Andres V Crown G.R. No. L-10874 January 28, 1958
Andres V Crown G.R. No. L-10874 January 28, 1958
The plaintiff-appellant did not comply with the last condition; for he only paid P100
before his wifes death; and, despite the Companys reminders, he only remitted
the balance 2 days after his wife died. The company had the right to treat the contract
as lapsed and refuse payment of the policy.
Appellant, however, contends that the condition regarding payment of the premium
was waived by the insurance Company by its letters to appellant:
If you can not pay the full amount immediately, send as large an amount as possible
and advise us how soon you expect to be able to pay the balance. Every
consideration will be given to your request consistent with the companys regulations
If you are unable to cover this amount in full, send us as big an amount as you are
able and we will work out an adjustment most beneficial to you.
Nothing in these expressions that would indicate an intention on the insurers part to
waive the full payment of the overdue premium. A waiver must be clear and positive,
and intent to waive shown clearly and convincingly. The statements to the
insured were so vague and indefinite as to require further negotiations between the
parties, for their criteria might differ as to what would be the most beneficial
arrangement.
Upon the other hand, the subsequent letters of the insurance Company indicated that
the Company insisted on the full payment of the premium before the policy was
reinstated.
We may now reinstate your policy if you will kindly remit to us the balance of P65.15
due on your semi-annual premium for November, 1950. Please send us this amount
by return mail and upon its receipt we will in turn send the Certificate of
Reinstatement of your policy, thus rendering it once again in full force and effect.
The company did not consider the partial payment as sufficient consideration for the
reinstatement. Appellants failure to remit the balance before the death of his wife
operated to deprive him of any right to waive the policy and recover the face value.
James McGuire vs. The Manufacturers Life Insurance Co- The stipulation in a
life insurance policy giving the insured the privilege to reinstate it upon
written application does not give the insured absolute right to such reinstatement by
the mere filing of an application. The Company has the right to deny the
reinstatement if it is not satisfied as to the insurability of the insured and if the latter
does no pay all overdue premium and all other indebtedness to the Company. After
the death of the insured the insurance Company cannot be compelled to entertain
an application for reinstatement of the policy because the conditions precedent to
reinstatement can no longer be determined and satisfied.
PEREZ V. CA- PERFECTION OF THE CONTRACT OF INSURANCE
323 SCRA 613 (2000)
Facts:
> Primitivo Perez had been insured with the BF Lifeman Insurance Corporation since
1980 for P20,000.00.
> In October 1987, an agent of Lifeman, Rodolfo Lalog, visited Perez in Quezon and
convinced him to apply for additional insurance coverage of P50,000.00, to avail of
the ongoing promotional discount of P400.00 if the premium were paid annually.
> Primitivo B. Perez accomplished an application form for the additional insurance
coverage. Virginia A. Perez, his wife, paid P2,075.00 to Lalog. The receipt issued by
Lalog indicated the amount received was a "deposit."
> Unfortunately, Lalog lost the application form accomplished by Perez and so on
October 28, 1987, he asked the latter to fill up another application form. On
November 1, 1987, Perez was made to undergo the required medical examination,
which he passed.
> Lalog forwarded the application for additional insurance of Perez, together with all
its supporting papers, to the office of BF Lifeman Insurance Corporationn in Quezon
which office was supposed to forward the papers to the Manila office.
> On November 25, 1987, Perez died while he was riding a banca which capsized
during a storm.
> At the time of his death, his application papers for the additional insurance were
still with the Quezon office. Lalog testified that when he went to follow up the papers,
he found them still in the Quezon office and so he personally brought the papers to
the Manila office of BF Lifeman Insurance Corporation. It was only on November 27,
1987 that said papers were received in Manila.
> Without knowing that Perez died on November 25, 1987, BF Lifeman Insurance
Corporation approved the application and issued the corresponding policy for the
P50,000.00 on December 2, 1987
> Virginia went to Manila to claim the benefits under the insurance policies of the
deceased. She was paid P40,000.00 under the first insurance policy for P20,000.00
(double indemnity in case of accident) but the insurance company refused to pay the
claim under the additional policy coverage of P50,000.00, the proceeds of which
amount to P150,000.00 in view of a triple indemnity rider on the insurance policy.
> In its letter of January 29, 1988 to Virginia A. Perez, the insurance company
maintained that the insurance for P50,000.00 had not been perfected at the time of
the death of Primitivo Perez. Consequently, the insurance company refunded the
amount of P2,075.00 which Virginia Perez had paid
> Lifeman filed for the rescission and the declaration of nullity. Perez, on the other
hand, averred that the deceased had fulfilled all his prestations under the contract
and all the elements of a valid contract are present.
> RTC ruled in favor of Perez. CA reversed.
Issue:
Held:
The contract was not perfected.
Consent must be manifested by the meeting of the offer and the acceptance upon the
thing and the cause which are to constitute the contract. The offer must be certain
and the acceptance absolute. When Primitivo filed an application for insurance, paid
P2,075.00 and submitted the results of his medical examination, his application was
subject to the acceptance of private respondent BF Lifeman Insurance Corporation.
The perfection of the contract of insurance between the deceased and respondent
corporation was further conditioned upon compliance with the following requisites
stated in the application form:
"there shall be no contract of insurance unless and until a policy is issued on this
application and that the said policy shall not take effect until the premium has been
paid and the policy delivered to and accepted by me/us in person while I/We, am/are
in good health."
The assent of private respondent BF Lifeman Insurance Corporation therefore was
not given when it merely received the application form and all the requisite supporting
papers of the applicant. Its assent was given when it issues a corresponding policy to
the applicant. Under the abovementioned provision, it is only when the applicant pays
the premium and receives and accepts the policy while he is in good health that the
contract of insurance is deemed to have been perfected.
It is not disputed, however, that when Primitivo died on November 25, 1987, his
application papers for additional insurance coverage were still with the branch office
of respondent corporation in Gumaca and it was only two days later, or on November
27, 1987, when Lalog personally delivered the application papers to the head office in
Manila. Consequently, there was absolutely no way the acceptance of the application
could have been communicated to the applicant for the latter to accept inasmuch as
the applicant at the time was already dead.