1. Armando Geagonia owned a store and obtained a fire insurance policy from Country Bankers Insurance Corporation for his stock worth P100k. The policy required Geagonia to notify Country Bankers of any other existing insurance policies on the stock.
2. At the time, Geagonia's stock was also insured by two other policies from Philippines First Insurance Company (PFIC) totaling P200k, which Geagonia did not disclose.
3. A fire destroyed Geagonia's stock. Country Bankers denied his insurance claim, citing his failure to disclose the PFIC policies as required by the condition of the Country Bankers policy. Geagonia filed a complaint against Country Bankers
1. Armando Geagonia owned a store and obtained a fire insurance policy from Country Bankers Insurance Corporation for his stock worth P100k. The policy required Geagonia to notify Country Bankers of any other existing insurance policies on the stock.
2. At the time, Geagonia's stock was also insured by two other policies from Philippines First Insurance Company (PFIC) totaling P200k, which Geagonia did not disclose.
3. A fire destroyed Geagonia's stock. Country Bankers denied his insurance claim, citing his failure to disclose the PFIC policies as required by the condition of the Country Bankers policy. Geagonia filed a complaint against Country Bankers
1. Armando Geagonia owned a store and obtained a fire insurance policy from Country Bankers Insurance Corporation for his stock worth P100k. The policy required Geagonia to notify Country Bankers of any other existing insurance policies on the stock.
2. At the time, Geagonia's stock was also insured by two other policies from Philippines First Insurance Company (PFIC) totaling P200k, which Geagonia did not disclose.
3. A fire destroyed Geagonia's stock. Country Bankers denied his insurance claim, citing his failure to disclose the PFIC policies as required by the condition of the Country Bankers policy. Geagonia filed a complaint against Country Bankers
1. Armando Geagonia owned a store and obtained a fire insurance policy from Country Bankers Insurance Corporation for his stock worth P100k. The policy required Geagonia to notify Country Bankers of any other existing insurance policies on the stock.
2. At the time, Geagonia's stock was also insured by two other policies from Philippines First Insurance Company (PFIC) totaling P200k, which Geagonia did not disclose.
3. A fire destroyed Geagonia's stock. Country Bankers denied his insurance claim, citing his failure to disclose the PFIC policies as required by the condition of the Country Bankers policy. Geagonia filed a complaint against Country Bankers
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
You are on page 1of 6
PILAR DE LIM V SUN LIFE but resolved to state that it was a
ASSURANCE COMPANY OF CANADA provisional policy for four months
subject to the affirmative condition FACTS: “that the company shall confirm this 1. 1917: Luis Lim made an application agreement by issuing a policy on for insurance with Sun Life and said application when the same shall designated his wife Pilar (plaintiff – be submitted to the head office in appellant) as beneficiary for 5k; Montreal”; He paid the first premium a. Also, it is stipulated that the (433php) and upon such agreement should not go into payment, he was issued a effect until the home office of the “provisional policy” company should confirm it by He died later, after the issuance issuing a policy; of the provisional policy but b. Thus, it amounts to nothing but before the approval of the an acknowledgment on behalf of application by the home office of the company, that it has received the insurance company; from the person named therein 2. Pilar (the wife) brought suit based on the sum of money agreed upon as the provisional policy to recover 5k the first year's premium upon a from the insurance company; policy to be issued upon the 3. CFI dismissed because of lack of application, if the application is cause of action. accepted by the company. 2. The wife relies on Joyce on ISSUE: W/N the provisional policy can Insurance who has three rules insure by itself. (NO) concerning the agent’s receipt pending approval or issuance of Held: policy; A provisional policy that only acts as a. If the act of acceptance of the a receipt of premium payment is not risk by the agent and the giving enough to bind the insurer during the by him of a receipt, is within the interim period. The provisional policy to scope of the agent's authority, be a binding contract must have been and nothing remains but to issue complete that leaves nothing to be done, a policy, then the receipt will nothing to be completed, nothing to be bind the company; passed upon, or determined before it SC says it doesn’t apply shall take effect. because there’s an express condition in the contract; Ratio (reading #1 is enough): b. Where an agreement is made between the applicant and the 1. Court said there appeared a agent whether by signing an vagueness in the provisional contract application containing such solicitor) stipulate expressly that condition, or otherwise, that no the insurance shall become liability shall attach until the effective only when the principal approves the risk and a "application shall be approved receipt is given buy the agent, and the policy duly signed by the such acceptance is merely secretary at the head office of the conditional, and it subordinated company and issued." It to the act of the company in constituted no agreement at all approving or rejecting; so in life for preliminary or temporary insurance a "binding slip" or insurance; "binding receipt" does not insure of itself. GEAGONIA VS. COURT OF SC believes that this is the APPEALS one applicable; c. Where the acceptance by the FACTS: agent is within the scope of his Armando Geagonia is the owner of authority a receipt containing a Norman's Mart located in the public contract for insurance for a market of San Francisco, Agusan del specific time which is not Sur. absolute but conditional, upon acceptance or rejection by the He obtained from Country principal, covers the specified Bankers Insurance period unless the risk is declined Corporation fire insurance within that period. policy for P100k. 3. It is a recognized custom that upon The period of the policy was receipt of the application, the insurer from 1989 to 1990 and enterers into a contract with the covered the following: applicant in the so-called “binding o "Stock-in-trade receipt” for temporary insurance consisting principally pending the consideration of the of dry goods such as application, to last until the policy be RTW's for men and issued or the application rejected; it women wear and is even held that it such contracts other usual to may rest in parol; assured's business." a. Wife’s counsel that such Geagonia declared in the preliminary contract for policy under the subheading temporary insurance was entered entitled CO-INSURANCE into but SC says otherwise; that Mercantile Insurance b. The clause in the application Co., Inc. was the co-insurer (and receipt given by the for P50k. From 1989 to 1990, AT THE TIME OF THE Geagonia had in his LOSS OR DAMAGE IS inventory stocks amounting NOT MORE THAN to 392k P200k” The policy contained the following condition, that On 27 May 1990, FIRE OF "THE INSURED SHALL ACCIDENTAL ORIGIN GIVE NOTICE TO THE BROKE OUT COMPANY OF ANY Geagonia's INSURED INSURANCE OR STOCKS-IN-TRADE INSURANCES ALREADY WERE COMPLETELY EFFECTED, OR WHICH DESTROYED prompting MAY SUBSEQUENTLY BE him to file with Country EFFECTED, covering any of Bankers a claim under the the property or properties policy. consisting of stocks in trade, Country Bankers denied the goods in process and/or claim because it found that at inventories only hereby the time of the loss insured, and unless notice be Geagonia's stocks-in-trade given and the particulars of were likewise covered by the such insurance or insurances 2 fire insurance policies for be stated therein or endorsed P100,000.00 each, issued by in this policy Philippines First Insurance CONDITION 3 : Co., Inc. (PFIC). PURSUANT TO SECTION The basis of COUNTRY 50 OF THE INSURANCE BANKERS' DENIAL WAS CODE, BY OR ON GEAGONIA'S ALLEGED BEHALF OF THE VIOLATION OF COMPANY BEFORE THE CONDITION 3 OF THE OCCURRENCE OF ANY POLICY. LOSS OR DAMAGE, ALL Geagonia then filed a BENEFITS UNDER THIS complaint against Country POLICY SHALL BE Bankers with the Insurance DEEMED FORFEITED, Commission for the recovery PROVIDED HOWEVER, of P100k under the fire THAT THIS CONDITION insurance policy and for SHALL NOT APPLY attorney's fees and costs of WHEN THE TOTAL litigation. INSURANCE OR He attached his letter of 18 INSURANCES IN FORCE January 1991 which asked for the reconsideration of the denial. that it was Cebu Tesing He admitted in the said letter Textiles which procured the that at the time he obtained PFIC policies without Country Bankers's fire informing him or securing his insurance policy he knew that consent; and that Cebu the two policies issued by the Tesing Textile, as his PFIC were already in creditor, had insurable existence; interest on the stocks. However, he had no knowledge of the provision in These findings were based on Country Bankers' policy Geagonia's testimony that he requiring him to inform it of came to know of the PFIC the prior policies; policies only when he filed This requirement was not his claim with Country mentioned to him by Country Bankers and that Cebu Bankers' agent; and had it Tesing Textile obtained them been so mentioned, he would and paid for their premiums not have withheld such without informing him information. thereof. He further asserted that the total of the amounts claimed The Insurance Commission under the three policies was ordered Country Bankers to below the actual value of his pay Geagonia the sum of stocks at the time of loss, P100k which was P1,000,000.00. MR to IC – DENIED COURT DECISIONS : CA - REVERSED THE IC - THE INSURANCE DECISION OF THE IC COMMISSION FOUND BECAUSE IT FOUND THAT GEAGONIA DID THAT GEAGONIA NOT VIOLATE KNEW OF THE CONDITION 3 AS HE EXISTENCE OF THE HAD NO KNOWLEDGE TWO OTHER POLICIES OF THE EXISTENCE OF ISSUED BY THE PFIC. THE TWO FIRE INSURANCE POLICIES OBTAINED FROM THE PFIC; ISSUES: shall be payable to MESSRS. 1) Whether the non-disclosure of TESING TEXTILES, Cebu City as other insurance policies violate their interest may appear subject to condition 3 of the policy, so as to the terms of the policy." THIS IS deny Geagonia from recovering on CLEARLY A SIMPLE LOSS the policy. PAYABLE CLAUSE, NOT A 2) Whether the violation of STANDARD MORTGAGE Condition 3 of the policy renders the CLAUSE. policy void. The Court concludes that (a) the RULING: prohibition in Condition 3 of the Condition 3 of Country Bankers's subject policy applies only to double Policy is a condition which is not insurance, and (b) the nullity of the proscribed by law. policy shall only be to the extent exceeding P200,000.00 of the total Its incorporation in the policy is policies obtained. allowed by Section 75 of the Insurance Code, Such a condition is The first conclusion is supported by a provision which invariably appears the portion of the condition referring in fire insurance policies and is to other insurance "covering any of intended to prevent an increase in the the property or properties consisting moral hazard. of stocks in trade, goods in process and/or inventories only hereby It is commonly known as the insured," and the portion regarding additional or "other insurance" the insured's declaration on the clause and has been upheld as valid subheading CO-INSURANCE that and as a warranty that no other the co-insurer is Mercantile insurance exists. Its violation would Insurance Co., Inc. in the sum of thus avoid the policy. P50,000.00.
However, in order to constitute a A DOUBLE INSURANCE EXISTS
violation, the other insurance must WHERE THE SAME PERSON IS be upon the same subject matter, the INSURED BY SEVERAL same interest therein, and the same INSURERS SEPARATELY IN risk. RESPECT OF THE SAME SUBJECT AND INTEREST. Since The fire insurance policies issued by the insurable interests of a mortgagor the PFIC name Geagonia as the and a mortgagee on the mortgaged assured and contain a mortgage property are distinct and separate; clause which reads: "Loss, if any, the two policies of the PFIC do not cover the same interest as that covered by the policy of Country What it had in mind was to Bankers, no double insurance exists. discourage over-insurance. Indeed, The non-disclosure then of the the rationale behind the former policies was not fatal to incorporation of "other insurance" Geagonia's right to recover on clause in fire policies is to prevent Country Bankers' policy. over-insurance and thus avert the perpetration of fraud. Held [2]: Unlike the "other insurance" which reads "The insured When a property owner obtains shall give notice to the company of insurance policies from two or more any insurance or insurances already insurers in a total amount that effected, or which may subsequently exceeds the property's value, the be effected covering any of the insured may have an inducement to property hereby insured, and unless destroy the property for the purpose such notice be given and the of collecting the insurance. particulars of such insurance or insurances be stated in or endorsed The public as well as the insurer is on this Policy by or on behalf of the interested in preventing a situation in Company before the occurrence of which a fire would be profitable to any loss or damage, all benefits the insured. under this Policy shall be forfeited";
Condition 3 in Country Bankers'
policy F-14622 does not absolutely declare void any violation thereof. It expressly provides that the condition "shall not apply when the total insurance or insurances in force at the time of the loss or damage is not more than P200,000.00."
By stating within Condition 3 itself
that such condition shall not apply if the total insurance in force at the time of loss does not exceed P200,000.00, Country Bankers was amenable to assume a co-insurer's liability up to a loss not exceeding P200,000.00.