Professional Documents
Culture Documents
Insurance Notes
Insurance Notes
Article 739. The following donations shall be void: In property insurance, an interest insured must exist when the
insurance takes effect and when the loss occurs but need not exist
(1) Those made between persons who were guilty of in the meantime.
adultery or concubinage at the time of the donation;
(2) Those made between persons found guilty of the same Concubine
criminal offense, in consideration thereof; If a concubine is made the beneficiary, it is believed that the
insurance contract will still remain valid, but the indemnity must go
(3) Those made to a public officer or his wife, descendants to the legal heirs and not to the concubine, for evidently, what is
and ascendants, by reason of his office. prohibited under Art. 2012 is the naming of the improper
beneficiary.
With regard to the beneficiary: It is only in cases where the insured has not designated any
beneficiary, or when the designated beneficiary is disqualified by
In life insurance, if the insured procured insurance on his own life, law to receive the proceeds, that the insurance policy proceeds shall
he can designate anyone as beneficiary except those disqualified to redound to the benefit of the estate of the insured
receive donation, even though the latter has no insurable interest in
the life of the insured. The proceeds should be payable to the estate which includes not
only the spouse but the children as well.
When the owner of the policy insures the life of another –
the cestui que vie- and designates a third party as It is evident from the face of the complaint that petitioners are not
beneficiary, both the owner and the beneficiary must have entitled to a favorable judgment in light of Article 2011 of the Civil
an insurable interest in the cestui que vie. Code which expressly provides that insurance contracts shall be
governed by special laws, i.e., the Insurance Code.
A person can take an insurance on the life of another person
and designate himself as the beneficiary provided that he Section 53 of the Insurance Code states that “the insurance
has pecuniary interest in the person he is insuring. The proceeds shall be applied exclusively to the proper interest of the
insured must be any of Sex 10 d person in whose name or for whose benefit it is made unless
otherwise specified in the policy.” From the petition filed before the
In property insurance, the beneficiary (or assignee) must have trial court that, it is clear tat although petitioners are the legitimate
insurable interest over the property insured and such insurable heirs of Loreto, they were not named as beneficiaries in the
interest must be covered by the insurance policy. insurance policies issued by Insular and Grepalife. Thus, they are not
entitled to the proceeds thereof.
is rescindible by reason of the fraudulent
Heirs of Loreta Maramag v Maramag, there is no legal proscription concealment or misrepresentation of the insured or
in naming as beneficiaries the children of illicit relationships by the his agent
insured. o Otherwise stated, raising the ground for
cancellation or rescission are barred when the
Property insurance policy have been effective within the lifetime of the
For the beneficiary to recover on the fire or property insurance insured for 2 years from date of issue or last
policy, it is required that he must have an insurable interest in the reinstatement
property insured. o After 2 years from date of issuance of the policy or
last reinstatement, the insurer must make good on
the policy, even though the policy was obtained by
Insurable interest, fraud, concealment, or misrepresentation
is that interest which a person is deemed to have in the subject o Requisites:
matter insured, where he has a relation or connection with or The insurance is a life insurance payable on
concern in it, such that the person will derive pecuniary benefit or the death of the insured
advantage from the preservation of the subject matter insured and The policy is in force for at least 2 years
will suffer pecuniary loss or damage from its destruction, from its date of issue as appearing in the
termination, or injury by the happening of the event insured policy or of its last reinstatement
against. Reckoned not from date of receipt
but from date of issuance of policy
Insurable interest in property or last reinstatement
o Rationale: regulates the actions of both the insurer
Sec. 14 of the Insurance Code provides that an insurable interest in and insured
property may consist in (a) an existing interest; (b) an inchoate Gives the insurer enough time to inquire
interest founded on an existing interest; (c) an expectancy, coupled whether the policy was obtained by fraud,
with an interest out of which the expectancy arises. Furthermore, concealment or representation
such an insurable interest in property must exist when the Forewarns individuals that their attempts at
insurance takes effect, and when the loss occurs, but need not exist insurance fraud would be timely uncovered
in the meantime – thus deterring them from doing the same
o 2-year period may be shortened but cannot be
extended by stipulation
Incontestability clause o Not absolute
o Sec 48 : After the policy of life insurance made o Defenses that are not barred by incontestability
payable on the death of the insured shall have been clause
in force during the lifetime of the insured for a That the person taking the insurance lacked
period of two (2) years from the date of its issue or insurable interest as required by law;
its last reinstatement, the insurer cannot prove that That the cause of the death of the insured is
the policy is void ab initio (construed as voidable) or an excepted risk;
That the premiums have not been paid the insured has died. The key phrase in the second
That the conditions of the policy relating to paragraph of Section 48 is "for a period of two years.
military or naval service have been violated In other words, the clause can be invoked even after the
That the fraud is of a particularly vicious death of the insured and not just during his lifetime. The
type; rescission need not be always done during the lifetime of
That the beneficiary failed to furnish proof the insured.
of death or to comply with any condition
imposed by the policy after the loss has
happened; or Concealment
That the action was not brought within the It is well settled that the insured need not die of the disease
time specified he failed to disclose to the insurer. It is sufficient that his
nondisclosure misled the insurer in forming his estimate of
the risks of the proposed insurance policy or in making
Based on Aban and Sibya cases, there are now 2 incontestability inquiries.
clauses, It is not material that the insured died of a different cause
1. 2 years had lapsed from issuance of the policy or last than the fact concealed. The fact concealed, that is heart
reinstatement ailment, is material to the determination by the insurance
2. The insured died within 2 years from issuance of the policy company whether or not to accept the application for
insurance and to require the medical examination of the
Manila Bankers Life Insurance Corp v Aban insured.
After the 2-year period lapsed, or when the insured dies
within the period, the insurer must make good on the
policy, even though the policy was obtained by fraud, Mortgagor-mortgagee
misrepresentation, or concealment
if the insured died within the 2-year period from the Interest of the Mortgagor and the Mortgagee in the mortgaged
issuance of the policy, the insurer can no longer rescind the property is separate and distinct from the other. In case both of
policy on account of misrepresentation and/or concealment them take out separate insurance policies on the same property, or
one policy covering their respective interests, there is no double
Sun Life of Canada v Sibya insurance.
even assuming that there was concealment, the insurer
must make good on the policy because the insured died Mortgagor, as owner, may insure the property mortgaged to the full
within the 2-year period, citing Aban value of such property.
“during the lifetime” Mortgagee can insure the same only to the extent of the amount of
The right of the insurer to rescind is only lost if the his credit.
beneficiary has commenced an action on the policy. There is
no such action in this case If the mortgagor obtained an open policy, then he could claim an
The phrase "during the lifetime" found in Section 48 simply amount corresponding to the extent of the damage, but not to
means that the policy is no longer considered in force after
exceed the face value of the insurance policy. If he obtained a o purchaser of property before delivery or before he
valued policy, then he could claim an amount based on the agreed had performed the conditions of his sale
upon valuation of the property. o mortgagee of property mortgaged
o mortgagor, after foreclosure but before expiration
Sec 8 the mortgagee is bound by the acts of the mortgagor and of the period within which redemption is allowed
cannot recover. Insurer is not liable if the mortgagor deliberately set o beneficiary under deed of trust
the insured property on fire. o creditors under deed of assignment
o buildings and constructors pending payment of
If the mortgagor and mortgagee separately obtained fire insurance construction price
and the mortgagor designated the mortgagee as beneficiary in the o judgment debtor whose property has been seized
fire insurance, any act done by the mortgagor that will avoid the under execution until the right to redeem or the
insurance is binding is binding on the mortgagee but the latter can right to have the sale set aside has been lost
still recover on the fire insurance he separately insured. inchoate:
o stockholder – inchoate interest in the property of
If the mortgagor obtained fire insurance but the loss occurs after the corporation of which he is a stockholder, which
the redemption period, the mortgagor can no longer recover is founded on an existing interest arising from his
because he has no more insurable interest at the time of the loss. ownership of shares in the corporation. His II is
limited to the extent of the value of his interest or
to his share in the distribution of the corporate
Insurable interest assets upon dissolution
o partner
More than one insurable interest may exist in the same expectancy
property o farmer as to future crops
Existing: o binding contract:
legal title workman in a building he may contracted to
o trustee, as in the case of seller of property not yet repair
delivered artist as to the interior decoration which he
o mortgagor of property mortgaged had been employed
o lessor of property leased
o assignee of property for the benefit of creditors
o executor, administrator, trustee, receiver – already
has sufficient insurable interest for the purpose of Life v Property insurance
taking out insurance on the property under his In property insurance, the actual value of the interest
control, but any proceeds from such insurance are therein is the limit of the insurance that can validly be
to be held for the benefit of those for whose benefit placed thereon. In life insurance, there is no limit to the
the representative is acting amount of insurance that may be taken upon life.
equitable title In property insurance, an interest insured must exist when
the insurance takes effect and when the loss occurs but
need not exist in the meantime. In life insurance, it is no accident when a deliberate act is performed, unless
enough that insurable interest exists at the time when the some additional and unforeseen happening occurs that
contract is made but it need not exist at the time of loss. brings about the injury
In property insurance, the beneficiary (or assignee) must no "accident" in the context of an accident policy, if it is the
have insurable interest over the property insured and such natural result of the insured's voluntary act, unaccompanied
insurable interest must be covered by the insurance policy. by anything unforeseen except the injury.
In life insurance, if the insured procured insurance on his
own life, he can designate anyone as beneficiary except Authorized driver clause
those disqualified to receive donation, even though the the proviso “that the person driving is permitted in
latter has no insurable interest in the life of the insured. accordance with the licensing, etc.” qualified only a person
driving the vehicle other than the insured at the time of the
accident
under this clause, an authorized driver must not only be
Other insurance clause permitted to drive by the insured but it is also essential that
Other Insurance Clause in a policy is a condition which is not he is permitted under the law and regulations to drive the
proscribed by law. Such a condition is a provision which motor vehicle and is not disqualified from doing so under
invariably appears in fire insurance policies and is intended any enactment or regulation
to prevent an increase in the moral hazard. the requirement applies only when the driver is driving on
However, in order to constitute a violation, the other the insured’s order or with his permission. It does not apply
insurance must be upon the same subject matter, the same when the person driving is the insured himself.
interest therein, and the same risk. In liability insurance, the parties are bound by the terms of
the policy and the right of the insured to recover is
governed thereby
Accident
Boxing Subrogation
o Can claim Article 2207. If the plaintiff's property has been insured, and
o Proximate cause of the death was the boxing he has received indemnity from the insurance company for
contest the injury or loss arising out of the wrong or breach of
o Death sustained in a boxing contest is an accident contract complained of, the insurance company shall be
o An accident because the insured did not expect to subrogated to the rights of the insured against the
die by entering such contest wrongdoer or the person who has violated the contract. If
where the death or injury is not the natural or probable the amount paid by the insurance company does not fully
result of the insured’s voluntary act, or if something cover the injury or loss, the aggrieved party shall be entitled
unforeseen occurs in the doing of the act which produces to recover the deficiency from the person causing the loss
the injury, the resulting death is within the protection of the or injury
policies insuring against death or injury from accident Always remember if there is unjust enrichment
Release claim – insured can recover from the insured unless
the release was with the consent of the insurer
In marine insurance, while subrogation takes effect by The complete physical destruction of the rice is not
operation of law the moment the insurer validly pays the essential to constitute an actual total loss.
insured, the document evidencing the right of subrogation
should nevertheless be presented to prove the right of CMVI
subrogation unless the defendant fails to timely put it in Direct liability but not solidary liable with car owner
issue The liability of the insurer is based on the contract,
specifically, the terms of the insurance policy, that of the
Prescription insured is based on tort.
2013 – Vector doctrine If the insurer were solidarily liable with the insured, it could
o 10 years from the date it indemnified the be made to pay more than the amount stated in the policy
insured contrary to the principles underlying insurance contracts.
o Art 1144; obligation based on law Accrues immediately upon occurrence of injury or event
2019 – Henson doctrine upon which the liability depends and does not depend on
o Quasi-delict; 4 years from the time it paid the the recovery of judgment by the injured party against the
insured; no fresh period; enforce against the insured.
wrongdoer only for the remaining period Have the option either to claim from the insurer and the
o The rule now is following the principles of balance from the insured or enforce the entire judgment
subrogation, the insurer only steps into the from the insured subject to reimbursement from the insurer
shoes of the insured. No new obligation is to the extent of the insurance coverage
created between the insurer and the where the insurance contract provides for indemnity
wrongdoer. The rights of a subrogee cannot be against liability to third persons, the liability of the insurer is
superior to that of the subrogor. Therefore, for direct and such third persons can directly sue the insurer.
purposes of prescription, the insurer inherits The direct liability of the insurer under indemnity contracts
only the remaining period within which the against third party liability does not mean, however, that
insured may file an action against the the insurer can be held solidarily liable with the insured
wrongdoer. The indemnification of the insured and/or the other parties found at fault, since they are being
by the insurer only allows it to be subrogated to held liable under different obligations. The liability of the
the former’s rights and does not create a new insured carrier or vehicle owner is based on tort, in
reckoning point for the cause of action that the accordance with the provisions of the Civil Code;55 while
insured originally has against the wrongdoer. that of the insurer arises from contract, particularly, the
Thus, applying prospectively, the prescription insurance policy. The third-party liability of the insurer is
period to claim indemnification form a only up to the extent of the insurance policy and that
tortfeasor is only 4 years. required by law; and it cannot be held solidarily liable for
anything beyond that amount.56 Any award beyond the
insurance coverage would already be the sole liability of the
insured and/or the other parties at fault
Loss claim may be made against one motor vehicle only. In case
of an occupant of a vehicle, claim shall lie against the
insurer of the vehicle in which the occupant is riding, All risks
mounting, or dismounting from. In any other case, claim
shall lie against the insurer of the directly offending vehicle creates a special type of insurance which extends coverage to risks
not usually contemplated and avoids putting upon the insured the
burden of establishing that the loss was due to the peril falling
Double insurance within the policy’s coverage. The burden rests on the insurer to
Sec 95 A double insurance exists where the same person is prove that the loss is caused by a risk that is expressly excluded. In
insured by several insurers separately in respect to the this case, there is no stipulation as to what losses are excluded.
same subject and interest.
Requisites: It is insurance against all causes of conceivable loss or damage.
o Person insured is the same Except:
o 2 or more insurers insuring separately 1. As otherwise excluded in the policy; or
o Identity of subject matter 2. Due to fraud or intentional misconduct on the part of the insured
o Identity of interest insured (Choa Tek Seng v. CA, G.R. No. 84507, 1990)
o Identity of risk or peril insured against
Only applies to property insurance
No law prohibiting double insurance. What is prohibited is 0-;.ol,CivRev 2
over insurance, for the insured to receive more than his
interest or value of the property as this will violate the Six topics check elearn
indemnity principle of an insurance contract 1 - succession
Sec 96 "(a) The insured, unless the policy otherwise 2- obli
provides, may claim payment from the insurers in such Sales
order as he may select, up to the amount for which the Lease
insurers are severally liable under their respective contracts Agency
Sec 96 (e) Each insurer is bound, as between himself and Partnership
the other insurers, to contribute ratably to the loss in
proportion to the amount for which he is liable under his Reviewers from up, san beda, Ateneo
contract – co-insurers
The law on life insurance prohibits double insurance Succession – mode of acquiring ownership
FALSE. Insurable interest in life is unlimited. Thus, the danger of Next meeting what is a will, forms, witnesses, qualifications
overinsurance which may be by virtue of double insurance is, legally etc
speaking, not present in life insurance.
SpecCom
Divina book
Insurance next meeting
Then transpo
Volume 1 first Property mortgaged to him – mortgagee
Comprehensive quiz every meeting Sec 13, 14
Quiz next meeting insurance Insurable interest arising from legal
30 mt 30 finals 40 recits etc equitable title
4 absences Mortgagee of the property mortgaged
Property under usufruct of which he has naked title –
Yes? Considered an existing interest in
property; has legal title
INSURANCE
Insurable interest –
o most basic of all requirements in insurance Cash and carry
o interest which the law requires the owner of the o GR: No policy or contract of insurance issued by an
insurance policy to have in the person or thing insurance company is valid and binding unless and
insured until the premium thereof has been paid. Any
o pecuniary in nature – agreement to the contrary is void. Sec 77
that person insuring will derive a pecuniary o XPN:
or financial benefit or advantage from its A policy is valid and binding even when
preservation and will suffer pecuniary loss there is nonpayment of premium:
or damage from its destruction, When there is an agreement
termination, or injury by the happening of allowing the insured to pay the
the event insured against premium in installments and
expectation of pecuniary benefit in the life partial payment has been made at
of the insured, that is, risk of actual the time of loss
monetary loss When there is an agreement to
grant the insured credit extension
life of his married children – no. Sec 10 must be obliged for the payment of the premium
to support each other and loss occurs before the
life of his wife separated in fact – yes, still obliged to expiration of the credit term
support each other. Blood or material relationships When estoppel bars the insurer to
fir the concept of insurable interest. Article 195 FC invoke non-recovery on the policy.
life of his debtor – yes, under legal obligation to him; In case of life or industrial life policy
insurable interest of creditor in the life of his whenever the grace period
debtor. For the purpose of protecting his debt but provision applies, or whenever
only to the extent of the amount of the debt and under the broker and agency
the cost of carrying the insurance on the debtor’s agreements with duly licensed
life. Or such amounts as remain unpaid at the time intermediaries, a ninety (90)-day
of the death of the debtor. Principle of indemnity credit extension is given. No credit
applies. extension to a duly licensed
intermediary should exceed ninety insured for 2 years from date f issue or last
(90) days from date of issuance of reinstatement
the policy (IC, Sec. 77). o 2-year period may be shortened but cannot be
When there is acknowledgment in extended by stipulation
a policy of a receipt of premium, o Not absolute
which the law declares to be o Defenses that are not barred by incontestability
conclusive evidence of payment, clause
even if there is stipulation therein That the person taking the insurance lacked
that it shall not be binding until the insurable interest as required by law;
premium is actually paid. This is That the cause of the death of the insured is
without prejudice however to right an excepted risk;
of insurer to collect corresponding That the premiums have not been paid
premium (IC, Sec. 77). That the conditions of the policy relating to
When the public interest so military or naval service have been violated
requires, as determined by the That the fraud is of a particularly vicious
Insurance Commissioner. Example: type;
In compulsory motor vehicle That the beneficiary failed to furnish proof
insurance, if the policy was issued of death or to comply with any condition
without payment of premium by imposed by the policy after the loss has
the vehicle owner, the insurer will happened; or
still be held liable. To rule otherwise That the action was not brought within the
would prejudice the 3rd party time specified
victim.
Yes. Still obliged to support each other. There still exists a e. The property under usufruct of which he has naked title
valid legitimate marriage. Mere separation in fact does not Yes. Usufructuary has insurable interest arising from
dissolve or terminate the vinculum juris. beneficial ownership.
o "Section 14. An insurable interest in property may
c. Life of his debtor consist in:
Yes, under legal obligation to him; insurable interest of "(a) An existing interest;
creditor in the life of his debtor. xxx
For the purpose of protecting his debt but only to the
extent of the amount of the debt and the cost of carrying
the insurance on the debtor’s life. Or such amounts as Chua is the consignee of the shipment of fishmeal loaded on board
remain unpaid at the time of the death of the debtor. SS Elon from Taiwan to Manila. When the shipment arrived, the
Principle of indemnity applies. shipment was partially damaged. The shipment was insured with
insurance company Musk Insurance Co. Chua claimed for damages
from the insurance company, but the insurance company denied o As to the designation of his girlfriend as beneficiary,
the claim for lack of insurable interest. The insurance company yes. There are three kinds of beneficiary, one being
offered to reimburse the premiums paid by Chua. Does Chua have a third person through mere bounty of the insured.
insurable interest over the shipment? o Sec 18