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INSURANCE
ACP MARY EILLEN F. CHINTE-CABRERA
SY 2019-2020
CHAPTER ONE
INTRODUCTION TO PHILIPPINE INSURANCE LAW
A. Definition. A contract of insurance is an agreement whereby one (insurer) undertakes
for a consideration (premium) to indemnify another (insured) against loss, damage or liability
arising from an unknown or contingent event. 1
Cases:
o GULF RESORTS, INC. V. PHILIPPINE CHARTER INSURANCE CORP., G.R. NO. 156167,
MAY 16, 2005
o WHITE GOLD MARINE SERVICES, INC. V. PIONEER INSURANCE AND SURETY CORP.,
G.R. NO. 154514, JULY 28, 2005
o REPUBLIC VS. DEL MONTE MOTORS, INC., G.R. NO. 156956, OCTOBER 9, 2006.
Case:
o PHILAMCARE HEALTH SYSTERMS INC VS. COURT OF APPEALS, GR NO. 125678,
MARCH 18, 2002
1
Sec. 2(a), RA 10607.
2
To be discussed further under Chapter Two
3
To be discussed further under Chapter Two
Universidad De Manila COLLEGE OF LAW
INSURANCE
ACP MARY EILLEN F. CHINTE-CABRERA
SY 2019-2020
CHAPTER TWO
THE CONTRACT OF INSURANCE
(CHAPTER 1, RA 10607)
A. What may be insured (Sec. 3-5, RA 10607)
a) Married individuals
b) Minors
c) Lottery; Insurance distinguished from gambling
(a) Exception: if such right was expressly waived in the policy like when the
designation of beneficiary was “irrevocable”
(b) Exception to the exception: Art. 739, Civil Code, and Art. 43, 63 Family Code
CASES:
o LALICAN V. INSULAR LIFE ASSURANCE CO. LTD., 597 SCRA 159 AUGUST 25, 2009
o GERCIO V. SUN LIFE ASSURANCE CO. OF CANADA, 48 PHIL 53, SEPTEMBER 28,
1925
o PHILIPPINE AMERICAN LIFE INSURANCE COMPANY V. PINEDA, 175 SCRA 416, JULY
19, 1989
o HEIRS OF LORETO C. MARAMAG V. MARAMAG, 588 SCRA 774, JUNE 5, 2009
o GAISANO CAGAYAN V. INSURANCE COMPANY OF NORTHERN AMERICA, 490 SCRA
286, JUNE 8, 2006
o FILIPINO MERCHANTS INSURANCE CO. V. CA, 179 SCRA 698, NOVEMBER 28, 1989-
1991 BAR
o ONG LIM SING V. FEB LEASING, 524 SCRA 333, JUNE 8, 2007
o GAISANO CAGAYAN V. INSURANCE COMPANY OF NORTHERN AMERICA, 490 SCRA
286, JUNE 8, 2006
o CHA V. CA, 277 SCRA 690, AUGUST 18, 1997-2009 BAR
o SAN MIGUEL BREWERY V. LAW UNION & ROCK INSURANCE CO. (LTD.), 40 PHIL 674,
JANUARY 19, 1920
CHAPTER THREE
PERFECTION OF INSURANCE CONTRACT
A. Perfection of Insurance Contract
1. Application
2. Issuance of policy
3. Receipt of policy
4. Payment of premium
4. Rider
5. Clause
7. Kinds of Policy: open, valued and running policy (Secs. 59-62, RA 10607)
Cases:
o LALICAN V. INSULAR LIFE ASSURANCE CO. LTD., 597 SCRA 159 AUGUST 25, 2009
o TANG V. CA, 90 SCRA 236, MAY 25, 1979
o JARQUE V. UNION FIRE INSURANCE CO., 56 PHIL 758, NOVEMBER 11, 1930
o PACIFIC TIMBER EXPORT CORP. V. CA, 112 SCRA 199, FEBRUARY 25, 1982
o GREAT PACIFIC LIFE ASSURANCE V. CA, 89 SCRA 543, APRIL 30, 1979
o DE LIM V. SUN LIFE ASSURANCE OF CANADA, 41 PHIL 263, NOVEMBER 29, 1920
o DEVELOPMENT INSURANCE CORP V. IAC, 143 SCRA 62, JULY 16, 1986
o GREAT PACIFIC LIFE ASSURANCE V. CA, 316 SCRA 677, OCTOBER 13, 1999
o SUN INSURANCE OFFICE, LTD. V. CA, 195 SCRA 193, MATCH 13, 1991
o AGRICULTURAL CREDIT & COOPERATIVE FINANCING ADMINISTRATION (ACCFA) V. ALPHA
INSURANCE & SURETY CO., INC., 24 SCRA 151, JULY 29, 1968
o EAGLE STAR INSURANCE CO., LTD. V. CHIA YU, 96 PHIL 696, MARCH 31, 1955
o MALAYAN INSURANCE CO., INC. V. ARNALDO, OCTOBER 12, 1987
Universidad De Manila COLLEGE OF LAW
INSURANCE
ACP MARY EILLEN F. CHINTE-CABRERA
SY 2019-2020
CHAPTER FOUR
PAYMENT OF PREMIUM
(Sec. 77-84, RA 10607)
A. General Rule: A policy is not valid and binding if the insurance premium
has not been paid. Exception:
a) In life and industrial life insurance policy when there is grace period
b) When there is a broker and agency agreement to that effect with 90 day extension
c) When there is acknowledgment in the policy of receipt of premium (Sec. 79, RA
10607)
d) When the payment of premium is by installment and a partial payment has been
made
e) When credit extension has been provided
f) Estoppel
CHAPTER FIVE
DEVICES USED FOR ASCERTAINING AND
CONTROLLING RISK AND LOSS
A. Concealment (Sec. 26-35, RA 10607)
1. Concealment defined. A neglect to communicate that which a party
knows and ought to communicate, is called a concealment (Sec. 26,
RA 10607).
2. Effect. A concealment whether intentional or unintentional entitles
the injured party to rescind a contract of insurance (Sec. 26, RA
10607). An intentional and fraudulent omission, on the part of one
insured, to communicate information of matters proving or tending to
prove the falsity of a warranty, entitles the insurer to rescind (Sec.
29, RA 10607).
3. General rule: Each party to a contract of insurance must
communicate to the other, in good faith, all facts within his
knowledge which are material to the contract and as to which he
makes no warranty, and which the other has not the means of
ascertaining (Sec. 28, RA 10607). Exception: Neither party to a
contract of insurance is bound to communicate information of the
matters following, except in answer to the inquiries of the other (Sec.
30, RA 10607):
a) Those which the other knows;
b) Those which, in the exercise of ordinary care, the
other ought to know, and of which the former has no
reason to suppose him ignorant;
c) Those of which the other waives communication;
d) Those which prove or tend to prove the existence of
a risk excluded by a warranty, and which are not
otherwise material; and
e) Those which relate to a risk excepted from the policy
and which are not otherwise material.
Cases:
o NG GAN ZEE V. ASIAN CRUSADER LIFE ASSN. CORP., 122 SCRA 461, G.R. NO. 30685, MAY 30,
1983
o VDA. DE CANILANG V. CA, 223 SCRA 443, G.R. NO. 92492, JUNE 17, 1993
o SUNLIFE ASSURANCE OF CANADA V. CA, G.R. NO. 105135, JUNE 22, 1995
o MALAYAN INSURANCE CO., INC. V. PAP CO., LTD., G.R. NO. 200784, AUGUST 7, 2013
o FLORENDO V. PHILAM PLANS, INC., G.R. NO. 186983, FEBRUARY 22, 2012
o GREPALIFE V. CA, 89 SCRA 543, APRIL 30, 1979
o SATURNINO V. PHILAMLIFE, 7 SCRA 316, G.R. NO. 16163, FEBRUARY 28, 1963
o PHILAMCARE V. CA, 379 SCRA 356, MARCH 18, 2002
o GREPALIFE V. CA, 303 SCRA 113, OCTOBER 13, 1999
o EDILLON V. MANILA BANKERS LIFE INSURANCE CORP., G.R. NO. 34200, SEPTEMBER 30,
1982
o PHILAMCARE HEALTH SYSTEMS, INC. V. COURT OF APPEALS, G.R. NO. 125678, MARCH 18,
2002
B. Condition.
After a policy of life insurance made payable on the death of the insured shall
have been in force during the lifetime of the insured for a period of two (2) 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 the fraudulent
Universidad De Manila COLLEGE OF LAW
INSURANCE
ACP MARY EILLEN F. CHINTE-CABRERA
SY 2019-2020
Cases:
o THE INSULAR LIFE ASSURANCE COMPANY, LTD. V. FELICIANO, G.R. NO. 47593, DECEMBER
29, 1943
o SATURNINO V. THE PHILIPPINE AMERICAN LIFE INSURANCE COMPANY, G.R. NO. 16163,
FEBRUARY 28, 1963
o EDILLON V. MANILA BANKERS LIFE INSURANCE CORPORATION, G.R. NO. 34200,
SEPTEMBER 30, 1982
o SPS. HARDING VS. COMMERCIAL UNION ASSURANCE CO., 38 PHIL. 469, AUGUST 10, 1918
o ARGENTE VS. WEST COAST LIFE INSURANCE CO., 51 PHIL. 725, MARCH 19, 1928
o TAN CHAY HENG VS. WEST COAST LIFE INSURANCE CO., 51 PHIL. 80, NOVEMBER 21, 1927
o MANILA BANKERS LIFE INSURANCE CORP. VS. ABAN, G.R. NO. 175666, JUNE 29, 2013
D. Exceptions
Cases:
o PRUDENTIAL GUARANTEE & ASSURANCE, INC. V. TRANS-ASIA SHIPPING LINES, INC., 491
SCRA 411, JUNE 20, 1996
o YOUNG V. MIDLAND TEXTILE INSURANCE CO., 30 PHIL 617, MARCH 31, 1915
o MALAYAN INSURANCE CO., INC. V. PAP CO., LTD., G.R. NO. 200784, AUGUST 7, 2013
o BACHRACH V. BRITISH AMERICAN ASSURANCE CO., 17 PHIL 555, DECEMBER 20, 1910
o QUA CHEE GAN V. LAW UNION & ROCK INSURANCE CO., LTD., 98 PHIL 85, DECEMBER 17,
1955
o UNION MANUFACTURING CO., INC. V. PHILIPPINE GUARANTY CO., INC., 47 SCRA 276,
OCTOBER 30, 1972
o NEW LIFE ENTERPRISES V. CA, 207 SCRA 669, MARCH 31, 1992
o UNITED MERCHANTS CORP. V. COUNTRY BANKERS INSURANCE INC., G.R. NO. 198588, JULY
11, 2012
Universidad De Manila COLLEGE OF LAW
INSURANCE
ACP MARY EILLEN F. CHINTE-CABRERA
SY 2019-2020
CHAPTER SIX
LOSS, NOTICE OF LOSS AND FILING OF CLAIMS
o UNITED MERCHANTS CORP. V. COUNTRY BANKERS INSURANCE CORP., G.R. NO. 198588,
JULY 11, 2012
o DBP POOL OF ACCREDITED INSURANCE COMPANIES VS. RMN, 480 SCRA 314, JANUARY 27,
2006
o RUSSEL VS. GERMAN FIRE INSURANCE CO., 11 N.W. 400
o PARIS-MANILA PERFUME CO. VS. PHOENIX ASSURANCE COMPANY, 49 PHIL. 753,
DECEMBER 17, 1926
o FGU INSURANCE CORP. VS. CA, 454 SCRA 337, MARCH 31, 2005
o WILLIAMS VS. NEW ENGLAND INSURANCE CO., 3 CLIFF. 244, FED. CAS. NO. 17,731
o FGU INSURANCE CORP. VS. CA, 454 SCRA 337, MARCH 31, 2005
Cases:
Effect of fraudulent claim
o UNITED MERCHANTS CORP. VS. COUNTRY BANKERS INSURANCE INC., G.R. NO. 198588,
JULY 11, 2012
o YU CUA VS. SOUTH BRITISH INSURANCE CO., OCTOBER 27, 1920, 41 PHIL. 134
o GO LU VS. YORKSHIRE INSURANCE CO., JULY 25, 1922, 43 PHIL. 633
o TUASON VS. NORTH CHINA INSURANCE CO., DECEMBER 16, 1924, 47 PHIL. 14
o SHARRUF & CO., VS. BALOISE FIRE INSURANCE CO., MARCH 30, 1937, 64 PHIL 258
o YU BAN CHUAN VS. FIELDMEN’S INSURANCE, CO., INC., JUNE 29, 1965, 121 PHIL. 1275
o VERENDIA VS. CA, 22 JANUARY 1993, 217 SCRA 417
o UY HU & CO. VS. THE PRUDENTIAL ASSURANCE CO., LTD., DECEMBER 16, 1927, 51 PHIL. 231
C. Prescription
1. Sec. 397, RA 10607
Universidad De Manila COLLEGE OF LAW
INSURANCE
ACP MARY EILLEN F. CHINTE-CABRERA
SY 2019-2020
CHAPTER SEVEN
DOUBLE INSURANCE, REINSURANCE
Cases:
o GEAGONIA VS. CA, FEBRUARY 6, 1995, 241 SCRA 152
o MALAYAN INSURANCE CO., INC. VS. PHILIPPINES FIRST INSURANCE CO., INC., G.R. NO.
184300, JULY 11, 2012
o MALAYAN INSURANCE CO., INC. VS. PHILIPPINES FIRST INSURANCE CO., INC., G.R. NO.
184300, JULY 11, 2012
CHAPTER EIGHT
CLASSES OF INSURANCE
(Chapter II, RA 10607)
CHAPTER NINE
A. Fire Insurance (Sec. 169 – 175, RA 10607)
1. Extent of Liability
2. Alteration
o MALAYAN INSURANCE CO., INC. VS. PAP CO., LTD. G.R. NO. 200784, AUGUST 7, 2013 - 2014 BAR
CHAPTER TEN
A. Suretyship (Sec. 177 – 180, RA 10607)
Cases:
o NASSCO VS. TORRENTO, JUNE 26, 1967, 20 SCRA 427
o AMERICAN HOME INSURANCE CO. VS. F. F. CRUZ: AUGUST 10, 2011, 655 SCRA 248
o PHILIPPINE EXPORT AND FOREIGN LOAN GUARANTEE CORPORATION VS. V.P. EUSEBIO
CONSTRUCTION, INC., 434 SCRA 202, JULY 13, 2004
CHAPTER ELEVEN
A. THE BUSINESS OF INSURANCE (Sec. 190-306, RA 10607)