Professional Documents
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GENERAL PROVISIONS In the application of the provisions of this Code the fact that no
SECTION 1. This Decree shall be known as “The Insurance profit is derived fr. the making of insurance contracts,
Code”. agreements or transactions or that no separate or direct
SECTION 2. Whenever used in this Code, the following consideration is received therefor, shall not be deemed
terms shall have the respective meanings hereinafter set forth conclusive to show that the making thereof does not constitute
or indicated, unless the context otherwise requires: the doing or transacting of an insurance business.
(1) A “contract of insurance” is an agreement whereby (3) As used in this code, the term “Commissioner” means
one undertakes for a consideration to indemnify another against the “Insurance Commissioner”. acd
loss, damage or liability arising fr. an unknown or contingent
event. CHAPTER I — THE CONTRACT OF INSURANCE
Title I WHAT MAY BE INSURED
A contract of suretyship shall be deemed to be an insurance SECTION 3. Any contingent or unknown event, whether
contract, within the meaning of this Code, only if made by a past or future, w/c may damnify a person having an insurable
surety who or w/c, as such, is doing an insurance business as interest, or create a liability against him, may be insured
hereinafter provided. against, subject to the provisions of this chapter.
Up to what extent can each recover? (5)Upon recovery by the mortgagee to the extent of his
credit, the debt is extinguished.
The mortgagor cannot recover upon the insurance
beyond the full amount of the loss, and the mortgagee What is the effect if the mortgagee affects insurance
cannot recover in excess of the credit at the time of the on behalf of the mortgagor?
loss.
Practically the same rules apply. Upon the destruction of
the property, then the mortgagee is entitled to receive
the proceeds equal to the amount of the mortgage Baobei, the mortgagee may receive the 1M but is entitled only
credit. Such payment operates to discharge the debt. to the extent of his credit of P750T, and he shall hold as
trustee for A, mortgagor, the excess of P250T.
TAKE NOTE: Art. 2127. The mortgage extends to the
natural accession, to the improvements, growing Supposing before the fire occurred Baobei had already been
fruits, and the rents or income not yet received when paid, who, if at all, will receive the proceeds?
the obligation becomes due, and to the amount of the
indemnity granted or owing to the proprietor from MOOCHI will receive the proceeds. The reason is that Moochi
the insurers of the property mortgaged, or in virtue effected the insurance in her own name and she did NOT cease
of expropriation for public use, with the to be a party to the contract although it was provided that the
declarations, amplifications and limitations indemnity be paid to Baobei.
established by law, whether the estate remains in
the possession of the mortgagor, or it passes into the Suppose it was Baobei, mortgagee who insured the house for
hands of a third person. 1M. If the loss occurred before Baobei was paid who is entitled
to receive the proceeds?
PROBLEMS:
Baobei, but Baobei can only recover P750T, the amount of his
Baobei is the owner of a house worth 10K which he mortgaged credit.
to Moochi to secure a loan of 7K. What are the insurable
interests of each? What if the loss occurred after Baobei was paid, can he still
receive the proceeds?
Insurable interest of Baobei, mortgagor is P10K, while the
insurable interest of Moochi, mortgagee is P7K. No. Upon payment of the debt, B lost his insurable interest in
the property.
Moochi insured for 1M her house with the policy providing that
the loss shall be payable to Baobei. The house was mortgaged to Will Moochi get the proceeds?
Baobei as security for a loan of P750K. It was totally destroyed
by accidental fire. Who may recover on the policy? No. Because Moochi was never a party to the contract. It is
important to note that it was Baobei, mortgagee who effected
the insurance.
SECTION 9. If an insurer assents to the transfer of an (c) Of any person under a legal obligation to him for the
insurance from a mortgagor to a mortgagee, &, at the time of payment of money, or respecting property or services, of w/c
his assent, imposes further obligation on the assignee, making a death or illness might delay or prevent the performance; &
new contract w/ him, the act of the mortgagor cannot affect
the rights of said assignee. (d) Of any person upon whose life any estate or interest
vested in him depends.
*KEYMAN INSURANCE
Under this section, where an insurer assents to the
transfer of insurance from a Mortgagor (Mor) to a
What is insurable interest?
Mortgage (Mee), and at the time of his assent the insurer
imposes further obligation on the Mee, a new and
Insurable interest is one the most basic of all
distinct consideration passed from the Mee to the
requirements in insurance. In general, a person is
insurer, and a new contract is created between them.
deemed to have insurable interest in the subject matter
The acts of the Mor cannot anymore affect the rights of
insured where he has a relation or connection with or
the Mee.
concern in it that he will derive pecuniary benefit or
advantage from its preservation and will suffer
This provision provides the exception to the rule IN Sec.
pecuniary loss or damage from its destruction,
8 that all acts of the mortgagor affects the mortgagee.
termination or injury by the happening of the event
insured against.
Title III INSURABLE INTEREST
SECTION 10. Every person has an insurable interest in the
Why must there be an insurable interest?
life & health:
It is essential for validity and enforceability of the
(a) Of himself, of his spouse & of his children;
contract or policy. A policy issued to a person without
(b) Of any person on whom he depends wholly or in part interest in the subject matter is a mere wager policy or
for education or support, or in whom he has a pecuniary contract.
interest;
When is there insurable interest in life insurance? What is a beneficiary?
In life insurance, Insurable interest exists where there A beneficiary is a person whether natural or juridical
is reasonable ground founded on the relations of the for whose benefit the policy is issued and is the
parties whether pecuniary, contractual or by blood or recipient of the proceeds in the insurance.
affinity, and to expect some benefit or advantage from
the continuance of the life of the insured. Who can be a beneficiary?
Baobei takes an insurance policy on his life and Any person in general can be a beneficiary.
names his friend Matti as beneficiary, and another
insurance on the life of Moochi in consideration of XPN: The only persons disqualified from being a
“love and affection” with Baobei as a beneficiary. beneficiary are those not qualified to receive donations
Which of the two insurances, if any, is valid and under Art. 739. They cannot be named beneficiaries of a
which, if any, is void? life insurance policy by the person who cannot make any
donation to him.
The Insurance taken on Baobei on his life is VALID,
because the beneficiary need not have an insurable Art. 739. The following donations shall be void:
ON the other hand, the insurance taken by Baobei on wife, descedants and ascendants, by reason of his office. In the
the life of Moochi is VOID because “love and affection case referred to in No. 1, the action for declaration of nullity
for the insured” in the part of the person insuring is may be brought by the spouse of the donor or donee; and the
NOT sufficient ground to qualify as insurable interest. guilt of the donor and donee may be proved by preponderance
of evidence in the same action.
SECTION 11. The insured shall have the right to change the
beneficiary he designated in the policy, unless he has expressly In case of adultery, concubinage does the
waived this right in said policy. disqualification extend to the illegitimate children?
NO. The disqualification does not extend to the What if the beneficiary dies before the insured and the
children, and as such, they may be made beneficiaries. insured did not change the designation, who gets the
proceeds?
What is the old rule regarding revocability of designation
of beneficiary? There is a divergence of opinion, but the general trend
is to give it to the estate of the beneficiary.
The OLD rule is: When the insured did NOT expressly
reserve his right to revoke the designation of his ** ARTICLES 43, 50, 64 OF FC.
beneficiary, such designation is irrevocable and he
cannot change his beneficiary without the consent of PROBLEMS:
the latter.
1. Pingping and Mumble are husband and wife. Sun and
What is the current rule? Moon are also husband and wife. Sun and Mumble
engaged in adulterous relations. Sun secured a life
The rule now is: The insured has the power to revoke insurance policy and named Mumble as beneficiary.
the designation of the beneficiary even without the When Sun dies, who will get the insurance proceeds?
consent of the latter, whether or not such power is
reserved in the policy. Such right must be exercised MOON. Mumble cannot be named as a beneficiary in a life
specifically in the manner set forth in the policy or insurance policy because she is forbidden by law to receive
contract. It is of course, extinguished at his death and a donation from Sun since they were both guilty of adultery.
CANNOT be exercised by his personal representatives or
assignees. 2. Ram and Dayli are husband and wife. Matt and Allena
are also husband and wife. Dayli engaged in
Under the current rule, when does the insured lose the adulterous relations with Papaya. Matt secured a life
right to change the beneficiary? insurance and named Dayli as beneficiary. When Matt
dies, who will get the insurance proceeds?
When the right to change the beneficiary is expressly
waived in the policy, the insured has no power to make Dayli. The law prohibits the situation wherein a person who
such change without the consent of the beneficiary. is forbidden from receiving a donation under Art. 739 WAS
named a beneficiary of a life insurance policy by the person
who cannot make any donation to him, according to said NEAREST RELATIVES ARE: legitimate children, father
article. In other words, notwithstanding the fact that DAYLI and mother, grandparents, ascendants in the nearest
is guilty of adultery, SHE can still be a beneficiary of MATT degree, illegitimate children, surviving spouse,
since the law provides that DAYLI cannot be a beneficiary of collateral relatives, and STATE in case of default.
a life insurance policy if the person who names her as
beneficiary is forbidden to give her a donation under Art. Veronica, Archie & JugHead are all creditors of Trillanes. All
739. Art. 739 is therefore not applicable in the situation at three are instituted as beneficiaries of Trillanes. Veronica
bar. fails to qualify since she is Trillane’s concubine. Archie on
the other hand, eager to claim the insurance proceeds, used
a. What IF MATT has a concubine named RICA? a stolen pistol shot and killed Trillanes. Jughead, now
DAYLI can be designated as beneficiary since she claims the proceeds of the insurance. However, his claim is
is not the concubine. opposed by Mari Roxas, Trillanes’s legitimate daughter who
b. What if Matt has a concubine named Rica. Dayli contends that according to Sec. 12, it is the nearest relative
engages adulterous relationship with Ching? Still who should get the proceeds, meaning her. Between Jughead
Dayli. and Mari Roxas, who is entitled to get the proceeds?
c. WHAT IF MATT AND RAM BECOME LOVERS,
(same sex relationship), and Matt named Ram as JUGHEAD gets the proceeds because it was stipulated in
beneficiary? RAM can be designated as the contract of insurance. The insurance contract is the
beneficiary because both of them ARE NEITHER law between the parties and hence it must be followed
GUILTY OF ADULTERY AND CONCUBINAGE. by the insurance company. Sec. 12 ONLY applies if there
is NO stipulation in the contract of insurance as to who
SECTION 12. The interest of a beneficiary in a life are the other beneficiaries of the proceeds.
insurance policy shall be forfeited when the beneficiary is the
principal, accomplice, or accessory in willfully bringing about SECTION 13. Every interest in property, whether real or
the death of the insured; in w/c event, the nearest relative of personal, or any relation thereto, or liability in respect thereof,
the insured shall receive the proceeds of said insurance if not of such nature that a contemplated peril might directly damnify
otherwise disqualified. the insured, is an insurable interest.
Yes. The change of interest was made after the occurrence of the injury
CHANGE IN INTEREST – ABSOLUTE transfer such as
which resulted in a partial loss. Upon the occurrence of the risk insured
conveyance by means of absolute deed of sale.
against, the liability of the insurer became fixed and from that day
onward, he became duty bound to indemnify A for his loss.
SECTION 22. A change of interest in one or more several received as proof of such interest, & every policy executed by
distinct things, separately insured by one policy, does not avoid way of gaming or wagering, is void.
the insurance as to the others.
I insured CAR X for 300K and CAR Z for 500 in a single Title IV CONCEALMENT
policy. –YES
SECTION 26. A neglect to communicate that w/c a party
I insured CAR X and Car Y for 800K in a single policy- NO knows & ought to communicate, is called concealment.
SECTION 23. A change on interest, by will or succession, What are the four primary concerns of parties to an
on the death of the insured, does not avoid an insurance; & his insurance contract?
interest in the insurance passes to the person taking his interest
in the thing insured. In making a contract so highly aleatory such as that of
insurance, the parties have four primary concerns to
SECTION 24. A transfer of interest by one of several wit:
partners, joint owners, or owners in common, who are jointly
1. The correct estimation of the risk which enables the
insured, to the others, does not avoid an insurance even though
insurer to decide whether he is willing to assume it, and
it has been agreed that the insurance shall cease upon an
if so, at what rate or premium;
alienation of the thing insured.
A transfer of interest in the insured property by a partner, 2. The precise delimitation of the risk which determines
joint owner, or owner in common to the others, who are jointly the extent of the contingent duty to pay undertaken by
the insurer;
insured, will NOT avoid the insurance. The rule is the same
even if there is a stipulation that the insurance will cease upon
3. Such control of the risk after it is assumed as will
the alienation of the thing insured.
enable the insurer to guard against the increase of the
risk because of change in conditions; and
SECTION 25. Every stipulation in a policy of insurance for
the payment of loss whether the person insured has or has not
4. Determining whether a loss occurred, and if so, the
any interest in the property insured, or that the policy shall be
amount of such loss
What are the requisites of concealment? Why does the law make no distinction between
international and unintentional concealment?
There can be no concealment unless:
Because you have to prove fraud. And if you have to
1) A party knows the fact which he neglects to prove fraud, you have to prove intention to deceive.
communicate or disclose to the other; And it is so hard to prove intention to deceive because
we are not mind-readers.
2) Such party concealing duty bound to disclose such
fact to the other *there is no concealment if the ailment is not material
to the contract.
3) Such party concealing makes no warranty of the fact
concealed; and ** If the would be insurer was aware of the ailment, but
honestly believed that it was not material, the
4) The other party has no means of ascertaining the fact concealment is not fraudulent or intentional. But if A
concealed was aware of the materiality of the ailment, there is
fraudulent concealment. Nevertheless, the effect is the
SECTION 27. A concealment whether intentional or same. It entitles the insurer to rescind the contract.
unintentional entitles the injured party to rescind a contract of
insurance. (As amended by Batasang Pambansa Blg. 874) ***Failure to read the policy is negligence, and the
insured is regarded as having assumed the risk of the
The reason is that insurance policies are traditionally falsity or misstatements of its contents.
contracts uberrime fidae, that is, contracts of the
outmost good faith. ***Materiality is to be determined not by the event, but
solely by the probable and reasonable influence of the
The insurer need not prove fraud in order to rescind a facts upon the party to whom communication is due, in
contract on the ground of concealment. The duty of forming his estimate of the disadvantages of the
communication is independent of the intention and is proposed contract or in making his inquiries (The
violated by the fact of concealment, even when there is Insurance Code, Sec 31)
no intention to deceive.
SECTION 28. Each party to a contract of insurance must proving or tending to prove the falsity of a warranty, entitles
communicated to the other, in good faith, all facts within his the insurer to rescind.
knowledge w/c are material to the contract & as to w/c he
makes no warranty, & w/c the other has not the means of EXAMPLE: In every contract of marine insurance, there
ascertaining. is an implied warranty of seaworthiness of the vessel.
The intentional and fraudulent omission on the part of
XPN: Those falling in Article 30. the insured to communicate the fact that his ship is in
distress or in special peril entitles the insurer to rescind
How will you know if the fact is material or not? because the concealment refers to matters proving or
The fact must be related to the insurance applied for. tending to prove the falsity of the warranty that the
ship is seaworthy.
What if the insurer with reasonable diligence could have
known or discovered such facts for himself, can the SECTION 30. Neither party to a contract of insurance is
Insured be excused for his concealment and deny the bound to communicate information of the matters following,
remedy of rescission to the insurer? except in answer to the inquiries of the other:
NO. The effect of the material concealment cannot be (a) Those w/c the other knows;
avoided by the allegation that the insurer could have
(b) Those w/c, in the exercise of ordinary care, the other
known and discovered a fact which the insured had
ought to know, & of w/c the former has no reason to suppose
concealed. An allegation like this implies that there is
him ignorant;
an obligation on the part of the insurance company to
verify all the statements made by the insured in his
(c) Those of w/c the other waives communication;
application. No such obligation exists on the part of the
insurer. (d) Those w/c prove or tend to prove the existence of a
risk excluded by a warranty, & w/c are not otherwise material;
The insurer has the right to rely upon the statements of the &
insured for he knows the facts and the insurer does not.
(e) Those w/c relate to a risk excepted fr. the policy &
SECTION 29. An intentional & fraudulent omission, on the w/c are not otherwise material.
part of one insured, to communicate information of matters