Showing posts with label Insurance. Show all posts
Showing posts with label Insurance. Show all posts

Monday, October 10, 2022

New Zealand Ins. Co., vs. Intermediate Appellate Court [G.R. No. L-66596] Case Digest

 

 
 

New Zealand Ins. Co., vs. Intermediate Appellate Court

G.R. No. L-66596

Facts:

            A cargo of oats was consigned to Muller and Phipps (Manila) Ltd. The cargo was insured against all risks by The New Zealand Insurance Co., Ltd., the petitioner herein. When the cargo was discharged several cartons which contained the oats were in bad order. The consignee filed a claim against the insurer for the value of the damaged goods which the latter paid in the amount of 18,148 pesos. The insurer as subrogee of the consignee sued E. Razon, Inc., the respondent herein, who was the arrastre operator. The insurer demanded reimbursement in the amount of 17,025 pesos. The lower figure is due to the fact that the carrier responded for its share of the loss in the sum of 1,121 pesos.  CFI gave judgment in favor of the plaintiff.

            E. Razon, Inc. appealed the adverse decision to the Court of Appeals. The Intermediate Appellate Court which succeeded the Court of Appeals reversed the decision of the trial court "On the ground of prescription, appellee has no cause of action against the appellant."

            The New Zealand Insurance Co. argued in the appellate court that the bad order certificates which were issued by E. Razon, Inc. on March 23 and 24, 1972, served the purpose of a formal claim so that the claim was not filed out of time.

 

Issue:

            Whether the appellee has cause of action against the appellant.

 

Held:

            Yes, the examination undertaken by the defendant’s own inspector not only gave the defendant an opportunity to check the goods but is itself a verification of its own liability.

            In fact the respondent obliquely concedes the validity of the petitioner’s argument by stating that if the petition be given due course its liability should be in the reduced amount of 5,344 pesos only and not the amount found by the lower court. Considering that the instant petition is meritorious and the amount to be awarded is a question of fact said amount cannot be reduced at this stage.

 

Wednesday, September 28, 2022

Insular Life Assurance Company Ltd vs. Ebardo (G.R. No. L-44059) Case Digest

 

 

 

 

Insular Life Assurance Company Ltd. vs. Ebardo

G.R. No. L-44059.

 

Facts:

            Buenaventura Ebrado was issued by The Life Assurance Company on a whole-life for 5,882.00 pesos with a, rider for Accidental Death for the same amount Buenaventura Ebrado designated T. Ebrado as the revocable beneficiary in his policy. Buenaventura Ebrado died when he was hit by a failing branch of a tree. As the policy was in force, The Insular Life Assurance Co., Ltd. liable to pay the coverage in the total amount of 11,745.73 pesos.

            Carponia T. Ebrado filed with the insurer a claim for the proceeds of the Policy as the designated beneficiary therein, although she admits that she and the insured Buenaventura C. Ebrado were merely living as husband and wife without the benefit of marriage. Legal Wife Pascuala Ebrado also filed her claim as the widow of the deceased insured. She asserts that she is the one entitled to the insurance proceeds, not the common-law wife, Carponia T. Ebrado.

            The trial court rendered judgment declaring among others, Carponia T. Ebrado disqualified from becoming beneficiary of the insured Buenaventura Cristor Ebrado and directing the payment of the insurance proceeds to the estate of the deceased insured.

 

Issue:

            Whether common-law wife named as beneficiary in the life insurance policy of a legally married man can claim the proceeds thereof in case of death of the latter.

 

Held:

            NO. When not otherwise specifically provided for by the Insurance Law, the contract of life insurance is governed by the general rules of the civil law regulating contracts.  And under Article 2012 of the same Code, "any person who is forbidden from receiving any donation under Article 739 cannot be named beneficiary of a fife insurance policy by the person who cannot make a donation to him.  Common-law spouses are, definitely, barred from receiving donations from each other. Article 739 of the new Civil Code provides:

The following donations shall be void:

1. Those made between persons who were guilty of adultery or concubinage at the time of donation;

2. Those made between persons found guilty of the same criminal offense, in consideration thereof;

3. Those made to a public officer or his wife, descendants or ascendants by reason of his office.

In the case referred to in No. 1, the action for declaration of nullity may be brought by the spouse of the donor or donee; and the guilt of the donee may be proved by preponderance of evidence in the same action.

            In essence, a life insurance policy is no different from a civil donation insofar as the beneficiary is concerned. Both are founded upon the same consideration: liberality. A beneficiary is like a donee, because from the premiums of the policy which the insured pays out of liberality, the beneficiary will receive the proceeds or profits of said insurance. As a consequence, the proscription in Article 739 of the new Civil Code should equally operate in life insurance contracts. The mandate of Article 2012 cannot be laid aside: any person who cannot receive a donation cannot be named as beneficiary in the life insurance policy of the person who cannot make the donation.

            Policy considerations and dictates of morality rightly justify the institution of a barrier between common law spouses in record to Property relations since such hip ultimately encroaches upon the nuptial and filial rights of the legitimate family There is every reason to hold that the bar in donations between legitimate spouses and those between illegitimate ones should be enforced in life insurance policies since the same are based on similar consideration As above pointed out, a beneficiary in a fife insurance policy is no different from a donee. Both are recipients of pure beneficence. So long as manage remains the threshold of family laws, reason and morality dictate that the impediments imposed upon married couple should likewise be imposed upon extra-marital relationship. If legitimate relationship is circumscribed by these legal disabilities, with more reason should an illicit relationship be restricted by these disabilities.

Constantino vs Asia Life Insurance Company (G.R. No. L-1669) Case Digest

 

 

 

Constantino vs. Asia Life Insurance Company

G.R. No. L-1669.

 

Facts:

            In consideration of the sum of 176.04 pesos as annual premium duly paid to it, the Asia Life Insurance Company; whereby it insured the life of Arcadio Constantino for a term of twenty years. The first premium covered the period up to September 26, 1942. The plaintiff Paz Lopez de Constantino was regularly appointed beneficiary.

                After that first payment, no further premiums were paid. The insured died on September 22, 1944. It is admitted that the defendant, being an American corporation, had to close its branch office in Manila by reason of the Japanese occupation, i.e. from January 2, 1942, until the year 1945.

                Plaintiffs maintain that, as beneficiaries, they are entitled to receive the proceeds of the policies minus all sums due for premiums in arrears. They allege that non-payment of the premiums was caused by the closing of defendant's offices in Manila during the Japanese occupation and the impossible circumstances created by war. The lower court absolved the defendant. Hence this appeal.

 

Issue:

            Whether the beneficiary in a life insurance policy may recover the amount thereof although the insured died after repeatedly failing to pay the stipulated premiums, such failure having been caused by the last war in the Pacific.

 

Held:

            No. Since the year 1917, the Philippine law on Insurance was found in Act Number 2427, as amended, and the Civil Code. Act Number 2427 was largely copied from the Civil Code of California.  Pursuant to the express terms of the policy, non-payment of premium produces its avoidance.

                Professor Vance of Yale, in his standard treatise on Insurance, says that in determining the effect of non-payment of premiums occasioned by war, the American cases may be divided into three groups, according as they support the so-called Connecticut Rule, the New York Rule, or the United States Rule.

                The first holds the view that "there are two elements in the consideration for which the annual premium is paid — first, the mere protection for the year, and second, the privilege of renewing the contract for each succeeding year by paying the premium for that year at the time agreed upon. According to this view of the contract, the payment of premiums is a condition precedent, the non-performance would be illegal necessarily defeats the right to renew the contract."

                The second rule, apparently followed by the greater number of decisions, hold that "war between states in which the parties reside merely suspends the contracts of the life insurance, and that, upon tender of all premiums due by the insured or his representatives after the war has terminated, the contract revives and becomes fully operative."

                The United States rule declares that the contract is not merely suspended, but is abrogated by reason of non-payments is peculiarly of the essence of the contract. It additionally holds that it would be unjust to allow the insurer to retain the reserve value of the policy, which is the excess of the premiums paid over the actual risk carried during the years when the policy had been in force. This rule was announced in the well-known Statham case which, in the opinion of Professor Vance, is the correct rule.

                The appellants and some amici curiae contend that the New York rule should be applied here. The appellee and other amici curiae contend that the United States doctrine is the orthodox view.

                We have read and re-read the principal cases upholding the different theories. Besides the respect and high regard we have always entertained for decisions of the Supreme Court of the United States, we cannot resist the conviction that the reasons expounded in its decision of the Statham case are logically and judicially sound. Like the instant case, the policy involved in the Statham decision specifies that non-payment on time shall cause the policy to cease and determine. Reasoning out that punctual payments were essential, the court said:

                . . . it must be conceded that promptness of payment is essential in the business of life insurance. All the calculations of the insurance company are based on the hypothesis of prompt payments. They not only calculate on the receipt of the premiums when due, but on compounding interest upon them. It is on this basis that they are enabled to offer assurance at the favorable rates they do. Forfeiture for non-payment is a necessary means of protecting themselves from embarrassment. Unless it were enforceable, the business would be thrown into confusion. It is like the forfeiture of shares in mining enterprises, and all other hazardous undertakings. There must be power to cut-off unprofitable members, or the success of the whole scheme is endangered. The insured parties are associates in a great scheme. This associated relation exists whether the company be a mutual one or not. Each is interested in the engagements of all; for out of the co-existence of many risks arises the law of average, which underlies the whole business. An essential feature of this scheme is the mathematical calculations referred to, on which the premiums and amounts assured are based. And these calculations, again, are based on the assumption of average mortality, and of prompt payments and compound interest thereon. Delinquency cannot be tolerated nor redeemed, except at the option of the company. This has always been the understanding and the practice in this department of business. Some companies, it is true, accord a grace of thirty days, or other fixed period, within which the premium in arrear may be paid, on certain conditions of continued good health, etc. But this is a matter of stipulation, or of discretion, on the part of the particular company. When no stipulation exists, it is the general understanding that time is material, and that the forfeiture is absolute if the premium be not paid. The extraordinary and even desperate efforts sometimes made, when an insured person is in extremes to meet a premium coming due, demonstrates the common view of this matter.

                It should be noted that the parties contracted not only for peacetime conditions but also for times of war, because the policies contained provisions applicable expressly to wartime days. The logical inference, therefore, is that the parties contemplated uninterrupted operation of the contract even if armed conflict should ensue.

                After perusing the Insurance Act, we are firmly persuaded that the non-payment of premiums is such a vital defense of insurance companies that since the very beginning, said Act number 2427 expressly preserved it, by providing that after the policy shall have been in force for two years, it shall become incontestable (i.e. the insurer shall have no defense) except for fraud, non-payment of premiums, and military or naval service in time of war (sec. 184 [b], Insurance Act). And when Congress recently amended this section (Rep. Act Number 171), the defense of fraud was eliminated, while the defense of non-payment of premiums was preserved. Thus the fundamental character of the undertaking to pay premiums and the high importance of the defense of non-payment thereof, was specifically recognized.

                In keeping with such legislative policy, we feel no hesitation to adopt the United States Rule, which is in effect a variation of the Connecticut rule for the sake of equity. In this connection, it appears that the first policy had no reserve value, and that the equitable values of the second had been practically returned to the insured in the form of loan and advance for premium.