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PERFECTION OF AN
INSURANCE CONTRACT
Binding Receipt
Cover Note
Riders
Clauses
Endorsements
POLICY OF INSURANCE
Contents
As to recovery Kinds of Policy Open,
Valued, Running)1
Who may be insurers
Insurers may be partnerships,
associations orcorporations who are dulyauthorized by the IC to engage in
insurance business - S190 to 193
ICP
2
"Insurers" do not include
"individuals" so anindividual natural person
cannot be an insurer.
3
The term "insurer" includes
the following:
(1)Professional reinsurer
- Any person, partnership,
association or corporation
that exclusively transacts in
reinsurance in the
Philippines.
4
(2) Mutual insurance companies
- Insurance companies which insureeach other
(3) Cooperatives(a) Must have sufficient capital
requirements under regulations issuedby the commission
(b) Must have a certificate of authorityissued by the commission whichshould be renewed every year
5
(4) Foreign insurancecorporations
The ICP now allows foreign insurancecorporations to conduct business in the
Philippines provided the followingrequirements are met:
(a) Appointment of resident agent to servenotices, proof of loss and summons;
(b) Unimpaired paid-up capital of P1 billion
pesos
(c) Deposit as security for policy holdersand securities to satisfy the commission;
(d) Investments should not exceed 20% ofits net worth or 20% of its capital. 6
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MUTUAL INSURANCE
COMPANY
- A cooperative enterprise where the
members are both the insurer and
insured.
- Members contribute, by a system of
premiums or assessments, to the
creation of a fund from which all
losses and liabilities are paid, and
where the profits are divided among
themselves, in proportion to their
interest.7
Certificate of authorityNo insurance company can
transact business in the
Philippines until it obtains a
certificate of authority.
It is issued by the insurance
commissioner and expires on the
last day of December,
3 years after issuance and
renewable every three years
thereafter.8
Beneficiary
Person designated to
receive the proceeds of
the policy when risk
attaches.
9
Designation of the
beneficiary
General rule -
When one insures his own life,
he may designate ANY person
as the beneficiary whether or
not the beneficiary has
insurable interest in the life of
the insured.
10
(b) Exceptions
Art. 739 in relation to Art. 2012 NCC.
i) Made between persons guilty of
adultery or concubinage at the time ofdonation,
- Actual conviction is not necessary;
ii) Between persons found guilty of thesame criminal offense or inconsideration of it;
iii) Made to a public officer, his wife,descendants, ascendants by reason ofhis office.
11
Article 2012, NCC disqualification
APPLIES to life insurance and the
insurance contract itself remains
valid, ONLY the designation of
beneficiary is VOID.
12
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Note that when the
insurance falls in the
exceptions, only thedesignation is void.
The contract itself is
binding and the proceeds
will go to the estate.
13
Forfeiture in life insurance policy
(a) The interest of a beneficiary in alife insurance policy is forfeitedwhen the beneficiary is theprincipal, accomplice or accessory
in willfully bringing about the deathof the insured, in which case, theforfeited share will be disposed inthe following order of priority:
i) other beneficiaries, unlessdisqualified;
ii) based on the stipulations in thepolicy;
iii) silent policy, estate.14
Generally revocable
The designation of a
beneficiary is revocable
unless the right to revoke
is expressly waived in the
policy.
15
Various rules in revocability
and irrevocability
i) The innocent spouse can
revoke the designation of
the guilty spouse
notwithstanding stipulated
irrevocability after legal
separation
16
ii) When the contract isIRREVOCABLE, the
insured cannot assign
the beneficiary as the
beneficiary has a vested
right.
17
iii) Without waiver of right torevoke based on Section
181 of the ICP, the
assignment of the policy is
considered as IMPLIED
REVOCATION.
18
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Effects of Irrevocable
Designation Of Beneficiary
Insured cannot:
1. Assign the policy
2. Take the cash surrender
value of the policy
3. Allow his creditors to
attach or execute on the
policy;
19
Effects of Irrevocable
Designation Of Beneficiary
Insured cannot:
4. Add new beneficiary; or
5. Change the irrevocable
designation to revocable,
even though the change is
just and reasonable.
20
Effects of Irrevocable
Designation Of Beneficiary
The insured does not even retain
the power to destroy the contract
by refusing to pay the premiums
for the beneficiary can protect his
interest by paying such premiums
for he has an interest in the
fulfillment of the obligation.
21
iv) If the insured refuses to
pay the premiums, the
designated irrevocable
beneficiary may continue
the policy by paying the
premium.
22
Minor as beneficiary in life insurance
(1) Who can act in behalf of minor
(a)Generally, the JUDICIAL GUARDIAN.
In the absence of a judicial guardian,
the father, mother without necessity
of a bond when the proceeds do not
exceed 500 thousand or in a
reasonable amount determined by
the commissioner.
23
SUBSTITUTE OF PARENTS
- In the absence or incapacity of
father or mother; the grandparent,
eldest brother or sister at least 18years old, or any relative who has
custody of the minor insured or
beneficiary, shall act as a guardian
without need of a court order of a
judicial appointment as guardian as
long as he is not disqualified or
incapacitated.
- Payment made by the insurer to him,
relieves the insurer of any liability. 24
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Illegitimate children as
beneficiary - The designation
of an illegitimate children as
beneficiary in a deceased
father's (perhaps, mother too)insurance policy is valid since
there is no legal prohibition
that bars
illegitimate c h i l d r e n from
b e i n g d e s i g n a t e d as
beneficiaries25
SURETYSHIP- An agreement whereby a party called
the surety, guarantees the performanceby another party, called the principal or
obligor, of an obligation or undertakingin favor of another party called theobligee.
- The liability of the surety is joint andseveral but is limited to the amount ofthe bond.
- Its terms are determined strictly by theterms of the contract of suretyship inrelation to the principal contractbetween the obligor and the obligee. 26
SURETYSHIP- American Home Insurance Co. of New
York vs. F.F. Cruz & Co., Inc., 655
SCRA 248, August 10, 2011
- Although the contract of suretyship is, in
essence, secondary only to a valid
principal obligation, the suretys liability
to the creditor is DIRECT, PRIMARY, and
ABSOLUTE; hence, he becomes liable for
the debt and duty of another although he
possesses no direct or personal interestover the obligations nor does he receive
any benefit therefrom.27
A suretyship is different from a
contract of insurance but a
suretyship shall be deemed an
insurance contract only if made
by a surety who or which, as
such, is doing an insurance
business as defined under the
Insurance Code.
28
INSURABLE INTEREST
29
GENERAL CONCEPTAn insurable interest is one of the most
basic and essential requirements in an
insurance contract.
is that interest which a person is deemedto have in the subject matter insured,where he has a relation or connectionwith or concern in it, such that theperson will derive pecuniary benefit oradvantage from the preservation of thesubject matter insured and will sufferpecuniary loss or damage from itsdestruction, termination, or injury by thehappening of the event insured against
30
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Generally, the litmus test is
whether the person isinterested in the
preservation of the insured
life despite the insurance.
31
REASON FOR THE REQTThe existence of an insurable
interest gives a person thelegal right to insure the subject
matter of the policy ofinsurance.
Section 10 of the Insurance Code indeedprovides that every person has aninsurable interest in his own life.
Section 19 of the same code also statesthat an interest in the life or health of aperson insured must exist when theinsurance takes effect, but need notexist thereafter or when the loss occurs.
32
Why must there be an
insurable interest?
It is essential for validity and
enforceability of the
contract or policy.
A policy issued to a person
without interest in the
subject matter is a merewagering contract.
33
II IN LIFE INSURANCE
Secs. 10, 11, 12 RA 10607
34
SECTION 10 Every person has an insurable interest in the
life and health:
(a) Of himself, of his spouse and of hischildren;
(b) Of any person on whom he dependswholly or in part for education or support, orin whom he has a pecuniary interest;
(c) Of any person under a legal obligation tohim for the payment of money, or respectingproperty or services, of which death orillness might delay or prevent theperformance; and
(d) Of any person upon whose life any estateor interest vested in him depends. 35
The codal provision can be
categorized as follows:
(a) Mere relationship:
- in the first enumeration.
(b) Pecuniary interest:
- last three enumeration.
- Hence, the interest of the
creditor over the life of the debtor
ceases upon full payment.
36
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In life insurance, Insurable
interest exists where there is
reasonable ground founded on
the relations of the parties
whether pecuniary,contractual or by blood or
affinity, and to expect some
benefit or advantage from the
continuance of the life of the
insured.37
Person insuring life of
another
If a person will insure thelife of another payable to
himself, he must have
insurable interest on the
life of the person whose
life he is insuring.
38
Problem A takes an insurance policy on his
life and names his friend X as
beneficiary, and another
insurance on the life of Y in
consideration of love and
affectionwith A as a beneficiary.
Which of the two insurances, ifany, is valid and which, if any, is
void? 39
The Insurance taken on A on his
life is VALID, because the
beneficiary need not have an
insurable interest in the life of
the insured.
It must be the one insuring who
has an insurable interest in the
life of the person he is insuring,
and it goes without saying that
one has an insurable interest inhis own life and health.
40
ON the other hand, theinsurance taken by A on the life
of Y is VOID because love and
affection for the insuredon the
part of the person insuring is
NOT sufficient ground to qualify
as insurable interest.
41
The requirement of insurable interestto support a contract of insurance isbased upon consideration of publicpolicy which renders wager policies
INVALID. To sustain a contract of thischaracter it must appear that there isa real concern in the life of the partywhose death would be the cause ofsubstantial loss to those who arenamed as a beneficiary.
Mere relationship of uncle andnephew, employer and employee isNOT sufficient to provide an insurableinterest on the life of the insured.
42
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Friendship or a dating relationship
is not an insurable interest in life
insurance.
A person has insurable interestover the life of another only if he
has a pecuniary interest over the
life of such person except if the
person is his spouse or child.
43
A parent can insure the life
of his child who is no longer
a minor or married since
insurable interest over thelife of one's children is
unqualified and imposes no
distinction to a minor or
married child.
44
A husband or wife can recover
the insurance upon the death of
the spouse if he or she is the
designated beneficiary since
one has insurable interest over
the life of one's spouse and it
only needs to exist when the
contract takes effect.
45
A decree of legal
separation does not divest
insurable interest a spouse
had over the other spouse
so one can still claim the
insurance proceeds as
insurable interest needs
only to exist upon
perfection.
46
When a creditor took out a
life insurance over his
debtor, he cannot recover
anymore when his debt hasbeen paid in full since he has
no insurable interest by
then;
on partial payment, the insurer
is liable to the outstanding
credit.
47
The heirs of a debtor
whose life has beeninsured by the creditor
do not have any
insurance claim as there
is no privity of contract
between them and the
insurer.48
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There can be recovery of
insurance in case a husband who
took it, when the policy took
effect and when his wife died a
few days after their annulmentsince this is a life insurance so
insurable interest only needs to
exist at the time it takes effect
and need not exist thereafter.
Hence, subsequent annulment is
no bar to recovery.
49
Philamcare Health System vs. Court
of Appeals, 379 SCRA 356, 2002;
Lalican vs. Insular Life Assurance
Company Ltd, 597 SCRA 159,
2009;
El Oriente Fabrica de Tabacos vs.
Posada, 56 Phil 147, 1931
50
Section 12The interest of a beneficiary in a life
insurance policy shall be forfeited
when the beneficiary is the principal,
accomplice or accessory in willfully
bringing about the death of the
insured; in which event, theNEAREST RELATIVE of the insured
shall receive the proceeds of said
insurance if not otherwise qualified.
51
Who are the n r str l tiv s
mentioned here?
Those related to the decedent
in the order mentioned under
the rules of intestate
succession such as: (the order
of the following relatives are
as follows)
52
1. The legitimate children;
2. The father and mother, if living;
3. The grandfather and grandmother; orascendants nearest in degree, if living;
4. The illegitimate children;5. The surviving spouse; and
6. The collateral relatives, to wit:
a. Brothers and sisters of the full blood;
b. Brothers and sisters of the half-blood;and
c. Nephews and nieces
7. In default of the above, the STATE shallbe entitled to receive the insuranceproceeds. 53
ED, BK & OI are all creditors of B. All
three are instituted as beneficiaries of
B.
ED fails to qualify since she is Bs
concubine. BK on the other hand, eagerto claim the insurance proceeds, killed
B. OI now claims the proceeds of the
insurance. However, her claim is
opposed by BB, Bs legitimate daughter
who contends that according to Sec. 12,
it is the nearest relative who should get
the proceeds, meaning her.
Between BB and OI, who is entitled to
get the proceeds? 54
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OI gets the proceeds because it
was stipulated in the contract of
insurance. Remember that the
insurance contract is the law
between the parties and hence itmust be followed by the insurance
company. Sec. 12 ONLY applies if
there is NO stipulation in the
contract of insurance as to who
are the other beneficiaries of the
proceeds.
55
II IN PROPERTY INSURANCE
Secs. 13 to 18 RA 10607
56
SECTION 13
Every interest in property,whether real or personal, orany relation thereto, orliability in respect thereof, ofsuch nature that acontemplated peril might
directly damnify the insured,is an insurable interest.
57
SECTION 14
An insurable interest in propertymay consist in:
(a) An existing interest;
(b) An inchoate interestfounded on an existing interest; or
(c) An expectancy, coupledwith an existing interest in that
out of which the expectancyarises.
58
SECTION 15
A carrier or depository ofany kind has an insurable
interest in a thing held by
him as such, to the extent
of his liability but not to
exceed the value thereof.
59
ProblemM/V Mary Jane, a common carrier, insured
Peter Parkers goods, valued at 1M with
AmAY Insurance Company for 2M. Thevessel was hit by lightning, caught fire, and
sank. Mary Jane is now claiming 2M from
AmAY because the policy stated that the
loss due to lightning is compensable. AmAY
denies liability on the ground that:
(1) Mary Jane is not the owner of the goods
and therefore has no insurable interest; and
(2) Mary Jane cannot claim more than the
value of the goods lost. Decide.60
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According to Sec. 15, a carrier has
insurable interest in a thing held
by him as such. Hence, Mary Jane
has insurable interest over the
goods of Peter Parker. However,the same provision also states
that such insurable interest is
only up to the extent of his
liability and not to exceed the
value of the thing. Since the value
of the goods is only 1M, then
Mary Jane can only collect 1M.61
SECTION 16
A mere contingent or
expectant interest inanything, not founded on
an actual right to the thing,
nor upon any valid contract
for it, is not insurable.
62
SECTION 17
The measure of an
insurable interest in
property is the extent to
which the insured might be
damnified by loss or injury
thereof.
63
A insured his property valued
at P100,000 for P120,000. A
suffered a total loss. How
much is he entitled to
recover?
A is entitled to recover only
the value of his loss which is
100K and not 120K because
it is against public policy to
profit from a loss.64
What if the one who caused the
damage, B paid A P80,000?
What is the liability of the
Insurance Company? The insurance claim is reduced
in the same amount of 80K.
Anything that reduces or
diminishes the loss, reduces
and diminished the amount
which the insurer is bound to
pay. Hence the insurer is liable
for 20K. 65
Under a building contract, A
constructed a house in Ayala Alabang
for 4M for Z who made an advance
payment of 1M, the balance to be paidupon deliver of the house on Aug. 13,
xxxx. A finished the house on July 13,
xxxx so he insured the house against
fire for 4M. Before delivery of the
house in August, the house burned
down. What is the extent of the
insurable interest of A?
66
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It is still 4M, notwithstanding the
fact that he has received from Z
1M as advance payment. The
reason why he is entitled to the
whole 4M is, he has to replace thehouse destroyed with another
house worth 4M as per the
contract, not one valued at only
3M. In other words, 4M was the
extent to which A was damnified
by the loss of the house.
67
SECTION 18
No contract or policy of
insurance on propertyshall be enforceableexcept for the benefit ofsome person having aninsurable interest in theproperty insured.
68
Simplified, the provision states
that ------
NO insurable interest
= NO contract of
Insurance.
69
Kinds of II in PropertyWhat does insurable interest in
property consist?
Insurable interest in property is
any interest therein, or liability in
respect thereof, and it may
consist in an existing interest, an
inchoate interest founded on an
existing interest, or anyexpectancy coupled with an
existing interest. 70
Examples of Insurable
Interest in Property
Existing Interest May be legal title or
equitable title (e.g.
Trustee/Mortgagor/Lesso
r/Mortgagee)
71
Insurable interest in property need
not be an existing interest. It can
exist as an inchoate or expectant
interest. Inchoate Interest* - Stockholders
inchoate interest in properties of the
corporation
* Inchoatea legal right or entitlement
that is only partial and incomplete,
which may later develop into a full
property right.
72
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However, the expectancy must be
coupled with an existing
interest in which such
expectancy arises.
Example.
An owner of a business can
insure against a contingency
which may cause loss of profits
resulting from the cessation or
interruption of his business.
73
Expectancy not
insurable unless coupledwith an interest in the
thing from which it shall
arise.
74
Insurable interest in
property, generally
(a) In general, a person has an
insurable interest in the property, if:
i) he derives pecuniary benefit or
advantage from its preservation;
ii) would suffer pecuniary loss, damage
or prejudice by its destruction;
iii) whether he has or has no title in it or
possession of the property.
75
(b) In property insurance,
pecuniary interest over
the property is always
necessary.
76
(c) The principle of estoppel
cannot be invoked against
the insurer because therequirement of the existence
of insurable interest in
property insurance is a
matter of public policy.
77
A person having mere right of
possession of a property can
insure its full value in his own
name, even if he is not
responsible for its safekeeping
nor paying rentals. This is
because the existence of the
thing benefits him which is
pecuniary in character.78
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An heir has no insurable
interest over properties he
will inherit because theexecution of a will do not
vest its heir, even
compulsory ones, an
insurable interest.
79
During the redemption period over
a property levied upon in an
execution sale:
- the original owner has an
insurable interest during suchperiod as he is still the owner
during that time
- the buyer has an interest over the
subject property if the property is
not redeemed since he acquires
insurable interest at time of
purchase 80
The carrier has
insurable interest over
the goods being
shipped.
81
A purchaser of goods in a
perfected contract of sale,
pending delivery already have
interest over such property
notwithstanding that the
ownership is not yet transferred
via delivery; this is because
insurable interest attaches before
actual receipt of the goods.
82
Mere hope or expectancy is
uninsurable as it must becoupled with existing
interest based on such
expectancy; and moreover,
founded on an actual right
to the thing or upon a valid
contract.
83
A depositary can insure the
things deposited to him since
he is responsible for the
property deposited to him andhe is liable in case of its
damage or destruction; thus,
this connotes insurable
interest as he will be
damnified by its loss.
84
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Gaisano Cagayan Inc. vs.
Insurance Company of
North America, GR No.
147839, June 8, 2006;Malayan Insurance Company
vs. PAP Co. (PHIL.
BRANCH). G.R. No. 200784,
August 07, 2013
85
Spouses Nilo Cha and Stella Uy
Cha vs. Court of Appeals, G.R.
No. 124520. August 18, 1997
- The lessor cannot be validly abeneficiary of a fire insurance
policy taken by a lessee over his
merchandise, and the provision
in the lease contract providing
for such automatic assignment
is void for being contrary to law
and public policy. 86
II in case of mortgaged
property
Both the mortgagor and the
mortgagee have an insurable
interest in the property
mortgaged and this interest is
separate and distinct from the
other. They may take out
separate policies at the same orseparate times.
87
Separate insurable interest
of mortgagor and mortgagee
Sec. 53 and 95, RA
10607
88
What is the extent
of the insurable
interest of the
mortgagor?
89
Mortgagor.
- Since the mortgagor is the
owner, he has insurable
interest to the extent of thevalue of the property, even
though the mortgage debt
equals (or maybe even higher)
such value; because loss of
the property will not
extinguish the debt.90
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The mortgagee may be made
the beneficial payee in the
following ways:
(a) As assignee with the
consent of owner;
(b) As pledgee without consent
of insurer;
(c) When the policy contains a
mortgage clause;
91
(d) A rider making the policy
payable to the mortgagee, as his
interest may appear, can beattached as a loss payable clause;
(e) A standard mortgage clause
containing a collateral
independent contract between
the mortgagor and the insurer,may be attached;
92
(f) When the contract,
though payable to the
mortgagor, is
PROCURED UNDER
CONTRACT to insure to
the mortgagee's
interest; hence, the
latter acquires anequitable lien.93
What is the extent of the
insurable interest of the
mortgagee?
94
Mortgagee (as insured)
- The mortgagee has an
insurable interest in themortgaged property to
the extent of the debt
secured which continues
until it is extinguished.
95
(2) A mortgagee may procure a
policy but the mortgagor pays the
premium. In this case, though the
mortgagee is the insured as heapplied for the policy, informs the
agent of his interest, pays
premiums and obtains the policy
on the assurance that it insures
him, it is a form used to insure a
mortgagor with "loss payable
clause.
96
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Sec. 8-9, RA 10607
Is it alright if both the
mortgagor and the
mortgage insure the same
property?
97
YES. The mortgagor and the mortgagee
have each an insurable interest in the
property mortgaged, and this interest is
separate and distinct from the other.
Consequently, insurance taken by one in
his own name only and in his favor alonedoes not inure to the benefit of the
other.
And in case both of them take out
separate insurance policies on the same
property, or one policy covering their
respective interests, the same is not
open to the objection that there is
double insurance. 98
PROBLEMA is the owner of a house worth
10K which he mortgaged to B to
secure a loan of 5K. What is the
insurable interests of each?
Insurable interest of A,
mortgagor is P10K, while the
insurable interest of B,
mortgagee is P5K.
99
PROBLEM A insured for 1M her house with
the policy providing that the loss
shall be payable to B. The house
was mortgaged to B as security
for a loan of P750K. It was
totally destroyed by accidental
fire. Who may recover on the
policy?
100
B, the mortgagee mayreceive the 1M but is
entitled only to the extent
of his credit of P750T, and
he shall hold as trustee for
A, mortgagor, the excess
of P250T.
101
Supposing before the fire occurred
B had already been paid, who, if
at all, will receive the proceeds?
A will receive the proceeds. Thereason is that A effected the
insurance in his own name and he
did NOT cease to be a party to
the contract although it was
provided that the indemnity be
paid to B.
102
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Suppose it was B, mortgagee
who insured the house for 1M.
If the loss occurred before B
was paid who is entitled to
receive the proceeds? B. But B can only recover
P750K, the amount of her
credit.
103
What if the loss occurred after B
was paid, can he still receive the
proceeds?
No. Upon payment of the debt, B
lost his insurable interest in theproperty.
Will A get the proceeds?
No. Because A was never a party
to the contract. It is important to
note that it was B, mortgagee
who effected the insurance.104
Standard or union
mortgage clause
COMPARED TO
loss payable mortgage
clause
105
1. Acts or mortgagor
(a)Standard or union mortgage clause
- The subsequent acts of the
mortgagor do not affect the
mortgagee
(b) Loss payable mortgage clause.
- The mortgagor does not cease to be
a party to the contract.
106
(2) Nature of loss payable
clause
(a) In the policy obtained by the
mortgagor with loss payable clause in
favor of the mortgagee as his interest
may appear,
i) the mortgagee is only a beneficiary
under the contract, and recognized
as such by the insurer,
but not made a party to the contract
itself.107
(2) Nature of loss payable
clause
ii) This kind of policycovers only such
interest as the
mortgagee has at the
issuance of the policy.
108
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Both mortgagor and
mortgagee have insurable
interest over a mortgaged
property. The mortgagor, tothe extent of the value of the
house since loss will not
extinguish the loan. The
mortgagee, to the extent
that he can be damnified.
109
When the mortgagor and the
mortgagee procures
insurance contracts
independent of each other,
for their respectiveindividual benefits, the
independent contracts do
not inure to the benefit of
the other. This is because
insurance is a personal
contract. 110
The mortgagee loses
insurable interest when the
obligation of the mortgagee
have been fulfilled; he
cannot recover from the
insurance anymore since he
is not a party to the
insurance contract.
111
When a property is insured
for the purpose of securing a
mortgage and the mortgage
is extinguished, the insured
cannot recover anymore as
he has no insurable interest
anymore.
112
When interest retained by
mortgagora) Codal provision, Section 8
(1) UNLESS THE POLICY OTHERWISEPROVIDES,
(a)where a mortgagor of property
effects insurance in his own name
providing that:
i) the loss shall be payable to the
mortgagee, or
ii) assigns a policy of insurance to a
mortgagee, 113
When interest retained by
mortgagor
(b) the insurance is deemed to be upon
the interest of the mortgagor,
i) who does not cease to be a party to
the original contract, and
ii) any act of his, prior to the loss,
which would otherwise avoid the
insurance, will have the same effect,
(1) although the property is in the
hands of the mortgagee,114
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When interest retained by
mortgagor
(c) but any act which, under the
contract of insurance, is to be
performed by the mortgagor,
may be performed by the
mortgagee therein named, with
the same effect as if it had been
performed by the mortgagor.
115
Indorsed insurance to mortgagee,
cannot be garnished or levied to the
extent of debt.
-If the mortgagor takes an insurance
over the mortgaged property
endorsing the same to the mortgagee,apply Section 53 of ICP. In this case,
the insurance proceeds apply
exclusively to the person whose
benefit it was made, tersely, to the
beneficiary-mortgagee. To that end,
the insurance cannot be levied or
garnished to the extent of the debt to
the mort a ee.116
Geagonia vs. CA, February 6, 1995
RCBC vs. CA, 289 SCRA 292
117
When must insurable
interest in property exist
Sec. 19, RA 10607
An interest IN PROPERTY insured
must exist when the insurance takes
effect, AND when the loss occurs, but
need not exist in the meantime
118
In property insurance, the
insured must have
insurable interest in the
property at two points intime, both must concur or
one cannot recover:
(a)upon the perfection, and
(b)time of loss.
119
A buyer of goods have insurable
interest after perfection of sale
but before delivery because upon
perfection, equitable title isvested to the vendee which is a
sufficient basis of insurable
interest. This is regardless of the
mode of delivery as this issue is
immaterial.
120
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the original owner, in cases
where his property is
levied, he only has
insurable interest during
the redemption period over
such property and he loses
such, after that period.
121
Insurable Interest in Life
and Health
Sec. 19, RA 10607
General Rule :Must exist when the
insurance takes effect,
but need not exist
thereafter or when the
loss occurs. 122
Insurable Interest in Life
and Health
Exceptions:
1. When the insurance is taken by the
creditor on the life of the debtor, the
creditor is required to have insurable
interest not only at the contract but
also at the time of the debtorsdeath.
2. When the insurance is taken by the
employer on the life of the employee.
123
BC insured her house for
1M. At that time, she was
the owner of the house.
During the effectivity of the
policy, she sold the house
to Bill for 2M, but did not
transfer the policy. Because
of the effects of Sec. 20,the insurance was
suspended. 124
A week later, BC realized how
much she missed the house
and bought it from Bill for 3M.
The next day, the houseburned down. Is the Insurer
liable notwithstanding the
transfer of interest from BC to
Bill during the effectivity of
the policy?
125
Yes. BC had insurable
interest on the house as
she was the owner at the
time the insurance took
effect. She also had
insurable interest on the
house at the time of the
loss since she had already
reacquired it from Bill.126
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The law says BC need not have
insurable interest in the
meantime, or during the
intervening period between the
time of effectivity of theinsurance, and the time of the
loss. Therefore, notwithstanding
the ownership of Bill during the
intervening period, as BC had
insurable interest at the two
points in time required by law,
then the insurer is liable.127
Insurable interest of
beneficiary in property, life
insurance
(1)In propertyinsurance, thebeneficiary must haveinsurable interest inthe property.
128
Insurable
interest in property
COMPARED TO
insurable
interest in life insurance
129
(1) Extent
(a)Insurable interest in lifeis unlimited, unless takenby the creditor on the lifeof the debtor.
(b) In property, it is limited
to its actual value.
130
(2) Time when insurable interest
must exist
(a) In LIFE INSURANCE, it is sufficient
that insurable interest exist at the
time the policy takes effect and need
not exist at the time of loss.
(b) In PROPERTY, it must exist at the
time the insurance takes effect AND
when loss occurs, but need not exist
in the meantime.
131
(3) Expectation of the benefit to be
derived
(a)In life, expectation of thebenefit to be derived need
not have any legal basis.
(b) In property, there must
be a legal basis.
132
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(4) As to beneficiary's interest
(a) IN LIFE INSURANCE,
i) if the insured himself secured the
policy, the beneficiary need nothave insurable interest over the
life of the insured;
ii) if the life insurance was
obtained by the beneficiary, the
latter must have insurable
interest over the life of the
insured. 133
(4) As to beneficiary's interest
(b) In property, the
beneficiary isabsolutely required to
have insurable interest
over the property.
134
Effect of change of interest
in the thing insured
READ
Sec. 20-24, 57&58, RA 10607;
Art. 1306, NCC
135
Change of Interest Sections 2024, Insurance Code
Rules when insurable interest
changes during the course of an
insurance policy
What may be transferred or
assigned:
1. Thing insured (section 20)
2. The Policy itself (section 58)3. The claim itself (section 83)
136
SECTION 20 Except in the cases specified in the next
four sections, and in the cases of life,
accident, and health insurance, A
CHANGE OF INTEREST IN ANY PART OF
A THING INSURED UNACCOMPANIED BY
A CORRESPONDING CHANGE OF
INTEREST IN THE INSURANCE,
S U S P E N D S the insurance to an
equivalent extent, until the interest in
the thing and the interest in the
insurance are vested in the same
person. 137
SECTION 21
A change in interest in athing insured, after the
occurrence of an injury
which results in a loss,
does not affect the right
of the insured to
indemnity for the loss138
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SECTION 22
A change of interest in one
or more several distinctthings, separately insured
by one policy, does not
avoid the insurance as to
the others.
139
SECTION 23
A change of interest, by will or
succession, on the death of the
insured, does not avoid an
insurance; and his interest in
the insurance passes to the
person taking his interest in the
thing insured.
140
SECTION 24
A transfer of interest by one ofseveral partners, joint owners,or owners in common, who arejointly insured, to the others,does not avoid an insuranceeven though it has been agreedthat the insurance shall cease
upon an alienation of the thinginsured.
141
SECTION 25 Every stipulation in a policy of
insurance for the payment of loss
whether the person insured has or
has not any interest in the
property insured, or that the
policy shall be received as proof
of such interest, and every policy
executed by way of gaming orwagering, is void.
142
TRANSFER OF POLICY
1 Life Insurance
It can be transferred EVENWITHOUT the consent of
the insurer EXCEPT when
there is a stipulation
requiring the consent of
the insurer before transfer.
143
TRANSFER OF POLICY
2 Property insurance
It cannot be transferred
without the consent of
the insurer.
144
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TRANSFER OF POLICY
3 Casualty insurance
It cannot betransferred without
the consent of the
insurer.
145
The mere (absolute) transfer
of the thing insured DOES
NOT TRANSFER the policy,
BUT SUSPENDS IT until thesame person becomes the
owner of both the policy
and the thing insured.
146
General rule
A change in interest in any part of
a thing insured, unaccompanied
by a corresponding change of
interest in the insurance,
suspends the insurance to an
equivalent extent, until the
interest in the thing and the
interest in the insurance arevested in the same person.
147
Exceptions(1)Life, health, accident insurance
(2) Change of interest:
(a) after occurrence of injury
resulting in loss,
(b) one or more several distinct
things which is separately
insured,(c) via will or succession upon
death of the insured148
Exceptions(3) Transfer of interest by one or
several partners, or co-owners,jointly insured, to the others;
(4) The policy is framed in a
manner that it benefits whoever is
exposed in the continuance of a
defined risk
- In this case, those who are
exposed are the owners of the
insured interest. 149
Assignee in life, property
insurance Sec. 184, RA 10607 life or health
insurance policy may pass by transfer,will or succession to ANY person,whether he has an insurable interestor not, and such person may recoverupon it whatever the insured mighthave recovered
Sec. 18, RA 10607 propertyinsurance - except for the benefit ofsome person having an insurableinterest in the property insured
150
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Insurable interest of
beneficiary and assignee of
policya) PROPERTY INSURANCE -
(1) The beneficiary andassignee must have
insurable interest.
(2) The consent of the
insurer must be secured
before the assignment.151
Insurable interest of
beneficiary and assignee of
policyb) LIFE INSURANCE
(1) If the INSURED takes the insurance
on his own life, he can designateanybody who does not have insurableinterest.
(2) If a THIRD PERSON takes the policy,the beneficiary must have insurableinterest.
(3) In case of assignment, the assigneeneed not have insurable interest.
152
An provision in a contract of
lease, making the lessee the
automatic owner of an
insurance contract procured
by the lessee is void because
it is contrary to law and public
policy. Hence, the lessee -
auto assignee (if such a term
exists), cannot recover
153
An insured, taking an insurance in
his own lifecan designate any
person as his beneficiary.
In this case, the beneficiary can
recover the entire amount,
regardless of their relationship.
Hence, when a debtor makes a
life insurance, making the
creditor the beneficiary, the
creditor can take the entireamount.
154
However, if a creditor takes
an insurance policy over
the life of his debtor, heonly has insurable interest
to the extent of his credit
and can only recover to
such extent.
155
Spouses Cha vs. CA, (August 18,1997);
Geagonia vs. CA, February 6,1995);
RCBC vs. CA (289 SCRA 292);
Gaisano Cagayan, Inc. vs.Insurance Company of NorthAmerica, G.R. No. 147839 (June 8,2006).
156
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Malayan Insurance Co., Inc.,
vs. Philippine First Insurance
Co., Inc. and Reputable
Forwarder Services, Inc., G.R.
No. 184300, July 11, 2012;
Great Pacific Life vs. Court of
Appeals, 316 SCRA 677, 1999
157
Stipulation against alienation,
effect
Freedom to stipulate applied in
insurance contracts
- When there is an EXPRESSPROHIBITION AGAINST
ALIENATION in the policy, in
case of alienation, the
contract of insurance is not
merely suspended but
AVOIDED. -Art. 1306 NCC 158