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Insurance Case Digest: Malayan Insurance Co., Inc. v. Arnaldo (1987)


G.R. No. L-67835 October 12, 1987

Lessons Applicable: Authority to Receive Payment/Effect of Payment (Insurance)
Laws Applicable: Article 64Article 65, Section 77, Section 306 of the Insurance Code

FACTS:

  • June 7, 1981: Malayan insurance co., inc. (MICO)  issued to Coronacion Pinca, Fire Insurance Policy for her property effective July 22, 1981, until July 22, 1982
  • October 15,1981: MICO allegedly cancelled the policy for non-payment, of the premium and sent the corresponding notice to Pinca
  • December 24, 1981: payment of the premium for Pinca was received by Domingo Adora, agent of MICO
  • January 15, 1982: Adora remitted this payment to MICO,together with other payments
  • January 18, 1982: Pinca's property was completely burned
  • February 5, 1982: Pinca's payment was returned by MICO to Adora on the ground that her policy had been cancelled earlier but Adora refused to accept  it and instead demanded for payment
  • Under Section 416 of the Insurance Code, the period for appeal is thirty days from notice of the decision of the Insurance Commission. The petitioner filed its motion for reconsideration on April 25, 1981, or fifteen days such notice, and the reglementary period began to run again after June 13, 1981, date of its receipt of notice of the denial of the said motion for reconsideration. As the herein petition was filed on July 2, 1981, or nineteen days later, there is no question that it is tardy by four days.
  • Insurance Commission: favored Pinca
  • MICO appealed
ISSUE: W/N MICO should be liable because its agent Adora was authorized to receive it

HELD: YES. petition is DENIED

  • SEC. 77.    An insurer is entitled to payment of the premium as soon as the thing is exposed to the peril insured against. Notwithstanding any agreement to the contrary, no policy or contract of insurance issued by an insurance company is valid and binding unless and until the premium thereof has been paid, except in the case of a life or an industrial life policy whenever the grace period provision applies.
  • SEC. 306.   xxx  xxx   xxx

Any insurance company which delivers to an insurance agant or insurance broker a policy or contract of insurance shall be demmed to have authorized such agent or broker to receive on its behalf payment of any premium which is due on such policy or contract of insurance at the time of its issuance or delivery or which becomes due thereon.
  • Payment to an agent having authority to receive or collect payment is equivalent to payment to the principal himself; such payment is complete when the money delivered is into the agent's hands and is a discharge of the indebtedness owing to the principal.
  • SEC. 64.    No policy of insurance other than life shall be cancelled by the insurer except upon prior notice thereof to the insured, and no notice of cancellation shall be effective unless it is based on the occurrence, after the effective date of the policy, of one or more of the following:

(a)    non-payment of premium;

(b)    conviction of a crime arising out of acts increasing the hazard insured against;

(c)    discovery of fraud or material misrepresentation;

(d)    discovery of willful, or reckless acts or commissions increasing the hazard insured against;

(e)    physical changes in the property insured which result in the property becoming uninsurable;or

(f)     a determination by the Commissioner that the continuation of the policy would violate or would place the insurer in violation of this Code.

As for the method of cancellation, Section 65 provides as follows:

  • SEC. 65.    All notices of cancellation mentioned in the preceding section shall be in writing, mailed or delivered to the named insured at the address shown in the policy, and shall state (a) which of the grounds set forth in section sixty-four is relied upon and (b) that, upon written request of the named insured, the insurer will furnish the facts on which the cancellation is based.
  • A valid cancellation must, therefore, require concurrence of the following conditions:

(1)    There must be prior notice of cancellation to the insured; 

(2)    The notice must be based on the occurrence, after the effective date of the policy, of one or more of the grounds mentioned;

(3)    The notice must be (a) in writing, (b) mailed, or delivered to the named insured, (c) at the address shown in the policy; 

(4)    It must state (a) which of the grounds mentioned in Section 64 is relied upon and (b) that upon written request of the insured, the insurer will furnish the facts on which the cancellation is based. 
  • All MICO's offers to show that the cancellation was communicated to the insured is its employee's testimony that the said cancellation was sent "by mail through our mailing section." without more
  • It stands to reason that if Pinca had really received the said notice, she would not have made payment on the original policy on December 24, 1981. Instead, she would have asked for a new insurance, effective on that date and until one year later, and so taken advantage of the extended period.
  • Incidentally, Adora had not been informed of the cancellation either and saw no reason not to accept the said payment 
  • Although Pinca's payment was remitted to MICO's by its agent on January 15, 1982, MICO sought to return it to Adora only on February 5, 1982, after it presumably had learned of the occurrence of the loss insured against on January 18, 1982 make the motives of MICO highly suspicious