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WEEK 13 #06 UCPB v Masagana (Read DISSENT) that the acceptance of the late premium payment suggested an

G.R. No. 137172 | April 4, 2001 understanding that payment could be made later.
By: ARQUILLO  SC Decision of 15 June 1999: set aside CA. No renewal.

ISSUE 1: WON the insurance policies have been renewed by an implied


Topic: Insurance
credit arrangement though actual payment of premium was tendered on
Petitioner: UCPB GENERAL INSURANCE CO a later date after the occurrence of the risk insured against fire. 
Respondent: MASAGANA TELAMART, INC
Ponente: DAVIDE, JR., C.J RULING: YES.
FACTS:  SC grants Respondent’s MR.
 UCPB issued 5 fire insurance policies covering Masagana's property  For years, Petitioner had been issuing fire policies to the
for the period of May 22, 1991 - May 22, 1992. Respondent, and these policies were annually renewed.
 In March 1999, petitioner evaluated the policies and decided not to o Petitioner had been granting Respondent a 60- to 90-day
renew them upon expiration of their terms on May 22, 1992, thus credit term within which to pay the premiums on the
gave written notice to respondent of the non-renewal of the policies. renewed policies.
 On June 13, 1992, fire razed respondent's property covered by three o There was no valid notice of non-renewal of the policies in
of the insurance policies petitioner issued. question, as there is no proof at all that the notice sent by
 Respondent then presented to petitioner's cashier 5 manager's ordinary mail was received by Respondent, and the copy
checks amounting to P225,753.95, representing premium for the allegedly sent to Zuellig was ever transmitted to
renewal of the policies from May 22, 1992 to May 22, 1993.  Respondent.
o No notice of loss was filed by respondent under the policies o The premiums totalling P225,753.95 were paid by
prior to July 14, 1992.  On July 14, 1992, Masagana made its Respondent within the 60- to 90-day credit term and were
formal demand for indemnification for the burned insured duly accepted and received by Petitioner's cashier.
properties.
 However, petitioner rejected and returned to respondent the 5 ISSUE 2: WON Section 77 must be strictly applied to Petitioner's
manager's checks alleging that advantage despite its practice of granting a credit term for the payment
o the policies had expired last May 22, 1992 and were not of premiums.
renewed, and that
o the fire occurred on 13 June 1992, before respondent's RULING: NO.
tender of premium payment.  Section 77 of the Insurance Code of 1978 provides:
 Thereafter, respondent filed a civil complaint against petitioner for SECTION 77. An insurer is entitled to payment of the premium as
recovery of P18,645,000, representing the face value of the policies soon as the thing insured is exposed to the peril insured against.
covering respondent's insured property razed by fire, and for Notwithstanding any agreement to the contrary, no policy or
attorney's fees. contract of insurance issued by an insurance company is valid
 RTC ruled in favor of respondent holding that respondent has fully and binding unless and until the premium thereof has been
complied with its obligation to pay the premium thereby rendering paid, except in the case of a life or an industrial life policy
the replacement-renewal policy binding. whenever the grace period provision applies.
 CA affirmed RTC ruling stating that respondent was allowed a sixty  Exceptions to Section 77:
(60) to ninety (90) day credit term for the renewal of its policies, and  1st Exception: provided by Section 77 itself; in case of a life or
industrial life policy whenever the grace period provision applies.
 2ND Exception: SECTION 78. Any acknowledgment in a policy or  An essential characteristic of an insurance is its being synallagmatic,
contract of insurance of the receipt of premium is conclusive a highly reciprocal contract where the rights and obligations of the
evidence of its payment, so far as to make the policy binding, parties correlate and mutually correspond..
notwithstanding any stipulation therein that it shall not be binding  Insurance is imbued with public interest.  For mutual protection of
until premium is actually paid. all parties, it is subjected to regulation and control by the State by
 3rd Exception: (from Makati Tuscany Condo v. CA) Section 77 may virtue of its police power
not apply if the parties agreed to the payment in installments of the  A requirement imposed by way of State regulation upon insurers
premium and partial payment has been made at the time of loss. is the maintenance of an adequate legal reserve in favor of those
o While the import of Section 77 is that prepayment of claiming under their policies. The integrity of this legal reserve is
premiums is strictly required as a condition to the validity threatened if a credit arrangement were allowed.
of the contract, Section 78 allows waiver by the insurer of  Section 77 amended Section 72 of the then Insurance Act by deleting
the condition of prepayment by making an the phrase, "unless there is a clear agreement to grant the insured
acknowledgment in the insurance policy of receipt of credit extension of the premium due," and adding at the beginning of
premium as conclusive evidence of payment so far as to the second sentence the phrase, "[n]otwithstanding any agreement
make the policy binding despite the fact that premium is to the contrary."
actually unpaid. Section 77 merely precludes the parties  Estoppel cannot create a contract of insurance, neither can it be
from stipulating that the policy is valid even if premiums are nor can it give validity to what the law so proscribes as a matter of
not paid, but does not expressly prohibit an agreement public policy. So essential is the premium payment to the creation of
granting credit extension, and such an agreement is not the vinculum juris between the insured and insurer that it would be
contrary to morals, good customs, public order or public doubtful to have payment excused even for a fortuitous event. 
policy So is an understanding to allow insured to pay  The law, however, neither requires for the establishment of the
premiums in installments not so prescribed. At the very least, juridical tie, nor measures the strength of such tie by, any specific
both parties should be deemed in estoppel to question the amount of premium payment. A part payment of the premium, if
arrangement they have voluntarily accepted. accepted by the insurer, can thus perfect the contract and bring the
 4th Exception: (From Tuscany) the insurer may grant credit parties into an obligatory relation.  Such a payment puts the contract
extension for the payment of the premium. If a credit term is into full binding force, not merely pro tanto, thereby entitling and
granted and loss occurs before the expiration of the term, obligating the parties by their agreement. Hence, in case of loss, full
recovery is allowed even though the premium is paid after the recovery less the unpaid portion of the premium (by the operative
loss but within the credit term. act of legal compensation), can be had by the insured and,
 Nothing in Section 77 prohibits credit terms as they are not against correlatively, if no loss occurs the insurer can demand the payment
the law, morals, good customs, public order or public policy. (Article of the unpaid balance of the premium. 
1306 of the Civil Code)  In the instant case, no juridical tie appears to have been
 5th Exception: Estoppel. It would be unjust if there is no recovery established.
considering UCPB consistently granted a credit term despite its full
awareness of Section 77. Estoppel bars UCPB from taking refuge DISSENT: PARDO, J . (deny Respondent’s MR)
under Section 77, since Masagana relied in good faith on such  First: The fire was on June 13, 1992; the written notice of loss was
practice. given a month later, on July 14, 1992, the
day after respondent surreptitiously paid the overdue premiums This
shows the fraudulent character of its claim. Respondent knew that
DISSENT VITUG, J . (deny Respondent’s MR)
the policy was not renewed on time. Such act disregarded the
principle that insurance is a contract uberrima fides, the most
abundant good faith. Respondent is required by law and by express  Assuming arguendo credit-term has been agreed, respondent
terms of the policy to give immediate written notice of loss. could not still invoke estoppel. [E]stoppel can not give validity to an
o Another badge of fraud is that respondent deviated from its act that is prohibited by law (Sec 77) or against public policy.
previous practice of coursing its premium payments through  The majority cited Makati Tuscany However, the factual situation
its brokers. Masagana went directly to UCPB’s cashier with in that case was different from the case at bar. In Tuscany, the Court
manager's checks. Naturally, the cashier routinely accepted held that policies were valid because there was partial payment of
the premium payment because he had no written notice of the premiums and a clear understanding between the parties that
the occurrence of the fire. Such fact was concealed by the they had intended the insurance policies to be binding
insured and not revealed to petitioner at the time of notwithstanding the staggered payment. On the basis of equity and
payment. fairness, there was a perfected contract of insurance upon the partial
o Indeed, if as contended by respondent, there was a clear payment of the premiums, notwithstanding Section 77.
agreement regarding the grant of a credit extension,  In the case at bar, there was no clear agreement as to a credit
respondent would have given immediate written notice of extension; neither was there partial payment of premiums.
the fire that razed the property. This clearly showed 
respondent's attempt to deceive petitioner into believing that
the subject property still existed and the risk insured against
had not happened.
 Second: The claim for insurance benefits must fall as well because the
failure to give timely written notice of the fire was a material
misrepresentation affecting the risk insured against.
 Section 1 of the policy provides:
o "All benefits under the policy shall be forfeited if the claim
be in any respect fraudulent, or if any false declaration be
made or used in support thereof, or if any false declaration
be made or used in support thereof, or if any fraudulent
means or devices are used by the insured or any one acting
on his behalf to obtain any benefit under the policy." 
 The credit was a mere verbal understanding. The president of
Masagana admitted that the insurance policy did not contain
any proviso pertaining to the grant of credit within which to pay the
premiums. Respondent Masagana merely deduced that a credit
agreement existed based on previous years' practice.
 What has been established was the  grant  of  credit to the
insurance brokers, not to the assured. The insurance
company recognized the payment to the insurance brokers as
payment to itself, though the actual remittance of the premium
payments to the principal might be made later. Once payment of
premiums is made to the insurance broker, the assured would be
covered by a valid policy, provided the loss occurred after payment to
the broker has been made.

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