Court of Appeals and Oriental Assurance Corporatino
G.R. No. L-41014. November 28, 1988.
Facts: A Fire Policy was issued by Oriental Assurance Corp. to Paramount Shirt Manufacturing Co. for P61,000.00 caused by fire to the latters materials, supplies, etc. Paramount was indebted to Pacific Banking Corp. (PBC). The policy was duly endorsed to PBC as mortgagee/trustor of the properties insured, with knowledge and consent of Oriental, such that any loss shall be payable to PBC. A fire broke out destroying some goods. PBC sent a letter of demand to Oriental, but PBC was told that it had not yet filed any claim with Oriental, or submitted proof of loss, which is a clear violation of the policy. PBC filed an action for sum of money against Oriental. On appeal to the SC, Oriental raised the issue that Paramount procured additional insurances other than those stated in the policy, and that PBC failed to file the required proof of loss prior to court action.
Held: Paramount is guilty of fraud. The insured failed to reveal before the loss three other insurances. The insured had been guilty of a false declaration; a clear misrepresentation and a vital one because where the insured had been asked to reveal but did not, that was deception. As the insurance policy against fire expressly required that notice should be given by the insured of other insurance upon the same property, the total absence of such notice nullifies the policy.
PBC is precluded from claiming the amount stated in the policy. Where the insured who is primarily entitled to receive the proceeds of the policy has by its fraud and/or misrepresentation, forfeited said right, with more reason PBC which is merely claiming as indorsee of said insured, cannot be entitled to such proceeds.
The case was prematurely filed. Generally, the cause of action on the policy accrues when the loss occurs, but, as in this case, when the policy provides that no action shall be brought unless the claim is first presented extrajudicially in the manner provided in the policy, the cause of action will accrue from the time the insurer finally rejects the claim for payment. Since the required claim by the insured had not been complied with, it follows that Oriental could not be deemed to have finally rejected PBCs claim and therefore the latter's cause of action had not yet arisen.