Beruflich Dokumente
Kultur Dokumente
F: Delia Sotero took out a life insurance policy from Bankers F: Atty. Jesus Jr. applied for life insurance with sun life. In
Life designating her niece, Aban as beneficiary. The Policy his application he stated he has previously sought for advice
had a face value of 100k, the requisite medical examination for kidney problems “1987, had undergone lithoprisy due to
and payment of premiums was done. kidney stone under Dr. Mendoza at the National Kidney
Institute, discharged after 3 days. No recurrence claimed”
After the insurance had been in effect for 2 yrs and 7
months, Sotero died. Thus Aban filed for a claim to get the Sun life approved the application and issued the
corresponding policy on 2/5/01 with a value of P1M should
proceeds of the policy. The Insurer investigated and found
the insured die on or before 2/5/21 or a sum of money if the
out that insured did not personally apply, she was already
insured is still alive. (basically an endowment policy)
sickly, did not sign the application of insurance and did not
have the capacity to pay for the premiums herself. May 11, 2001, Atty. Jesus died from a gunshot wound he
sustained in Iloilo. The beneficiaries then applied to claim
In short, Insurer denied the claim of the beneficiary Aban. the proceeds of the policy stating that the insured failed to
Petitioner filed for recession of the insurance contract on provide the details of his medical history and instead, issued
the premise of fraud CONCEALMENT and/or a check corresponding to the refund of premiums paid by
MISREPRESENTATION. Respondent then answered that the insured. Beneficiaries reiterated their claim through a
the petitioner is barred to claim such under article 48. letter but Sun Life refused and instead filed a case for
recession of contract before the RTC, Sun life claim that
The RTC ruled in favor of Aban (respondent) insured failed to disclose his treatment at the national
The CA then sustained the RTC. kidney institute in 1994 and was at a stage of “renal failure”.
The beneficiaries answered that no misrepresentation was
R: Sec. 48 serves a noble purpose as it regulates both the made by the deceased and the application form was done in
insurer and the insured. It gives the insurer a 2 year period good faith.
from the effectivity of the life insurance and while the
RTC – dismissed and ordered the payment of 1M to the
insured is still alive to discover or prove that the policy is
beneficiaries. No material concealment and
void ab initio or rescindable by virtue of concealment or
misrepresentation when he applied for life insurance.
misrepresentation. It also protects the insured from
unwarranted denial of their claims or delay in the CA – Affirm.
collection of their insurance proceeds.
R: Affirm, the SC reiterated the doctrine laid down in Aban.
The insurer is deemed to have the necessary facilities to
discover the concealment or misrepresentation within the In this case, the policy was in effect for 3 months upon
2 year period from effectivity or last reinstatement. issuance thereof. Upon the death of the insured, the insurer
loses its right to rescind the policy. As stated in Aban, the
After 2 years the defense of concealment or death of the insured within the 2 year period will render the
misrepresentation no matter how patent or well founded right of the insurer to rescind the policy nugatory. As such,
will no longer lie. the incontestable period will now set in.
Here the policy was in effect for 3 years, 7 months and 24 Nonetheless, the insured had admitted his medical treatment
for his kidney and he even authorized the insurer to
days. The insured died after 2 years thus the plaintiff was
investigate the matter. Thus Sun Life failed to clearly and
barred from proving the policy was a fraud, concealment
satisfactorily prove its allegations and is therefore liable to
or misrepresentation or even want of insurable interest
pay the proceeds of the insurance.
I: WON payment by installment of the premiums due on an F: Masagana took 5 polices from UCPB all of which are
insurance policy invalidates the contract of insurance? effective from “4pm of may 22, 1991 to 92”.
F: The insurer, American Home Assurance, issued June 13, 1992 the properties were razed by fire. On the same
Petitioner an insurance policy on the its property and day the respondent tendered payment which petitioner
building for 1 year from march 1, 1982 to 83 and for a total accepted which correspond to renewal premiums. That
premium of 466k which was paid on installments (4) which same day respondent demanded for indemnification for the
were all accepted by the insurer. burned properties which was denied by petitioners based on
the following grounds:
In 1983, the policy was renewed and the payments were 1. Policy was expired
made. In 1984 the policy was again renewed and was able 2. Payment was made after the buildings were burned
to make 2 installment payments then petitioner refused to
pay the remainder of the premiums. Insurer filed to collect Hence Masagana filed a case
the balance of the premiums. According to the insured the
contract they entered into was not binding as it did not I: Do we apply Section 77 strictly to petitioners advantage
contain any credit clause. despite its practice of granting a 60-90 day credit term for
payment of premiums?
The case was dismissed by the court, the CA then modified
the decision of the RTC and ordered the petitioner to pay R: While the import of Section 77, states that the payment
the balance of the premiums plus interests. of premiums is strictly required as a condition to the validity
of the contract. At the very least, both parties should be
R: Sec. 77 of the insurance code merely precludes the party deemed in estoppel to question the arrangement they have
from stipulating that the policy is valid even if premiums voluntarily accepted.
are not paid, however there is no prohibition on granting
credit extension, since such an agreement is not contrary to
morals, good customs, public order or public policy.
According to the lone eyewitness, the deceased was CA is affirmed, pay the beneficiary.
happy during the birthday of her mother. The deceased
was playing with his gun which he removed the
magazine. Deceased was fooling around and
eventually placed the gun to his temple and apparently
shot himself.
F: Evidence shows that Anco Enterprises Company (ANCO), a Third-Party defendant FGU prayed for the dismissal of the Third-
partnership between Ang Gui and Co To, was engaged in the Party Complaint and asked for actual, moral, and exemplary
shipping business. It owned the M/T ANCO tugboat and the D/B damages and attorneys fees.
Lucio barge which were operated as common carriers. Since the RTC: The trial court found that while the cargoes were indeed lost
D/B Lucio had no engine of its own, it could not maneuver by due to fortuitous event, there was failure on ANCOs part, through
itself and had to be towed by a tugboat for it to move from one their representatives, to observe the degree of diligence required
place to another. that would exonerate them from liability. The trial court thus held
On 23 September 1979, San Miguel Corporation (SMC) shipped the Estate of Ang Gui and Co To liable to SMC for the amount of
from Mandaue City, Cebu, on board the D/B Lucio, for towage the lost shipment. With respect to the Third-Party complaint, the
by M/T ANCO, the following cargoes: court a quo found FGU liable to bear Fifty-Three Percent (53%)
of the amount of the lost cargoes.
Bill of Lading No. Shipment Destination
CA: The appellate court affirmed in toto the decision of the lower
1 25,000 cases Pale Pilsen Estancia, Iloilo court and denied the motion for reconsideration and the
supplemental motion for reconsideration.
350 cases Cerveza Negra Estancia, Iloilo
ISSUE:
2 15,000 cases Pale Pilsen San Jose, Antique
Whether or not FGU can be held liable under the insurance policy
200 cases Cerveza Negra San Jose, Antique to reimburse ANCO for the loss of the cargoes despite the findings
The D/B Lucio was towed by the M/T ANCO all the way from of the respondent court that such loss was occasioned by the
Mandaue City to San Jose, Antique. The vessels arrived at San blatant negligence of the latters employees.
Jose, Antique, at about one o’clock in the afternoon of 30 HELD:
September 1979. The tugboat M/T ANCO left the barge
immediately after reaching San Jose, Antique. No.
When the barge and tugboat arrived at San Jose, Antique, in the The United States Supreme Court has made a distinction between
afternoon of 30 September 1979, the clouds over the area were ordinary negligence and gross negligence or negligence
dark and the waves were already big. The arrastre workers amounting to misconduct and its effect on the insureds right to
unloading the cargoes of SMC on board the D/B Lucio began to recover under the insurance contract. According to the Court,
complain about their difficulty in unloading the cargoes. SMCs while mistake and negligence of the master or crew are incident
District Sales Supervisor, Fernando Macabuag, requested ANCOs to navigation and constitute a part of the perils that the insurer is
representative to transfer the barge to a safer place because the obliged to incur, such negligence or recklessness must not be of
vessel might not be able to withstand the big waves. such gross character as to amount to misconduct or wrongful acts;
otherwise, such negligence shall release the insurer from liability
At about ten to eleven o’clock in the evening of 01 October 1979, under the insurance contract.
the crew of D/B Lucio abandoned the vessel because the barges
rope attached to the wharf was cut off by the big waves. At around In the case at bar, both the trial court and the appellate court had
midnight, the barge run aground and was broken and the cargoes concluded from the evidence that the crewmembers of both the
of beer in the barge were swept away. D/B Lucio and the M/T ANCO were blatantly negligent.
As a result, ANCO failed to deliver to SMCs consignee Twenty- This Court does not find any reason to deviate from the conclusion
Nine Thousand Two Hundred Ten (29,210) cases of Pale Pilsen drawn by the lower court, as sustained by the Court of Appeals,
and Five Hundred Fifty (550) cases of Cerveza Negra. that ANCOs representatives had failed to exercise extraordinary
diligence required of common carriers in the shipment of SMCs
As a consequence of the incident, SMC filed a complaint for cargoes. Such blatant negligence being the proximate cause of the
Breach of Contract of Carriage and Damages against ANCO. loss of the cargoes amounting to One Million Three Hundred
ANCO claimed however that it had an agreement with SMC that Forty-Six Thousand One Hundred Ninety-Seven Pesos
ANCO would not be liable for any losses or damages resulting to (P1,346,197.00).
the cargoes by reason of fortuitous event. Since the cases of beer This Court, taking into account the circumstances present in the
Pale Pilsen and Cerveza Negra were lost by reason of a storm, a instant case, concludes that the blatant negligence of ANCOs
fortuitous event which battered and sunk the vessel in which they employees is of such gross character that it amounts to a wrongful
were loaded, they should not be held liable. ANCO further act which must exonerate FGU from liability under the insurance
asserted that there was an agreement between them and SMC to contract.
insure the cargoes in order to recover indemnity in case of loss.
Pursuant to that agreement, the cargoes to the extent of Twenty WHEREFORE, premises considered, the Decision of the Court
Thousand (20,000) cases was insured with FGU Insurance of Appeals dated 24 February 1999 is hereby AFFIRMED with
Corporation (FGU) for the total amount of Eight Hundred Fifty- MODIFICATION dismissing the third-party complaint.
Eight Thousand Five Hundred Pesos (P858,500.00) per Marine
Insurance Policy No. 29591.
Subsequently, ANCO, with leave of court, filed a Third-Party
Complaint against FGU, alleging that before the vessel of ANCO
left for San Jose, Antique with the cargoes owned by SMC, the
cargoes, to the extent of Twenty Thousand (20,000) cases, were
insured with FGU for a total amount of Eight Hundred Fifty-Eight
Thousand Five Hundred Pesos (P858,500.00) under Marine
Insurance Policy No. 29591.
In its answer to the Third-Party complaint, third-party defendant
FGU admitted the existence of the Insurance Policy under Marine
Cover Note No. 29591 but maintained that the alleged loss of the
G.R. No. 185565, November 26, 2014 not possess the right to be indemnified and therefore, no
right to collect is passed on to the subrogee.
LOADSTAR SHIPPING COMPANY, INCORPORATED
AND LOADSTAR INTERNATIONAL SHIPPING
COMPANY, INCORPORATED, Petitioners, v. MALAYAN As regards the determination of actual damages, “[i]t is
INSURANCE COMPANY, INCORPORATED,Respondent. axiomatic that actual damages must be proved with
reasonable degree of certainty and a party is entitled only
to such compensation for the pecuniary loss that was duly
Facts:
proven. As Malayan is claiming for actual damages, it
Loadstar International Shipping, Inc. (Loadstar Shipping) bears the burden of proof to substantiate its claim. Actual
and Philippine Associated Smelting and Refining damages are not presumed. The claimant must prove the
Corporation (PASAR) entered into a Contract of actual amount of loss with a reasonable degree of
Affreightment for domestic bulk transport of the latter’s certainty premised upon competent proof and on the best
copper concentrates which were loaded in Cargo Hold Nos. evidence obtainable. Specific facts that could afford a
1 and 2 of MV “Bobcat”, a marine vessel owned by basis for measuring whatever compensatory or actual
Loadstar International Shipping Co., Inc. (Loadstar damages are borne must be pointed out. Actual damages
International) and operated by Loadstar Shipping under a cannot be anchored on mere surmises, speculations or
charter party agreement. The cargo was insured with conjectures.
Malayan Insurance Company, Inc. (Malayan).
The vessel’s chief officer on routine inspection found a It is not disputed that the copper concentrates carried by
crack on starboard side of the main deck which caused M/V Bobcat from Poro Point, La Union to Isabel, Leyte
seawater to enter and wet the cargo. Upon inspection, the were indeed contaminated with seawater. The issue lies
Elite Adjusters and Surveyor, Inc. (Elite Surveyor) on whether such contamination resulted to damage, and
confirmed that samples of copper concentrates from the costs thereof, if any, incurred by the insured PASAR.
Cargo Hold No. 2 were contaminated by seawater. In this case, Malayan, as the insurer of PASAR, neither
stated nor proved that the goods are rendered useless or
PASAR sent a formal notice of claim in the amount of unfit for the purpose intended by PASAR due to
[P]37,477,361.31 to Loadstar Shipping. On the basis of contamination with seawater. Hence, there is no basis for
the Elite Surveyor’s recommendation, Malayan paid the goods’ rejection under Article 365 of the Code of
PASAR the amount of [P]32,351,102.32. PASAR signed a Commerce. Clearly, it is erroneous for Malayan to
subrogation receipt in favor of Malayan. To recover the reimburse PASAR as though the latter suffered from total
amount paid and in the exercise of its right of subrogation, loss of goods in the absence of proof that PASAR sustained
Malayan demanded reimbursement from Loadstar such kind of loss.
Shipping, which refused to comply. Consequently, on
September 19, 2001, Malayan instituted with the RTC a
complaint for damages. In its complaint, Malayan mainly
alleged that as a direct and natural consequence of the
unseaworthiness of the vessel, PASAR suffered loss of the
cargo. Loadstar Shipping and Loadstar International
denied respondent’s allegations and averred that
respondent’s payment to PASAR, on the basis of the
latter’s fraudulent claim, does not entitle respondent
automatic right of recovery by virtue of subrogation.
Issue:
Ruling:
Due to the pipes being unfit for their purpose due to rusting,
the pipes were rejected by Sumitomo. A claim was filed
with Chubbs which settled the claim ($104k).
ISSUE:
RULING: