loss give credit, as against the full
has happened; or insurable value, for any sum
7. That the action received by him under any policy;
was not brought 4. Where
within the time
specified.
the insured receives any sum in
excess of the valuation in the case of
valued policies, or of the insurable
XIII.
value in the case of unvalued
A. OVER-INSURANCE – results when the
policies, he must hold such sum in
insured insures the same property for an
trust for the insurers, according to
amount greater than the value of the
their right of contribution among
themselves;

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
41
MEMORY AID IN COMMERCIAL LAW

5. Each 1. Reinsurance treaty – Merely an


insurer is bound, as between himself agreement between two insurance
and the other insurers, to contribute companies whereby one agrees to cede
ratably to the loss in proportion to and the other to accept reinsurance
the amount for which he is liable business pursuant to provisions specified
under his contract. in the treaty. (Prof. De Leon, p. 306)

Additional or “Other Insurance” Clause 2. Automatic reinsurance – The


 A condition in the policy requiring the reinsured is bound to cede and the
insured to inform the insurer of any reinsurer is obligated to accept a fixed
other insurance coverage of the property share of the risk which has to be
insured. It is lawful and specifically reinsured under the contract. (Prof. De
allowed under Sec. 75 which provides Leon, p. 305)
that “(a) policy may declare that a 3. Facultative reinsurance – There is no
violation of a specified provision thereof obligation to cede or accept
shall avoid it, otherwise the breach of an participation in the risk each party
immaterial provision does not avoid it.” having a free choice. But once the share
 A stipulation against double insurance. is accepted, the obligation is absolute
 Purposes: and the liability thereunder can be
1. To prevent an increase in the discharged only by payment. (Equitable
moral hazard Ins. & Casualty Co. vs. Rural Ins. &
2. To prevent over-insurance and Surety Co., Inc. 4 SCRA 343)
fraud.
 To constitute a violation of the 4. Retrocession – A transaction whereby
clause, there should have been double the reinsurer in turn, passes to another
insurance. insurer a portion of the risk reinsured. It
is really the reinsurance of reinsurance.
C. REINSURANCE – a contract by which (Prof. De Leon, p. 305)
the insurer procures a third person to
insure him against loss or liability by XIV.
reason of an original insurance (also A. LOSS, IN INSURANCE
known as “Reinsurance Cession”). (Sec.  Injury or damage sustained by the
95) insured in consequence of the happening
 In every reinsurance, the original of one or more of the accidents or
contract of insurance and the contract of misfortune against which the insurer, in
reinsurance are covered by separate consideration of the premium, has
policies. undertaken to indemnify the insured.
(Bonifacio Bros. Inc. vs. Mora, 20 SCRA
DOUBLE REINSURANCE 261)
INSURANCE
Involves the same Involves different Loss for which Loss for which
interest interest insurer is liable insurer is not
Insurer remains in Insurer becomes the liable
such capacity insured in relation 1. Loss the 1. Loss by
to reinsurer proximate cause of insured’s willful
Insured is the party Original insured has which is the peril act;
in interest in the 2 no interest in the insured against 2. Loss due to
contracts reinsurance (Sec. 84); connivance of the
contract. 2. Loss the insured (Sec. 87);
Subject of Subject of insurance immediate cause of and
insurance is is the original which is the peril 3. Loss where the
property insurer’s risk insured against excepted peril is
Insured has to give Insured’s consent except where the proximate
his consent not necessary proximate cause is cause.
an excepted peril;
3. Loss through
TERMS: negligence of

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
42
MEMORY AID IN COMMERCIAL LAW

insured except NON-LIFE


where there was LIFE POLICIES POLICIES
gross negligence
amounting to willful a. Maturing The proceeds shall
acts; and upon the be paid within 30
4. Loss caused by expiration of the days after the
efforts to rescue the term – The receipt by the
thing from peril proceeds are insurer of proof of
insured against; immediately loss, and
5. If during the payable to the ascertainment of
course of rescue, insured, unless the loss or damage
the thing is exposed they are made by agreement of the
to a peril not payable in parties or by
insured against, installments or as arbitration but not
which permanently annuity, in which later than 90 days
deprives the insured case, the from such receipt of
of its possession, in installments or proof of loss
whole or in part annuities shall be whether or not
(Sec. 85). paid as they ascertainment is
become due. had or made.
Proximate Cause – An event that sets all b. Maturing at
other events in motion without any the death of the
intervening or independent case, without insured, occurring
which the injury or loss would not have prior to the
occurred. expiration of the
term stipulated –
The proceeds are
REQUISITES FOR RECOVERY UPON payable to the
INSURANCE beneficiaries
1. The insured must have insurable within 60 days
interest in the subject matter; after presentation
2. That interest is covered by the policy; and filing of proof
3. There must be a loss; and of death.
4. The loss must be proximately caused
by the peril insured against.
 In case of an unreasonable delay in
NOTICE OF LOSS the payment of the insured’s claim by
In fire insurance In other types of the insurer, the insured can recover: 1)
insurance attorney’s fees; 2) expenses incurred by
reason of the unreasonable withholding;
Required Not required 3) interest at double the legal interest
rate fixed by the Monetary Board; and 4)
Failure to give Failure to give the amount of the claim. (Zenith
notice will defeat notice will not Insurance Corp. vs. CA, 185 SCRA 398)
the right of the exonerate the
insured to recover. insurer, unless XV. PRESCRIPTIVE PERIOD (Secs. 63 &
there is a 384)
stipulation in the
policy requiring the
 Rules:
insured to do so. 1. In the absence of an express
stipulation in the policy, it being based
on a written contract, the action
B. CLAIMS SETTLEMENT prescribes in 10 years.
 The indemnification of the loss of the 2. However the parties may validly agree
insured. on a shorter period provided it is not less
than one year from the time the cause of
TIME FOR PAYMENT OF CLAIMS action accrues.
3. The cause of action accrues from the
rejection of the claim of the insured and
not from the time of loss.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
43
MEMORY AID IN COMMERCIAL LAW

It shall commence from the denial of  Classes of inland marine insurance:
the claim, not from the resolution of the (Prof. De Leon, p. 325)
motion for reconsideration, otherwise it 1. Property in transit – provides
can be used by the insured as a scheme protection to property
or device to waste time until the frequently exposed to loss while
evidence which may be used against him it is transportation form one
is destroyed. (Sun Insurance Office, Ltd. location to another.
v. CA, 195 SCRA) 2. Bailee liability - insurance for
4. In CMVLI, the written notice of claim those who have temporary
must be filed within 6 months from the custody of the goods.
date of the accident otherwise the claim 3. Fixed transportation property –
is deemed waived. The suit for damages they are so insured because they
either with the proper court or with the are held to be an essential part
Insurance Commissioner should be filed of the transportation system
within 1 year from the date of the denial such as bridges, tunnels, etc.
of the claim by the insurer, otherwise 4. Floater – provides insurance to
claimant’s right of action shall prescribe. follow the insured property
(Sec. 384) wherever it may be located,
subject always to the territorial
PARTICULAR KINDS OF INSURANCE limits of the contract.
CONTRACTS  Insurable interest:
A.
XVI. MARINE INSURANCE 1.Shipowner
 Insurance against risks connected with a. Over the vessel to the
navigation, to which a ship, cargo, extent of its value, except
freightage, profits or other insurable that if chartered, the
interest in movable property, may be insurance is only up to the
exposed during a certain voyage or a amount not recoverable
fixed period of time. (Sec. 99) from the charterer. (Sec.
 Coverage: 100).
A. b. He also has an insurable
1. Vessels, goods, freight, cargo, interest on expected
merchandise, profits, money, freightage. (Sec. 103).
valuable papers, bottomry and c. No insurable interest if he
respondentia, and interest in respect will be compensated by
to all risks or perils of navigation; charterer for the value of
2. Persons or property in connection the vessel, in case of loss.
with marine insurance; 2. Cargo owner
3. Precious stones, jewels, jewelry and  Over the cargo and expected
precious metals whether in the profits (Sec. 105).
course of transportation or 3. Charterer
otherwise; and  Over the amount he is liable to
4. Bridges, tunnels, piers, docks and the shipowner, if the ship is lost
other aids to navigation and or damaged during the voyage
transportation. (Sec. 99) (Sec. 106).
 Cargo can be the subject of
marine insurance, and once it is B.
entered into, the implied In loans on bottomry and respondentia
warranty of seaworthiness  Repayment of the loan is subject to the
immediately attaches to condition that the vessel or goods,
whoever is insuring the cargo, respectively, given as a security, shall
whether he be the shipowner or arrive safely at the port of destination.
not. (Roque v. IAC, 139 SCRA 1. Owner/Debtor
596)
B. Marine Protection and Indemnity
Insurance

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
44
MEMORY AID IN COMMERCIAL LAW

 Difference between the value


of vessel or goods and the B. Barratry Clause
amount of loan. (Sec. 101)  A clause which provides that there can
2. Creditor/lender be no recovery on the policy in case of
 Amount of the loan any willful misconduct on the part of the
master or crew in pursuance of some
Note: If a vessel is hypothecated by unlawful or fraudulent purpose without
bottomry, only the excess is insurable, consent of owners, and to the prejudice
since a loan on bottomry partakes of the of the owner’s interest. (Roque vs. IAC,
nature of an insurance coverage to the 139 SCRA 596)
extent of the loan accommodation. The
same rule would apply to the C. Inchamaree Clause
hypothecation of the cargo by  A clause which makes the insurer liable
respondentia. (Pandect of Commercial for loss or damage to the hull or
Law and Jurisprudence, Justice Jose machinery arising from the:
Vitug, 1997 ed.) 1. Negligence of the captain,
PERILS OF THE PERILS OF THE engineers, etc.
SEA SHIP 2. Explosions, breakage of shafts; and
Includes only those A loss which in the 3. Latent defect of machinery or hull.
casualties due to ordinary course of (Bar Review Materials in Commercial
the: events, results Law, Jorge Miravite, 2002 ed.)
1. unusual from the:
violence; or 1. natural and D. Sue and Labor Clause
2. extraordinary inevitable action of
action of wind and the sea  A clause under which the insurer may
wave; or 2. ordinary wear become liable to pay the insured, in
3. Other and tear of the ship addition to the loss actually suffered,
extraordinary causes or such expenses as he may have incurred
connected with 3. Negligent in his efforts to protect the property
navigation. failure of the ship’s against a peril for which the insurer
owner to provide would have been liable. (Sec. 163)
the vessel with
proper equipment
MATTERS ALTHOUGH CONCEALED, WILL
to convey the cargo
under ordinary NOT VITIATE THE CONTRACT EXCEPT
conditions. WHEN THEY CAUSED THE LOSS (Sec.
110)
Note: It is only perils of the sea which 1. National character of the insured;
may be insured against unless perils of 2. Liability of the thing insured to
the ship is covered by an all-risk policy. capture or detention;
3. Liability to seizure from breach of
SPECIAL MARINE INSURANCE foreign laws;
CONTRACTS AND CLAUSES 4. Want of necessary documents; and
A. All Risks Policy – insurance against all 5. Use of false or simulated papers.
causes of conceivable loss or damage, Note: This should be related to the
except: 1) as otherwise excluded in the general rule regarding material
policy; or 2) due to fraud or intentional concealment.
misconduct on the part of the insured.
 The insured has the initial burden of DISTINCTIONS ON CONCEALMENT
proving that the cargo was in good (Commercial Law Reviewer, A.F.
condition when the policy attached and Agbayani, 1988 ed.)
that the cargo was damaged when
unloaded from the vessel; thereafter, MARINE INSURANCE OTHER
the burden then shifts to the insurer to PROPERTY
show the exception to the coverage. INSURANCE
(Filipinas Merchants Insurance vs. Court The information of the The information or
belief or expectation belief of a 3rd party
of Appeals, 179 SCRA 638)
of 3rd persons is is not material and

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
45
MEMORY AID IN COMMERCIAL LAW

material and must be need not be ship be seaworthy at the time of the
communicated communicated commencement of the risk. Prior or
unless it proceeds subsequent unseaworthiness is not a
form an agent of breach of the warranty nor is it material
the insured whose
that the vessel arrives in safety at the
duty it is to give
information end of her voyage.
The concealment of Concealment of any EXCEPTIONS:
any fact in relation to material fact will 1. In the case of a time policy, the ship
any of the matters vitiate the entire must be seaworthy at the
stated in Sec. 110 contract, whether commencement of every voyage she
does not vitiate the or not the loss may undertake
entire contract but results for the risk 2. In the case of cargo policy, each
merely exonerates the concealed. vessel upon which the cargo is
insurer from a risk
shipped or transshipped, must be
resulting from the fact
concealed seaworthy at the commencement of
each particular voyage
IMPLIED WARRANTIES
3. In the case of a voyage policy
1. Seaworthiness of the ship at the
contemplating a voyage in different
inception of the insurance (Sec.
stages, the ship must be seaworthy
113);
at the commencement of each
2. Against improper deviation (Sec.
portion
123, 124, 125);
3. Against illegal venture;
4. Warranty of neutrality: the ship will  Applicability of implied warranty of
carry the requisite documents of seaworthiness to cargo owners: It
nationality or neutrality of the ship becomes the obligation of a cargo owner
or cargo where such nationality or to look for a reliable common carrier,
neutrality is expressly warranted; which keeps its vessels in seaworthy
(Sec. 120) conditions. The shipper may have no
5. Presence of insurable interest. control over the vessel but he has
control in the choice of the common
carrier that will transport his goods
 While the payment by the insurer for
(Roque v. IAC, 139 SCRA 596).
the insured value of the lost cargo
operates as a waiver of the insurer’s
Deviation
right to enforce the term of the implied
warranty against the assured under the  A departure from the course of the
marine insurance policy, the same voyage insured, or an unreasonable delay
cannot be validly interpreted as an in pursuing the voyage or the
automatic admission of the vessel’s commencement of an entirely different
seaworthiness by the insurer as to voyage. (Sec.123)
foreclose recourse against the common  Instances:
carrier for any liability under the 1. Departure of vessel from the
contractual obligation as such common course of the sailing fixed by
carrier. (Delsan Transportation Lines vs. mercantile usage
CA, 364 SCRA 24) 2. Departure of vessel from the
most natural, direct and
Seaworthiness advantageous route if not fixed
 A relative term depending upon the by mercantile usage
nature of the ship, voyage, service and 3. Unreasonable delay in pursuing
goods, denoting in general a ship’s voyage
fitness to perform the service and to 4. Commencement of an entirely
encounter the ordinary perils of the different voyage (Secs. 121-123)
voyage, contemplated by the parties to  Kinds:
the policy (Sec. 114). 1. Proper -
GENERAL RULE: The warranty of a. When caused by circumstances outside
seaworthiness is complied with if the the control of the ship captain or ship
owner;

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
46
MEMORY AID IN COMMERCIAL LAW

b. When necessary to comply with a


warranty or to avoid a peril; GENERAL PARTICULAR
c. When made in good faith to avoid a Has inured to the Has not inured to the
peril; common benefit and common benefit and
d. When made in good faith to save profit of all persons profit of all persons
human life or to relieve another vessel interested in the interested in the
in distress (Sec. 124) vessel and cargo vessel and her cargo.
To be borne equally To be borne alone by
 Effect: In case of loss, the
by all of the interests the owner of the
insurer is still liable. concerned in the cargo or the vessel,
2. Improper - Every deviation not venture. as the case may be.
specified in Sec. 124 (Sec. 125). Requisites for the
 Effect: In case of loss or right to claim
damage, the insurer is not liable. contribution:
(Sec. 126) 1. Common
danger to the
vessel or
LOSS cargo;
1. Total: 2. Part of the
a. Actual - vessel or cargo
i. Total destruction; was sacrificed
ii. Irretrievable loss by sinking; deliberately;
iii. Damage rendering the thing 3. Sacrifice must
valueless; or be for the
iv. Total deprivation of owner of common safety
possession of thing insured. or for the
(Sec. 130) benefit of all;
b. Constructive - 4. Sacrifice must
i. Actual loss of more than ¾ be made by
of the value of the object; the master or
ii. Damage reducing value by upon his
more than ¾ of the value of authority;
the vessel and of cargo; and 5. It must be not
iii. Expense of transshipment be caused by
exceed ¾ of value of cargo. any fault of
(Sec. 131, in relation to Sec. the party
139) asking the
 In case of constructive contribution;
total loss, insured may: 6. It must be
1. Abandon goods or successful, i.e.
vessel to the insurer and resulted in the
claim for whole insured saving of the
value (Sec. 139), or vessel or
2. Without abandoning cargo; and
vessel, claim for partial Necessary.
actual loss. (Sec. 155)
2. Partial: That which is not total (Sec. RIGHT OF INSURED IN CASE OF
128). GENERAL AVERAGE
GENERAL RULE: The insured may
AVERAGE either hold the insurer directly liable for
 Any extraordinary or accidental the whole of the insured value of the
expense incurred during the voyage for property sacrificed for the general
the preservation of the vessel, cargo, or benefit, subrogating him to his own right
both, and all damages to the vessel and of contribution or demand contribution
cargo from the time it is loaded and the from the other interested parties as soon
voyage commenced until it ends and the as the vessel arrives at her destination
cargo unloaded.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
47
MEMORY AID IN COMMERCIAL LAW

EXCEPTIONS:  If an insurer refuses to accept a valid


1. After the separation of interests abandonment, he is liable upon an actual
liable to contribution total loss, deducting form the amount
2. When the insured has neglected or any proceeds of the thing insured which
waived his right to contribution may have come to the hands of the
insured. (Sec.154)
FPA Clause (Free From Particular
Average) CO-INSURANCE
A clause agreed upon in a policy of  A marine insurer is liable upon a partial
marine insurance in which it is stated loss, only for such proportion of the
that the insurer shall not be liable for a amount insured by him as the loss bears
particular average, such insurer shall be to the value of the whole interest of the
free therefrom, but he shall continue to insured in the property insured. (Sec.
be liable for his proportion of all general 157)
average losses assessed upon the thing  When the property is insured for less
insured. (Sec. 136) than its value, the insured is considered
ABANDONMENT a co-insurer of the difference between
 The act of the insured by which, after a the amount of insurance and the value of
constructive total loss, he declared the the property.
relinquishment to the insurer of his
interest in the thing insured. (Sec. 138)  Requisites:
 Requisites for validity: 1. The loss is partial;
1. There must be an actual 2. The amount of insurance is less than
relinquishment by the person insured the value of the property insured.
of his interest in the thing insured
(Sec. 138);  Rules:
2. There must be a constructive total 1. Co-insurance applies only to marine
loss (Sec. 139); insurance
3. The abandonment be neither partial 2. Logically, there cannot be co-
nor conditional (Sec. 140); insurance in life insurance.
4. It must be made within a reasonable 3. Co-insurance applies in fire insurance
time after receipt of reliable when expressly provided for by the
information of the loss (Sec. 141); parties.
5. It must be factual (Sec. 142);
6. It must be made by giving notice CO-INSURANCE REINSURANCE
thereof to the insurer which may be A percentage in the Situation where the
done orally or in writing (Sec. 143); value of the insured insurer procures a 3rd
and property which the party called the
7. The notice of abandonment must be insured himself reinsurer to insure
explicit and must specify the assumes to act as him against liability
particular cause of the abandonment insurer to the extent by reason of an
of the deficiency in original insurance.
(Sec. 144). the insurance of the Basically, reinsurance
insured property. In is an insurance
 Effects: case of loss or against liability
1. It is equivalent to a transfer by the damage, the insurer which the original
insured of his interest to the insurer will be liable only for insurer may incur in
with all the chances of recovery and such proportion of favor of the original
indemnity (Transfer of Interest) the loss or damage as insured.
(Sec.146) the amount of the
insurance bears to
2. Acts done in good faith by those who
the designated
were agents of the insured in respect percentage of the
to the thing insured, subsequent to full value of the
the loss, are at the risk of the property insured.
insurer and for his benefit. (Transfer (Bar Review
Of Agency)(Sec.148) Materials in
Commercial Law,

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
48
MEMORY AID IN COMMERCIAL LAW

Jorge Miravite, 2002


ed.) ALTERATION AS A SPECIAL GROUND
FOR RESCISSION BY INSURER
 Requisites:
XVII. FIRE INSURANCE 1. The use or condition of the thing
 A contract by which the insurer for a is specifically limited or
consideration agrees to indemnify the stipulated in the policy;
insured against loss of, or damage to, 2. Such use or condition as limited
property by hostile fire, including loss by by the policy is altered;
lightning, windstorm, tornado or 3. The alteration is made without
earthquake and other allied risks, when the consent of the insurer;
such risks are covered by extension to 4. The alteration is made by means
fire insurance policies or under separate within the control of the
policies. (Sec. 167) insured;
5. The alteration increases the risk;
(Sec. 168) and
 Prerequisites to recovery: 6. There must be a violation of a
1. Notice of loss – must be immediately policy provision. (Sec. 170)
given, unless delay is waived expressly or
impliedly by the insurer Fall-of-building clause
2. Proof of loss – according to best  A clause in a fire insurance policy that
evidence obtainable. Delay may also be if the building or any part thereof falls,
waived expressly or impliedly by the except as a result of fire, all insurance
insurer by the policy shall immediately cease.

HOSTILE FIRE FRIENDLY FIRE Option to rebuild clause


One that escapes One that burns in a  A clause giving the insurer the option
from the place place where it was to reinstate or replace the property
where it was intended to burn damaged or destroyed or any part
intended to burn and ought to be
thereof, instead of paying the amount of
and ought to be.
the loss or the damage.
Insurer is liable Insurer is not liable
 The insurer, after electing to rebuild,
Measure of Indemnity cannot be compelled to perform this
1. Open policy: only the expense undertaking by specific performance
necessary to replace the thing lost or because this is an obligation to do, not
injured in the condition it was at the to give. Remedy: Art. 1167, NCC.
time of the injury
2. Valued policy: the parties are bound XVIII. CASUALTY OR ACCIDENT
by the valuation, in the absence of fraud INSURANCE
or mistake  Insurance covering loss or liability
arising from accident or mishap,
Note: It is very crucial to determine excluding those falling under other types
whether a marine vessel is covered by a of insurance such as fire or marine. (Sec.
marine insurance or fire insurance. The 174)
determination is important for 2 reasons:
1. Rules on constructive total loss  Classifications:
and abandonment – applies only 1. Insurance against specified perils
to marine insurance; which may affect the person and/or
2. Rule on co-insurance – applies property of the insured. (accident or
primarily to marine insurance; health insurance)
3. Rule on co-insurance applies to  Examples: personal accident,
fire insurance only if expressly robbery/theft insurance
agreed upon. (Commercial Law 2. Insurance against specified perils
Reviewer, Aguedo Agbayani, which may give rise to liability on the
1988 ed.) part of the insured for claims for

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
49
MEMORY AID IN COMMERCIAL LAW

injuries to or damage to property of 2. Indemnity for actual loss or


others. (third party liability insurance) reimbursement after actual payment by
 Insurable interest is based on the the insured – A third party has no cause
interest of the insured in the safety of of action against the insurer (Sec. 53,
persons, and their property, who may Bonifacio Bros. v. Mora, 20 SCRA 261).
maintain an action against him in case of
their injury or destruction, respectively.  The insurer is not solidarily liable with
 Examples: workmen’s compensation, the insured. The insurer’s liability is
motor vehicle liability based on contract; that of the insured is
 In a third party liability (TPL) based on torts. Furthermore, the
insurance contract, the insurer assumes insurer’s liability is limited by the
the obligation by paying the injured third amount of the insurance coverage (Pan
party to whom the insured is liable. Prior Malayan Insurance Corporation v. CA,
payment by the insured to the third 184 SCRA 54).
person is not necessary in order that the
obligation may arise. The moment the
insured becomes liable to third persons,
the insured acquires an interest in the
insurance contract which may be “INTENTIONAL” vs. “ACCIDENTAL” AS
garnished like any other credit. (Perla USED IN INSURANCE POLICIES
Comapnia de Seguro, Inc vs. Ramolete, 1. Intentional – Implies the exercise of
205 SCRA 487) the reasoning faculties, consciousness
 Aside from compulsory motor vehicle and volition. Where a provision of the
liability insurance, the Insurance Code policy excludes intentional injury, it is
contains no other provisions applicable the intention of the person inflicting the
to casualty insurance. Therefore, such injury that is controlling. If the injuries
casualty insurance are governed by the suffered by the insured clearly resulted
general provisions applicable to all types from the intentional act of the third
of insurance, and outside of such person, the insurer is relieve from
statutory provisions, the rights and liability as stipulated. (Biagtan v. the
obligations of the parties must be Insular Life Assurance Co. Ltd., 44 SCRA
determined by their contract, taking into 58, 1972)
consideration its purpose and always in 2. Accidental – That which happens by
accordance with the general principles chance or fortuitously, without intention
of insurance law. or design, which is unexpected, unusual
and unforeseen.
 In burglary, robbery and theft
insurance, the opportunity to defraud NO ACTION CLAUSE
the insurer – the moral hazard – is so  A requirement in a policy of liability
great that insurer have found it insurance which provides that suit and
necessary to fill up the policies with final judgment be first obtained against
many restrictions designed to reduce the the insured; that only thereafter can the
hazard. Persons frequently excluded are person injured recover on the policy.
those in the insured’s service and (Guingon vs. Del Monte, 20 SCRA 1043)
employment. The purpose of the
exception is to guard against liability XIX. COMPULSORY MOTOR VEHICLE
should theft be committed by one having LIABILITY INSURANCE (CMVLI)
unrestricted access to the property.  A species of compulsory insurance that
(Fortune Insurance vs. CA, 244 SCRA 208) provides for protection coverage that
will answer for legal liability for losses
Right of a third party injured to sue the and damages for bodily injuries or
insurer property damage that may be sustained
1. Indemnity against liability – A third by another arising from the use and
party injured can directly sue the operation of motor vehicle by its owner.
insurer.  Purpose: To give immediate financial
assistance to victims of motor vehicle

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
50
MEMORY AID IN COMMERCIAL LAW

accidents and/or their dependents, b. Death certificate and evidence


especially if they are poor regardless of sufficient to establish proper payee;
the financial capability of motor vehicle c. Medical report and evidence of
owners or operators responsible for the medical or hospital disbursement.
accident sustained (Shafer v. Judge, 3. Claim may be made against one motor
RTC, 167 SCRA 386). vehicle only
 Claimants/victims may be a 4. Proper insurer from which to claim -
“passenger” or a “3rd party” a. In case of an occupant: Insurer
 It applies to all vehicles whether of the vehicle in which the occupant is
public and private vehicles. riding, mounting or dismounting from;
Note: It is the only compulsory insurance b. In any other case: Insurer of the
coverage under the Insurance Code. directly offending vehicle. (Sec. 378)

 The claimant is not free to choose


from which insurer he will claim the “no
fault indemnity” as the law makes it
mandatory that the claim shall lie
against the insurer of the vehicle in
Method of coverage which the occupant is riding, mounting
1. Insurance policy or dismounting from. That said vehicle
2. Surety bond might not be the one that caused the
3. Cash deposit accident is of no moment since the law
itself provides that the party paying may
Passenger – Any fare-paying person recover against the owner of the vehicle
being transported and conveyed in and responsible for the accident. (Perla
by a motor vehicle for transportation of Compania de Seguros, Inc. v. Ancheta,
passengers for compensation, including 169 SCRA 144)
persons expressly authorized by law or
by the vehicle’s operator or his agents to  This no-fault claim does not apply to
ride without fare. (Sec. 373[b]) property damage. If the total indemnity
claim exceeds P5,000 and there is
Third Party – Any person other than the controversy in respect thereto, the
passenger, excluding a member of the finding of fault may be availed of by the
household or a member of the family insurer only as to the excess. The first
within the second degree of P5,000 shall be paid without regard to
consanguinity or affinity, of a motor fault. (Prof. De Leon, p. 716)
vehicle owner or land transportation
operator, or his employee in respect of  The essence of the no-fault indemnity
death or bodily injury arising out of and insurance is to provide victims of
in the course of employment. (Sec. vehicular accidents or their heirs
373[c]) immediate compensation although in
limited amount, pending final
“No-Fault” Clause determination of who is responsible for
 A clause that allows the victim (injured the accident and liable for the victims
person or heirs of the deceased) to an injuries or death. (Ibid.)
option to file a claim for death or injury
without the necessity of proving fault or SPECIAL CLAUSES
negligence of any kind. A. Authorized Driver Clause
 Purpose: To guarantee compensation or  A clause which aims to indemnify the
indemnity to injured persons in motor insured owner against loss or damage to
vehicle accidents. the car but limits the use of the insured
 Rules: vehicle to the insured himself or any
1. Total indemnity - maximum of P5,000 person who drives on his order or with
2. Proofs of loss - his permission (Villacorta v. Insurance
a. Police report of accident; Commissioner)

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
51
MEMORY AID IN COMMERCIAL LAW

 The requirement that the person SURETYSHIP PROPERTY


driving the insured vehicle is permitted INSURANCE
in accordance with the licensing laws or Accessory contract Principal contract
other laws or regulations to drive the 3 parties: surety, 2 parties: insurer and
motor vehicle (licensed driver) is obligor and oblige insured
applicable only if the person driving is Credit Contract of
other than the insured. accommodation indemnity
Surety can recover Insurer has no such
from principal right; only right of
B. Theft Clause
subrogation
 A clause which includes theft as among Bond can be May be cancelled
the risks insured against. cancelled only with unilaterally either by
 Where the car is unlawfully and consent of obligee, insured or insurer on
wrongfully taken without the owner’s Commissioner or grounds provided by
consent or knowledge, such taking court law
constitutes theft, and thus, it is the Requires No need of
“theft clause” and not the “authorized acceptance of acceptance by any
driver clause that should apply (Palermo obligee to be valid third party
Risk-shifting device; Risk-distributing
v. Pyramids Ins., 161 SCRA 677). premium paid being device; premium paid
in the nature of a as a ratable
service fee contribution to a
C. Cooperation Clause common fund
 A clause which provides in essence that XXI. LIFE INSURANCE
the insured shall give all such  Insurance on human lives and insurance
information and assistance as the insurer appertaining thereto or connected
may require, usually requiring therewith which includes every contract
attendance at trials or hearings. or pledge for the payment of
XX. SURETYSHIP endowments or annuities. (Sec. 179)
 An agreement whereby a surety  Kinds: (Bar Review Materials in
guarantees the performance by the Commercial Law, Jorge Miravite, 2002
principal or obligor of an obligation or ed.)
undertaking in favor of an obligee. (Sec. 1. Ordinary Life, General Life or Old
175) Line Policy - Insured pays a fixed
 It is essentially a credit premium every year until he dies.
accommodation. Surrender value after 3 years.
 It is considered an insurance contract 2. Group Life – Essentially a single
if it is executed by the surety as a insurance contract that provides
vocation, and not incidentally. (Sec. 20 coverage for many individuals.
 When the contract is primarily drawn Examples: In favor of employees,
up by 1 party, the benefit of doubt goes “mortgage redemption insurance”.
to the other party (insured/obligee) in 3. Limited Payment Policy – insured
case of an ambiguity following the rule pays premium for a limited period.
in contracts of adhesion. Suretyship, If he dies within the period, his
especially in fidelity bonding, is thus beneficiary is paid; if he outlives the
treated like non-life insurance in some period, he does not get anything.
respects. 4. Endowment Policy – pays premium
for specified period. If he outlives
Nature of liability of surety the period, the face value of the
1. Solidary; policy is paid to him; if not, his
2. Limited to the amount of the bond; beneficiaries receive the benefit.
3. It is determined strictly by the terms 5. Term Insurance – insurer pays once
of the contract of suretyship in only, and he is insured for a
relation to the principal contract specified period. If he dies within
between the obligor and the obligee. the period, his beneficiaries
(Sec. 176) benefits. If he outlives the period,
no person benefits from the
insurance.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
52
MEMORY AID IN COMMERCIAL LAW

6. Industrial Life - life insurance the principal accomplice or accessory in


entitling the insured to pay willfully bringing about the death of the
premiums weekly, or where insured, in which event, the nearest
premiums are payable monthly or relative of the insured shall receive the
oftener. proceeds of said insurance if not
otherwise disqualified. (Sec. 12)
Mortgage Redemption Insurance EXCEPTIONS:
 A life insurance taken pursuant to a 1. Accidental killing
group mortgage redemption scheme by 2. Self-defense
the lender of money on the life of a 3. Insanity of the beneficiary at the
mortgagor who, to secure the loan, time he killed the insured
mortgages the house constructed from
the use of the proceeds of the loan, to  If the premiums paid came from
the extent of the mortgage indebtedness conjugal funds, the proceeds are
such that if the mortgagor dies, the considered conjugal. If the beneficiary is
proceeds of his life insurance will be other than the insured’s estate, the
used to pay for his indebtedness to the source of premiums would not be
lender assured and the deceased’s heirs relevant. (Del Val v. Del Val, 29 Phil 534)
will thereby be relieved from paying the
unpaid balance of the loan. (Great  The measure of indemnity in life or
Pacific Life Assurance Corp. vs. Court of health insurance policy is the sum fixed
Appeals, 316 SCRA 677) in the policy except when a creditor
insures the life of his debtor. (Sec. 183)
LIABILITY OF INSURER IN CERTAIN IS THE CONSENT OF THE BENEFICIARY
CAUSES OF DEATH OF INSURED NECESSARY TO THE ASSIGNMENT OF A
1. Suicide LIFE INSURANCE POLICY?
 Insurer is liable in the following cases:  It depends. If the designation of the
1. If committed after two years beneficiary is irrevocable, the
from the date of the policy’s beneficiary’s consent is essential
issue or its last reinstatement; because of his vested right. If the
2. If committed in a state of designation is revocable, the policy may
insanity regardless of the date of be assigned without such consent
the commission unless suicide is because the beneficiary only has a mere
an excepted peril. (Sec. 180-A) expectancy to the proceeds. (The
3. If committed after a shorter Insurance Code of the Philippines
period provided in the policy Annotated, Hector de Leon, 2002 ed.)
 Any stipulation extending the 2-year
period is null and void. Cash Surrender Value
2. At the hands of the law (E.g. by legal  As applied to a life insurance policy, it
execution) is the amount the insured in case of
 It is one of the risks assumed by the default, after the payment of at least 3
insurer under a life insurance policy in full annual premiums, is entitled to
the absence of a valid policy exception. receive if he surrenders the policy and
(Vance,p.572 cited in de Leon, p. 107) releases his claims upon it.
Note: Justice Vitug believes that death
by suicide (if the insured is sane) or at LIFE INSURANCE FIRE INSURANCE
the hands of the law obviates against
recovery as being more in consonance Contract of Contract of indemnity
with public policy and as being implicit investment not of
indemnity
under Section 87, ICP. (Pandect of
Valued policy Open or valued policy
Commercial Law and Jurisprudence, May be transferred The insurable
1997 ed. P. 191) or assigned to any interest of the
3. Killing by the beneficiary person even if he transferee or
GENERAL RULE: The interest of a has no insurable assignee is essential
beneficiary in a life insurance policy interest
shall be forfeited when the beneficiary is Consent of insurer is Consent of insurer

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)
San Beda College of Law
53
MEMORY AID IN COMMERCIAL LAW

not essential to must be secured in the


validity of absence of waiver
assignment
Contingency that is Contingency insured
contemplated is a against may or may
certain event, the not occur
only uncertainty
being the time when
it will take place
A long-term May be cancelled by
contract and cannot either party and is
be cancelled by the usually for a term of
insurer one year
Beneficiary is under Insured is required to
no obligation to submit proof of his
prove actual actual pecuniary loss
financial loss as a condition
precedent to
collecting the
insurance.

XXII. VARIABLE CONTRACT


 Any policy or contract on either a group  The Insurance Commissioner has no
or individual basis issued by an insurance jurisdiction to decide the legality of a
company providing for benefits or other contract of agency entered into between
contractual payments or values an insurance company and its agent. The
thereunder to vary so as to reflect same is not covered by the term “doing
investment results of any segregated or transacting insurance business” under
portfolio of investment. Sec 2, ICP, neither is it covered by Sec.
416 of the same Code which grants the
XXIII. INSURANCE COMMISSIONER Commissioner adjudicatory powers
(Philippine American Life Insurance Co.
 Main agency charged with the
v. Ansaldo, 234 SCRA 509).
enforcement of the Insurance Code and
other related laws.
2. ADMINISTRATIVE/REGULATORY
 Functions:
a. Enforcement of insurance laws
1. ADJUDICATORY/QUASI-JUDICIAL
b. Issuance, suspension or
a. Exclusive original jurisdiction –
revocation of certificate of
Any dispute in the enforcement of any
authority
policy issued pursuant to Chapter VI
c. Power to examine books and
(CMVLI). (Sec. 385, par. 2)
records, etc.
b. Concurrent original jurisdiction
d. Rule-making authority
(with the RTC) – Where the maximum
e. Punitive
amount involved in any single claim is
P100,000 (Sec. 416), except in case of
maritime insurance which is within the
exclusive jurisdiction of the RTC. (BP
129; admiralty & maritime jurisdiction)
 Where the amount exceeds
P100,000, the RTC has
jurisdiction.

COMMERCIAL LAW COMMITTEE


 CHAIRPERSON: Garny Luisa Alegre  ASST. CHAIRPERSON:Jayson O’S Ramos  EDP: Beatrix I. Ramos  SUBJECT HEADS:
Marichelle De Vera (Negotiable Instruments Law); Jose Fernando Llave (Insurance); Aldrich Del Rosario
(Transportation Laws);
Shirley Mae Tabangcura, Bon Vincent Agustin (Corporation Law); Karl Steven Co (Special Laws); John Lemuel
Gatdula (Banking Laws); Robespierre CU (Law on Intellectual Property)

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