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College of Law
A.J. Villegas Street, Mehan Gardens, Ermita, Manila
Compliance in
by:
Joly Mae R. Mendoza
10-MJD-024
COLLATERAL SOURCE RULE
1
Black’s Law Dictionary, 6th Edition.
2
G.R. No. 175773, June 17, 2013.
The conditions set forth in the CBA implied an
intention of the parties to limit MMPC’s liability only to the
extent of the expenses actually incurred by their
dependents which excludes the amounts shouldered by
other health insurance companies. The condition that
payment should be direct to the hospital and doctor implies
that MMPC is only liable to pay medical expenses actually
shouldered by the employees’ dependents. It follows that
MMPC’s liability is limited, that is, it does not include the
amounts paid by other health insurance providers. This
condition is obviously intended to thwart not only
fraudulent claims but also double claims for the same loss
of the dependents of covered employees.
The Supreme Court further stated that since the
subject CBA provision is an insurance contract, the rights
and obligations of the parties must be determined in
accordance with the general principles of insurance law.
Being in the nature of a non-life insurance contract and
essentially a contract of indemnity, the CBA provision
obligates MMPC to indemnify the covered employees’
medical expenses incurred by their dependents but only up
to the extent of the expenses actually incurred. This is
consistent with the principle of indemnity which proscribes
the insured from recovering greater than the loss. Indeed,
to profit from a loss will lead to unjust enrichment and
therefore should not be countenanced.
Other Insurance
If a loss covered by this policy is also covered by other insurance,
we will pay only the proportion of the loss that the Limit of
Liability that applies under this policy bears to the total amount of
insurance covering the loss.
4
Geagonia vs. Court of Appeals, G.R. No. 114427, February 6, 1995.
5
Malayan Insurance Co., Inc., Petitioner, v. Philippines First Insurance Co., Inc. And Reputable
Forwarder Services, Inc., G.R. NO. 184300 - July 11, 2012
6
Property Insurance Coverage Law Blog, The Policy Holder’s Advocate.
Although there are exceptions, insurance policies
frequently contain language that limits the insurer’s
liability in the event that there is other insurance that
covers the same loss. Such provisions are commonly
referred to as “other insurance” clauses. The purpose
behind an “other insurance” clause is to control if and how
an insurer will cover a loss in the event that there is more
than one policy that provides coverage. The interplay
between other insurance clauses is only relevant if the
policies insure the same loss and either policy would cover
the loss if the other policy did not.
7
The Interplay Between “Other Insurance” Clauses by Julie Chenot Mayer.
(b) Where the policy under which the insured claims is a
valued policy, the insured must give credit as against the
valuation for any sum received by him under any other
policy without regard to the actual value of the subject
matter insured;
(c) Where the policy under which the insured claims is an
unvalued policy he must give credit, as against the full
insurable value, for any sum received by him under any
other policy;
(d) Where the insured receives any sum in excess of the
valuation in the case of valued policies, or of the insurable
value in the case of unvalued policies, he must hold such
sum in trust for the insurers, according to their right of
contribution among themselves;
(e) Each insurer is bound, as between himself and the
other insurers, to contribute ratably to the loss in
proportion to the amount for which he is liable under his
contract.
Prescriptive Period
SUPERCARGOES