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EN BANC The defendant, by its answer, admitted the allegations of the residence and status
of the parties and denied all the other allegation of the said complaint, and for a
G.R. No. L-12707 August 10, 1918 separate and affirmative defense alleged (1) that on February 17, 1916, at the city
of Manila, P.I. the defendant upon request of plaintiff, Mrs. Henry E. Harding, issued
MRS. HENRY E. HARDING, and her husband, plaintiffs-appellees, to the said plaintiff the policy of insurance on an automobile alleged by the said
vs. plaintiff to be her property; that the said request for the issuance of said policy of
COMMERCIAL UNION ASSURANCE COMPANY, defendant-appellant. insurance was made by means of a proposal in writing signed and delivered by said
plaintiff to the defendant, guaranteeing the truth of the statements contained
therein which said proposal is referred to in the said policy of insurance made a part
FISHER, J.:
thereof; (2) that certain of the statements and representations contained in said
proposal and warranted by said plaintiff to be true, to wit: (a) the price paid by the
This was an action by plaintiffs to recover from defendant the sum of P3,000 and
proposer for the said automobile; (b) the value of said automobile at the time of
interest, alleged to be due under the terms of a policy of insurance. The trial court the execution and delivery of the said proposal and (c) the ownership of said
gave plaintiffs judgment for the amount demanded, with interest and costs, and
automobile, were false and known to be false by the said plaintiff at the time of
from that decision the defendant appeals.
signing and delivering the said proposal and were made for the purpose of
misleading and deceiving the defendant, and inducing the defendant, relying upon
The court below stated the issues made by the pleadings in this case, and its finding the warranties, statements, and representations contained in the said proposal and
of fact, as follows: believing the same to be true, issued the said policy of insurance.

It is alleged by plaintiffs and admitted by defendant that plaintiffs are husband and The defendant prays that judgment be entered declaring the said policy of
wife and residents of the city of Manila; that the defendant is a foreign corporation insurance to be null and void, and that plaintiffs take nothing by this action; and for
organized and existing under and by virtue of the laws of Great Britain and duly such further relief as to the court may seem just and equitable.
registered in the Philippine Islands, and Smith, Bell & Co. (limited), a corporation
organized and existing under the laws of the Philippine Islands, with its principal
The evidence in this case shows that some time in the year 1913 Levy Hermanos,
domicile in the city of Manila, is the agent in the Philippine Islands of said
the Manila agents for the Studebaker automobile, sold the automobile No. 2063 to
defendant.
John Canson for P3,200 (testimony of Mr. Diehl); that under date of October 14,
1914, John Canson sold the said automobile to Henry Harding for the sum of P1,500
The plaintiffs alleged that on February 16, 1916, the plaintiff Mrs. Henry E. Harding (Exhibit 2); that under date of November 19, 1914, the said Henry Harding sold the
was the owner of a Studebaker automobile, registered number 2063, in the city of said automobile No. 2063 to J. Brannigan, of Los Baños, Province of Laguna, P.I., for
Manila; that on said date; in consideration of the payment to the defendant of the the sum of P2,000 (Exhibit 3); that under date of December 20, 1915, J. C. Graham
premium of P150, by said plaintiff, Mrs. Henry E. Harding, with the consent of her of Los Baños, Province of Laguna, P.I., sold the said automobile No. 2063 to Henry
husband, the defendant by its duly authorized agent, Smith, Bell & Company Harding of the city of Manila for the sum of P2,800 (Exhibit 4 and testimony of J. C.
(limited), made its policy of insurance in writing upon said automobile was set forth Graham); that on or about January 1, 1916, the said Henry Harding gave the said
in said policy to be P3,000 that the value of said automobile was set forth in said automobile to his wife; Mrs. Henry E. Harding, one of the plaintiffs, as a present;
policy (Exhibit A) to be P3,000; that on March 24, 1916, said automobile was totally that said automobile was repaired and repainted at the Luneta Garage at a cost of
destroyed by fire; that the loss thereby to plaintiffs was the sum of P3,000; that some P900 (testimony of Mr. Server); that while the said automobile was at the
thereafter, within the period mentioned in the said policy of insurance, the plaintiff, Luneta Garage; the said Luneta Garage, acting as agent for Smith, Bell & Company,
Mrs. Henry E. Harding, furnished the defendant the proofs of her said loss and (limited), solicited of the plaintiff Mrs. Harding the insurance of said automobile by
interest, and otherwise performed all the conditions of said policy on her part, and the defendant Company (testimony of Mrs. Henry Harding and Mr. Server); that a
that the defendant has not paid said loss nor any part thereof, although due proposal was filled out by the said agent and signed by the plaintiff Mrs. Henry E.
demand was made upon defendant therefor. Harding, and in said proposal under the heading "Price paid by proposer," is the
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amount of "3,500" and under another heading "Present value" is the amount of Upon the facts so found, which we hold are supported by the evidence, the trial
"3,000" (Exhibit 1). judge decided that there was no proof of fraud on the part of plaintiff in her
statement of the value of the automobile, or with respect to its ownership; that she
The evidence tends to show that after the said proposal was made a representative had an insurable interest therein; and that defendant, having agreed to the
of the Manila agent of defendant went to the Luneta Garage and examined said estimated value, P3,000, and having insured the automobile for that amount, upon
automobile No. 2063 and Mr. Server, the General Manager of the Luneta Garage, the basis of which the premium was paid, is bound by it and must pay the loss in
an experienced automobile mechanic, testified that at the time this automobile was accordance with the stipulated insured value. The assignments of error made on
insured it was worth about P3,000, and the defendant, by and through its said behalf of appellant put in issue the correctness of those conclusions of law, and
agent Smith, Bell & Company (limited), thereafter issued a policy of insurance upon some others of minor importance relating to the exclusion of evidence. Disposing of
proposal in which policy the said automobile was described as of the "present the minor objections first, as we have reached the conclusion that the trial court
value" of P3,000 and the said defendant charged the said plaintiff Mrs. Henry E. was right in holding that the defendant is bound by the estimated value of the
Harding as premium on said policy the sum of P150, or 5 per cent of the then automobile upon which policy was issued, and that the plaintiff was not guilty of
estimated value of P3,000. (Exhibit A.) fraud in regard thereto, the exclusion of the testimony of the witness Diehl is
without importance. It merely tended to show the alleged actual value of the
The "Schedule" in said policy of insurance describes the automobile here in automobile, and in the view we take of the case such evidence was irrelevant.
question, and provides in part of follows:
Appellant contends that Mrs. Harding was not the owner of the automobile at the
"Now it is hereby agreed as follows: time of the issuance of the policy, and, therefore, had no insurable interest in it.
The court below found that the automobile was given to plaintiff by her husband
shortly after the issuance of the policy here in question. Appellant does not dispute
"That during the period above set forth and during any period for which
the correctness of this finding, but contends that the gift was void, citing article
the company may agree to renew this policy the company will subject to
1334 of the Civil Code which provides that "All gifts between spouses during the
the exception and conditions contained herein or endorsed hereon
marriage shall be void. Moderate gifts which the spouses bestow on each other on
indemnify the insured against loss of or damage to any motor car
festive days of the family are not included in this rule."
described in the schedule hereto (including accessories) by whatever cause
such loss or damage may be occasioned and will further indemnify the
insured up to the value of the car or P3,000 whichever is the greater We are of the opinion that this contention is without merit. In the case of
against any claim at common law made by any person (not being a person Cook vs. McMicking 27 Phil. Rep., 10), this court said:
in the said motor car nor in the insured's service) for loss of life or for
accidental bodily injury or damage to property caused by the said motor It is claimed by the appellants that the so-called transfer from plaintiff's
car including law costs payable in connection with such claim when husband to her was completely void under article 1458 of the Civil Code
incurred with the consent of the company." and that, therefore, the property still remains the property of Edward Cook
and subject to levy under execution against him.
The evidence further shows that on March 24, 1916, the said automobile
was totally destroyed by fire, and that the iron and steel portions of said In our opinion the position taken by appellants is untenable. They are not
automobile which did not burn were taken into the possession of the in a position to challenge the validity of the transfer, if it may be called
defendant by and through its agent Smith, Bell & Company (limited), and such. They bore absolutely no relation to the parties to the transfer at the
sold by it for a small sum, which had never been tendered to the plaintiff time it occurred and had no rights or interests inchoate, present, remote,
prior to the trial of this case, but in open court during the trial the sum of or otherwise, in the property in question at the time the transfer occurred.
P10 as the proceeds of such sale was tendered to plaintiff and refused. Although certain transfers from husband to wife or from wife to husband
are prohibited in the article referred to, such prohibition can be taken
advantage of only by persons who bear such a relation to the parties
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making the transfer or to the property itself that such transfer interferes the sum after this examination. The trial court found that Mrs. Harding, in fixing the
with their rights or interests. Unless such a relationship appears the value of the automobile at P3,000, acted upon information given her by her
transfer cannot be attacked. husband and by Mr. Server, the manager of the Luneta Garage. The Luneta Garage,
it will be remembered, was the agent of the defendant corporation in the
Even assuming that defendant might have invoked article 1334 as a defense, the solicitation of the insurance. Mrs. Harding did not state of her own knowledge that
burden would be upon it to show that the gift in question does not fall within the the automobile originally cost P3,000, or that its value at the time of the insurance
exception therein established. We cannot say, as a matter of law, that the gift of an was P3,000. She merely repeated the information which had been given her by her
automobile by a husband to his wife is not a moderate one. Whether it is or is not husband, and at the same time disclosed to defendant's agent the source of her
would depend upon the circumstances of the parties, as to which nothing is information. There is no evidence to sustain the contention that this
disclosed by the record. communication was made in bad faith. It appears that the statements in the
proposal as to the price paid for the automobile and as to its value were written by
Defendant contends that the statement regarding the cost of the automobile was a Mr. Quimby who solicited the insurance on behalf of defendant, in his capacity as
warranty, that the statement was false, and that, therefore, the policy never an employee of the Luneta Garage, and wrote out the proposal for Mrs. Harding to
attached to the risk. We are of the opinion that it has not been shown by the sign. Under these circumstances, we do not think that the facts stated in the
evidence that the statement was false — on the contrary we believe that it shows proposal can be held as a warranty of the insured, even if it should have been
that the automobile had in fact cost more than the amount mentioned. The court shown that they were incorrect in the absence of proof of willful misstatement.
below found, and the evidence shows, that the automobile was bought by plaintiff's Under such circumstance, the proposal is to be regarded as the act of the insurer
husband a few weeks before the issuance of the policy in question for the sum of and not of the insured. This question was considered in the case of the Union
P2,800, and that between that time and the issuance of the policy some P900 was Insurance Company vs. Wilkinson (13 Wall., 222; 20 L. ed., 617), in which the
spent upon it in repairs and repainting. The witness Server, an expert automobile Supreme Court of the United States said:
mechanic, testified that the automobile was practically as good as new at the time
the insurance was effected. The form of proposal upon which the policy was issued This question has been decided differently by courts of the highest
does not call for a statement regarding the value of the automobile at the time of respectability in cases precisely analogous to the present. It is not to be
its acquisition by the applicant for the insurance, but merely a statement of its cost. denied that the application logically considered, is the work of the assured,
The amount stated was less than the actual outlay which the automobile and if left to himself or to such assistance as he might select, the person so
represented to Mr. Harding, including repairs, when the insurance policy was selected would be his agent, and he alone would be responsible. On the
issued. It is true that the printed form calls for a statement of the "price paid by the other hand, it is well-known, so well that no court would be justified in
proposer," but we are of the opinion that it would be unfair to hold the policy void shutting its eyes to it, that insurance companies organized under the laws
simply because the outlay represented by the automobile was made by the of one State, and having in that State their principal business office, send
plaintiff's husband and not by his wife, to whom he had given the automobile. It these agents all over the land, with directions to solicit and procure
cannot be assumed that defendant should not have issued the policy unless it were applications for policies furnishing them with printed arguments in favor of
strictly true that the price representing the cost of the machine had been paid by the value and necessity of life insurance, and of the special advantages of
the insured and by no other person — that it would no event insure an automobile the corporation which the agent represents. They pay these agents large
acquired by gift, inheritance, exchange, or any other title not requiring the owner to commissions on the premiums thus obtained, and the policies are
make a specific cash outlay for its acquisition. delivered at their hands to the assured. The agents are stimulated by
letters and instructions to activity in procuring contracts, and the party
Furthermore, the court below found and the evidence shows, without dispute, that who is in this manner induced to take out a policy, rarely sees or knows
the proposal upon which the policy in question was issued was made out by anything about the company or its officers by whom it is issued, but looks
defendant's agent by whom the insurance was solicited, and that appellee simply to and relies upon the agent who has persuaded him to effect insurance as
signed the same. It also appears that an examiner employed by the defendant the full and complete representative of the company, in all that is said or
made an inspection of the automobile before the acceptance of the risk, and that done in making the contract. Has he not a right to so regard him? It is quite
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true that the reports of judicial decisions are filled with the efforts of these oral testimony to vary or contradict that which is in writing, but it goes upon the
companies, by their counsel, to establish the doctrine for the acts of these idea that the writing offered in evidence was not the instrument of the party whose
agents to the simple receipt of the premium and delivery of the policy, the name is signed to it; that it was procured under such circumstances by the other
argument being that, as to all other acts of the agent, he is the agent of the side as estops that side from using it or relying on its contents; not that it may be
assured. This proposition is not without support in some of the earlier contradicted by oral testimony, but that it may be shown by such testimony that it
decision on the subject; and, at a time when insurance companies waited cannot be lawfully used against the party whose name is signed to it. (See also Am.
for parties to come to them to seek assurance, or to forward applications Life Ins. Co. vs. Mahone, 21 Wallace, 152.)
on their own motion, the doctrine had a reasonable foundation to rest
upon. But to apply such a doctrine, in its full force, to the system of selling The defendant, upon the information given by plaintiff, and after an inspection of
policies through agents, which we have described, would be a snare and a the automobile by its examiner, having agreed that it was worth P3,000, is bound
delusion, leading, as it has done in numerous instances, to the grossest by this valuation in the absence of fraud on the part of the insured. All statements
frauds, of which the insurance corporations receive the benefits, and the of value are, of necessity, to a large extent matters of opinion, and it would be
parties supposing themselves insured are the victims. The tendency of the outrageous to hold that the validity of all valued policies must depend upon the
modern decisions in this country is steadily in the opposite direction. The absolute correctness of such estimated value. As was said by the Supreme Court of
powers of the agent are, prima facie, co-extensive with the business the United States in the case of the First National Bank vs. Hartford Fire Insurance
intrusted to his care, and will not be narrowed by limitations not Co. (5 Otto, 673; 24 L. ed., 563), at. p. 565 of the Lawyers Edition:
communicated to the person with whom he deals. (Bebee vs. Ins. Co., 25
Conn., 51; Lycoming Ins. Co. vs. Schoolenberger, 44 Pa., 259; Beal vs. Ins. The ordinary test of the value of property is the price it will commend in the market
Co., 16 Wis., 241; Davenport vs. Ins. Co., 17 Iowa, 276.) An insurance if offered for sale. But that test cannot, in the very nature of the case, be applied at
company, establishing a local agency, must be held responsible to the the time application is made for insurance. Men may honestly differ about the
parties with whom they transact business, for the acts and declarations of value of property, or as to what it will bring in the market; and such differences are
the agent, within the scope of his employment, as if they proceeded from often very marked among those whose special business it is to buy and sell property
the principal. (Sav. Bk. vs. Ins. Co., 31 Conn., 517; Hortwitz vs. Ins. Co., 40 of all kinds. The assured could do no more than estimate such value; and that, it
Mo., 557; Ayres vs. Ins. Co., 17 Iowa, 176; Howard Ins. Co. vs. Bruner, 23 seems, was all that he was required to do in this case. His duty was to deal fairly
Pa., 50.) with the Company in making such estimate. The special finding shows that he
discharged that duty and observed good faith. We shall not presume that the
In the fifth edition of American Leading Cases, 917, after a full consideration of the Company, after requiring the assured in his application to give the "estimated
authorities, it is said: value," and then to covenant that he had stated all material facts in regard to such
value, so far as known to him, and after carrying that covenant, by express words,
"By the interested or officious zeal of the agents employed by the insurance into the written contract, intended to abandon the theory upon which it sought the
companies in the wish to outbid each other and procure customers, they not contract, and make the absolute correctness of such estimated value a condition
unfrequently mislead the insured, by a false or erroneous statement of what the precedent to any insurance whatever. The application, with its covenant and
application should contain; or, taking the preparation of it into their own hands, stipulations, having been made a part of the policy, that presumption cannot be
procure his signature by an assurance that it is properly drawn, and will meet the indulged without imputing to the Company a purpose, by studied intricacy or an
requirements of the policy. The better opinion seems to be that, when this course is ingenious framing of the policy, to entrap the assured into incurring obligations
pursued, the description of the risk should, though nominally proceeding from the which, perhaps, he had no thought of assuming.
insured, be regarded as the act of the insurers." (Rowley vs. Empire Ins. Co., 36 N.Y.,
550.) Section 163 of the Insurance Law (Act No. 2427) provides that "the effect of a
valuation in a policy of fire insurance is the same as in a policy of marine insurance."
The modern decisions fully sustain this proposition, and they seem to us founded
on reason and justice, and meet our entire approval. This principle does not admit
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By the terms of section 149 of the Act cited, the valuation in a policy of marine paints which amounted to P900.00. Mr. Server attested that the car is as good as
insurance is conclusive if the insured had an insurable interest and was not guilty of new at the time the insurance was effected.
fraud.
Commercial Union, upon the information given by Mrs. Harding, and after an
We are, therefore, of the opinion and hold that plaintiff was the owner of the inspection of the automobile by its examiner, having agreed that it was worth
automobile in question and had an insurable interest therein; that there was no P3,000, is bound by this valuation in the absence of fraud on the part of the
fraud on her part in procuring the insurance; that the valuation of the automobile, insured. All statements of value are, of necessity, to a large extent matters of
for the purposes of the insurance, is binding upon the defendant corporation, and
opinion, and it would be outrageous to hold that the validity of all valued policies
that the judgment of the court below is, therefore, correct and must be affirmed,
with interest, the costs of this appeal to be paid by the appellant. So ordered. must depend upon the absolute correctness of such estimated value.

Facts:
38 Phil. 464 – Mercantile Law – Insurance Law – Representation – Warranty
> Henry Harding bought a car for 2T in 1915. He then gave the car to his wife Mrs.
In February 1916, Mrs. Harding applied for car insurance for a Studebaker she Harding.
received as a gift from her husband. She was assisted by Smith, Bell, and Co. which
> While Mrs. Harding was having the car repaired at the Luneta Garage (Luneta was
was the duly authorized representative (insurance agent) of Commercial Union
an agent of Smith Bell and Co., which in turn is Commercial Union’s agent), the
Assurance Company in the Philippines. The car’s value was estimated with the help latter induced Mrs. Harding to insure the care with Commercial.
of an experienced mechanic (Mr. Server) of the Luneta Garage. The car was bought
> Mrs. Harding agreed, and Smith Bell sent an agent to Luneta Garage, who
by Mr. Harding for P2,800.00. The mechanic, considering some repairs done,
together with the manager of LUneta, appraised the car and declared that its
estimated the value to be at P3,000.00. This estimated value was the value
present value was P3T. This amt was written in the proposal form which Mrs.
disclosed by Mrs. Harding to Smith, Bell, and Co. She also disclosed that the value Harding signed.
was an estimate made by Luneta Garage (which also acts as an agent for Smith, Bell,
and Co). > Subsequently, the car was damaged by fire. Commercial refused to pay because
the car’s present value was only 2.8T and not 3T.
In March 1916, a fire destroyed the Studebaker. Mrs. Harding filed an insurance
Issue:
claim but Commercial Union denied it as it insisted that the representations and
averments made as to the cost of the car were false; and that said statement was a Whether or not Commercial is liable.
warranty. Commercial Union also stated that the car does not belong to Mrs. Held:
Harding because such a gift [from her husband] is void under the Civil Code.
Commercial is liable.
ISSUE: Whether or not Mrs. Harding is entitled to the insurance claim.
Where it appears that the proposal form, while signed by the insured was made out
HELD: Yes. Commercial Union is not the proper party to attack the validity of the by the person authorized to solicit the insurance (Luneta and Smith Bell) the facts
gift made by Mr. Harding to his wife. stated in the proposal, even if incorrect, will not be regarded as warranted by the
insured, in the absence of willful misstatement. Under such circumstances, the
The statement made by Mrs. Harding as to the cost of the car is not a warranty. The
proposal is to be regarded as the act of the insurer.
evidence does not prove that the statement is false. In fact, the evidence shows
that the cost of the car is more than the price of the insurance. The car was bought
for P2,800.00 and then thereafter, Luneta Garage made some repairs and body
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EN BANC Notwithstanding the fact of her operation Estefania A. Saturnino did not make a
disclosure thereof in her application for insurance. On the contrary, she stated
G.R. No. L-16163 February 28, 1963 therein that she did not have, nor had she ever had, among other ailments listed in
the application, cancer or other tumors; that she had not consulted any physician,
IGNACIO SATURNINO, in his own behalf and as the JUDICIAL GUARDIAN OF undergone any operation or suffered any injury within the preceding five years; and
CARLOS SATURNINO, minor, plaintiffs-appellants, that she had never been treated for nor did she ever have any illness or disease
vs. peculiar to her sex, particularly of the breast, ovaries, uterus, and menstrual
THE PHILIPPINE AMERICAN LIFE INSURANCE COMPANY, defendant-appellee. disorders. The application also recites that the foregoing declarations constituted "a
further basis for the issuance of the policy."
MAKALINTAL, J.:
The question at issue is whether or not the insured made such false representations
of material facts as to avoid the policy. There can be no dispute that the
Plaintiffs, now appellants, filed this action in the Court of First Instance of Manila to
information given by her in her application for insurance was false, namely, that she
recover the sum of P5,000.00, corresponding to the face value of an insurance
had never had cancer or tumors, or consulted any physician or undergone any
policy issued by defendant on the life of Estefania A. Saturnino, and the sum of
operation within the preceding period of five years. Are the facts then falsely
P1,500.00 as attorney's fees. Defendant, now appellee, set up special defenses in its
represented material? The Insurance Law (Section 30) provides that "materiality is
answer, with a counterclaim for damages allegedly sustained as a result of the
to be determined not by the event, but solely by the probable and reasonable
unwarranted presentation of this case. Both the complaint and the counterclaim
influence of the facts upon the party to whom the communication is due, in forming
were dismissed by the trial court; but appellants were declared entitled to the
his estimate of the proposed contract, or in making his inquiries." It seems to be the
return of the premium already paid; plus interest at 6% up to January 8, 1959, when
contention of appellants that the facts subject of the representation were not
a check for the corresponding amount — P359.65 — was sent to them by appellee.
material in view of the "non-medical" nature of the insurance applied for, which
does away with the usual requirement of medical examination before the policy is
The policy sued upon is one for 20-year endowment non-medical insurance. This
issued. The contention is without merit. If anything, the waiver of medical
kind of policy dispenses with the medical examination of the applicant usually
examination renders even more material the information required of the applicant
required in ordinary life policies. However, detailed information is called for in the
concerning previous condition of health and diseases suffered, for such information
application concerning the applicant's health and medical history. The written
necessarily constitutes an important factor which the insurer takes into
application in this case was submitted by Saturnino to appellee on November 16,
consideration in deciding whether to issue the policy or not. It is logical to assume
1957, witnessed by appellee's agent Edward A. Santos. The policy was issued on the
that if appellee had been properly apprised of the insured's medical history she
same day, upon payment of the first year's premium of P339.25. On September 19,
would at least have been made to undergo medical examination in order to
1958 Saturnino died of pneumonia, secondary to influenza. Appellants here, who
determine her insurability.
are her surviving husband and minor child, respectively, demanded payment of the
face value of the policy. The claim was rejected and this suit was subsequently
Appellants argue that due information concerning the insured's previous illness and
instituted.
operation had been given to appellees agent Edward A. Santos, who filled the
application form after it was signed in blank by Estefania A. Saturnino. This was
It appears that two months prior to the issuance of the policy or on September 9,
denied by Santos in his testimony, and the trial court found such testimony to be
1957, Saturnino was operated on for cancer, involving complete removal of the
true. This is a finding of fact which is binding upon us, this appeal having been taken
right breast, including the pectoral muscles and the glands found in the right
upon questions of law alone. We do not deem it necessary, therefore, to consider
armpit. She stayed in the hospital for a period of eight days, after which she was
appellee's additional argument, which was upheld by the trial court, that in signing
discharged, although according to the surgeon who operated on her she could not
the application form in blank and leaving it to Edward A. Santos to fill (assuming
be considered definitely cured, her ailment being of the malignant type.
that to be the truth) the insured in effect made Santos her agent for that purpose
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and consequently was responsible for the errors in the entries made by him in that "The basis of the rule vitiating the contract in cases of concealment is that
capacity. it misleads or deceives the insurer into accepting the risk, or accepting it at
the rate of premium agreed upon. The insurer, relying upon the belief that
In the application for insurance signed by the insured in this case, she agreed to the assured will disclose every material fact within his actual or presumed
submit to a medical examination by a duly appointed examiner of appellee if in the knowledge, is misled into a belief that the circumstance withheld does not
latter's opinion such examination was necessary as further evidence of insurability. exist, and he is thereby induced to estimate the risk upon a false basis that
In not asking her to submit to a medical examination, appellants maintain, appellee it does not exist."
was guilty of negligence, which precluded it from finding about her actual state of
health. No such negligence can be imputed to appellee. It was precisely because the The judgment appealed from, dismissing the complaint and awarding the return to
insured had given herself a clean bill of health that appellee no longer considered appellants of the premium already paid, with interest at 6% up to January 29, 1959,
an actual medical checkup necessary. affirmed, with costs against appellants.

Appellants also contend there was no fraudulent concealment of the truth SCRA 316 SATURNINO V. PHILAMLIFE -FALSE REPRESENTATION 7 SCRA 316
inasmuch as the insured herself did not know, since her doctor never told her, that
the disease for which she had been operated on was cancer. In the first place the Facts:
concealment of the fact of the operation itself was fraudulent, as there could not 2 months prior to the insurance of thepolicy, Saturnino was operated on for cancer, involving
have been any mistake about it, no matter what the ailment. Secondly, in order to complete removal of theright breast, including the pectoral muscles and the glands, found in the
avoid a policy it is not necessary to show actual fraud on the part of the insured. In right armpit.> Notwithstanding the fact of her operation, Saturnino did not make a disclosure
the case of Kasprzyk v. Metropolitan Insurance Co., 140 N.Y.S. 211, 214, it was held: thereof in her application for insurance.> She stated therein that she did not have, nor had she ever
had, among others listed in the application, cancer or other tumors; that she had not consulted any
Moreover, if it were the law that an insurance company could not depend physician, undergone any operation or suffered any injury within the preceding 5 years.> She also
a policy on the ground of misrepresentation, unless it could show actual stated that she had never been treated for, nor did she ever have any illness or disease peculiar to
knowledge on the part of the applicant that the statements were false, her sex, particularly of the breast, ovaries, uterus and menstrual disorders.> The application
then it is plain that it would be impossible for it to protect itself and its also recited that the declarations of Saturnino constituted a further basis for the issuance of the
honest policyholders against fraudulent and improper claims. It would be policy.
wholly at the mercy of any one who wished to apply for insurance, as it
would be impossible to show actual fraud except in the extremest cases. It Issue:
could not rely on an application as containing information on which it Whether or not the insured made such false representation of material facts as to avoid the policy.
could act. There would be no incentive to an applicant to tell the truth.
Held:
Wherefore, the parties respectfully pray that the foregoing stipulation of YES. There can be no dispute that the information given by her in the application for insurance was
facts be admitted and approved by this Honorable Court, without false, namely, that she never had cancer or tumors or consulted any physician or undergone any
prejudice to the parties adducing other evidence to prove their case not operation within the preceding period of 5 years.
covered by this stipulation of facts. 1äwphï1.ñët The question to determine is: Are the facts then falsely represented material?
The Insurance Law provides that ―materiality is to be determined not by the event, but solely
by the probable and reasonable influence of the facts upon the party to whom the communication
In this jurisdiction a concealment, whether intentional or unintentional, entitles the
is due, in forming his estimate of the proposed contract, or making his inquiries. The contention of
insurer to rescind the contract of insurance, concealment being defined as
appellants is that the facts subject of the representation were not material in view of the non-
"negligence to communicate that which a party knows and ought to communicate"
medical nature ofthe insurance applied for, which does away with the usual requirement of
(Sections 24 & 26, Act No. 2427). In the case of Argente v. West Coast Life Insurance
medical examination before the policy is issued. The contention is without merit. If anything, the
Co., 51 Phil. 725, 732, this Court said, quoting from Joyce, The Law of Insurance, 2nd
waiver of medical examination renders even more material the information required of the
ed., Vol. 3:
8

applicant concerning previous condition of health and diseases suffered, for such information Held:
necessarily constitutes an important factor which the insurer takes into consideration in deciding
whether to issue the policy or not. Appellants also contend that there was no fraudulent YES.
concealment of the truth in ]asmuch as the insured herself did not know, since her doctor never There can be no dispute that the information given by her in the application for
told her, that the disease for which she had been operated on was cancer. In the first place, insurance was false, namely, that she never had cancer or tumors or consulted any
concealment of the fact of the operation itself was fraudulent, as there could not have been any physician or undergone any operation within the preceding period of 5 years.
mistake about it, no matter what the ailment. Secondly, in order to avoid a policy, it is not necessary
to show actual fraud on the part of the insured. In this jurisdiction, concealment, whether The question to determine is: Are the facts then falsely represented material? The
intentional or unintentional entitled the insurer to rescind the contract of insurance, concealment Insurance Law provides that “materiality is to be determined not by the event, but
being defined as ―negligence to communicate that which a party knows and solely by the probable and reasonable influence of the facts upon the party to
ought to communicate. whom the communication is due, in forming his estimate of the proposed contract,
The basis of the rule vitiating the contract in cases of concealment is that it misleads or deceives the or making his inquiries.
insurer into accepting the risk, or accepting it at a rate of premium agreed upon. The insurer,
relying upon the belief that the insured will disclose every material fact within his actual or The contention of appellants is that the facts subject of the representation were not
presumed knowledge, is misled into a belief that the circumstances withheld does not exist, and he material in view of the non-medical nature of the insurance applied for, which does
is thereby induced to estimate the riskupon a false basis that it does not exist. away with the usual requirement of medical examination before the policy is
issued. The contention is without merit. If anything, the waiver of medical
Facts: examination renders even more material the information required of the applicant
concerning previous condition of health and diseases suffered, for such information
> 2 months prior to the insurance of the policy, Saturnino was operated on for
necessarily constitutes an important factor which the insurer takes into
cancer, involving complete removal of the right breast, including the pectoral
consideration in deciding whether to issue the policy or not.
muscles and the glands, found in the right armpit.
Appellants also contend that there was no fraudulent concealment of the truth
> Notwithstanding the fact of her operation, Saturnino did not make a disclosure
inasmuch as the insured herself did not know, since her doctor never told her, that
thereof in her application for insurance.
the disease for which she had been operated on was cancer. In the first place,
> She stated therein that she did not have, nor had she ever had, among others concealment of the fact of the operation itself was fraudulent, as there could not
listed in the application, cancer or other tumors; that she had not consulted any have been any mistake about it, no matter what the ailment.
physician, undergone any operation or suffered any injury within the preceding 5
Secondly, in order to avoid a policy, it is not necessary to show actual fraud on the
years.
part of the insured. In this jurisdiction, concealment, whether intentional or
> She also stated that she had never been treated for, nor did she ever have any unintentional entitled the insurer to rescind the contract of insurance, concealment
illness or disease peculiar to her sex, particularly of the breast, ovaries, uterus and being defined as “negligence to communicate that which a party knows and ought
menstrual disorders. to communicate.” The basis of the rule vitiating the contract in cases of
concealment is that it misleads or deceives the insurer into accepting the risk, or
> The application also recited that the declarations of Saturnino constituted a
accepting it at a rate of premium agreed upon. The insurer, relying upon the belief
further basis for the issuance of the policy.
that the insured will disclose every material fact within his actual or presumed
knowledge, is misled into a belief that the circumstances withheld does not exist,
Issue:
and he is thereby induced to estimate the risk upon a false basis that it does not
Whether or not the insured made such false representation of material facts as to exist.
avoid the policy.
9

EN BANC had to answer inquiries as to his state of health and that of his family, which he did
voluntarily. In each of the said applications the following question was asked: "1.
G.R. No. L-41794 August 30, 1935 What physician or practitioner or any other person not named above have you
consulted or been treated by, and for what illness, or ailment? (If none, so state.)"
SEGUNDINA MUSÑGI, ET AL., plaintiffs-appellees, In the first application, the insured answered "None", and in the second, "No".
vs. These answers of the insured as well as his other statements contained in his
WEST COAST LIFE INSURANCE CO., defendant-appellant. applications were one of the causes or considerations for the issuance of the
policies, and they so positively appear therein. After the death of the insured and as
a result of the demand made by the beneficiaries upon the defendant to pay the
IMPERIAL, J.:
value of the policies, the latter discovered that the aforementioned answers were
false and fraudulent, because the truth was that the insured, before answering and
The plaintiffs, as beneficiaries, brought suit against the defendant to recover the
signing the applications and before the issuance of the policies, had been treated in
value of two life insurance policies. The defendant appealed from a judgment the General Hospital by a lady physician for different ailments. It indisputably
sentencing it to pay the plaintiffs the amount of said policies, and the costs.
appears that between May 13 and 19, 1929, the insured had entered the General
Hospital in Manila, and was treated by Doctor Pilar V. Cruz for peptic ulcer and
The principal facts of the case are embodied in the following written stipulation chronic catarrhal nasopharyngitis; on August 5, 1930, he entered the same hospital
entered into by the parties: and was treated by the same physician for chronic pyelocystitis and for incipient
pulmonary tuberculosis; on the 13th of the same month he returned to the hospital
1. That Arsenio T. Garcia was insured by the defendant company in the and was treated by the same physician for chronic suppurative pyelocystitis and for
sum of P5,000 as evidenced by Policy No. 129454 effective as of July 25, chronic bronchitis; on the 20th of the same month he again entered the hospital
1931, hereby attached and marked as Exhibit A; and was treated by the same doctor for acute tracheo-bronchitis and chronic
suppurative pyelocystitis; on the 27th of the same month he again entered the
2. That the said Arsenio T. Garcia was again insured by the defendant same hospital and was treated for the same ailments; on December 11, 1930, he
company in the sum of P10,000 effective as of October 20, 1931, as again entered the hospital and was treated for the same ailments; on the 18th of
evidenced by Policy No. 130381 hereby attached and marked as Exhibit B; the same month, he again entered the hospital and was treated for the same
ailments; on the 28th of the same month he again entered the hospital and was
3. That the two policies aforementioned were valid and subsisting at the treated for the same ailments, and, finally, on January 11, 1931, he again entered
time of the death of the insured on December 30, 1932; the fact of said the hospital and was treated by the same doctor for the same ailments.
death is evidenced by the accompanying death certificate issued by the
Civil Register of Pasay, Rizal, which is marked as Exhibit C; The defendant contended at the outset that the two policies did not create any
valid obligation because they were fraudulently obtained by the insured. The
4. That the plaintiffs herein are the beneficiaries in said policies, Segundina appealed decision holds that the health of the insured before the acceptance of his
Musñgi of Policy No. 129454, and Buenaventura Garcia of Policy No. applications and the issuance of the policies could neither be discussed nor
130381; questioned by the defendant, because the insured was examined by three
physicians of the company and all of them unanimously certified that he was in
5. That demand was made upon the defendant company for the payment good health and that he could be properly insured. The question here is not
of the two policies above referred to, but the defendant company refused whether the physicians' reports or the answers which the insured gave to them
to pay on the grounds stated in the answer. relative to his health were correct or not. It is admitted that such information was
substantially correct, in the sense that the physicians of the defendant who
examined the insured, for failure to make a detailed examination, did not discover
The two policies were issued upon applications filed by the insured on July 20, 1931
the ailments suffered by the insured. However, the question raised for our
and October 15, of the same year, respectively. In both applications, the insured
10

determination is whether the two answers given by the insured in his applications "Concealment exists where the assured has knowledge of a fact material to
are false, and if they were the cause, or one of the causes, which induced the the risk, and honesty, good faith and fair dealing requires that he should
defendant to issue the policies. On the first point, the facts above set out leave no communicate it to the assured, but he designedly and intentionally
room for doubt. The insured knew that he had suffered from a number of ailments, withholds the same.
including incipient pulmonary tuberculosis, before subscribing the applications, yet
he concealed them and omitted the hospital where he was confined as well as the "Another rule is that if the assured undertakes to state all the
name of the lady physician who treated him. That this concealment and the false circumstances affecting the risk, a full and fair statement of all is required.
statements constituted fraud, is likewise clear, because the defendant by reason
thereof accepted the risk which it would otherwise have flatly refused. When not "It is also held that the concealment must, in the absence of inquiries, be
otherwise specially provided for by the Insurance Law, the contract of life insurance not only material, but fraudulent, or the fact must have been intentionally
is governed by the general rules of the civil law regarding contracts. Article 1261 of withheld; so it is held under English law that if no inquiries are made and
the Civil Code provides that there is no contract unless there should be, in addition no fraud or design to conceal enters into the concealment the contract is
to consent and a definite object, a consideration for the obligation established. And not avoided. And it is determined that even though silence may constitute
article 1276 provides that the statement of a false consideration shall render the misrepresentation or concealment it is not of itself necessarily so as it is a
contract void. The two answers being one of the considerations of the policies, and question of fact. Nor is there a concealment justifying a forfeiture where
it appearing that they are false and fraudulent, it is evident that the insurance the fact of insanity is not disclosed no questions being asked concerning
contracts were null and void and did not give rise to any right to recover their value the same. . . .
or amount. A similar case was already decided by this court in Argente vs. West
Coast Life Insurance Co. (51 Phil., 725). In that case the insured concealed from the
"But it would seem that if a material fact is actually known to the assured,
physician who examined her that she had consulted and had been treated by
its concealment must of itself necessarily be a fraud, and if the fact is one
another physician for cerebral congestion and Bell's Palsy, and that she was
which the assured ought to know, or is presumed to know, the
addicted to alcohol, so much so that on one occasion she was confined in the San
presumption of knowledge ought to place the assured in the same position
Lazaro Hospital suffering from "alcoholism"; this court held that such concealments
as in the former case with relation to material facts; and if the jury in such
and false and fraudulent statements rendered the policy null and void. In discussing
cases find the fact material, and one tending to increase the risk, it is
the legal phase of the case, this court said:
difficult to see how the inference of a fraudulent intent or intentional
concealment can be avoided. And it is declared that if a material fact is
One ground for the rescission of a contract of insurance under the concealed by assured it is equivalent to a false representation that it does
Insurance Act is a "concealment", which in section 25 is defined as "A not exist and that the essentials are the truth of the representations
neglect to communicate that which a party knows and ought to whether they were intended to mislead and did insurer accept them as
communicate". Appellant argues that the alleged concealment was true and act upon them to his prejudice. So it is decided that under a
immaterial and insufficient to avoid the policy. We cannot agree. In an stipulation voiding the policy for concealment or misrepresentation of any
action on a life insurance policy where the evidence conclusively shows material fact or if his interest is not truly stated or is other than the sole
that the answers to questions concerning diseases were untrue, the truth and unconditional ownership the facts are unimportant that insured did
or falsity of the answers become the determining factor. If the policy was not intend to deceive or withhold information as to encumbrances even
procured by fraudulent representations, the contract of insurance though no questions were asked. And if insured while being examined for
apparently set forth therein was never legally existent. It can fairly be life insurance, and knowing that she had heart disease, falsely stated that
assumed that had the true facts been disclosed by the assured, the she was in good health, and though she could not read the application, it
insurance would never have been granted. was explained to her and the questions asked through an interpreter, and
the application like the policy contained a provision that no liability should
In Joyce, The Law of Insurance, second edition, volume 3, Chapter LV, is be incurred unless the policy was delivered while the insured was in good
found the following: health, the court properly directed a verdict for the insurer, though a
11

witness who was present at the examination testified that the insured was of pharyngitis, it was held a question properly for the jury whether such an
not asked whether she had heart disease. inflammation of the throat was a "sickness" within the intent of the
inquiry, and the court remarked on the appealed decision that if it could be
"The basis of the rule vitiating the contract in cases of concealment is that held as a matter of law that the policy was thereby avoided, then it was a
it misleads or deceives the insurer into accepting the risk, or accepting it at mere devise on the part of insurance companies to obtain money without
the rate of premium agreed upon. The insurer, relying upon the belief that rendering themselves liable under the policy. . . .
the assured will disclose every material fact within his actual or presumed
knowledge, is misled into a belief that the circumstance withheld does not ". . . The question should be left to the jury whether the assured truly
exist, and he is thereby induced to estimate the risk upon a false basis that represented the state of his health so as not to mislead or deceive the
it does not exist. The principal question, therefore, must be, Was the insurer; and if he did not deal in good faith with the insurer in that matter,
assurer misled or deceived into entering a contract obligation or in fixing then the inquiry should be made, Did he know the state of his health so as
the premium of insurance by a withholding of material information or facts to be able to furnish a proper answer to such questions as are
within the assured's knowledge or presumed knowledge? propounded. A Massachusetts case, if construed as it is frequently cited,
would be opposed to the above conclusion; but, on the contrary, it
"It therefore follows that the assurer in assuming a risk is entitled to know sustains it, for the reason that symptoms of consumption had so far
every material fact of which the assured has exclusive or peculiar developed themselves within a few months prior to effecting the insurance
knowledge, as well as all material facts which directly tend to increase the as to induce a reasonable belief that the applicant had that fatal disease,
hazard or risk which are known by the assured, or which ought to be or are and we should further construe this case as establishing the rule that such
presumed to be known by him. And a concealment of such facts vitiates a matter cannot rest alone upon the assured's belief irrespective of what is
the policy. "It does not seem to be necessary ... that the ... suppression of a reasonable belief, but that it ought to be judged by the criterion whether
the truth should have been willful." If it were but an inadvertent omission, the belief is one fairly warranted by the circumstances. A case in Indiana,
yet if it were material to the risk and such as the plaintiff should have however, holds that if the assured has some affection or ailment of one or
known to be so, it would render the policy void. But it is held that if untrue more of the organs inquired about so well-defined and marked as to
or false answers are given in response to inquiries and they relate to materially derange for a time the functions of such organ, as in the case of
material facts the policy is avoided without regard to the knowledge or Bright's disease, the policy will be avoided by a nondisclosure, irrespective
fraud of assured, although under the statute statements are of the fact whether the assured knew of such ailment or not. . . ."
representations which must be fraudulent to avoid the policy. So under
certain codes the important inquiries are whether the concealment was In view of the foregoing, we are of the opinion that the appellant's first two
willful and related to a matter material to the risk. assignments of error are well founded, wherefore, the appealed judgment is
reversed and the defendant absolved from the complaint, with the costs of both
"If the assured has exclusive knowledge of material facts, he should fully instances to the plaintiffs. So ordered.
and fairly disclose the same, whether he believes them material or not. But
notwithstanding this general rule it will not infrequently happen, especially
in life risks, that the assured may have a knowledge actual or presumed of
material facts, and yet entertain an honest belief that they are not
material. ... The determination of the point whether there has or has not
been a material concealment must rest largely in all cases upon the form
of the questions propounded and the exact terms of the contract. Thus,
where in addition to specifically named diseases the insured was asked
whether he had had any sickness within ten years, to which he answered
"No", and it was proven that within that period he had had a slight attack
12

Facts: positively appear therein. After the death of the insured and as aresult of
the demand made by the beneficiaries upont h e d e f e n d a n t t o p a y
> Arsenio Garcia was insured by West Coast twice in 1931. In both policies, he was the value of the policies,
asked to answer the question: “what physician or practitioners have you consulted t h e latter discovered that the aforementioned answerswere false
or been treated by, and for what illness or ailment? and fraudulent, because the truth was that t h e i n s u r e d ,
> In both policies, he answered in the negative. It turned out that from 1929 to b e f o r e a n s w e r i n g a n d s i g n i n g t h e applications and
1939, he went to see several physicians for a number of ailments. So when he died before the issuance of the policies, h a d b e e n t r e a t e d i n t h e
G e n e r a l H o s p i t a l b y a l a d y physician for different ailments. The
in 1942, the company refused to pay the proceeds of the insurance.
defendant contends that the two policies did not
Issue: create any valid obligation because they were
fraudulently obtained by the insured.
Whether or not the answer given by Arsenio in the policies justifies the company’s
refusal to pay? Issue:
Whether the two answers given by the insured in hisapplications are
Held: false, and if they were the cause,
YES. oro n e o f t h e c a u s e s , w h i c h i n d u c e d t h e d e f e n d a n t t o issue the
policies?
Aresenio knew that he was suffering from a number of ailments, yet, he concealed
this. Such concealment and his false statements constituted fraud, because the
insurance company by reasons of such statement accepted the risk which it would Ruling:
otherwise have rejected.
The concealment and the false statements constituted
SEGUNDINA MUSÑGI, ET AL., vs. WEST COASTLIFE INSURANCE CO.
f r a u d b e c a u s e t h e d e f e n d a n t b y r e a s o n t h e r e o f accepted the
[G.R. No. L-41794 August 30, 1935]
risk which it would otherwise have flatly refused. When not otherwise specially
Facts: provided for by the Insurance Law, the contract of life insurance is governed
The plaintiffs, as beneficiaries, brought suit against thedefendant to recover the by the general rules of the civil law regarding contracts. Article 1261 of the Civil Code
value of two life insurance p o l i c i e s . provides that there is no contract unless there should be, in addition to consent
A r s e n i o T . G a r c i a w a s i n s u r e d b y t h e defendant company in and a definite object, a consideration for the obligation established. And
the sum of P5, 000. Arsenio T.Garcia was again insured by the defendant company Article 1276 provides that the statement of a false consideration shall render
inthe sum of P10,000. Subsequently, Arsenio died. Even
the contract void. The two answers being one of the
w i t h t h e d e m a n d m a d e b y t h e p l a i n t i f f s t o t h e defenda
nt company to pay the two policies, defendant refused to pay It is to be noted that in considerations of the policies, and it appearing that they are false and
both applications, the insured had to answer inquiries as to his state of fraudulent, it is evident that the insurance contracts were null and void
health and that of his family, which he did voluntarily. and did not give rise to any right to recover their value or amount. A
In each of the said applications the following question was asked: s i m i l a r c a s e w a s a l r e a d y d e c i d e d b y t h i s c o u r t i n Argente
1 . What physician or practitioner or any other person not named above have vs. West Coast Life Insurance Co. (51 Phil.,725). In discussing the legal
you consulted or been treated b y , a n d f o r w h a t i l l n e s s , phase of the case, this court said:
o r a i l m e n t ? ( I f n o n e , s o state.) In the first application, the insured
O n e g r o u n d f o r t h e r e s c i s s i o n o f a c o n t r a c t o f insuran
answered "None", and in the second, "No". These answers of the insured
as well as his other statements contained in his applications were one of ce under the Insurance Act is a "concealment",
the causes or considerations for the issuance of the policies, and they so w h i c h i n s e c t i o n 2 5 i s d e f i n e d a s " A n e g l e c t t o commu
13

nicate that which a party knows and ought to communicate". was confined as well as the nam e of the lady
In view of the foregoing, appellant's first two physician who treated him. Concealment and the false statemen
assignments of error are well founded, wherefore, the t s constituted fraud, is likewise clear, because the defendant by reason
thereof accepted the risk which it would otherwise have flatly refused. The contract
a p p e a l e d j u d g m e n t i s r e v e r s e d a n d t h e d e f e n d a n t absolved from the
of life insurance is governed by the general rules of the civil law regarding contracts.
complaint.
Article 1261 of the Civil Code
Musngi vs. West Coast Insurance
providesthat there is no contract unless there should be, in addition to consent
- P (beneficiaries) brought suit against the defendant to recover the valueof two life
anda definite object, a consideration for the obligation established.
insurance policies.- Two policies were issued upon applications filed by the insured
on. In both applications, the insured had to answer injuiries as to his state of health
Article1276
and that of his family, which he did voluntarily.
provides that the statement of a false consideration shall render the contract void.
1. What physician or practitioner or any other person not named abovehave you
The two answers being one of the considerations of the policies, and it appearing
consulted or been treated by, and for what illness, or ailment? (If none, so state.
that they are false and fraudulent, it is evident that the insurance contracts
In the first application, the insured answered “none”, and in the second,
were null and void and did not give rise to any right to recover their value or
“no”.
amount.
- Answers of the insured as well as his other state'ents contained in hisapplications
One ground for the rescission of a contract of insurance under the
were one of the causes or considerations for the issuance of the policies- After the
Insurance Act is a concealment, which in section 25 is defined as
death of the insured, the insurance company discovered that the answers were
“n e g l e c t t o c o m m u n i c a t e t h a t w h i c h a p a r t y k n o w s a n d o u g h t
false and fraudulent, because the truth was that the insured, before answering and
t o communicate! C o n c e a l m e n t e x i s t s w h e r e t h e a s s u r e d h a s k n o w l e
signing the applications and before the issuance of the policies, had been treated in
d g e o f a f a c t material to the risk, and honesty, good faith and fair dealing
the general hospital by a lady physician for different ailments.
requires that he should communicate it to the assured, but he designedly
for peptic ulcer and chronic catarrhal nasopharyngitis &
and intentionally withholds the same.
chronic pyelocystitis and incipient pulmonary tuberculosis & acute tracheo'bronch
Another rule is that if the assured undertakes to state all the circumstances
itis and chronic suppurative pyelocystitis by Mr. Cru)
affecting the risk, a full and fair statement of all is required.
Respondent’s Contention
Two policies did not create any valid obligation because they werefraudulently
obtained by the insured.
Appealed Decision
-The health of the insured before the acceptance of his applications andthe
issuance of the policies could neither be discussed nor &uestioned.- The insured
was e a'ined by three physicians of the co'pany and all of the' unani'ously certified
that he was in good health and that he couldbe properly insured.

Issue
1. The two answers given by the insured in his applications are
false/ If they were the cause, or one of the causes, which
induced thedefendant to issue the policies/
2.
Held
Insured knew that he had suffered from a number of ailments, before subscribing
the applications, yet he concealed them and omitted t h e h o s p i t a l w h e r e h e
14

FIRST DIVISION In resisting the claim of the petitioner, the respondent insurance corporation relies
on a provision contained in the Certificate of Insurance, excluding its liability to pay
G.R. No. L-34200 September 30, 1982 claims under the policy in behalf of "persons who are under the age of sixteen (16)
years of age or over the age of sixty (60) years ..." It is pointed out that the insured
REGINA L. EDILLON, as assisted by her husband, MARCIAL EDILLON, petitioners- being over sixty (60) years of age when she applied for the insurance coverage, the
appellants, policy was null and void, and no risk on the part of the respondent insurance
vs. corporation had arisen therefrom.
MANILA BANKERS LIFE INSURANCE CORPORATION and the COURT OF FIRST
INSTANCE OF RIZAL, BRANCH V, QUEZON CITY, respondents-appellees. The trial court sustained the contention of the private respondent and dismissed
the complaint; ordered the petitioner to pay attorney's fees in the sum of ONE
VASQUEZ, J.: THOUSAND (P1,000.00) PESOS in favor of the private respondent; and ordered the
private respondent to return the sum of TWENTY (P20.00) PESOS received by way
of premium on the insurancy policy. It was reasoned out that a policy of insurance
The question of law raised in this case that justified a direct appeal from a decision
being a contract of adhesion, it was the duty of the insured to know the terms of
of the Court of First Instance Rizal, Branch V, Quezon City, to be taken directly to
the contract he or she is entering into; the insured in this case, upon learning from
the Supreme Court is whether or not the acceptance by the private respondent
its terms that she could not have been qualified under the conditions stated in said
insurance corporation of the premium and the issuance of the corresponding
contract, what she should have done is simply to ask for a refund of the premium
certificate of insurance should be deemed a waiver of the exclusionary condition of
that she paid. It was further argued by the trial court that the ruling calling for a
overage stated in the said certificate of insurance.
liberal interpretation of an insurance contract in favor of the insured and strictly
against the insurer may not be applied in the present case in view of the peculiar
The material facts are not in dispute. Sometime in April 1969, Carmen O, Lapuz
facts and circumstances obtaining therein.
applied with respondent insurance corporation for insurance coverage against
accident and injuries. She filled up the blank application form given to her and filed
We REVERSE the judgment of the trial court. The age of the insured Carmen 0.
the same with the respondent insurance corporation. In the said application form
Lapuz was not concealed to the insurance company. Her application for insurance
which was dated April 15, 1969, she gave the date of her birth as July 11, 1904. On
coverage which was on a printed form furnished by private respondent and which
the same date, she paid the sum of P20.00 representing the premium for which she
contained very few items of information clearly indicated her age of the time of
was issued the corresponding receipt signed by an authorized agent of the
filing the same to be almost 65 years of age. Despite such information which could
respondent insurance corporation. (Rollo, p. 27.) Upon the filing of said application
hardly be overlooked in the application form, considering its prominence thereon
and the payment of the premium on the policy applied for, the respondent
and its materiality to the coverage applied for, the respondent insurance
insurance corporation issued to Carmen O. Lapuz its Certificate of Insurance No.
corporation received her payment of premium and issued the corresponding
128866. (Rollo, p. 28.) The policy was to be effective for a period of 90 days.
certificate of insurance without question. The accident which resulted in the death
of the insured, a risk covered by the policy, occurred on May 31, 1969 or FORTY-
On May 31, 1969 or during the effectivity of Certificate of Insurance No. 12886,
FIVE (45) DAYS after the insurance coverage was applied for. There was sufficient
Carmen O. Lapuz died in a vehicular accident in the North Diversion Road.
time for the private respondent to process the application and to notice that the
applicant was over 60 years of age and thereby cancel the policy on that ground if it
On June 7, 1969, petitioner Regina L. Edillon, a sister of the insured and who was was minded to do so. If the private respondent failed to act, it is either because it
the named beneficiary in the policy, filed her claim for the proceeds of the was willing to waive such disqualification; or, through the negligence or
insurance, submitting all the necessary papers and other requisites with the private incompetence of its employees for which it has only itself to blame, it simply
respondent. Her claim having been denied, Regina L. Edillon instituted this action in overlooked such fact. Under the circumstances, the insurance corporation is already
the Court of First Instance of Rizal on August 27, 1969. deemed in estoppel. It inaction to revoke the policy despite a departure from the
exclusionary condition contained in the said policy constituted a waiver of such
15

condition, as was held in the case of "Que Chee Gan vs. Law Union Insurance Co., enough to assume, in the absence of any showing to the contrary, that an insurance
Ltd.,", 98 Phil. 85. This case involved a claim on an insurance policy which contained company intends to execute a valid contract in return for the premium received;
a provision as to the installation of fire hydrants the number of which depended on and when the policy contains a condition which renders it voidable at its inception,
the height of the external wan perimeter of the bodega that was insured. When it and this result is known to the insurer, it will be presumed to have intended to
was determined that the bodega should have eleven (11) fire hydrants in the waive the conditions and to execute a binding contract, rather than to have
compound as required by the terms of the policy, instead of only two (2) that it had, deceived the insured into thinking he is insured when in fact he is not, and to have
the claim under the policy was resisted on that ground. In ruling that the said taken is money without consideration.' (29 Am. Jur., Insurance, section 807, at pp.
deviation from the terms of the policy did not prevent the claim under the same, 611-612.)
this Court stated the following:
The reason for the rule is not difficult to find.
We are in agreement with the trial Court that the appellant is barred by
waiver (or rather estoppel) to claim violation of the so-called fire hydrants The plain, human justice of this doctrine is perfectly apparent. To allow a company
warranty, for the reason that knowing fully an that the number of hydrants to accept one's money for a policy of insurance which it then knows to be void and
demanded therein never existed from the very beginning, the appellant of no effect, though it knows as it must, that the assured believes it to be valid and
nevertheless issued the policies in question subject to such warranty, and binding, is so contrary to the dictates of honesty and fair dealing, and so closely
received the corresponding premiums. It would be perilously close to related to positive fraud, as to be abhorent to fairminded men. It would be to allow
conniving at fraud upon the insured to allow appellant to claim now as the company to treat the policy as valid long enough to get the premium on it, and
void ab initio the policies that it had issued to the plaintiff without warning leave it at liberty to repudiate it the next moment. This cannot be deemed to be the
of their fatal defect, of which it was informed, and after it had misled the real intention of the parties. To hold that a literal construction of the policy
defendant into believing that the policies were effective. expressed the true intention of the company would be to indict it, for fraudulent
purposes and designs which we cannot believe it to be guilty of (Wilson vs.
The insurance company was aware, even before the policies were issued, Commercial Union Assurance Co., 96 Atl. 540, 543544).
that in the premises insured there were only two fire hydrants installed by
Que Chee Gan and two others nearby, owned by the municipality of A similar view was upheld in the case of Capital Insurance & Surety Co., Inc. vs.
Tabaco, contrary to the requirements of the warranty in question. Such Plastic Era Co., Inc., 65 SCRA 134, which involved a violation of the provision of the
fact appears from positive testimony for the insured that appellant's policy requiring the payment of premiums before the insurance shall become
agents inspected the premises; and the simple denials of appellant's effective. The company issued the policy upon the execution of a promissory note
representative (Jamiczon) can not overcome that proof. That such for the payment of the premium. A check given subsequent by the insured as partial
inspection was made it moreover rendered probable by its being a payment of the premium was dishonored for lack of funds. Despite such deviation
prerequisite for the fixing of the discount on the premium to which the from the terms of the policy, the insurer was held liable.
insured was entitled, since the discount depended on the number of
hydrants, and the fire fighting equipment available (See"'Scale of Significantly, in the case before Us the Capital Insurance accepted the
Allowances" to which the policies were expressly made subject). The law, promise of Plastic Era to pay the insurance premium within thirty (30) days
supported by a long line of cases, is expressed by American Jurisprudence from the effective date of policy. By so doing, it has impliedly agreed to
(Vol. 29, pp. 611-612) to be as follows: modify the tenor of the insurance policy and in effect, waived the provision
therein that it would only pay for the loss or damage in case the same
It is usually held that where the insurer, at the time of the issuance of a policy of occurs after the payment of the premium. Considering that the insurance
insurance, has knowledge of existing facts which, if insisted on, would invalidate the policy is silent as to the mode of payment, Capital Insurance is deemed to
contract from its very inception, such knowledge constitutes a waiver of conditions have accepted the promissory note in payment of the premium. This
in the contract inconsistent with the known facts, and the insurer is stopped rendered the policy immediately operative on the date it was delivered.
thereafter from asserting the breach of such conditions. The law is charitable The view taken in most cases in the United States:
16

... is that although one of conditions of an insurance policy is that willing to waive such disqualifications or it simply overlooked such fact. It is
"it shall not be valid or binding until the first premium is paid", if it therefore estopped from disclaiming any liability.
is silent as to the mode of payment, promissory notes received by
the company must be deemed to have been accepted in payment Facts:
of the premium. In other words, a requirement for the payment Carmen O, Lapuz applied with Manila Bankers for insurance coverage against
of the first or initial premium in advance or actual cash may be accident and injuries. She gave the date of her birth as July 11, 1904. She paid the
waived by acceptance of a promissory note... sum of P20.00 representing the premium for which she was issued the
corresponding receipt. The policy was to be effective for 90 days.
WHEREFORE, the judgment appealed from is hereby REVERSED and SET ASIDE. In During the effectivity, Carmen O. Lapuz died in a vehicular accident in the North
lieu thereof, the private respondent insurance corporation is hereby ordered to pay Diversion Road.
to the petitioner the sum of TEN THOUSAND (P10,000.00) PESOS as proceeds of Petitioner Regina L. Edillon, a sister of the insured and the beneficiary in the policy,
Insurance Certificate No. 128866 with interest at the legal rate from May 31, 1969 filed her claim for the proceeds of the insurance. Her claim having been denied,
until fully paid, the further sum of TWO THOUSAND (P2,000.00) PESOS as and for Regina L. Edillon instituted this action in the trial court.
attorney's fees, and the costs of suit. The insurance corporation relies on a provision contained in the contract excluding
its liability to pay claims under the policy in behalf of "persons who are under the
SO ORDERED. age of sixteen (16) years of age or over the age of sixty (60) years" They pointed out
that the insured was over sixty (60) years of age when she applied for the
Facts: insurance coverage, hence the policy became void.
The trial court dismissed the complaint and ordered edillon to pay P1000. The
> In Apr. 1969, Carmen Lapuz applied for insurance with Manila Bankers. In the reason was that a policy of insurance being a contract of adhesion, it was the duty
application she stated the date of her birth as July 11, 1904 (around 64 yrs old). The of the insured to know the terms of the contract he or she is entering into.
policy was thereafter issued. The insured could not have been qualified under the conditions stated in said
> Subsequently, in May 1969, Carmen died of a car accident. Her sister, as contract and should have asked for a refund of the premium.
beneficiary claimed the proceeds of the insurance.
Issue:
> Manila Bankers refused to pay because the certificate of insurance contained a Whether or not the acceptance by the insurance corporation of the premium and
provision excluding it’s liability to pay claims to persons under 16 or over 60. the issuance of the corresponding certificate of insurance should be deemed a
waiver of the exclusionary condition of coverage stated in the policy.
Issue:
Whether or not the policy is void considering that the insured was over 60 when Held: Yes. Petition granted.
she applied.
Ratio:
Held: The age of Lapuz was not concealed to the insurance company. Her application
clearly indicated her age of the time of filing the same to be almost 65 years of age.
NO. Despite such information which could hardly be overlooked, the insurance
corporation received her payment of premium and issued the corresponding
The age of Carmen was not concealed to the insurance company. Her application
certificate of insurance without question.
form indicated her true age. Despite such information, Manila Bankers accepted
There was sufficient time for the private respondent to process the application and
the premium and issued the policy. It had all the time to process the application
to notice that the applicant was over 60 years of age and cancel the policy.
and notice the applicant’s age. If it failed to act, it was because Manila Bankers was
17

Under the circumstances, the insurance corporation is already deemed in estoppel. insurance proceeds but Manila Banker denied the claim. Apparently, it is a rule of
It inaction to revoke the policy despite a departure from the exclusionary condition the insurance company that they were not to issue insurance policies to “persons
contained in the said policy constituted a waiver of such condition, similar to Que
who are under the age of sixteen (16) years of age or over the age of sixty (60) years
Chee Gan vs. Law Union Insurance.
…” Note, that Lapuz was already 65 years old when she was applying for the
The insurance company was aware, even before the policies were issued, that in
the premises insured there were only two fire hydrants contrary to the insurance policy.
requirements of the warranty in question. ISSUE:
It is usually held that where the insurer, at the time of the issuance of a policy of
insurance, has knowledge of existing facts which, if insisted on, would invalidate the Whether or not Edillon is entitled to the insurance claim as a beneficiary.
contract from its very inception, such knowledge constitutes a waiver of conditions HELD:
in the contract inconsistent with the known facts, and the insurer is stopped
thereafter from asserting the breach of such conditions. Yes. Carmen Lapuz did not conceal her true age. Despite this, the insurance
To allow a company to accept one's money for a policy of insurance which it then company still received premium from Lapuz and issued the corresponding insurance
knows to be void and of no effect, though it knows as it must, that the assured policy to her. When the accident happened, the insurance policy has been in force
believes it to be valid and binding, is so contrary to the dictates of honesty and fair for 45 days already and such time was already sufficient for Manila Banker to notice
dealing. the fact that Lapuz is already over 60 years old and thereby cancel the insurance
Capital Insurance & Surety Co., Inc. vs. - involved a violation of the provision of the
policy. If Manila Banker failed to act, it is either because it was willing to waive such
policy requiring the payment of premiums before the insurance shall become
disqualification; or, through the negligence or incompetence of its employees for
effective. The company issued the policy upon the execution of a promissory
note for the payment of the premium. A check given subsequent by the insured as which it has only itself to blame, it simply overlooked such fact. Under the
partial payment of the premium was dishonored for lack of funds. Despite such circumstances, Manila Banker is already deemed in estoppel.
deviation from the terms of the policy, the insurer was held liable.
“... is that although one of conditions of an insurance policy is that "it shall not be
valid or binding until the first premium is paid", if it is silent as to the mode of
payment, promissory notes received by the company must be deemed to have
been accepted in payment of the premium. In other words, a requirement for the
payment of the first or initial premium in advance or actual cash may be waived by
acceptance of a promissory note...”

117 SCRA 187 – Mercantile Law – Insurance Law – Representation – Collection of


Premium Even Though Insured is Disqualified (Age)
In April 1969, Carmen Lapuz filled out an application form for insurance under
Manila Banker Life Assurance Corporation. She stated that her date of birth was July
11, 1904. Upon payment of the Php 20.00 premium, she was issued the insurance
policy in April 1969. In May 1969, Carmen Lapuz died in a vehicular accident. Regina
Edillon, who was named a beneficiary in the insurance policy sought to collect the
18

EN BANC the deposit of other goods, without the consent of said


defendants, and inasmuch as the latter alleged in their answer that
G.R. No. L-33131 December 13, 1930 the owner of the burnt building had leased the warehouse to
several persons for the storage of sundry articles, the plaintiff had
EMILIO GONZALES LA O, plaintiff-appellee, to accept the proposed compromise, and in consequence thereof,
vs. the three cases aforesaid were dismissed.
THE YEK TONG LIN FIRE AND MARINE INSURANCE CO., LTD., defendant-appellant.
The present case followed the usual course of procedure because
VILLAMOR, J.: the plaintiffs refused to accept the compromise which, in the same
terms as those made by the defendants in the three cases
This is an action to recover of the defendant the Yek Tong Lin Fire & Marine mentioned, was proposed to him by the defendant the Yek Tong
Insurance Co., Ltd., the amount of two insurance policies totaling P100,000 upon Lin Fire & Marine Insurance Company, the plaintiff contending that
leaf tobacco belonging to the plaintiff, which was damaged by the fire that said defendant did not, nor could, raise the question of warranties
destroyed the building on Soler Street No. 188, where said tobacco was stored, on A and G heretofore mentioned for the simple reason that it was
January 11, 1928. the defendant itself, as owner, who had leased the building which
later was destroyed by fire, to another person after having already
The defendant filed a general and specific denial of each and every allegation of the ceded a portion of it to said plaintiff.
complaint, set up three special defenses, and prayed to be absolved from the
complaint with costs against the plaintiff. The only question to be determined, having been raised in the
defendant's answer — both parties agreeing that the plaintiff
After the case was tried, the court below rendered judgment as follows: insured his leaf tobacco with the defendant assurance company,
and that said goods were damaged by the fire which destroyed the
warehouse where they were stored, on January 11, 1928 — is
In this case and in Nos. 334568, and 33480 of this court, which, by whether said goods were worth what the plaintiff claims, that is,
agreement of the interested parties, were jointly tried, the plaintiff about equal to the amount for which they were insured in the four
demands P290,000 from the defendant assurance companies, above mentioned assurance companies, including the defendant in
alleging that to be the amount of the insurance on his leaf tobacco this case.
which was damaged by the fire that destroyed the warehouse at
No. 188 Soler Street, Manila, where it was stored, on January 11,
The plaintiff has conclusively shown by the Official Register Book
1928, the plaintiff's claim against the herein defendant, the Yek
(Exhibit 1) and the Official Guide (Exhibit J), furnished by the
Tong Lin Fire & Marine Insurance Co. being for P100,000, and
Bureau of Internal Revenue, and kept under the supervision
against the defendants in the three other cases mentioned above,
thereof in the usual form, in accordance with articles 10, 34 to 38
for P190,000.
of the Regulations of the same promulgated under No. 17, by the
Secretary of Finance; the Stock Book for recording the quantity of
After the plaintiff had presented his evidence, the defendant tobacco, Exhibit K, kept by the plaintiff and presented as part of
companies in cases Nos. 33458, 33868, and 33480, offered to the testimony of witnesses Claveria, Bonete, and Leoncio Jose; the
compromise with him by paying eighty-five per cent of his claim testimony of Estanislao Lopez, Inspector of Internal Revenue, and
against them. In view of the fact that said defendants had in their the latter's report (Exhibit N), submitted to the Collector of
answer raised the question of warranties A and G of the plaintiff's Internal Revenue in pursuance of article 33 of the aforementioned
policies, providing that the building used for the effects insured Regulations; the tobacco invoices of stock damaged by the fire,
would not be occupied by any other lessee, nor would be used for Exhibits L and L-1 to L-20; and by the testimony of Clemente Uson
19

who went over the plaintiff's books as auditor and public by the fire which destroyed the warehouse at No. 188 Soler Street,
accountant, and also prepared Exhibits T and U, attached to the where it was stored, on January 11, 1928, and legal interest upon
record, that the plaintiff had in the warehouse at No. 188 Soler at said amount from June 27, 1928, when the complaint was filed in
the time of the fire, not less, but rather more, than 6,200 bales of this case, plus the costs.
leaf tobacco worth over P300,000, which is of course more than
the sum total of all the insurances taken out with the defendant So ordered.
herein and the defendants in the three aforementioned cases Nos.
33458, 33868, and 33480.lawphi1>net Manila, P. I., this 24th day of December, 1929.

The reason why the entry showing that 258 bales of tobacco had ANACLETO DIAZ
been removed from the warehouse, appearing in the Official Judge.
Register Book, Exhibit I, was not posted in the Stock Book, Exhibit
K, has been satisfactorily explained by the plaintiff's witnesses,
who stated that it was due to the fact that there was no time to The defendant duly appealed from this judgment, alleging that the trial court erred
post it in the Stock Book, because the fire took place and the in making reference to the settlement arrived at by the plaintiff and other insurance
plaintiff told them not to touch, and to make no further entries in companies, and in declaring that the only question involved in the case is whether
the books. Witness White, the defendant company's adjuster, who or not the tobacco damaged by the fire is worth at least P290,000.
carefully examined then plaintiff's books not only immediately
after the fire, but also during the hearing of this case, seems not to There is no merit in these assignments of error. Since the settlement between the
have found any irregularity therein; at least he said nothing on the plaintiff and the other defendant companies was reached after the plaintiff had
point when he took the witness stand. On the contrary, in his presented his evidence, and as those three cases were tried jointly with the instant
report Exhibit UU sent to the defendant herein in his capacity as case, there is no valid reason why the trial court should not refer to it in deciding
adjuster, appointed by the latter, and in Exhibits WW and XX, this case. Furthermore, the court's holding here assigned as error, granting there
admitted by the Yek Tong Lin Ins. Co., Ltd., he admitted that the were other incidental matters to be decided by the court, does not in itself
leaf tobacco belonging to the plaintiff in the warehouse when the constitute a reversible error.
fire took place exceeded, in quantity and value, the amount of the
insurance. In the third assignment of error, the defendant contends that the plaintiff cannot
recover under the policy as he has failed to prove that the Bank of the Philippine
The defendant did not present evidence to rebut the plaintiff's Islands, to whom the policy was made payable, no longer has any rights and
evidence, but only presented witness Rowlands, whose testimony interests in it. It should be noted that the defendant did not in its answer allege
or opinion as to the probable number of bales of tobacco in the defect of parties plaintiff, and, besides, it does not appear that the plaintiff ceded to
warehouse at the date of the fire does not deserve serious the bank all his rights or interests in the insurance, the note attached to the policies
consideration, not only because of the plaintiff's evidence, but merely stating: "There shall be paid to the Bank of the Philippine Islands an
because his opinion or estimate is based solely upon photographs indemnity for any loss caused by fire, according to the interest appearing in its
of the place taken after the fire. favor." And the fact that the plaintiff himself presented in evidence the policies
mortgaged to the Bank of the Philippine Islands gives rise to the presumption that
In view of the foregoing, the court hereby sentences the the debt thus secured has been paid, in accordance with article 1191 of the Civil
defendant the Yek Tong Lin Fire and Marine Insurance Company, Code.
Ltd., to pay the plaintiff Emilio Gonzales La O, the amount of one
hundred thousand pesos (P100,000), for which it had accepted the Corpus Juris, volume 26, pages 483 et seq., states:
insurance on the leaf tobacco belonging to said plaintiff, damaged
20

Insured, being the person with whom the contract was made, is primarily or otherwise acknowledged by them, in writing, this policy shall cease and
the proper person to bring suit thereon. Subject to some exceptions, be of no further effect.
insured may thus sue, although the policy is taken wholly or in part for the
benefit of another person named or unnamed, and although it is expressly The Supreme Court of New York held that the words "Privilege for $4,500 additional
made payable to another as his interest may appear or otherwise. insurance" made it unnecessary for the assured to inform the insurer of any other
Although a policy issued to a mortgagor is taken out for the benefit of the policy up to that amount.
mortgagee and is made payable to him, yet the mortgagor may sue
thereon in his own name, especially where the mortgagee's interest is less In the case cited the same goods insured by the defendant company were reinsured
than the full amount recoverable under the policy, . . . . to the amount of $4,500 in accordance with the clause "privilege for $4,500
additional insurance;" but in the instant case it may be said that the tobacco
And in volume 33, page 82, of the same work, we read the following: insured in the other companies was different from that insured with the defendant,
since the number of bales of tobacco in the warehouse greatly exceeded that
Insured may be regarded as the real party in interest, although he has insured with the defendant and the other companies put together. And according
assigned as collateral security any judgment he may obtain. to the doctrine enunciated in 26 Corpus Juris, 188, "to be insurance of the sort
prohibited the prior policy must have been insurance upon the same subject
It is also contended that the trial court erred in not declaring that in as much as the matter, and upon the same interest therein.
plaintiff failed to notify the defendant corporation in writing, of other insurance
policies obtained by him, he has violated article 3 of the conditions of the policies in Furthermore, the appellant cannot invoke the violation of article 3 of the conditions
question, thereby rendering these policies null and void. Article 3 of the conditions of the insurance policies for the first time on appeal, having failed to do so in its
of the policies in question prescribes: answer; besides, as the appellee correctly contends in his brief, Guillermo Cu
Unjieng, who was then president and majority shareholder of the appellant
ART. 3. Any insurance in force upon all or part of the things insured must company, the Yek Tong Lin Fire & Marine Insurance Co., knew that there were other
be declared in writing by the insured and he should cause the company to insurances, at least from the attempt to raise the insurance premium on the
insert or mention it in the policy, and without such requisite said policy will warehouse and the appellee's tobacco deposited therein to 1 per centum, and it
be regarded as null and void, and the assured deprived of all rights of was later reduced upon petition of the appellant itself and other assurance
indemnity in case of loss. companies to 0.75 per centum presented to the association of assurance companies
in the year 1927, and notwithstanding this, said appellant did not rescind the
The following clause has been inserted with a typewriter in the policies: "Subject to insurance policies in question, but demanded and collected from the appellee the
clauses G and A and other insurances with a special short period attached to this increased premium.
policy." And attached to said policies issued by the defendant there is a sheet of
"Other insurances" with the amount and the assurance companies in blank, which, That the defendant had knowledge of the existence of other policies obtained by
according to the appellee, constitutes a notification that there were other the plaintiff from other insurance companies, is specifically shown by the
insurances existing at the time. defendant's answer wherein it alleges, by way of special defense, the fact that there
exist other policies issued by the companies mentioned therein. If, with the
In the case of Benedict vs. Ocean Insurance Co. (31 N.Y., 391-393), the construction knowledge of existence of other insurances which the defendant deemed violations
of the clause, "privilege for $4,500 additional insurance," was discussed. One of the of the contract, it has preferred to continue the policy, its action amounts to a
printed clauses of the policy reads as follows: waiver of the annulment of the contract, in accordance with the following doctrine
in 19 Cyc., 791, 792:.
If said assured, or his assigns, shall hereafter make any other insurance
upon the same property, and shall not, with all reasonable diligence, give FAILURE TO ASSERT FORFEITURE — IN GENERAL. — While the weight of
notice to this corporation, and have the same indorsed on this instrument, authority is that a policy conditioned to become void upon a breach of a
21

warranty is void ipso facto upon such a breach without formal proceedings their report: "We therefore are obliged to the conclusion that the value of the
on the part of the insurer, yet it is true that such conditions are inserted tobacco destroyed was not less than P290,000." And, indeed, said adjusters, in
for the benefit of the insurer and may be waived, and that the insurer may behalf of the appellant, appraised the appellee's tobacco assured and damaged by
elect to continue the policy despite the breach. If it does the policy is the fire at P303,052.32, collecting from the proceeds of the sale of the tobacco
revived and restored. Its failure to assert a forfeiture therefore is at least saved from the fire P3,000, the appellants share in proportion to the to the
evidence tending to show a waiver thereof. Many authorities go further, insurance of P100,000 belonging to it, and P190,000 belonging to the other
however, and hold that the failure to assert a forfeiture after knowledge of assurance companies, and considered the appellee himself as his own assurer in the
a ground thereof will amount of itself to waiver. . . . amount of P13,052.32 which was the difference between the total value of the
tobacco damaged and the total amount of the insurance, P290,000, for which
The fifth and sixth assignments of error refer to the quantity of tobacco in the Soler reason the appellee received P129.21, as his proportionate share of the tobacco
warehouse at the time of the fire, which, according to the appellant, did not exceed saved, as shown by Exhibits UU, WW, and XX.
4,930 bales. As may be seen, these assignments of error by the appellant involved
purely questions of fact, and it is for this court to decide whether the findings of the Hence the last assignment of error is without merit.
trial court are supported by the evidence. The judgment appealed from sets forth
clearly the evidence presented to the court in order to determine the quantity of Wherefore, the judgment appealed from is in accordance with law, and must be, as
tobacco in the warehouse at the time of the fire. We have studied the evidence it is hereby, affirmed, with costs against the appellant. So ordered.
aforesaid, are fully convinced that the court's findings are well supported by the
same. Inasmuch as it has not, in our opinion, been shown that the trial judge
overlooked any fact, which, if duly considered would have change the result of the
case, we do not feel justified in altering of modifying his findings.

Finally, the appellant contends that the trial court erred in arriving at the damages
that plaintiff may recover under the policies in question by the cost price of the
tobacco damaged by the fire, instead of computing the same on the market price of
the said tobacco at the time of the fire; and in declaring that the tobacco damaged
was worth more than P300,000. This error is not well taken, for it is clear that the
cost price is competent evidence tending to show the value of the article in
question. And it was so held the case of Glaser vs. Home Ins. Co. (47 Misc. Rep., 89;
93 N. Y. Supp., 524; Abbott's Proof of Facts, 3d ed., p. 847), where it was declared
that the cost of the goods destroyed by fire is some evidence of value, in an action
against the insurance company. Exhibits L to L-20, which are invoices for tobacco
purchased by the appellee, and the testimony of the public accountant Clemente
Uson, who went over them and the rest of the appellee's books after the fire, taken
in connection with reports T and Z, adduced as part of his testimony, show that the
cost price of each bale of tobacco belonging to the appellee, damaged by the fire,
was P51.8544, which, multiplied by 6,264, the number of bales, yields a total of
over P320,000.

The adjusters of the appellant, White & Page, in ascertaining the market price of
the plaintiff's tobacco deposited in the burnt warehouse, taking the information
furnished by the Tabacalera and by M. Pujalte, S. en C., as a basis, thus conclude
22

Facts:
> Gonzales was issued 2 fire insurance policies by Yek for 100T covering his leaf
tobacco prducts.
> They were stored in Gonzales’ building on Soler St., which on Jan. 11, 1928,
burned down.
> Art. 3 of the Insurance policies provided that: “Any insurance in force upon all or
part of the things unsured must be declared in writing by the insured and he
(insured) should cause the company to insert or mention it in the policy. Without
such requisite, such policy will be regarded as null and void and the insured will be
deprived of all rights of indemnity in case of loss.”
> Notwithstanding said provision, Gonzales entered into other insurance contracts.
When he sought to claim from Yek after the fire, the latter denied any liability on
the ground of violation of Art. 3 of the said policies.
> Gonzales however proved that the insurer knew of the other insurance policies
obtained by him long efore the fire, and the insurer did NOT rescind the insurance
polices in question but demanded and collected from the insured the premiums.

Issue:
Whether or not Yek is still entitled to annul the contract.

Held:
NO.
The action by the insurance company of taking the premiums of the insured
notwithstanding knowledge of violations of the provisions of the policies amounted
to waiver of the right to annul the contract of insurance.
23

EN BANC That it denies each and every other allegation contained in each and every other
paragraph of said complaint.
G.R. No. L-27541 November 21, 1927
SPECIAL DEFENSE
TAN CHAY HENG, plaintiff-appellee,
vs. By way of special defense, defendant alleges:
THE WEST COAST LIFE INSURANCE COMPANY, defendant-appellant.
I
STATEMENT
That the insurance policy on the life of Tan Ceang, upon which plaintiff's action is
Plaintiff alleges that he is of age and a resident of Bacolod, Occidental Negros; that based, was obtained by the plaintiff in confabulation with one Go Chulian, of
the defendant is a foreign insurance corporation duly organized by the laws of the Bacolod, Negros Occidental; Francisco Sanchez of the same place; and Dr. V. S.
Philippines to engage in the insurance business, its main office of which is in the Locsin, of La Carlota, Negros Occidental, thru fraud and deceit perpetrated against
City of Manila; that in the month of April, 1925, on his application the defendant this defendant in the following manner, to wit:
accepted and approved a life insurance policy of for the sum of P10,000 in which
the plaintiff was the sole beneficiary; that the policy was issued upon the payment 1. That on or about the 22d day of February, 1925, in the municipality of
by the said Tan Ceang of the first year's premium amounting to P936; that in and by Pulupandan, Occidental Negros, the present plaintiff and the said Go Chulian,
its terms, the defendant agreed to pay the plaintiff as beneficiary the amount of the Francisco Sanchez and Dr., V. S. Locsin, conspiring and confederating together for
policy upon the receipt of the proofs of the death of the insured while the policy the purpose of defrauding and cheating the defendant in the sum of P10,000,
was in force; that without any premium being due or unpaid, Tan Ceang died on caused one Tan Caeng to sign an application for insurance with the defendant in the
May 10, 1925; that in June, 1925, plaintiff submitted the proofs of the death of Tan sum of P10,000, in which application it was falsely represented to the defendant
Ceang with a claim for the payment of the policy which the defendant refused to that the said Tan Ceang was single and was a merchant, and that the plaintiff Tan
pay, for which he prays for a corresponding judgment, with legal interest from the Chai Heng, the beneficiary, was his nephew, whereas in truth and in fact and as the
date of the policy, and costs. plaintiff and his said coconspirators well knew, the said Tan Ceang was not single
but was legally married to Marcelina Patalita with whom he had several children;
In February, 1926, the defendant filed an answer to the complaint in which it made and that he was not a merchant but was a mere employee of another Chinaman by
a general and specific denial, and then announced its intention to file an amended the name of Tan Quina from whom he received only a meager salary, and that the
answer, alleging special defense, and on August 31, 1926, it filed the following: present plaintiff was not a nephew of the said Tan Ceang.

AMENDED ANSWER 2. That on said date, February 22, 1925, the said Tan Ceang was seriously ill,
suffering from pulmonary tuberculosis of about three years' duration, which illness
Comes now the defendant, by its undersigned attorneys, and with leave of court was incurable and was well known to the plaintiff and his said coconspirators.
amends its answer to plaintiff's complaint herein by making it reads as follows:
3. That on or about the same date, February 22, 1925, the said Dr. V. S. Locsin, in his
I capacity as medical examiner for the defendant insurance company, pursuant to
the conspiracy above mentioned, prepared and falsified the necessary medical
That it admits paragraph 1 of said complaint. certificate, in which it was made to appear, among other things, that the said Tan
Ceang had never used morphine, cocaine or any other drug; that he was then in
good health and had never consulted any physician; that he had never spit blood;
II
and that there was no sign of either present or past disease of his lungs; whereas in
truth and in fact, as the plaintiff and his said coconspirators well knew, the said Tan
24

Ceang was addicted to morphine, cocaine, and opium and had been convicted and HEALTH CERTIFICATE FOR RE-INSTATEMENT
imprisoned therefor, and was then, and for about three year prior thereto had been
suffering from pulmonary tuberculosis. I herewith request the West Coast Life Insurance Company to re-instate
Policy No. ............................. issued by it upon my life, the first unpaid
4. That on or about the same date, to wit, February 22, 1925, the plaintiff and his premium on which became due .............................., 19................
said coconspirators, pursuant to the conspiracy above mentioned, cause a
confidential report to the defendant insurance company to be signed by one V. Sy I certify and state that I am now in good and sound health, that since the
Yock Kian, who was an employee of Go Chulian, in which confidential report, among date of my examination under the application on which said policy was
other things, it was falsely represented to the defendant insurance company that written, I have had no injury, sickness, impairment of health or symptom
the said Tan Ceang was worth about P40,000, had an annual income of from eight thereof, and that since said date I have neither consulted a physician nor
to ten thousand pesos net, had the appearance of good health, and never had made any application for life insurance that has not been granted in exact
tuberculosis; that the plaintiff and his said coconspirators well knew that said kind and amount applied for, except:
representations were false; and that they were made for the purpose of deceiving
the defendant and inducing it to accept the said application for insurance. NADA

5. That after the said application for insurance, medical certificate and confidential (State fully all exceptions to all above statements. If no exceptions insert
report had been prepared and falsified, as aforesaid, the plaintiff and his said "NONE.")
coconspirators caused the same to be forwarded to the defendant at its office in
Manila, the medical certificate thru the said Dr. V. S. Locsin as medical examiner,
I agree that, if said policy re-instated, it shall be only on condition of the
and said application for insurance and confidential report thru the said Francisco
truth of the above statements and such re-instatement shall not operate
Sanchez in his capacity as one of the agents of the defendant insurance company in
as a waiver on the part of said Company of its right to refuse to accept any
the Province of Occidental Negros; that the defendant, believing that the
future overdue premiums or installments thereof.
representations made in said document were true, and relying thereon,
provisionally accepted the said application for insurance on the life of Tan Ceang in
Witness: (Sgd.) TAN CHAI HENG
the sum of P10,000 and issued a temporary policy pending the final approval or
TAN CAENG
disapproval of said application by defendant's home-office in San Francisco,
Signature of Applicant.
California, where in case of approval a permanent policy was to be issued; that such
permanent policy was never delivered to the plaintiff because defendant
discovered the fraud before its delivery. "Dated at Palupandan on this 10 day of April, 1925." that the statements and
representations contained in the application for reinstatement above set forth with
regard to the health and physical condition of the said Tan Ceang were false and
6. That the first agreed annual premium on the insurance in question of P936.50
known to the plaintiff and his said coconspirators to be false; that the said
not having been paid within sixty (60) days after the date of the supposed medical
temporary policy was delivered by defendant to the insured on April 10, 1925, in
examination of the applicant as required by the regulations of the defendant
the belief that said statements and representations were true and in reliance
insurance company, of which regulations the said Francisco Sanchez as agent of the
thereon.
defendant had knowledge, the plaintiff and his said coconspirators in order to
secure the delivery to them of said temporary policy, and in accordance with said
regulations of the defendant company, caused the said Tan Ceang on April 10, 1925 7. That on May 10, 1925, that is to say, two months and a half after the supposed
to sign the following document: lawphil.net medical examination above referred to, and exactly one month after the date of the
health certificate for reinstatement above set forth, the said Tan Ceang died in
Valladolid, Occidental Negros, of pulmonary tuberculosis, the same illnes from
WEST COAST LIFE INSURANCE COMPANY
which suffering at the time it is supposed he was examined by Dr. V. S. Locsin, but
SAN FRANCISCO, CALIFORNIA
25

that the plaintiff and his said coconspirators, pursuant to their conspiracy, caused To this special defense, the plaintiff, claiming that it was a cross-complaint, filed a
the said Dr. V. S. Locsin to state falsely in the certificate of death that the said Tan general demurrer upon the ground that it does not state facts sufficient to
Ceang had died of cerebral hemorrhage. constitute a cause of defense.

II After exhaustive arguments and on September 16, 1926, the court rendered the
following decision:
That the plaintiff Tan Chai Heng, on the dates herein-above mentioned, was, liked
V. Sy Yock Kian who signed the confidential report above mentioned, an employee After considering the demurrer filed by the plaintiff to the special defense
of the said Go Chulian; that the latter was the ringleader of a gang of malefactors, contained in the amended answer of the defendant, dated August 31,
who, during, and for some years previous to the dates above mentioned, were 1926, without prejudice to writing a more extensive decision, said
engaged in the illicit enterprise of procuring fraudulent life insurances from the demurrer is sustained, and the defendant is given a period of five days
present defendant, similar to the one in question, and which enterprise was within which to amend its aforesaid answer.
capitalized by him by furnishing the funds with which to pay the premium on said
fraudulent insurance; that the said Go Chulian was the one who furnished the So ordered.
money with which to pay the first and only annual premium on the insurance here
in question, amounting to P936.50; that the said Go Chulian, on August 28, 1926, To which the defendant duly excepted.
was convicted by the Court of First Instance of the City of Manila, in criminal case
No. 31425 of that court, of the crime of falsification of private documents in
As a result of the trial the general issues, the lower court rendered judgment for the
connection with an fraudulent insurance, similar to the present, committed against
plaintiff for P10,000, with legal interest from January 4, 1926, and costs, to which
this defendant in the month of September, 1924; that in the same case the said
the defendant duly excepted and filed a motion for a new trial, which was
Francisco Sanchez was one of the coaccused of the said Go Chulian but was
overruled. On appeal the defendant assigns the following errors:
discharged from the complaint, because he offered himself and was utilized as a
state's witness; that there is another civil action now pending against Go Chulian
The trial court erred —
and Sanchez in the Court of First Instance of Manila (civil case No. 28680), in which
the present defendant is the plaintiff, for the recovery of the amounts of two
insurance policies aggregating P19,000, fraudulently obtained by the said Go 1. In sustaining plaintiff's demurrer to the special defense contained in
Chulian and Sanchez upon the lives of one Tan Deco, who was also suffering from defendant's amended answer.
and died of tuberculosis, and one Tan Anso, who was suffering from and died of
beriberi. 2. In holding, in effect, that an insurer cannot avoid a policy which had
been procured by fraud unless he brings an action to rescind it before he is
III sued thereon.

That by reason of all the facts above set forth, the temporary policy of insurance on 3. In rejecting all proofs offered by the defendant during the trial for the
the life of Tan Caeng for the sum of P10,000 upon which the present action is base purpose of defeating plaintiff's fraudulent claim.
is null and void.
4. In not absolving the defendant from plaintiff's complaint.
Wherefore, defendant prays that it be absolved from plaintiff's complaint,
with costs against the plaintiff.

JOHNS, J.:
26

It will thus be noted that the premium was paid on April 10, 1925, at which time the relates only to the unfulfilled part, and not to the entire agreement,
temporary policy was issued; that the plaintiff's action was commenced on January making the party rescinding liable on notes executed pursuant to the
4, 1926; that the original answer of the defendant, consisting of a general and contract which matured before the rescission.
specific denial, was filed on February 27, 1926; and that its amended answer was
filed on August 31, 1926. The rescission is the unmaking of a contract, requiring the same
concurrence of wills as that which made it, and nothing short of this will
Based upon those facts the plaintiff vigorously contended in the lower court and suffice. There is a wide difference between the rescission of a contract and
now contends in the court, that section 47 of the Insurance Act should be applied, its mere termination or cancellation.
and that when so applied, defendant is barred and estopped to plead and set forth
the matters alleged in its special defense. That section is as follows: After a contract has been broken, whether by an inability to perform it, or
by rescinding against right or otherwise, the party not in fault may sue the
Whenever a right to rescind a contract of insurance is given to the insurer other for the damages suffered, or, if the parties can be placed in status
by any provision of this chapter, such right must be exercised previous to quo, he may, should he prefer, return what he has received and recover in
the commencement of an action on the contract. a suit value of what he has paid or done. The latter remedy is termed
"rescission."
The defendant contended in the lower court and now contends in this court, that
section 47 does not apply to the new matters alleged in the special defense. If in In the instant case, it will be noted that even in its prayer, the defendant does not
legal effect defendant's special defense is in the nature of an act to rescind "a seek to have the alleged insurance contract rescinded. It denies that it ever made
contract of insurance," then such right must be exercised prior to an action enforce any contract of insurance on the life of Tan Ceang or that any such a contract ever
the contract. That is the real question involved in this appeal. existed, and that is the question which it seeks to have litigated by its special
defense. In the very nature of things, if the defendant never made or entered into
Defendant's original answer was a general and specific denial. In other words, it the contract in question, there is no contract to rescind, and, hence, section 47
specifically denied that if ever issued the policy in question, or that it ever agreed upon which the lower based its decision in sustaining the demurrer does not apply.
with Tan Ceang in the even of his death to pay P10,000 to the plaintiff or any one As stated, an action to rescind a contract is founded upon and presupposes the
else. In its amended answer the defendant again makes a general and specific existence of the contract which is sought to be rescinded. If all of the material
denial, and alleges the reasons, the specific facts, and the reasons why it never matters set forth and alleged in the defendant's special plea are true, there was no
made or entered into the contract alleged in the complaint, and based upon those valid contract of insurance, for the simple reason that the minds of the parties
alleged facts, defendant contends that it never did enter into any contract of never met and never agreed upon the terms and conditions of the contract. We are
insurance on the life of Tan Caeng. clearly of the opinion that, if such matters are known to exist by a preponderance of
the evidence, they would constitute a valid defense to plaintiff's cause of action.
The word "rescind" has a well defined legal meaning, and as applied to contracts, it Upon the question as to whether or not they or are not true, we do not at this time
presupposes the existence of a contract to rescind. have or express any opinion, but we are clear that section 47 does not apply to the
allegations made in the answer, and that the trial court erred in sustaining the
demurrer.
Word & Phrases, volume 7, page 6139, says:

The judgment of the lower court is reversed and the case is remanded for such
To rescind is to abrogate, annual, avoid, or cancel a contract.
other and further proceedings as are not inconsistent with this opinion, with costs
against the plaintiff. So ordered.
The word "rescind," as used in a statement by a party to a contrary as
follows. "I hereby terminate and rescind my said written contract," is
synonymous with the word `terminate,' and the rescission therefore
27

Facts:

> In 1926, Tan Chay Heng sued West Coast on the policy allegedly issued to his As stated, an action to rescind a contract is founded upon and presupposes the
existence of the contract which is sought to be rescinded. If all of the material
“uncle”, Tan Caeng who died in 1925. He was the sole beneficiary thereof.
matters set forth and alleged in the defendant's special plea are true, there was no
> West Coast refused on the ground that the policy was obtained by Tan Caeng valid contract of insurance, for the simple reason that the minds of the parties
with the help of agents Go Chuilian, Francisco Sanchez and Dr. Locsin of West Coast. never met and never agreed upon the terms and conditions of the contract. We are
clearly of the opinion that, if such matters are known to exist by a preponderance of
> West Coast said that it was made to appear that Tan Caeng was single, a the evidence, they would constitute a valid defense to plaintiff's cause of action.
merchant, health and not a drug user, when in fact he was married, a laborer, Upon the question as to whether or not they are or are not true, we do not at this
suffering form tuberculosis and addicted to drugs. time have or express any opinion, but we are clear that section 47 does not apply to
> West Coast now denies liability based on these misrepresentations. the allegations made in the answer, and that the trial court erred in sustaining the
demurrer.
> Tan Chay contends that West Coast may not rescind the contract because an
action for performance has already been filed.
> Trial court found for Tan Chay holding that an insurer cannot avoid a policy which 51 Phil. 80 – Mercantile Law – Insurance Law – Representation – Rescission of an
has been procured by fraud unless he brings an action to rescind it before he is sued Insurance Contract
thereon.
Issue:
In April 1925, West Coast Life Insurance Company (West Coast) accepted and issued
Whether or not West Coast’s action for rescission is therefore barred by the a temporary life insurance policy (pending further review) to Tan Ceang. The life
collection suit filed by Tan Chay. insurance was for P10,000.00 and the premium paid therefor was P936.00. The
Held: beneficiary listed in the policy was Tan Chay Heng. In May 1925, Tan Ceang died.
Tan Chay Heng filed an insurance claim which was denied by West Coast. Tan Chay
NO.
Heng sued West Coast. West Coast averred, in its ANSWER that Tan Chay Heng, in
Precisely, the defense of West Cast was that through fraud in its execution, the connivance with others made Tan Ceang to enter into an insurance policy and name
policy is void ab initio, and therefore, no valid contract was ever made. Its action Tan Chay Heng as the beneficiary; that Tan Ceang was induced to lie on the
then cannot be fore rescission because an action to rescind is founded upon and application form about his health and life conditions (he was made to account that
presupposes the existence of the contract. Hence, West Coast’s defense is not
he was not addicted to opium, morphine, and cocaine when in fact he was); that
barred by Sec. 47.
Tan Chay Heng was a gang leader involved in the racket of fraudulent insurance
In the instant case, it will be noted that even in its prayer, the defendant does not schemes; that by reason of these fraud and machinations, the insurance policy
seek to have the alleged insurance contract rescinded. It denies that it ever made West Coast issued is void; that West Coast seeks to avoid the insurance policy. Tan
any contract of insurance on the life of Tan Caeng, or that any such a contract ever Chay Heng filed a demurrer as it claimed that West Coast’s ANSWER is a cross-
existed, and that is the question which it seeks to have litigated by its special
complaint and the facts contained therein was not sufficient as a defense. The
defense. In the very nature of things, if the defendant never made or entered into
lower court directed West Coast to amend its ANSWER which West Coast duly
the contract in question, there is no contract to rescind, and, hence, section 47
upon which the lower court based its decision in sustaining the demurrer does not excepted from and so the lower court ruled in favor of Tan Chay Heng. The lower
apply. court further ruled that under Section 47 of [the old] Insurance Law, if an insurer
28

(West Coast) has the right to rescind a contract of insurance, it must do so before a
suit is brought against the insurer on the said contract.

ISSUE:
Whether or not Section 47 is applicable in the case at bar.

HELD:
No. West Coast was not seeking for the rescission of the insurance contract. In fact,
West Coast avers that there was no insurance contract at all because the temporary
insurance issued in favor of Tan Ceang was null and void. For West Coast, it was
void ab initio because of the fraudulent circumstances attending to it. Therefore, it
cannot be subject to rescission. The Supreme Court however remanded the case to
the lower court to determine the material allegations made by West Coast against
Tan Chay Heng.
29

EN BANC From the decision, the defendant Insurance Company appealed directly to this
Court.
G.R. No. L-4611 December 17, 1955
The record shows that before the last war, plaintiff-appellee owned four
QUA CHEE GAN, plaintiff-appellee, warehouses or bodegas (designated as Bodegas Nos. 1 to 4) in the municipality of
vs. Tabaco, Albay, used for the storage of stocks of copra and of hemp, baled and
LAW UNION AND ROCK INSURANCE CO., LTD., represented by its agent, WARNER, loose, in which the appellee dealth extensively. They had been, with their contents,
BARNES AND CO., LTD., defendant-appellant. insured with the defendant Company since 1937, and the lose made payable to the
Philippine National Bank as mortgage of the hemp and crops, to the extent of its
REYES, J. B. L., J.:
Policy No. Property Insured Amount
Qua Chee Gan, a merchant of Albay, instituted this action in 1940, in the Court of
First Instance of said province, seeking to recover the proceeds of certain fire 2637164 (Exhibit
Bodega No. 1 (Building) P15,000.00
insurance policies totalling P370,000, issued by the Law Union & Rock Insurance "LL")
Co., Ltd., upon certain bodegas and merchandise of the insured that were burned
Bodega No. 2 (Building) 10,000.00
on June 21, 1940. The records of the original case were destroyed during the
liberation of the region, and were reconstituted in 1946. After a trial that lasted Bodega No. 3 (Building) 25,000.00
several years, the Court of First Instance rendered a decision in favor of the plaintiff, 2637165 (Exhibit
the dispositive part whereof reads as follows: "JJ") Bodega No. 4 (Building) 10,000.00

Hemp Press — moved by steam engine 5,000.00


Wherefore, judgment is rendered for the plaintiff and against the
defendant condemning the latter to pay the former — 2637345 (Exhibit Merchandise contents (copra and empty
150,000.00
"X") sacks of Bodega No. 1)
(a) Under the first cause of action, the sum of P146,394.48;
2637346 (Exhibit Merchandise contents (hemp) of Bodega No.
150,000.00
(b) Under the second cause of action, the sum of P150,000; "Y") 3

2637067 (Exhibit Merchandise contents (loose hemp) of


(c) Under the third cause of action, the sum of P5,000; 5,000.00
"GG") Bodega No. 4

(d) Under the fourth cause of action, the sum of P15,000; and
Total P370,000.00
(e) Under the fifth cause of action, the sum of P40,000; interest. On June, 1940, the insurance stood as follows:

all of which shall bear interest at the rate of 8% per annum in accordance with Fire of undetermined origin that broke out in the early morning of July 21, 1940,
Section 91 (b) of the Insurance Act from September 26, 1940, until each is paid, and lasted almost one week, gutted and completely destroyed Bodegas Nos. 1, 2
with costs against the defendant. and 4, with the merchandise stored theren. Plaintiff-appellee informed the insurer
by telegram on the same date; and on the next day, the fire adjusters engaged by
The complaint in intervention of the Philippine National Bank is dismissed without appellant insurance company arrived and proceeded to examine and photograph
costs. (Record on Appeal, 166-167.) the premises, pored over the books of the insured and conducted an extensive
investigation. The plaintiff having submitted the corresponding fire claims, totalling
30

P398,562.81 (but reduced to the full amount of the insurance, P370,000), the compound, and that he actually had only two (2), with a further pair nearby,
Insurance Company resisted payment, claiming violation of warranties and belonging to the municipality of Tabaco.
conditions, filing of fraudulent claims, and that the fire had been deliberately
caused by the insured or by other persons in connivance with him. We are in agreement with the trial Court that the appellant is barred by waiver (or
rather estoppel) to claim violation of the so-called fire hydrants warranty, for the
With counsel for the insurance company acting as private prosecutor, Que Chee reason that knowing fully all that the number of hydrants demanded therein never
Gan, with his brother, Qua Chee Pao, and some employees of his, were indicted and existed from the very beginning, the appellant neverthless issued the policies in
tried in 1940 for the crime of arson, it being claimed that they had set fire to the question subject to such warranty, and received the corresponding premiums. It
destroyed warehouses to collect the insurance. They were, however, acquitted by would be perilously close to conniving at fraud upon the insured to allow appellant
the trial court in a final decision dated July 9, 1941 (Exhibit WW). Thereafter, the to claims now as void ab initio the policies that it had issued to the plaintiff without
civil suit to collect the insurance money proceeded to its trial and termination in the warning of their fatal defect, of which it was informed, and after it had misled the
Court below, with the result noted at the start of this opinion. The Philippine defendant into believing that the policies were effective.
National Bank's complaint in intervention was dismissed because the appellee had
managed to pay his indebtedness to the Bank during the pendecy of the suit, and The insurance company was aware, even before the policies were issued, that in
despite the fire losses. the premises insured there were only two fire hydrants installed by Qua Chee Gan
and two others nearby, owned by the municipality of TAbaco, contrary to the
In its first assignment of error, the insurance company alleges that the trial Court requirements of the warranty in question. Such fact appears from positive
should have held that the policies were avoided for breach of warranty, specifically testimony for the insured that appellant's agents inspected the premises; and the
the one appearing on a rider pasted (with other similar riders) on the face of the simple denials of appellant's representative (Jamiczon) can not overcome that
policies (Exhibits X, Y, JJ and LL). These riders were attached for the first time in proof. That such inspection was made is moreover rendered probable by its being a
1939, and the pertinent portions read as follows: prerequisite for the fixing of the discount on the premium to which the insured was
entitled, since the discount depended on the number of hydrants, and the fire
Memo. of Warranty. — The undernoted Appliances for the extinction of fighting equipment available (See "Scale of Allowances" to which the policies were
fire being kept on the premises insured hereby, and it being declared and expressly made subject). The law, supported by a long line of cases, is expressed by
understood that there is an ample and constant water supply with American Jurisprudence (Vol. 29, pp. 611-612) to be as follows:
sufficient pressure available at all seasons for the same, it is hereby
warranted that the said appliances shall be maintained in efficient working It is usually held that where the insurer, at the time of the issuance of a
order during the currency of this policy, by reason whereof a discount of 2 policy of insurance, has knowledge of existing facts which, if insisted on,
1/2 per cent is allowed on the premium chargeable under this policy. would invalidate the contract from its very inception, such knowledge
constitutes a waiver of conditions in the contract inconsistent with the
Hydrants in the compound, not less in number than one for each 150 feet facts, and the insurer is stopped thereafter from asserting the breach of
of external wall measurement of building, protected, with not less than such conditions. The law is charitable enough to assume, in the absence of
100 feet of hose piping and nozzles for every two hydrants kept under any showing to the contrary, that an insurance company intends to
cover in convenient places, the hydrants being supplied with water executed a valid contract in return for the premium received; and when
pressure by a pumping engine, or from some other source, capable of the policy contains a condition which renders it voidable at its inception,
discharging at the rate of not less than 200 gallons of water per minute and this result is known to the insurer, it will be presumed to have
into the upper story of the highest building protected, and a trained intended to waive the conditions and to execute a binding contract, rather
brigade of not less than 20 men to work the same.' than to have deceived the insured into thinking he is insured when in fact
he is not, and to have taken his money without consideration. (29 Am. Jur.,
It is argued that since the bodegas insured had an external wall perimeter of 500 Insurance, section 807, at pp. 611-612.)
meters or 1,640 feet, the appellee should have eleven (11) fire hydrants in the
31

The reason for the rule is not difficult to find. Receipt of Premiums or Assessments afte Cause for Forfeiture Other than
Nonpayment. — It is a well settled rule of law that an insurer which with
The plain, human justice of this doctrine is perfectly apparent. To allow a knowledge of facts entitling it to treat a policy as no longer in force,
company to accept one's money for a policy of insurance which it then receives and accepts a preium on the policy, estopped to take advantage
knows to be void and of no effect, though it knows as it must, that the of the forfeiture. It cannot treat the policy as void for the purpose of
assured believes it to be valid and binding, is so contrary to the dictates of defense to an action to recover for a loss thereafter occurring and at the
honesty and fair dealing, and so closely related to positive fraud, as to the same time treat it as valid for the purpose of earning and collecting further
abhorent to fairminded men. It would be to allow the company to treat the premiums." (29 Am. Jur., 653, p. 657.)
policy as valid long enough to get the preium on it, and leave it at liberty to
repudiate it the next moment. This cannot be deemed to be the real It would be unconscionable to permit a company to issue a policy under
intention of the parties. To hold that a literal construction of the policy circumstances which it knew rendered the policy void and then to accept
expressed the true intention of the company would be to indict it, for and retain premiums under such a void policy. Neither law nor good
fraudulent purposes and designs which we cannot believe it to be guilty of morals would justify such conduct and the doctrine of equitable estoppel is
(Wilson vs. Commercial Union Assurance Co., 96 Atl. 540, 543-544). peculiarly applicable to the situation. (McGuire vs. Home Life Ins. Co. 94
Pa. Super Ct. 457.)
The inequitableness of the conduct observed by the insurance company in this case
is heightened by the fact that after the insured had incurred the expense of Moreover, taking into account the well known rule that ambiguities or obscurities
installing the two hydrants, the company collected the premiums and issued him a must be strictly interpreted aganst the prty that caused them, 1the "memo of
policy so worded that it gave the insured a discount much smaller than that he was warranty" invoked by appellant bars the latter from questioning the existence of
normaly entitledto. According to the "Scale of Allowances," a policy subject to a the appliances called for in the insured premises, since its initial expression, "the
warranty of the existence of one fire hydrant for every 150 feet of external wall undernoted appliances for the extinction of fire being kept on the premises insured
entitled the insured to a discount of 7 1/2 per cent of the premium; while the hereby, . . . it is hereby warranted . . .", admists of interpretation as an admission of
existence of "hydrants, in compund" (regardless of number) reduced the allowance the existence of such appliances which appellant cannot now contradict, should the
on the premium to a mere 2 1/2 per cent. This schedule was logical, since a greater parol evidence rule apply.
number of hydrants and fire fighting appliances reduced the risk of loss. But the
appellant company, in the particular case now before us, so worded the policies The alleged violation of the warranty of 100 feet of fire hose for every two
that while exacting the greater number of fire hydrants and appliances, it kept the hydrants, must be equally rejected, since the appellant's argument thereon is based
premium discount at the minimum of 2 1/2 per cent, thereby giving the insurance on the assumption that the insured was bound to maintain no less than eleven
company a double benefit. No reason is shown why appellant's premises, that had hydrants (one per 150 feet of wall), which requirement appellant is estopped from
been insured with appellant for several years past, suddenly should be regarded in enforcing. The supposed breach of the wter pressure condition is made to rest on
1939 as so hazardous as to be accorded a treatment beyond the limits of the testimony of witness Serra, that the water supply could fill a 5-gallon can in 3
appellant's own scale of allowances. Such abnormal treatment of the insured seconds; appellant thereupon inferring that the maximum quantity obtainable from
strongly points at an abuse of the insurance company's selection of the words and the hydrants was 100 gallons a minute, when the warranty called for 200 gallons a
terms of the contract, over which it had absolute control. minute. The transcript shows, however, that Serra repeatedly refused and
professed inability to estimate the rate of discharge of the water, and only gave the
These considerations lead us to regard the parol evidence rule, invoked by the "5-gallon per 3-second" rate because the insistence of appellant's counsel forced
appellant as not applicable to the present case. It is not a question here whether or the witness to hazard a guess. Obviously, the testimony is worthless and insufficient
not the parties may vary a written contract by oral evidence; but whether to establish the violation claimed, specially since the burden of its proof lay on
testimony is receivable so that a party may be, by reason of inequitable conduct appellant.
shown, estopped from enforcing forfeitures in its favor, in order to forestall fraud or
imposition on the insured.
32

As to maintenance of a trained fire brigade of 20 men, the record is preponderant public can readily understand, without resort to obscure esoteric expression (now
that the same was organized, and drilled, from time to give, altho not maintained as derisively termed "gobbledygook"). We reiterate the rule stated in Bachrach vs.
a permanently separate unit, which the warranty did not require. Anyway, it would British American Assurance Co. (17 Phil. 555, 561):
be unreasonable to expect the insured to maintain for his compound alone a fire
fighting force that many municipalities in the Islands do not even possess. There is If the company intended to rely upon a condition of that character, it
no merit in appellant's claim that subordinate membership of the business manager ought to have been plainly expressed in the policy.
(Co Cuan) in the fire brigade, while its direction was entrusted to a minor employee
unders the testimony improbable. A business manager is not necessarily adept at This rigid application of the rule on ambiguities has become necessary in view of
fire fighting, the qualities required being different for both activities. current business practices. The courts cannot ignore that nowadays monopolies,
cartels and concentrations of capital, endowed with overwhelming economic
Under the second assignment of error, appellant insurance company avers, that the power, manage to impose upon parties dealing with them cunningly prepared
insured violated the "Hemp Warranty" provisions of Policy No. 2637165 (Exhibit JJ), "agreements" that the weaker party may not change one whit, his participation in
against the storage of gasoline, since appellee admitted that there were 36 cans the "agreement" being reduced to the alternative to take it or leave it" labelled
(latas) of gasoline in the building designed as "Bodega No. 2" that was a separate since Raymond Baloilles" contracts by adherence" (con tracts d'adhesion), in
structure not affected by the fire. It is well to note that gasoline is not specifically contrast to these entered into by parties bargaining on an equal footing, such
mentioned among the prohibited articles listed in the so-called "hemp warranty." contracts (of which policies of insurance and international bills of lading are prime
The cause relied upon by the insurer speaks of "oils (animal and/or vegetable examples) obviously call for greater strictness and vigilance on the part of courts of
and/or mineral and/or their liquid products having a flash point below 300o justice with a view to protecting the weaker party from abuses and imposition, and
Fahrenheit", and is decidedly ambiguous and uncertain; for in ordinary parlance, prevent their becoming traps for the unwarry (New Civil Coee, Article 24; Sent. of
"Oils" mean "lubricants" and not gasoline or kerosene. And how many insured, it Supreme Court of Spain, 13 Dec. 1934, 27 February 1942).
may well be wondered, are in a position to understand or determine "flash point
below 003o Fahrenheit. Here, again, by reason of the exclusive control of the Si pudiera estimarse que la condicion 18 de la poliza de seguro envolvia
insurance company over the terms and phraseology of the contract, the ambiguity alguna oscuridad, habra de ser tenido en cuenta que al seguro es,
must be held strictly against the insurer and liberraly in favor of the insured, practicamente un contrato de los llamados de adhesion y por consiguiente
specially to avoid a forfeiture (44 C. J. S., pp. 1166-1175; 29 Am. Jur. 180). en caso de duda sobre la significacion de las clausulas generales de una
poliza — redactada por las compafijas sin la intervencion alguna de sus
Insurance is, in its nature, complex and difficult for the layman to clientes — se ha de adoptar de acuerdo con el articulo 1268 del Codigo
understand. Policies are prepared by experts who know and can anticipate Civil, la interpretacion mas favorable al asegurado, ya que la obscuridad es
the hearing and possible complications of every contingency. So long as imputable a la empresa aseguradora, que debia haberse explicado mas
insurance companies insist upon the use of ambiguous, intricate and claramante. (Dec. Trib. Sup. of Spain 13 Dec. 1934)
technical provisions, which conceal rather than frankly disclose, their own
intentions, the courts must, in fairness to those who purchase insurance, The contract of insurance is one of perfect good faith (uferrimal fidei) not for the
construe every ambiguity in favor of the insured. (Algoe vs. Pacific Mut. L. insured alone, but equally so for the insurer; in fact, it is mere so for the latter, since
Ins. Co., 91 Wash. 324, LRA 1917A, 1237.) its dominant bargaining position carries with it stricter responsibility.

An insurer should not be allowed, by the use of obscure phrases and Another point that is in favor of the insured is that the gasoline kept in Bodega No.
exceptions, to defeat the very purpose for which the policy was procured 2 was only incidental to his business, being no more than a customary 2 day's
(Moore vs. Aetna Life Insurance Co., LRA 1915D, 264). supply for the five or six motor vehicles used for transporting of the stored
merchandise (t. s. n., pp. 1447-1448). "It is well settled that the keeping of
We see no reason why the prohibition of keeping gasoline in the premises could not inflammable oils on the premises though prohibited by the policy does not void it if
be expressed clearly and unmistakably, in the language and terms that the general such keeping is incidental to the business." Bachrach vs. British American Ass. Co.,
33

17 Phil. 555, 560); and "according to the weight of authority, even though there are con sus libros y lo ha encontrado correcto a excepcion de los precios de
printed prohibitions against keeping certain articles on the insured premises the abaca y copra que alli aparecen que no estan de acuerdo con los precios en
policy will not be avoided by a violation of these prohibitions, if the prohibited el mercado. Esta comprobacion aparece en el balance mercado exhibit J
articles are necessary or in customary use in carrying on the trade or business que fue preparado por el mismo testigo.
conducted on the premises." (45 C. J. S., p. 311; also 4 Couch on Insurance, section
966b). It should also be noted that the "Hemp Warranty" forbade storage only "in In view of the discrepancy in the valuations between the insured and the adjuster
the building to which this insurance applies and/or in any building communicating Stewart for the insurer, the Court referred the controversy to a government
therewith", and it is undisputed that no gasoline was stored in the burned bodegas, auditor, Apolonio Ramos; but the latter reached a different result from the other
and that "Bodega No. 2" which was not burned and where the gasoline was found, two. Not only that, but Ramos reported two different valuations that could be
stood isolated from the other insured bodegas. reached according to the methods employed (Exhibit WW, p. 35):

The charge that the insured failed or refused to submit to the examiners of the La ciencia de la contabilidad es buena, pues ha tenido sus muchos usos
insurer the books, vouchers, etc. demanded by them was found unsubstantiated by buenos para promovar el comercio y la finanza, pero en el caso presente
the trial Court, and no reason has been shown to alter this finding. The insured gave ha resultado un tanto cumplicada y acomodaticia, como lo prueba el
the insurance examiner all the date he asked for (Exhibits AA, BB, CCC and Z), and resultado del examen hecho por los contadores Stewart y Ramos, pues el
the examiner even kept and photographed some of the examined books in his juzgado no alcanza a ver como habiendo examinado las mismas partidas y
possession. What does appear to have been rejected by the insured was the los mismos libros dichos contadores hayan de llegara dos conclusiones que
demand that he should submit "a list of all books, vouchers, receiptsand other difieron sustancialmente entre si. En otras palabras, no solamente la
records" (Age 4, Exhibit 9-c); but the refusal of the insured in this instance was well comprobacion hecha por Stewart difiere de la comprobacion hecha por
justified, since the demand for a list of all the vouchers (which were not in use by Ramos sino que, segun este ultimo, su comprobacion ha dado lugar a dos
the insured) and receipts was positively unreasonable, considering that such listing resultados diferentes dependiendo del metodo que se emplea.
was superfluous because the insurer was not denied access to the records, that the
volume of Qua Chee Gan's business ran into millions, and that the demand was Clearly then, the charge of fraudulent overvaluation cannot be seriously
made just after the fire when everything was in turmoil. That the representatives of entertained. The insurer attempted to bolster its case with alleged photographs of
the insurance company were able to secure all the date they needed is proved by certain pages of the insurance book (destroyed by the war) of insured Qua Chee
the fact that the adjuster Alexander Stewart was able to prepare his own balance Gan (Exhibits 26-A and 26-B) and allegedly showing abnormal purchases of hemp
sheet (Exhibit L of the criminal case) that did not differ from that submitted by the and copra from June 11 to June 20, 1940. The Court below remained unconvinced
insured (Exhibit J) except for the valuation of the merchandise, as expressly found of the authenticity of those photographs, and rejected them, because they were
by the Court in the criminal case for arson. (Decision, Exhibit WW). not mentioned not introduced in the criminal case; and considering the evident
importance of said exhibits in establishing the motive of the insured in committing
How valuations may differ honestly, without fraud being involved, was strikingly the arson charged, and the absence of adequate explanation for their omission in
illustrated in the decision of the arson case (Exhibit WW) acquiting Qua Choc Gan, the criminal case, we cannot say that their rejection in the civil case constituted
appellee in the present proceedings. The decision states (Exhibit WW, p. 11): reversible error.

Alexander D. Stewart declaro que ha examinado los libros de Qua Choc The next two defenses pleaded by the insurer, — that the insured connived at the
Gan en Tabaco asi como su existencia de copra y abaca en las bodega al loss and that the fraudulently inflated the quantity of the insured stock in the burnt
tiempo del incendio durante el periodo comprendido desde el 1.o de bodegas, — are closely related to each other. Both defenses are predicted on the
enero al 21 de junio de 1940 y ha encontrado que Qua Choc Gan ha sufrico assumption that the insured was in financial difficulties and set the fire to defraud
una perdida de P1,750.76 en su negocio en Tabaco. Segun Steward al llegar the insurance company, presumably in order to pay off the Philippine National
a este conclusion el ha tenidoen cuenta el balance de comprobacion Bank, to which most of the insured hemp and copra was pledged. Both defenses are
Exhibit 'J' que le ha entregado el mismo acusado Que Choc Gan en relacion fatally undermined by the established fact that, notwithstanding the insurer's
34

refusal to pay the value of the policies the extensive resources of the insured to the weight of the overlying stock, as shown by engineer Bolinas. It is probable
(Exhibit WW) enabled him to pay off the National Bank in a short time; and if he that the errors were due to inexperience (Stewart himself admitted that this was
was able to do so, no motive appears for attempt to defraud the insurer. While the the first copra fire he had investigated); but it is clear that such errors render
acquittal of the insured in the arson case is not res judicata on the present civil valueles Stewart's computations. These were in fact twice passed upon and twice
action, the insurer's evidence, to judge from the decision in the criminal case, is rejected by different judges (in the criminal and civil cases) and their concordant
practically identical in both cases and must lead to the same result, since the proof opinion is practically conclusive.
to establish the defense of connivance at the fire in order to defraud the insurer
"cannot be materially less convincing than that required in order to convict the The adjusters' reports, Exhibits 9-A and 9-B, were correctly disregarded by the Court
insured of the crime of arson"(Bachrach vs. British American Assurance Co., 17 Phil. below, since the opinions stated therein were based on ex parte investigations
536). made at the back of the insured; and the appellant did not present at the trial the
original testimony and documents from which the conclusions in the report were
As to the defense that the burned bodegas could not possibly have contained the drawn.lawphi1.net
quantities of copra and hemp stated in the fire claims, the insurer's case rests
almost exclusively on the estimates, inferences and conclusionsAs to the defense Appellant insurance company also contends that the claims filed by the insured
that the burned bodegas could not possibly have contained the quantities of copra contained false and fraudulent statements that avoided the insurance policy. But
and hemp stated in the fire claims, the insurer's case rests almost exclusively on the the trial Court found that the discrepancies were a result of the insured's erroneous
estimates, inferences and conclusions of its adjuster investigator, Alexander D. interpretation of the provisions of the insurance policies and claim forms, caused by
Stewart, who examined the premises during and after the fire. His testimony, his imperfect knowledge of English, and that the misstatements were innocently
however, was based on inferences from the photographs and traces found after the made and without intent to defraud. Our review of the lengthy record fails to
fire, and must yield to the contradictory testimony of engineer Andres Bolinas, and disclose reasons for rejecting these conclusions of the Court below. For example,
specially of the then Chief of the Loan Department of the National Bank's Legaspi the occurrence of previous fires in the premises insured in 1939, altho omitted in
branch, Porfirio Barrios, and of Bank Appraiser Loreto Samson, who actually saw the the claims, Exhibits EE and FF, were nevertheless revealed by the insured in his
contents of the bodegas shortly before the fire, while inspecting them for the claims Exhibits Q (filed simultaneously with them), KK and WW. Considering that all
mortgagee Bank. The lower Court was satisfied of the veracity and accuracy of these claims were submitted to the smae agent, and that this same agent had paid
these witnesses, and the appellant insurer has failed to substantiate its charges the loss caused by the 1939 fire, we find no error in the trial Court's acceptance of
aganst their character. In fact, the insurer's repeated accusations that these the insured's explanation that the omission in Exhibits EE and FF was due to
witnesses were later "suspended for fraudulent transactions" without giving any inadvertance, for the insured could hardly expect under such circumstances, that
details, is a plain attempt to create prejudice against them, without the least the 1939 would pass unnoticed by the insurance agents. Similarly, the 20 per cent
support in fact. overclaim on 70 per cent of the hemo stock, was explained by the insured as caused
by his belief that he was entitled to include in the claim his expected profit on the
Stewart himself, in testifying that it is impossible to determine from the remains the 70 per cent of the hemp, because the same was already contracted for and sold to
quantity of hemp burned (t. s. n., pp. 1468, 1470), rebutted appellant's attacks on other parties before the fire occurred. Compared with other cases of over-valuation
the refusal of the Court below to accept its inferences from the remains shown in recorded in our judicial annals, the 20 per cent excess in the case of the insured is
the photographs of the burned premises. It appears, likewise, that the adjuster's not by itself sufficient to establish fraudulent intent. Thus, in Yu Cua vs. South
calculations of the maximum contents of the destroyed warehouses rested on the British Ins. Co., 41 Phil. 134, the claim was fourteen (14) times (1,400 per cent)
assumption that all the copra and hemp were in sacks, and on the result of his bigger than the actual loss; in Go Lu vs. Yorkshire Insurance Co., 43 Phil., 633, eight
experiments to determine the space occupied by definite amounts of sacked copra. (8) times (800 per cent); in Tuason vs. North China Ins. Co., 47 Phil. 14, six (6) times
The error in the estimates thus arrived at proceeds from the fact that a large (600 per cent); in Tan It vs. Sun Insurance, 51 Phil. 212, the claim totalled
amount of the insured's stock were in loose form, occupying less space than when P31,860.85 while the goods insured were inventoried at O13,113. Certainly, the
kept in sacks; and from Stewart's obvious failure to give due allowance for the insured's overclaim of 20 per cent in the case at bar, duly explained by him to the
compression of the material at the bottom of the piles (t. s. n., pp. 1964, 1967) due Court a quo, appears puny by comparison, and can not be regarded as "more than
35

misstatement, more than inadvertence of mistake, more than a mere error in Under the Memorandum of Warranty, there should be no less than 1 hydrant for
opinion, more than a slight exaggeration" (Tan It vs. Sun Insurance Office, ante) that each 150 feet of external wall measurements of the compound, and since bodegas
would entitle the insurer to avoid the policy. It is well to note that the overchange insured had an external wall per meter of 1640 feet, the insured should have 11
of 20 per cent was claimed only on apart (70 per cent) of the hemp stock; had the hydrants in the compound. But he only had 2.
insured acted with fraudulent intent, nothing prevented him from increasing the
value of all of his copra, hemp and buildings in the same proportion. This also Even so, the insurer is barred by estoppel to claim violation of the fire hydrants
applies to the alleged fraudulent claim for burned empty sacks, that was likewise warranty, because knowing that the number of hydrants it demanded never existed
explained to our satisfaction and that of the trial Court. The rule is that to avoid a from the very beginning, appellant nevertheless issued the policies subject to such
policy, the false swearing must be wilful and with intent to defraud (29 Am. Jur., pp. warranty and received the corresponding premiums. The insurance company was
849-851) which was not the cause. Of course, the lack of fraudulent intent would aware, even before the policies were issued, that in the premises there were only 2
not authorize the collection of the expected profit under the terms of the polices, hydrants and 2 others were owned by the Municipality, contrary to the
and the trial Court correctly deducte the same from its award. requirements of the warranties in question.

We find no reversible error in the judgment appealed from, wherefore the smae is It should be close to conniving at fraud upon the insured to allow the insurer to
hereby affirmed. Costs against the appellant. So ordered. claim now as void the policies it issued to the insured, without warning him of the
fatal defect, of which the insurer was informed, and after it had misled the insured
Facts: into believing that the policies were effective.
Accdg to American Jurisprudence: It is a well-settled rule that the insurer at the
> Qua Chee Gan, a merchant, owned 4 warehouses in Albay which were used for time of the issuance of a policy has the knowledge of existing facts, which if
the storage or copra and hemp in which the appelle deals with exclusively. insisted on, would invalidate the contract from its very inception, such knowledge
> The warehouses together with the contents were insured with Law Union since constitutes a waiver of conditions in the contract inconsistent with known facts,
1937 and the loss made payable to PNB as mortgagee of the hemp and copra. and the insurer is stopped thereafter from asserting the breach of such conditions.
The reason for the rule is: To allow a company to accept one’s money for a policy of
> A fire of undetermined cause broke out in July 21, 1940 and lasted for almost 1 insurance which it knows to be void and of no effect, though it knows as it must
whole week. that the insured believes it to be valid and binding is so contrary to the dictates of
> Bodegas 1, 3, and 4 including the merchandise stored were destroyed honesty and fair dealing, as so closely related to positive fraud, as to be abhorrent
completely. to fair-minded men. It would be to allow the company to treat the policy as valid
long enough to get the premium on it, and leave it at liberty to repudiate it the next
> Insured then informed insurer of the unfortunate event and submitted the moment.
corresponding fire claims, which were later reduced to P370T.
Moreover, taking into account the well-known rule that ambiguities or obscurities
> Insurer refused to pay claiming violations of the warranties and conditions, filing must strictly be interpreted against the party that cause them, the memorandum of
of fraudulent claims and that the fire had been deliberately caused by the insured. warranty invoked by the insurer bars the latter from questioning the existence of
> Insured filed an action before CFI which rendered a decision in favor of the the appliances called for, since its initial expression “the undernoted appliances for
insured. the extinction of fire being kept on the premises insured hereby..” admits of the
interpretation as an admission of the existence of such appliances which insurer
Issues and Resolutions: cannot now contradict, should the parole evidence apply.

(1) Whether or not the policies should be avoided for the reason that there was a
breach of warranty.
36

(2) Whether or not the insured violated the hemp warranty provision against the Held: No. No. No.
storage of gasoline since insured admitted there were 36 cans of gasoline in Bodega
2 which was a separate structure and not affected by the fire. Ratio:
1. The insurer, who at the time of issuance, has knowledge of existing facts which
It is well to note that gasoline is not specifically mentioned among the prohibited
would invalidate the contract from the beginning, such constitutes a waiver of
articles listed in the so-called hemp warranty. The clause relied upon by the insurer conditions in the contract inconsistent with the facts, and the insurer is stopped
speaks of “oils”. Ordinarily, oils mean lubricants and not gasoline or kerosene. thereafter from asserting the breach of such conditions. Also, an insurance
Here again, by reason of the exclusive control of the insurance company over the company intends to executed a valid contract in return for the premium received;
terms of the contract, the ambiguity must be held strictly against the insurer and and when the policy contains a condition which renders it voidable at its inception,
liberally in favor of the insured, specially to avoid a forfeiture. and this result is known to the insurer, it will be presumed to have intended to
Furthermore, the gasoline kept was only incidental to the insured’s business. It is a waive the conditions and to execute a binding contract, rather than to have
well settled rule that keeping of inflammable oils in the premises though prohibited deceived the insured into thinking he is insured when in fact he is not.
by the policy does NOT void it if such keeping is incidental to the business. Also, the The appellant is barred estoppel to claim violation of the so-called fire hydrants
hemp warranty forbade the storage only in the building to which the insurance warranty, because it knew the number of hydrants demanded therein never
applies, and/or in any building communicating therewith; and it is undisputed that existed from the very beginning and issued the policies.
no gasoline was stored in the burnt bodegas and that Bodega No. 2 which was To allow a company to accept one's money for a policy of insurance which it then
where the gasoline was found stood isolated from the other bodegas. knows to be void and of no effect, though it knows as it must, that the assured
believes it to be valid and binding, is so contrary to the dictates of honesty and fair
Facts: dealing, and so closely related to positive fraud, as to the abhorrent to fair-minded
Qua owned 4 warehouses used for the storage of copra and hemp. They were men.
insured with the Law Union. Fire broke out and completely destroyed 3 bodegas. The appellant company so worded the policies that while exacting the greater
The plaintiff submitted claims totalling P398,562.81. The Insurance number of fire hydrants and appliances, it kept the premium discount at the
Company resisted payment on the grounds that the fire had been deliberately minimum of 2 1/2%, thereby giving the insurance company a double benefit. Such
caused by the insured or by other persons in connivance with him. abnormal treatment of the insured strongly points at an abuse of the insurance
Que Chee Gan and his brother were tried for arson, but were acquitted by the trial company's selection of the words and terms of the contract, over which it had
court. As regards the insurance claim, the trial court ruled in favor of Qua and absolute control.
entitled him to recover more than Php 300,000 for indemnities from the insurance Receipt of Premiums or Assessments after Cause for Forfeiture Other than
company. Hence, the company appealed to the SC. Nonpayment. — It is a well settled rule of law that an insurer which with knowledge
In its first assignment of error, the insurance company alleged that the trial Court of facts entitling it to treat a policy as no longer in force, receives and accepts a
should have held that the policies were avoided for breach of warranty. The premium on the policy, estopped to take advantage of the forfeiture. It cannot treat
contract noted that fire hydrants were required in a particular measurement of the policy as void for the purpose of defense to an action to recover for a loss
space (every 150 feet). Hence, they argued that since the bodegas insured had an thereafter occurring and at the same time treat it as valid for the purpose of
external wall perimeter of 500 meters, the appellee should have 11 fire hydrants in earning and collecting further premiums.
the compound, and that he actually had only 2, with a further pair. Moreover, taking into account the well known rule that ambiguities or obscurities
must be strictly interpreted against the party that caused them, the "memo of
Issues: warranty" invoked by appellant bars the latter from questioning the existence of
1. WON the insurance company can void the policies it had issued the appliances called for in the insured premises
2. WON the insured violated the "Hemp Warranty" provisions of the policy against 2. The ambiguity must be held strictly against the insurer and liberally in favor of
the storage of gasoline the insured, specially to avoid a forfeiture. So long as insurance companies insist
3. WON the insured planned the destruction of the bodega upon the use of ambiguous, intricate and technical provisions, which conceal rather
37

than frankly disclose, their own intentions, the courts must, in fairness to those who an investigation. LU resisted payment, claiming violation of warranties and
purchase insurance, construe every ambiguity in favor of the insured. conditions, filing of fraudulent claims, and that the fire had been deliberately
Appellee admitted that there were 36 cans of gasoline in the building designed. It caused by QCG or by other persons in connivance with him.
However, gasoline is not specifically mentioned among the prohibited articles listed QCG, his brother, and some employees were indicted and tried for arson, but they
in the so-called "hemp warranty." The cause relied upon by the insurer speaks of were acquitted. Thereafter, the civil suit to collect the insurance money proceeded
"oils", and is uncertain because, "Oils" usually mean "lubricants" and not gasoline or to its trial. CFI rendered a decision in QCG’s favor.
kerosene.
If the company intended to rely upon a condition of that character, it ought to have CFI AFFIRMED; LAW UNION LIABLE
been plainly expressed in the policy.
The contract of insurance is one of perfect good faith not for the insured alone, but On false and fraudulent claims
CFI found that the discrepancies were a result of QCG’s erroneous interpretation of
equally so for the insurer; in fact, it is mere so for the latter, since its dominant
the provisions of the insurance policies and claim forms, caused by his imperfect
bargaining position carries with it stricter responsibility.
English, and that the misstatements were innocently made and without intent to
Also, the gasoline kept in Bodega No. 2 was only incidental to his business, being no
defraud. The rule is that to avoid a policy, the false swearing must be willful and
more than a customary 2 day's supply for the five or six motor vehicles used for
with intent to defraud which was not the cause.
transporting of the stored merchandise. "It is well settled that the keeping of On the storage of gasoline
inflammable oils on the premises though prohibited by the policy does not void it if
such keeping is incidental to the business." Ambiguities or obscurities must be strictly interpreted against the party that
3. It was unlikely that Qua burned the warehouse to defraud the company because caused them. This rigid application of the rule has become necessary in view of
he had the resources to pay off the National Bank in a short time. Also, no motive current business practices. In contrast to contracts entered into by parties
appears for attempt to defraud the insurer. While the acquittal of the insured in bargaining on an equal footing, a contract of insurance calls for greater strictness
the arson case is not res judicata on the present civil action, the insurer's evidence, and vigilance on the part of courts of justice with a view to protect the weaker party
to judge from the decision in the criminal case, is practically identical in both cases from abuses and imposition, and prevent their becoming traps for the unwary. The
and must lead to the same result, since the proof to establish the defense of contract of insurance is one of perfect good faith (uferrimal fidei) not for the
connivance at the fire in order to defraud the insurer "cannot be materially less insured alone, but equally so for the insurer; in fact, it is more so for the latter,
convincing than that required in order to convict the insured of the crime of arson." since its dominant bargaining position carries with it stricter responsibility.
As to the defense that the burned bodegas could not possibly have contained the
quantities of copra and hemp stated in the fire claims, the insurer relied on QCG admitted that there were 36 cans of gasoline in Bodega 2. Gasoline is not
its adjuster investigator who examined the premises during and after the fire. His specifically mentioned among the prohibited articles listed in the hemp warranty.
testimony, however, was based on inferences from the photographs and traces The cause relied upon LU speaks of oils. In ordinary parlance, “oils” means
found after the fire, and must yield to the contradictory testimony of those who “lubricants” and not gasoline or kerosene. The prohibition of keeping gasoline could
actually saw the contents of the bodegas shortly before the fire, while inspecting have been expressed clearly and unmistakably.
them for the mortgagee Bank.
On fire hydrants warranty
LU is estopped from claiming that there was a violation of such warranty, since it
QUA CHEE GAN v. LAW UNION AND ROCK INSURANCE knew that from the start, the number of hydrants it demanded never existed, yet it
issued policies and received premiums.
Qua Chee Gan owned 4 warehouses or bodegas used for the storage of copra and
hemp, which were insured with Law Union, and the lose made payable to PNB as
mortgage of the hemp and copra. Fire broke out and destroyed bodegas 1, 3 ad 4.
QCG informed LU by telegram, and the next day, fire adjusters arrived to conduct
38

98 Phil. 85 – Mercantile Law – Insurance Law – Ambiguity – Contract of Adherence


Qua Chee Gan owns four warehouses in Albay. He was using these warehouses to
house crops like copra and hemp. All warehouses were insured by Law Union and
Rock Insurance for the amount of P370,000.00. The insurance states that Qua Chee
Gan should install 11 hydrants in the warehouses’ premises. Qua Chee Gan installed
only two, but Law Union nevertheless went on with the insurance policy and
collected premiums from Qua Chee Gan. The insurance contract also provides that
“oil” should not be stored within the premises of the warehouses.
In 1940, three of the warehouses were destroyed by fire. The damage caused
amounted to P398k. Qua Chee Gan demanded insurance pay from Law Union but
the latter refused as it alleged that after investigation from their part, they found
out that Qua Chee Gan caused the fire. Law Union in fact sued Qua Chee Gan for
Arson.
Qua Chee Gan was acquitted in the arson case. He then demanded that Law Union
pay up. This time, Law Union averred that the insurance contract is void because
Qua Chee Gan failed to install 11 hydrants; and that gasoline was found in one of
the warehouses.
ISSUE:
Whether or not the insurance contract is void.
HELD:
No. Law Union cannot exempt itself from paying Qua Chee Gan because it is
estopped from invoking the same. It is a well settled rule of law that an insurer
which with knowledge of facts entitling it to treat a policy as no longer in force,
receives and accepts a premium on the policy, estopped to take advantage of the
forfeiture.
Also, gasoline is not one of those items specifically prohibited from the premises of
the warehouses. What was mentioned was the word “oil” which could mean
anything (from palm oil to lubricant and not gasoline or kerosene). This ambiguity is
to be interpreted against Law Union because a contract of insurance is a contract of
adhesion. Further, oil is incidental to Qua Chee Gan’s business, it being used for
motor fuel.
39

the extrajudicial confession which otherwise would


almost conclusively sustain and necessitate a
THE UNITED STATES, Plaintiff-Appellee, vs. GABINO conviction. (U. S. vs. Estraña, 16 Phil. Rep.,
SOLIMAN,Defendant-Appellant. 520.) chanrobles virtual law library

Francisco Sevilla for appellant. There can be no doubt that the accused was guilty
Attorney-General Avanceña for appellee. of the crime of perjury as defined and penalized in
section 3 of Act No. 1697 and that the sentence of
CARSON, J.: six months' imprisonment and P300 fine imposed by
the trial judge was correctly imposed under the
provisions of that
The evidence of record conclusively discloses that
statute.chanroblesvirtualawlibrary chanrobles
the defendant and appellant in this case, Gabino
virtual law library
Soliman, testifying in his on behalf in the course of
another criminal case in which he, with several
others, was charged with estafa, swore falsely to It appears however that since judgment was entered
certain material allegations of in this case on November 23, 1915, section 3 of Act
fact.chanroblesvirtualawlibrary chanrobles virtual No. 1697 has been expressly repealed by the
law library enactment of the Administrative Code, which
became effective on July 1, 1916, and it has been
suggested that the judgment convicting and
On that occasion he testified falsely that a sworn
sentencing the accused under the provisions of that
statement offered in evidence in support of the
statute should not be sustained, and that the repeal
charge of estafa, which was in effect an extrajudicial
of the statute should be held to have the effect of
confession of his guilt, had not been executed
remitting and extinguishing the criminal
voluntarily, and that its execution had not been
responsibility of the accused incurred under the
procured by the police by the use of force,
provisions of the repealed law prior to the
intimidation and prolonged
enactment of the Administrative Code. We cannot
torture.chanroblesvirtualawlibrary chanrobles
agree with the proposition thus
virtual law library
stated.chanroblesvirtualawlibrary chanrobles virtual
law library
The trial judge who presided in the former case
acquitted the accused on the ground that there was
In the case of United States vs. Cuna (12 Phil. Rep.,
room for reasonable doubt as to whether the
241), we held as follows:
extrajudicial confession had been made voluntarily,
and his action in this regard clearly establishes the
materiality of the false testimony submitted in that The rule of interpretation of English and American
case; moreover, the materiality of the evidence is common law, by virtue of which the repeal of a law
manifest without considering the judgment in the prescribing penalties is held to have the effect of
case in which it was submitted, since, if accepted as remitting or extinguishing any penalty, loss of rights
true, this false testimony necessarily had the effect or responsibility incurred under such law, as to all
of rendering wholly incompetent the evidence as to persons who have not been convicted and
sentenced under the provisions of such law prior to
40

the enactment of the repealing law, is not and has virtual law library
not been the accepted doctrine in these
Islands.chanroblesvirtualawlibrary chanrobles virtual The courts of Spain and the learned commentators
law library on Spanish law have construed these provisions to
mean that such penal laws are to be given a
Where an Act of the Commission or of the Philippine retroactive effect only in so far as they favor the
Legislature which penalizes an offense, such repeal defendant charged with a crime or a misdemeanor,
does not have the effect of thereafter depriving the and that, when a penal law is enacted repealing a
courts of jurisdiction to try, convict and sentence prior law, such repeal does not have the effect of
offenders charged with violations of the old law relieving an offender in whole or in part of penalties
prior to its repeal. already incurred under the old law, unless the new
law favors the defendant by diminishing the penalty
A question does arise, however, as to the penalty or doing away with it altogether, and then only to
which should be impose upon the the extent to which the new law is favorable to the
convict.chanroblesvirtualawlibrary chanrobles offender. In other words, that the enactment of new
virtual law library penal laws, notwithstanding the fact that they
contain general repealing clauses, doe not deprive
If the repealing statute provides or has the effect of the courts of jurisdiction to try, convict and
providing new penalties for the commission of the sentence persons charged with violations of the old
acts penalized under the repealed statute, should law prior to the date when the repealing law goes
the penalty be imposed in accordance with the old into effect, unless the new law wholly fails to
or the new statute? chanrobles virtual law library penalties the acts which constituted the offense
defined and penalized in the repealed
law.chanroblesvirtualawlibrary chanrobles virtual
Article 1 of the Penal Code in force in these Islands
law library
defines crimes and misdemeanors as voluntary acts
or omissions penalized by law; and complementary
to this provision, article 21 provides that no crime or Thus Pacheco, commenting upon the new Penal
misdemeanor shall be punished with a penalty Code of 1848-1850, of which article 506 provided
which has not been prescribed by law prior to its that all general penal laws were repealed by its
commission. In accordance with these provisions the publication, says:
question whether an act is punishable or not
depends upon the question whether or not at the At this time when the Penal Code is being put into
time of its commission, there was a law in force effect and given force, we have in fact two criminal
which penalized it; this rule being modified, laws in Spain, and close attention is necessary to
however, by article 22 of the same code, which apply them properly. There may be prosecutions
provides that penal laws shall have a retroactive which it is necessary to dismiss, as, for example,
effect in so far as they favor persons convicted of a those for sodomy; others which it may be necessary
crime or to decide in conformity with the provisions of the
misdemeanor.chanroblesvirtualawlibrary chanrobles new codes, as, for example, those for carrying
concealed weapons; and others which must be
judged in accordance with the old provisions, as, for
41

example. many cases of robbery. The rules of effect of providing new and distinct penalties for the
procedure in one or other manner being furnished commission of the crime of perjury, and whether
us by the former article (article 19 of the Penal Code the new penalties are or are not more favorable to
of Spain identical with article 21 of the Penal Code the convict in the case at bar than those imposed by
of the Philippines), and the present article (article 20 the trial
of the Penal Code of Spain and article 22 of the judge.chanroblesvirtualawlibrary chanrobles virtual
Philippine Code). Has the code increased the law library
penalty? Then it is not applicable to crimes
committed prior to its enactment. Has it Section 3 of Act No. 1697, which defined and
extinguished or diminished them? Then it is clearly penalized the crime of perjury, repealed the
applicable to them. (1 Pacheco, 296.) provisions of the Penal Code defining and penalizing
the crime of perjury, not expressly, but by
And a similar construction was placed upon the implication, and we are of opinion that the repeal of
provisions of the Penal Code of 1870 by the Act No. 1697 revived those provisions of the code.
supreme court of Spain. Article 626 of this code (U. S. vs. Concepcion, 13 Phil. Rep., 424; U.
(which is substantially identical with article 506 of S. vs. Estraña, 16 Phil. Rep., 520.) chanrobles virtual
the Penal Code of 1848 and article 611 of the Penal law library
Code of the Philippine Islands) repealed all general
penal laws prior to its promulgation, but the court In the absence of the most express language to the
held that, where a crime was committed prior to the contrary it will not be presumed that it was the
publication of the reformed code, the penalty intention of the legislator to let false swearing as to
prescribed by the code of 1850 (the code prior to a material matter in a court of justice go
that of 1870) being more favorable to the accused, unpunished, and such would be the effect of the
that must be applied. (Decision of the supreme repeal of section 3 of Act No. 1697, unless we held
court of Spain, 17th of January, 1873.) chanrobles that the repeal had the effect of reviving the old
virtual law library statute.chanroblesvirtualawlibrary chanrobles
virtual law library
We conclude therefore that in any case in which a
statute prescribing a penalty for the commission of a At the common law the repeal of a repealing act
specific offense is repealed, and in which the new revived the former act (6 Co., 199; 1 Gray, 163; 7 W.
statute provides new and distinct penalties for the & S., 263; 2 Blackstone, 32; 54 N. J. L. J., 175); and
commission of such offense, the penalty which must the Supreme Court of the United States has held
be imposed on one who committed the offense that the repeal of a repealing law has this effect,
prior to the enactment of the repealing statute is unless the language of the repealing statute or some
that one which is more favorable to the convict. (U. general statute provides otherwise. (U. S. vs.Otis,
S. vs. Cuna, 12 Phil. Rep., 241.) chanrobles virtual 120 U. S., 52 [115].) chanrobles virtual law library
law library
Manifestly, with this rule in mind, section 12 of the
It seems important, then, to determine whether the Administrative Code (Act No. 2657) which is found in
repeal of section 3 of Act No. 1697 by the Article III, [Chapter I] dealing with the form and
enactment of the Administrative Code had the effect of laws in general, provides that "when a law
42

which expressly repeals a prior law is itself repealed that at the time when he testified falsely he was
the law first repealed shall not be thereby revived testifying in his own behalf in a criminal case in
unless expressly so provided." From which it may which he himself was the accused, on trial for the
fairly be inferred that the old rule continues in force commission of a grave
where a law which repeals a prior law, not expressly offense.chanroblesvirtualawlibrary chanrobles
but by implication, it itself repealed; and that in such virtual law library
cases the repeal of the repealing law revives the
prior law, unless the language of the repealing In the case of United States vs. Gutierrez (12 Phil.
statute provides Rep., 529), we said, speaking through Chief Justice
otherwise.chanroblesvirtualawlibrary chanrobles Arellano, that, "Perjury committed by a party in his
virtual law library own cause would not be punishable under Spanish
legislation, because in said legislation no one was a
Applying this rule, we conclude that the express witness in his own cause, and could not therefore
repeal of section 3 of Act No. 1697 by the become guilty of giving false testimony in a civil
enactment of the Administrative Code (Act No. cause in which he was either the plaintiff or the
2657) revived the provisions of the Penal Code defendant; but under the procedure in force by
touching perjury, which were themselves repealed, virtue of Act No. 190, a party to a suit may testify in
not expressly but by implication, by the enactment his own behalf, and if he declares falsely under oath
of Act No. as a witness in his own cause, like any other witness,
1697.chanroblesvirtualawlibrary chanrobles virtual he incurs the penalty by which false testimony in
law library civil matters is repressed and punished. This court
has so held, it being a settled rule, that the false
A comparison of the penalties prescribed in the testimony given by a litigant as a witness constitutes
Penal Code for the commission of the acts of which the crime of giving false testimony inasmuch as such
the accused in the case at bar was convicted, giving a declaration, according to the new laws in force,
him as we should the benefit of the provisions of Act may determine a judgment in his favor and to the
No. 2142, discloses that the penalty prescribed prejudice of the adverse party, and that a litigant
therein is less than that imposed upon the appellant who, in sworn testimony given by him as a witness
under the provisions of section 3 of Act No. 1697, in a civil cause, shall pervert the truth and give false
and we conclude from what has been said already testimony, incurs as such witness the penalties
that the penalty imposed by the court below should imposed by article 321 of the Penal
be revoked and that in lieu thereof the penalty Code." chanrobles virtual law library
prescribed in the Penal Code should be imposed
upon the Analogous reasoning leads to a like conclusion as to
convict.chanroblesvirtualawlibrary chanrobles the criminal liability for perjury of a defendant in a
virtual law library criminal case testifying falsely in his own behalf.
Under the provisions of General Orders No. 58 an
A question has been raised as to whether, admitting accused person may, if he so desires, testify under
that the provisions of the Penal Code touching oath in his own behalf, and in that event, "if he
perjury have been revived, the accused can be declares falsely as a witness in his own cause, like
convicted and penalized thereunder, it appearing any other witness, he incurs the penalty by which
43

false testimony" in criminal matters "is repressed himself from punishment. But when, as in the case
and punished." chanrobles virtual law library at bar, an accused person voluntarily goes upon the
witness stand and falsely imputes some other
It has been suggested that such a ruling will have a person the commission of a grave offense, it would
tendency to expose accused persons to vexatious seem to be highly proper that he should be called to
criminal prosecutions by prosecuting officers, who, account in a criminal action for perjury upon the
having failed to secure a conviction on the original complaint of the person against whom such false
charge, may be disposed to institute criminal charges are
prosecutions for perjury from a vindictive made.chanroblesvirtualawlibrary chanrobles virtual
unwillingness to let the defendant escape scot free law library
from the meshes of the law. It is said also that the
fear of subsequent prosecution for perjury will tend Article 319 of the Penal Code is as follows:
to embarrass accused persons in their efforts to
defend themselves by testifying in their own behalf. Any person who shall give false testimony in favor of
But similar objections may be advanced against the a defendant in a criminal case shall suffer a penalty
prosecution of any of the witnesses called for the ranging fromarresto mayor in its maximum degree
defense on charges of perjury, and it must not be to prision correccional in its medium degree and a
forgotten that the right of an accused person to fine of not less than three hundred and seventy-five
testify under oath in his own behalf is secured to and not more than three thousand seven hundred
him, not that he may be enabled to introduce false and fifty pesetas, if the case were for a felony, and
testimony into the record, but to enable him to the penalty of arresto mayor if it were for a
spread upon the record the truth as to any matter misdemeanor.
within his knowledge which will tend to establish his
innocence.chanroblesvirtualawlibrary chanrobles We conclude that the judgment of conviction
virtual law library entered in the court below should be affirmed but
that the sentence imposed therein should be
Of course much must be left to the good sense and reversed, and that giving the accused the benefit of
sound judgment of the prosecuting officer in the provisions of Act No. 2142, a penalty of 4
determining whether a prosecution for perjury months and 1 day of arresto mayor and a fine of P75
should be instituted against an accused person with subsidiary imprisonment as prescribed by law
whose testimony in his own behalf would seem to should be imposed upon him in lieu of that imposed
be perjured.chanroblesvirtualawlibrary chanrobles by the trial judge, with the costs of this instance de
virtual law library officio. So ordered.

Due regard for the situation in which an accused


person finds himself when testifying in his own Facts:
behalf in a criminal proceeding will restrain a Soliman, testifying in his on behalf in the course of another criminal case in which
prudent prosecuting officer from the filing of
he, with several others, was charged with estafa, swore falsely to certain material
charges of perjury in every case in which he may
have reason to believe that the accused has not allegations of fact. He testified falsely that a sworn statement offered in evidence in
adhered strictly to the truth, in his anxiety to shield support of the charge of estafa, which was in effect an extrajudicial confession of
44

his guilt, had not been executed voluntarily, and that its execution had not been Facts:
procured by the police by the use of force, intimidation and prolonged torture. The
> US Life issued a 20 yr endowment life policy on the joint lives of Patricio Soliman
trial judge who presided in the former case acquitted him on the ground that there and his wife Rosario, each of them being the beneficiary of the other.
was room for reasonable doubt. Soliman is however, guilty of perjury as defined
and penalized in Section 3 of Act No. 1697. However, since judgement was entered > In Mar. 1949, the spouses were informed that the premium for Jan 1949 was still
unpaid notwithstanding that the 31-day grace period has already expired, and they
on November 1915, section 3 of Act No. 1697 was expressly repealed by the
were furnished at the same time long-form health certificates for the reinstatement
enactment of the Administrative Code which was effective on july 1, 1916 and it has
of the policies.
been suggested that the judgement convicting and sentencing the accused under
the provisions of that statute should not be sustained and the repeal of the statute > In Apr 1949, they submitted the certificates and paid the premiums.
should be held to have the effect of remitting and extinguishing the criminal liability > In Jan. 1950, Rosario died of acute dilation of the heart, and thereafter, Patricio
of the accused incurred under the provisions of the repealed law prior to the filed a claim for the proceeds of the insurance.
enactment of the Administrative Code.
> US life denied the claim and filed for the rescission of the contract on the ground
that the certificates failed to disclose that Rosario had been suffering from
Issues:
bronchial asthma for 3 years prior to their submission.
(1) Whether or not the repeal of Section 3 of Act No. 1697 by the enactment of the
Administrative code had the effect of providing new and distinct penalties for the Issue:
commission of the crime of perjury.
Whether or not the contract can still be rescinded.
(2) Whether or not the new penalties are more favorable to the convict in the case
at bar than those imposed by the trial judge. Held:

Held: Yes.
(1) Section 3 of Act No. 1697, which defined and penalized the crime of perjury, The insurer is once again given two years from the date of reinstatement to
repealed the provisions of the Penal Code defining and penalizing the crime of investigate into the veracity of the facts represented by the insured in the
perjury, not expressly, but by implication, and we are of opinion that the repeal of application for reinstatement. When US life sought to rescind the contract on the
Act No. 1697 revived those provisions of the code. The old rule continues in force ground of concealment/misrepresentation, two years had not yet elapsed. Hence,
where a law which repeals a prior law, not expressly but by implication, it itself the contract can still be rescinded.
repealed; and that in such cases the repeal of the repealing law revives the prior
law, unless the language of the repealing statute provides otherwise. In the case at
bar, the express repeal of section 3 of Act No. 1697 by the enactment of the
Administrative Code (Act No. 2657) revived the provisions of the Penal Code
touching perjury, which were themselves repealed, not expressly but by
implication, by the enactment of Act No. 1697.
(2) The penalties prescribed in the Penal Code is less than that imposed in Section 3
of Act # 1697. Hence, the penalty imposed by the court below must be revoked and
the penalty prescribed in the Penal Code should be imposed.
45

THIRD DIVISION After hearing the evidence of both parties, the Insurance Commissioner
rendered judgment on August 9, 1977, dismissing petitioners' complaint.
G.R. No. 48049 June 29, 1989 (Rollo, pp. 91-92)

EMILIO TAN, JUANITO TAN, ALBERTO TAN and ARTURO TAN, petitioners, The Court of Appeals dismissed ' the petitioners' appeal from the Insurance
vs. Commissioner's decision for lack of merit
THE COURT OF APPEALS and THE PHILIPPINE AMERICAN LIFE INSURANCE
COMPANY, respondents. Hence, this petition.

GUTIERREZ, JR., J.: The petitioners raise the following issues in their assignment of errors, to wit:

This is a petition for review on certiorari of the Court of Appeals' decision affirming A. The conclusion in law of respondent Court that respondent insurer has
the decision of the Insurance Commissioner which dismissed the petitioners' the right to rescind the policy contract when insured is already dead is not
complaint against respondent Philippine American Life Insurance Company for the in accordance with existing law and applicable jurisprudence.
recovery of the proceeds from their late father's policy. The facts of the case as
found by the Court of Appeals are: B. The conclusion in law of respondent Court that respondent insurer may
be allowed to avoid the policy on grounds of concealment by the deceased
Petitioners appeal from the Decision of the Insurance Commissioner assured, is contrary to the provisions of the policy contract itself, as well
dismissing herein petitioners' complaint against respondent Philippine as, of applicable legal provisions and established jurisprudence.
American Life Insurance Company for the recovery of the proceeds of
Policy No. 1082467 in the amount of P 80,000.00. C. The inference of respondent Court that respondent insurer was misled
in issuing the policy are manifestly mistaken and contrary to admitted
On September 23,1973, Tan Lee Siong, father of herein petitioners, applied evidence. (Rollo, p. 7)
for life insurance in the amount of P 80,000.00 with respondent company.
Said application was approved and Policy No. 1082467 was issued effective The petitioners contend that the respondent company no longer had the right to
November 6,1973, with petitioners the beneficiaries thereof (Exhibit A). rescind the contract of insurance as rescission must allegedly be done during the
lifetime of the insured within two years and prior to the commencement of action.
On April 26,1975, Tan Lee Siong died of hepatoma (Exhibit B). Petitioners
then filed with respondent company their claim for the proceeds of the life The contention is without merit.
insurance policy. However, in a letter dated September 11, 1975,
respondent company denied petitioners' claim and rescinded the policy by The pertinent section in the Insurance Code provides:
reason of the alleged misrepresentation and concealment of material facts
made by the deceased Tan Lee Siong in his application for insurance
Section 48. Whenever a right to rescind a contract of insurance is given to
(Exhibit 3). The premiums paid on the policy were thereupon refunded.
the insurer by any provision of this chapter, such right must be exercised
previous to the commencement of an action on the contract.
Alleging that respondent company's refusal to pay them the proceeds of
the policy was unjustified and unreasonable, petitioners filed on November
After a policy of life insurance made payable on the death of the insured
27, 1975, a complaint against the former with the Office of the Insurance
shall have been in force during the lifetime of the insured for a period of
Commissioner, docketed as I.C. Case No. 218.
two years from the date of its issue or of its last reinstatement, the insurer
cannot prove that the policy is void ab initio or is rescindable by reason of
46

the fraudulent concealment or misrepresentation of the insured or his Insurer Philamlife could have presented as witness its Medical Examiner
agent. Dr. Urbano Guinto. It was he who accomplished the application, Part II,
medical. Philamlife did not.
According to the petitioners, the Insurance Law was amended and the second
paragraph of Section 48 added to prevent the insurance company from exercising a Philamlife could have put to the witness stand its Agent Bienvenido S.
right to rescind after the death of the insured. Guinto, a relative to Dr. Guinto, Again Philamlife did not. (pp. 138139,
Rollo)
The so-called "incontestability clause" precludes the insurer from raising the
defenses of false representations or concealment of material facts insofar as health This Honorable Supreme Court has had occasion to denounce the pressure
and previous diseases are concerned if the insurance has been in force for at least and practice indulged in by agents in selling insurance. At one time or
two years during the insured's lifetime. The phrase "during the lifetime" found in another most of us have been subjected to that pressure, that practice.
Section 48 simply means that the policy is no longer considered in force after the This court took judicial cognizance of the whirlwind pressure of insurance
insured has died. The key phrase in the second paragraph of Section 48 is "for a selling-especially of the agent's practice of 'supplying the
period of two years." information, preparing and answering the application, submitting the
application to their companies, concluding the transactions and
As noted by the Court of Appeals, to wit: otherwisesmoothing out all difficulties.

The policy was issued on November 6,1973 and the insured died on April We call attention to what this Honorable Court said in Insular Life v. Feliciano, et al.,
26,1975. The policy was thus in force for a period of only one year and five 73 Phil. 201; at page 205:
months. Considering that the insured died before the two-year period had
lapsed, respondent company is not, therefore, barred from proving that It is of common knowledge that the selling of insurance today is subjected
the policy is void ab initio by reason of the insured's fraudulent to the whirlwind pressureof modern salesmanship.
concealment or misrepresentation. Moreover, respondent company
rescinded the contract of insurance and refunded the premiums paid on Insurance companies send detailed instructions to their agents to solicit
September 11, 1975, previous to the commencement of this action on and procure applications.
November 27,1975. (Rollo, pp. 99-100)
These agents are to be found all over the length and breadth of the land.
The petitioners contend that there could have been no concealment or They are stimulated to more active efforts by contests and by the keen
misrepresentation by their late father because Tan Lee Siong did not have to buy competition offered by the other rival insurance companies.
insurance. He was only pressured by insistent salesmen to do so. The petitioners
state: They supply all the information, prepare and answer the applications, submit the
applications to their companies, conclude the transactions, and otherwise smooth
Here then is a case of an assured whose application was submitted out all difficulties.
because of repeated visits and solicitations by the insurer's agent. Assured
did not knock at the door of the insurer to buy insurance. He was the The agents in short do what the company set them out to do.
object of solicitations and visits.
The Insular Life case was decided some forty years ago when the pressure
Assured was a man of means. He could have obtained a bigger insurance, of insurance salesmanship was not overwhelming as it is now; when the
not just P 80,000.00. If his purpose were to misrepresent and to conceal population of this country was less than one-fourth of what it is now; when
his ailments in anticipation of death during the two-year period, he
certainly could have gotten a bigger insurance. He did not.
47

the insurance companies competing with one another could be counted by The evidence for respondent company shows that on September 19,1972,
the fingers. (pp. 140-142, Rollo) the deceased was examined by Dr. Victoriano Lim and was found to be
diabetic and hypertensive; that by January, 1973, the deceased was
In the face of all the above, it would be unjust if, having been subjected to complaining of progressive weight loss and abdominal pain and was
the whirlwind pressure of insurance salesmanship this Court itself has long diagnosed to be suffering from hepatoma, (t.s.n. August 23, 1976, pp. 8-
denounced, the assured who dies within the two-year period, should stand 10; Exhibit 2). Another physician, Dr. Wenceslao Vitug, testified that the
charged of fraudulent concealment and misrepresentation." (p. 142, Rollo) deceased came to see him on December 14, 1973 for consolation and
claimed to have been diabetic for five years. (t.s.n., Aug. 23,1976, p. 5;
The legislative answer to the arguments posed by the petitioners is the Exhibit 6) Because of the concealment made by the deceased of his
"incontestability clause" added by the second paragraph of Section 48. consultations and treatments for hypertension, diabetes and liver
disorders, respondent company was thus misled into accepting the risk and
approving his application as medically standard (Exhibit 5- C) and
The insurer has two years from the date of issuance of the insurance contract or of
dispensing with further medical investigation and examination (Exhibit 5-
its last reinstatement within which to contest the policy, whether or not, the
A). For as long as no adverse medical history is revealed in the application
insured still lives within such period. After two years, the defenses of concealment
form, an applicant for insurance is presumed to be healthy and physically
or misrepresentation, no matter how patent or well founded, no longer lie.
fit and no further medical investigation or examination is conducted by
Congress felt this was a sufficient answer to the various tactics employed by
respondent company. (t.s.n., April 8,1976, pp. 6-8). (Rollo, pp. 96-98)
insurance companies to avoid liability. The petitioners' interpretation would give
rise to the incongruous situation where the beneficiaries of an insured who dies
right after taking out and paying for a life insurance policy, would be allowed to There is no strong showing that we should apply the "fine print" or "contract of
collect on the policy even if the insured fraudulently concealed material facts. adhesion" rule in this case. (Sweet Lines, Inc. v. Teves, 83 SCRA 361 [1978]). The
petitioners cite:
The petitioners argue that no evidence was presented to show that the medical
terms were explained in a layman's language to the insured. They state that the It is a matter of common knowledge that large amounts of money are
insurer should have presented its two medical field examiners as witnesses. collected from ignorant persons by companies and associations which
Moreover, the petitioners allege that the policy intends that the medical adopt high sounding titles and print the amount of benefits they agree to
examination must be conducted before its issuance otherwise the insurer "waives pay in large black-faced type, following such undertakings by fine print
whatever imperfection by ratification." conditions which destroy the substance of the promise. All provisions,
conditions, or exceptions which in any way tend to work a forfeiture of the
policy should be construed most strongly against those for whose benefit
We agree with the Court of Appeals which ruled:
they are inserted, and most favorably toward those against whom they are
meant to operate. (Trinidad v. Orient Protective Assurance Assn., 67 Phil.
On the other hand, petitioners argue that no evidence was presented by
184)
respondent company to show that the questions appearing in Part II of the
application for insurance were asked, explained to and understood by the
There is no showing that the questions in the application form for insurance
deceased so as to prove concealment on his part. The same is not well
regarding the insured's medical history are in smaller print than the rest of the
taken. The deceased, by affixing his signature on the application form,
printed form or that they are designed in such a way as to conceal from the
affirmed the correctness of all the entries and answers appearing therein.
applicant their importance. If a warning in bold red letters or a boxed warning
It is but to be expected that he, a businessman, would not have affixed his
similar to that required for cigarette advertisements by the Surgeon General of the
signature on the application form unless he clearly understood its
United States is necessary, that is for Congress or the Insurance Commission to
significance. For, the presumption is that a person intends the ordinary
provide as protection against high pressure insurance salesmanship. We are limited
consequence of his voluntary act and takes ordinary care of his concerns.
in this petition to ascertaining whether or not the respondent Court of Appeals
[Sec. 5(c) and (d), Rule 131, Rules of Court].
48

committed reversible error. It is the petitioners' burden to show that the factual two years from the date of issue/reinstatement, REGARDLESS of whether the
findings of the respondent court are not based on substantial evidence or that its insured died before or after Jan. 1, 2003.
conclusions are contrary to applicable law and jurisprudence. They have failed to
discharge that burden.

WHEREFORE, the petition is hereby DENIED for lack of merit. The questioned 174 SCRA 403 – Mercantile Law – Insurance Law – Representation – Concealment
decision of the Court of Appeals is AFFIRMED. – Rescission of an Insurance Contract
In September 1973, Tan Lee Siong applied for a life insurance under the Philippine
SO ORDERED.
American Life Insurance Company (PHILAMLIFE). He stated in the application form
that he has no health issues whatsoever and so in November 1973 he was issued a
Facts:
life insurance policy in the amount of P80,000.00. He listed his sons as beneficiaries
> Tan Lee Siong was issued a policy by Philamlife on Nov. 6, 1973. (Emilio Tan et al). In April 1975, Tan Lee Siong died due to hepatoma. His sons filed
> On Aprl 26, 1975, Tan died of hepatoma. His beneficiaries then filed a claim with an insurance claim but PHILAMLIFE denied the same as it alleged that Tan Lee Siong
Philamlife for the proceeds of the insurance. concealed the fact that he was hypertensive, diabetic, and was suffering from
hepatoma at the time of his application for the insurance.
> Philamlife wrote the beneficiaries in Sep. 1975 denying their claim and rescinding
the contract on the ground of misrepresentation. The beneficiaries contend that The beneficiaries averred that PHILAMLIFE can no longer rescind the insurance
Philamlife can no longer rescind the contract on the ground of misrepresentation as contract because the insured is already dead. They invoke Section 48 of the
rescission must allegedly be done “during the lifetime of the insured” within two Insurance Code which they interpreted to mean that an insurer can only rescind an
years and prior to the commencement of the action following the wording of Sec. insurance contract during the lifetime of the insured; and that such rescission
48, par. 2.
should be done within two years prior to the filing of a suit involving the insurance.
Issue: ISSUE: Whether or not the interpretation of the Tan brothers is correct.
Whether or not Philamlife can rescind the contract. HELD: No. The pertinent section in the Insurance Code provides:

Held: Section 48: Whenever a right to rescind a contract of insurance is given to the
insurer by any provision of this chapter, such right must be exercised previous to the
YES. commencement of an action on the contract.
The phrase “during the lifetime” found in Sec. 48 simply means that the policy is no After a policy of life insurance made payable on the death of the insure shall have
longer in force after the insured has died. The key phrase in the second paragraph
been in force during the lifetime of the insured for a priod of two years from the
is “for a period of two years”.
date of its issue or of its last reinstatement, the insurer cannot prove that the policy
is void ab initio or is rescindable by reason of the fraudulent concealment or
What is a simpler illustration of the ruling in Tan v. CA? misrepresentation of the insured or his agent.

The period to consider in a life insurance poiicy is “two years” from the date of issue The so-called “incontestability clause” precludes the insurer from raising the
or of the last reinstatement. So if for example the policy was issued/reinstated on defenses of false representations or concealment of material facts insofar as health
Jan 1, 2000, the insurer can still exercise his right to rescind up to Jan. 1, 2003 or and previous diseases are concerned if the insurance has been in force for at least
49

two years during the insured’s lifetime. The phrase “during the lifetime” found in
Section 48 is “for a period of two years.”
Note that the policy was in force for only one year and 5 months when Tan Lee
Siong died. This means that PHILAMLIFE can still contest and rescind the policy
issued by reason of the misrepresentation made by Tan Lee Siong.
Further, because of Tan Lee Siong’s statement that he does not have any health
issues, the insurance company was misled into believing that he was healthy and so
it did not deem a medical checkup to be necessary and that ultimately led to the
issuance of the life insurance policy.

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