Philippine Insurance Code Overview
Philippine Insurance Code Overview
612
December 18, 1974
ORDAINING AND INSTITUTING AN INSURANCE CODE OF THE PHILIPPINES
which results in a loss, does not affect the right of the insured to indemnity for
the loss.
Sec. 22. A change of interest in one or more several distinct things, separately
insured by one policy, does not avoid the insurance as to the others.
Sec. 23. A change on 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.
Sec. 24. A transfer of interest by one of several partners, joint owners, or
owners in common, who are jointly insured, to the others, does not avoid an
insurance even though it has been agreed that the insurance shall cease upon an
alienation of the thing insured.
Sec. 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 or wagering, is void.
Title 4
CONCEALMENT
Sec. 26. A neglect to communicate that which a party knows and ought to
communicate, is called a concealment.
Sec. 27. A concealment whether intentional or unintentional entitles the injured
party to rescind a contract of insurance. (As amended by Batasang Pambansa
Blg. 874)
Sec. 28. Each party to a contract of insurance must communicated to the other,
in good faith, all facts within his knowledge which are material to the contract
and as to which he makes no warranty, and which the other has not the means
of ascertaining.
Sec. 29. An intentional and fraudulent omission, on the part of one insured, to
communicate information of matters proving or tending to prove the falsity of a
warranty, entitles the insurer to rescind.
Sec. 30. Neither party to a contract of insurance is bound to communicate
information of the matters following, except in answer to the inquiries of the
other:chanroblesvirtuallawlibrary
(a) Those which the other knows;
(b) Those which, in the exercise of ordinary care, the other ought to know, and
of which the former has no reason to suppose him ignorant;
(c) Those of which the other waives communication;
(d) Those which prove or tend to prove the existence of a risk excluded by a
warranty, and which are not otherwise material; and
(e) Those which relate to a risk excepted from the policy and which are not
otherwise material.
Sec. 31. Materiality is to be determined not by the event, but solely by the
probable and reasonable influence of the facts upon the party to whom the
communication is due, in forming his estimate of the disadvantages of the
policy shall be issued in lieu thereof, including within its terms the identical
insurance bound under the cover note and the premium therefor.chanrobles
virtual law library
Cover notes may be extended or renewed beyond such sixty days with the
written approval of the Commissioner if he determines that such extension is not
contrary to and is not for the purpose of violating any provisions of this Code.
The Commissioner may promulgate rules and regulations governing such
extensions for the purpose of preventing such violations and may by such rules
and regulations dispense with the requirement of written approval by him in the
case of extension in compliance with such rules and regulations.
Sec. 53. The insurance proceeds shall be applied exclusively to the proper
interest of the person in whose name or for whose benefit it is made unless
otherwise specified in the policy.
Sec. 54. When an insurance contract is executed with an agent or trustee as the
insured, the fact that his principal or beneficiary is the real party in interest may
be indicated by describing the insured as agent or trustee, or by other general
words in the policy.
Sec. 55. To render an insurance effected by one partner or part-owner,
applicable to the interest of his co-partners or other part-owners, it is necessary
that the terms of the policy should be such as are applicable to the joint or
common interest.
Sec. 56. When the description of the insured in a policy is so general that it may
comprehend any person or any class of persons, only he who can show that it
was intended to include him can claim the benefit of the policy.
Sec. 57. A policy may be so framed that it will inure to the benefit of
whomsoever, during the continuance of the risk, may become the owner of the
interest insured.
Sec. 58. The mere transfer of a thing insured does not transfer the policy, but
suspends it until the same person becomes the owner of both the policy and the
thing insured.
Sec. 59. A policy is either open, valued or running.
Sec. 60. An open policy is one in which the value of the thing insured is not
agreed upon, but is left to be ascertained in case of loss.
Sec. 61. A valued policy is one which expresses on its face an agreement that the
thing insured shall be valued at a specific sum.
Sec. 62. A running policy is one which contemplates successive insurances, and
which provides that the object of the policy may be from time to time defined,
especially as to the subjects of insurance, by additional statements or
indorsements.
Sec. 63. A condition, stipulation, or agreement in any policy of insurance,
limiting the time for commencing an action thereunder to a period of less than
one year from the time when the cause of action accrues, is void.
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:chanroblesvirtuallawlibrary
(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 omissions 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.
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.
Sec. 66. In case of insurance other than life, unless the insurer at least forty-five
days in advance of the end of the policy period mails or delivers to the named
insured at the address shown in the policy notice of its intention not to renew
the policy or to condition its renewal upon reduction of limits or elimination of
coverages, the named insured shall be entitled to renew the policy upon
payment of the premium due on the effective date of the renewal. Any policy
written for a term of less than one year shall be considered as if written for a
term of one year. Any policy written for a term longer than one year or any
policy with no fixed expiration date shall be considered as if written for
successive policy periods or terms of one year.
Title 7
WARRANTIES
Sec. 67. A warranty is either expressed or implied.
Sec. 68. A warranty may relate to the past, the present, the future, or to any or
all of these.
Sec. 69. No particular form of words is necessary to create a warranty.
Sec. 70. Without prejudice to section fifty-one, every express warranty, made at
or before the execution of a policy, must be contained in the policy itself, or in
another instrument signed by the insured and referred to in the policy as making
a part of it.
Sec. 71. A statement in a policy of matter relating to the person or thing insured,
or to the risk, as a fact, is an express warranty thereof.
Sec. 72. A statement in a policy which imparts that it is intended to do or not to
do a thing which materially affects the risk, is a warranty that such act or
omission shall take place.
Sec. 73. When, before the time arrives for the performance of a warranty
relating to the future, a loss insured against happens, or performance becomes
unlawful at the place of the contract, or impossible, the omission to fulfill the
warranty does not avoid the policy.
Sec. 74. The violation of a material warranty, or other material provision of a
policy, on the part of either party thereto, entitles the other to rescind.
Sec. 75. A policy may declare that a violation of specified provisions thereof shall
avoid it, otherwise the breach of an immaterial provision does not avoid the
policy.
Sec. 76. A breach of warranty without fraud merely exonerates an insurer from
the time that it occurs, or where it is broken in its inception, prevents the policy
from attaching to the risk.
Title 8
PREMIUM
Sec. 77. An insurer is entitled to payment of the premium as soon as the thing
insured 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. 78. An acknowledgment in a policy or contract of insurance or the receipt of
premium is conclusive evidence of its payment, so far as to make the policy
binding, notwithstanding any stipulation therein that it shall not be binding until
the premium is actually paid.
Sec. 79. A person insured is entitled to a return of premium, as
follows:chanroblesvirtuallawlibrary
(a) To the whole premium if no part of his interest in the thing insured be
exposed to any of the perils insured against;
(b) Where the insurance is made for a definite period of time and the insured
surrenders his policy, to such portion of the premium as corresponds with the
unexpired time, at a pro rata rate, unless a short period rate has been agreed
upon and appears on the face of the policy, after deducting from the whole
premium any claim for loss or damage under the policy which has previously
accrued; Provided, That no holder of a life insurance policy may avail himself of
the privileges of this paragraph without sufficient cause as otherwise provided
by law.
Sec. 80. If a peril insured against has existed, and the insurer has been liable for
any period, however short, the insured is not entitled to return of premiums, so
far as that particular risk is concerned.
Sec. 81. A person insured is entitled to return of the premium when the contract
is voidable, on account of fraud or misrepresentation of the insurer, or of his
agent, or on account of facts, the existence of which the insured was ignorant
without his fault; or when by any default of the insured other than actual fraud,
the insurer never incurred any liability under the policy.
Sec. 82. In case of an over-insurance by several insurers, the insured is entitled
to a ratable return of the premium, proportioned to the amount by which the
aggregate sum insured in all the policies exceeds the insurable value of the thing
at risk.
Title 9
LOSS
Sec. 83. An agreement not to transfer the claim of the insured against the
insurer after the loss has happened, is void if made before the loss except as
otherwise provided in the case of life insurance.
Sec. 84. Unless otherwise provided by the policy, an insurer is liable for a loss of
which a peril insured against was the proximate cause, although a peril not
contemplated by the contract may have been a remote cause of the loss; but he
is not liable for a loss which the peril insured against was only a remote cause.
Sec. 85. An insurer is liable where the thing insured is rescued from a peril
insured against that would otherwise have caused a loss, if, in the course of
such rescue, the thing is exposed to a peril not insured against, which
permanently deprives the insured of its possession, in whole or in part; or where
a loss is caused by efforts to rescue the thing insured from a peril insured
against.
Sec. 86. Where a peril is especially excepted in a contract of insurance, a loss,
which would not have occurred but for such peril, is thereby excepted although
the immediate cause of the loss was a peril which was not excepted.
Sec. 87. An insurer is not liable for a loss caused by the willful act or through the
connivance of the insured; but he is not exonerated by the negligence of the
insured, or of the insurance agents or others.
Title 10
NOTICE OF LOSS
Sec. 88. In case of loss upon an insurance against fire, an insurer is exonerated,
if notice thereof be not given to him by an insured, or some person entitled to
the benefit of the insurance, without unnecessary delay.
Sec. 89. When a preliminary proof of loss is required by a policy, the insured is
not bound to give such proof as would be necessary in a court of justice; but it is
sufficient for him to give the best evidence which he has in his power at the
time.
Sec. 90. All defects in a notice of loss, or in preliminary proof thereof, which the
insured might remedy, and which the insurer omits to specify to him, without
unnecessary delay, as grounds of objection, are waived.
Sec. 91. Delay in the presentation to an insurer of notice or proof of loss is
waived if caused by any act of him, or if he omits to take objection promptly and
specifically upon that ground.
Sec. 92. If the policy requires, by way of preliminary proof of loss, the certificate
or testimony of a person other than the insured, it is sufficient for the insured to
use reasonable diligence to procure it, and in case of the refusal of such person
to give it, then to furnish reasonable evidence to the insurer that such refusal
was not induced by any just grounds of disbelief in the facts necessary to be
certified or testified.
Title 11
DOUBLE INSURANCE
Sec. 93. A double insurance exists where the same person is insured by several
insurers separately in respect to the same subject and interest.
Sec.
94.
Where
the
insured
is
overinsured
by
double
insurance:chanroblesvirtuallawlibrary
(a) The insured, unless the policy otherwise provides, may claim payment from
the insurers in such order as he may select, up to the amount for which the
insurers are severally liable under their respective contracts;
(b) Where the policy under which the insured claims is a valued policy, the
insured must give credit as against the valuation for any sum received by him
under any other policy without regard to the actual value of the subject matter
insured;
(c) Where the policy under which the insured claims is an unvalued policy he
must give credit, as against the full insurable value, for any sum received by him
under any policy;
(d) Where the insured receives any sum in excess of the valuation in the case of
valued policies, or of the insurable value in the case of unvalued policies, he
must hold such sum in trust for the insurers, according to their right of
contribution among themselves;
(e) Each insurer is bound, as between himself and the other insurers, to
contribute ratably to the loss in proportion to the amount for which he is liable
under his contract.
Title 12
REINSURANCE
Sec. 95. A contract of reinsurance is one by which an insurer procures a third
person to insure him against loss or liability by reason of such original
insurance.
Sec. 96. Where an insurer obtains reinsurance, except under automatic
reinsurance treaties, he must communicate all the representations of the
original insured, and also all the knowledge and information he possesses,
whether previously or subsequently acquired, which are material to the risk.
Sec. 97. A reinsurance is presumed to be a contract of indemnity against
liability, and not merely against damage.
Sec. 98. The original insured has no interest in a contract of reinsurance.
Chapter II
CLASSES OF INSURANCE
Title I
MARINE INSURANCE
Sub-Title 1- A
DEFINITION
Sec. 99. Marine Insurance includes:chanroblesvirtuallawlibrary
(1) Insurance against loss of or damage to:chanroblesvirtuallawlibrary
(a) Vessels, craft, aircraft, vehicles, goods, freights, cargoes, merchandise,
effects, disbursements, profits, moneys, securities, choses in action, evidences
of debts, valuable papers, bottomry, and respondentia interests and all other
kinds of property and interests therein, in respect to, appertaining to or in
connection with any and all risks or perils of navigation, transit or
transportation, or while being assembled, packed, crated, baled, compressed or
similarly prepared for shipment or while awaiting shipment, or during any
delays, storage, transhipment, or reshipment incident thereto, including war
risks, marine builder's risks, and all personal property floater risks;
(b) Person or property in connection with or appertaining to a marine, inland
marine, transit or transportation insurance, including liability for loss of or
damage arising out of or in connection with the construction, repair, operation,
maintenance or use of the subject matter of such insurance (but not including
life insurance or surety bonds nor insurance against loss by reason of bodily
injury to any person arising out of ownership, maintenance, or use of
automobiles);
(c) Precious stones, jewels, jewelry, precious metals, whether in course of
transportation or otherwise;
(d) Bridges, tunnels and other instrumentalities of transportation and
communication (excluding buildings, their furniture and furnishings, fixed
contents and supplies held in storage); piers, wharves, docks and slips, and
other aids to navigation and transportation, including dry docks and marine
railways, dams and appurtenant facilities for the control of waterways.
(2) "Marine protection and indemnity insurance," meaning insurance against, or
against legal liability of the insured for loss, damage, or expense incident to
ownership, operation, chartering, maintenance, use, repair, or construction of
any vessel, craft or instrumentality in use of ocean or inland waterways,
including liability of the insured for personal injury, illness or death or for loss of
or damage to the property of another person.
Sub-Title 1-B
INSURABLE INTEREST
Sec. 100. The owner of a ship has in all cases an insurable interest in it, even
when it has been chartered by one who covenants to pay him its value in case of
loss: Provided, That in this case the insurer shall be liable for only that part of
the loss which the insured cannot recover from the charterer.
Sec. 101. The insurable interest of the owner of the ship hypothecated by
bottomry is only the excess of its value over the amount secured by bottomry.
Sec. 102. Freightage, in the sense of a policy of marine insurance, signifies all
the benefits derived by the owner, either from the chartering of the ship or its
employment for the carriage of his own goods or those of others.
Sec. 103. The owner of a ship has an insurable interest in expected freightage
which according to the ordinary and probable course of things he would have
earned but for the intervention of a peril insured against or other peril incident
to the voyage.
Sec. 104. The interest mentioned in the last section exists, in case of a charter
party, when the ship has broken ground on the chartered voyage. If a price is to
be paid for the carriage of goods it exists when they are actually on board, or
there is some contract for putting them on board, and both ship and goods are
ready for the specified voyage.
Sec. 105. One who has an interest in the thing from which profits are expected
to proceed has an insurable interest in the profits.
Sec. 106. The charterer of a ship has an insurable interest in it, to the extent
that he is liable to be damnified by its loss.
Sub-Title 1-C
CONCEALMENT
Sec. 107. In marine insurance each party is bound to communicate, in addition
to what is required by section twenty-eight, all the information which he
possesses, material to the risk, except such as is mentioned in Section thirty,
and to state the exact and whole truth in relation to all matters that he
represents, or upon inquiry discloses or assumes to disclose.
Sec. 108. In marine insurance, information of the belief or expectation of a third
person, in reference to a material fact, is material.
Sec. 109. A person insured by a contract of marine insurance is presumed to
have knowledge, at the time of insuring, of a prior loss, if the information might
possibly have reached him in the usual mode of transmission and at the usual
rate of communication.
Sec. 110. A concealment in a marine insurance, in respect to any of the following
matters, does not vitiate the entire contract, but merely exonerates the insurer
from a loss resulting from the risk concealed:chanroblesvirtuallawlibrary
(a) The national character of the insured;
(b) The liability of the thing insured to capture and detention;
(c) The liability to seizure from breach of foreign laws of trade;
(d) The want of necessary documents;
(e) The use of false and simulated papers.
Sub-Title 1-D
REPRESENTATION
Sec. 111. If a representation by a person insured by a contract of marine
insurance, is intentionally false in any material respect, or in respect of any fact
on which the character and nature of the risk depends, the insurer may rescind
the entire contract.
cargo
continues
after
they
are
thus
reshipped.
Nothing in this section shall prevent an insurer from requiring an additional
premium if the hazard be increased by this extension of liability.
Sec. 134. In addition to the liability mentioned in the last section, a marine
insurer is bound for damages, expenses of discharging, storage, reshipment,
extra freightage, and all other expenses incurred in saving cargo reshipped
pursuant
to
the
last
section,
up
to
the
amount
insured.
Nothing in this or in the preceding section shall render a marine insurer liable
for any amount in excess of the insured value or, if there be none, of the
insurable value.
Sec. 135. Upon an actual total loss, a person insured is entitled to payment
without notice of abandonment.
Sec. 136. Where it has been agreed that an insurance upon a particular thing, or
class of things, shall be free from particular average, a marine insurer is not
liable for any particular average loss not depriving the insured of the possession,
at the port of destination, of the whole of such thing, or class of things, even
though it becomes entirely worthless; but such insurer is liable for his
proportion of all general average loss assessed upon the thing insured.
Sec. 137. An insurance confined in terms to an actual loss does not cover a
constructive total loss, but covers any loss, which necessarily results in
depriving the insured of the possession, at the port of destination, of the entire
thing insured.
Sub-Title 1-H
ABANDONMENT
Sec. 138. Abandonment, in marine insurance, is the act of the insured by which,
after a constructive total loss, he declares the relinquishment to the insurer of
his interest in the thing insured.
Sec. 139. A person insured by a contract of marine insurance may abandon the
thing insured, or any particular portion thereof separately valued by the policy,
or otherwise separately insured, and recover for a total loss thereof, when the
cause of the loss is a peril insured against:chanroblesvirtuallawlibrary
(a) If more than three-fourths thereof in value is actually lost, or would have to
be expended to recover it from the peril;
(b) If it is injured to such an extent as to reduce its value more than threefourths;
(c) If the thing insured is a ship, and the contemplated voyage cannot be
lawfully performed without incurring either an expense to the insured of more
than three-fourths the value of the thing abandoned or a risk which a prudent
man would not take under the circumstances; or
(d) If the thing insured, being cargo or freightage, and the voyage cannot be
performed, nor another ship procured by the master, within a reasonable time
and with reasonable diligence, to forward the cargo, without incurring the like
expense or risk mentioned in the preceding sub-paragraph. But freightage
Sec. 163. A marine insurer is liable for all the expenses attendant upon a loss
which forces the ship into port to be repaired; and where it is stipulated in the
policy that the insured shall labor for the recovery of the property, the insurer is
liable for the expense incurred thereby, such expense, in either case, being in
addition to a total loss, if that afterwards occurs.
Sec. 164. A marine insurer is liable for a loss falling upon the insured, through a
contribution in respect to the thing insured, required to be made by him towards
a general average loss called for by a peril insured against;provided, that the
liability of the insurer shall be limited to the proportion of contribution attaching
to his policy value where this is less than the contributing value of the thing
insured.
Sec. 165. When a person insured by a contract of marine insurance has a
demand against others for contribution, he may claim the whole loss from the
insurer, subrogating him to his own right to contribution. But no such claim can
be made upon the insurer after the separation of the interests liable to the
contribution, nor when the insured, having the right and opportunity to enforce
the contribution from others, has neglected or waived the exercise of that right.
Sec. 166. In the case of a partial loss of ship or its equipment, the old materials
are to be applied towards payment for the new. Unless otherwise stipulated in
the policy, a marine insurer is liable for only two-thirds of the remaining cost of
repairs after such deduction, except that anchors must be paid in full.
Title 2
FIRE INSURANCE
Sec. 167. As used in this Code, the term "fire insurance" shall include insurance
against loss by fire, lightning, windstorm, tornado or earthquake and other allied
risks, when such risks are covered by extension to fire insurance policies or
under separate policies.
Sec. 168. An alteration in the use or condition of a thing insured from that to
which it is limited by the policy made without the consent of the insurer, by
means within the control of the insured, and increasing the risks, entitles an
insurer to rescind a contract of fire insurance.
Sec. 169. An alteration in the use or condition of a thing insured from that to
which it is limited by the policy, which does not increase the risk, does not affect
a contract of fire insurance. chanrobles virtual law library
Sec. 170. A contract of fire insurance is not affected by any act of the insured
subsequent to the execution of the policy, which does not violate its provisions,
even though it increases the risk and is the cause of the loss.
Sec. 171. If there is no valuation in the policy, the measure of indemnity in an
insurance against fire is the expense it would be to the insured at the time of the
commencement of the fire to replace the thing lost or injured in the condition in
which at the time of the injury; but if there is a valuation in a policy of fire
insurance, the effect shall be the same as in a policy of marine insurance.
Sec. 172. Whenever the insured desires to have a valuation named in his policy,
insuring any building or structure against fire, he may require such building or
structure to be examined by an independent appraiser and the value of the
insured's interest therein may then be fixed as between the insurer and the
insured. The cost of such examination shall be paid for by the insured. A clause
shall be inserted in such policy stating substantially that the value of the
insured's interest in such building or structure has been thus fixed. In the
absence of any change increasing the risk without the consent of the insurer or
of fraud on the part of the insured, then in case of a total loss under such policy,
the whole amount so insured upon the insured's interest in such building or
structure, as stated in the policy upon which the insurers have received a
premium, shall be paid, and in case of a partial loss the full amount of the partial
loss shall be so paid, and in case there are two or more policies covering the
insured's interest therein, each policy shall contribute pro rata to the payment of
such whole or partial loss. But in no case shall the insurer be required to pay
more than the amount thus stated in such policy. This section shall not prevent
the parties from stipulating in such policies concerning the repairing, rebuilding
or replacing of buildings or structures wholly or partially damaged or destroyed.
Sec. 173. No policy of fire insurance shall be pledged, hypothecated, or
transferred to any person, firm or company who acts as agent for or otherwise
represents the issuing company, and any such pledge, hypothecation, or transfer
hereafter made shall be void and of no effect insofar as it may affect other
creditors of the insured.
Title 3
CASUALTY INSURANCE
Sec. 174. Casualty insurance is insurance covering loss or liability arising from
accident or mishap, excluding certain types of loss which by law or custom are
considered as falling exclusively within the scope of other types of insurance
such as fire or marine. It includes, but is not limited to, employer's liability
insurance, motor vehicle liability insurance, plate glassinsurance, burglary and
theft insurance, personal accident and health insurance as written by non-life
insurance companies, and other substantially similar kinds of insurance.
Title 4
SURETYSHIP
Sec. 175. A contract of suretyship is an agreement whereby a party called the
surety guarantees the performance by another party called the principal or
obligor of an obligation or undertaking in favor of a third party called the
obligee. It includes official recognizances, stipulations, bonds or undertakings
issued by any company by virtue of and under the provisions of Act No. 536, as
amended by Act No. 2206.
Sec. 176. The liability of the surety or sureties shall be joint and several with the
obligor and shall be limited to the amount of the bond. It is determined strictly
by the terms of the contract of suretyship in relation to the principal contract
between the obligor and the obligee. (As amended by Presidential Decree No.
1455).
Sec. 177. The surety is entitled to payment of the premium as soon as the
contract of suretyship or bond is perfected and delivered to the obligor. No
contract of suretyship or bonding shall be valid and binding unless and until the
premium therefor has been paid, except where the obligee has accepted the
bond, in which case the bond becomes valid and enforceable irrespective of
whether or not the premium has been paid by the obligor to the
surety: Provided, That if the contract of suretyship or bond is not accepted by, or
filed with the obligee, the surety shall collect only reasonable amount, not
exceeding fifty per centum of the premium due thereon as service fee plus the
cost of stamps or other taxes imposed for the issuance of the contract or
bond: Provided, however, That if the non-acceptance of the bond be due to the
fault or negligence of the surety, no such service fee, stamps or taxes shall be
collected.
In the case of a continuing bond, the obligor shall pay the subsequent annual
premium as it falls due until the contract of suretyship is cancelled by the
obligee or by the Commissioner or by a court of competent jurisdiction, as the
case may be. chanrobles virtual law library
Sec. 178. Pertinent provisions of the Civil Code of the Philippines shall be applied
in a suppletory character whenever necessary in interpreting the provisions of a
contract of suretyship.
Title 5
LIFE INSURANCE
Sec. 179. Life insurance is insurance on human lives and insurance appertaining
thereto or connected therewith.
Sec. 180. An insurance upon life may be made payable on the death of the
person, or on his surviving a specified period, or otherwise contingently on the
continuance or cessation of life.
Every contract or pledge for the payment of endowments or annuities shall be
considered a life insurance contract for purpose of this Code.
In the absence of a judicial guardian, the father, or in the latter's absence or
incapacity, the mother, or any minor, who is an insured or a beneficiary under a
contract of life, health or accident insurance, may exercise, in behalf of said
minor, any right under the policy, without necessity of court authority or the
giving of a bond, where the interest of the minor in the particular act involved
does not exceed twenty thousand pesos. Such right may include, but shall not be
limited to, obtaining a policy loan, surrendering the policy, receiving the
proceeds of the policy, and giving the minor's consent to any transaction on the
policy.
Sec. 180-A. The insurer in a life insurance contract shall be liable in case of
suicides only when it is committed after the policy has been in force for a period
of two years from the date of its issue or of its last reinstatement, unless the
policy provides a shorter period: Provided, however, That suicide committed in
(a) A certified copy of the last annual statement or a verified financial statement
exhibiting the condition and affairs of such company;
(b) If incorporated under the laws of the Philippines, a copy of the articles of
incorporation and by-laws, and any amendments to either, certified by the
Securities and Exchange Commission to be a copy of that which is filed in its
Office;
(c) If incorporated under any laws other than those of the Philippines, a
certificate from the Securities and Exchange Commission showing that it is duly
registered in the mercantile registry of that Commission in accordance with
the Corporation Law. A copy of the articles of incorporation and by-laws, and any
amendments to either, if organized or formed under any law requiring such to be
filed, duly certified by the officer having the custody of same, or if not so
organized, a copy of the law, charter or deed of settlement under which the deed
of organization is made, duly certified by the proper custodian thereof, or proved
by affidavit to be a copy; also, a certificate under the hand and seal of the proper
officer of such state or country having supervision of insurance business therein,
if any there be, that such corporation or company is organized under the laws of
such state or country, with the amount of capital stock or assets and legal
reserve required by this Code;
(d) If not incorporated and of foreign domicile, aside from the certificate
mentioned in paragraph (c) of this section, a certificate setting forth the nature
and character of the business, the location of the principal office, the name of
the individual or names of the persons composing the partnership or association,
the amount of actual capital employed or to be employed therein and the names
of all officers and persons by whom the business is or may be managed.
The certificate must be verified by the affidavit of the chief officer, secretary,
agent, or manager of the company; and if there are any written articles of
agreement of the company, a copy thereof must be accompany such certificate.
Sec. 190. The Commissioner must require as a condition precedent to the
transaction of insurance business in the Philippines by any foreign insurance
company, that such company file in his office a written power of attorney
designating some person who shall be a resident of the Philippines as its general
agent, on whom any notice provided by law or by any insurance policy, proof of
loss, summons and other legal processes may be served in all actions or other
legal proceedings against such company, and consenting that service upon such
general agent shall be admitted and held as valid as if served upon the foreign
company at its home office. Any such foreign company shall, as further condition
precedent to the transaction of insurance business in the Philippines, make and
file with the Commissioner an agreement or stipulation, executed by the proper
authorities
of
said
company
in
form
and
substance
as
follows:chanroblesvirtuallawlibrary
"The (name of company) does hereby stipulate and agree in consideration of the
permission granted by the Insurance Commissioner to transact business in the
Philippines, that if at any time said company shall leave the Philippines, or cease
to transact business therein, or shall be without any agent in the Philippines on
whom any notice, proof of loss, summons, or legal process may be served, then
in any action or proceeding arising out any business or transaction which
occurred in the Philippines, service of any notice provided by law, or insurance
policy, proof of loss, summons, or other legal process may be made upon the
Insurance Commissioner shall have the same force and effect as if made upon
the company."
Whenever such service of notice, proof of loss, summons, or other legal process
shall be made upon the Commission, he must, within ten days thereafter,
transmit by mail, postage paid, a copy of such notice, proof of loss, summons, or
other legal process to the company at its home or principal office. The sending of
such copy by the Commissioner shall be a necessary part of the service of the
notice, proof of loss, or other legal process.
Sec. 191. No insurance company organized or existing under the government or
laws other than those of the Philippines shall engage in business in the
Philippines unless possessed of paid-up unimpaired capital or assets and reserve
not less than that herein required of domestic insurance companies, nor until it
shall have deposited with the Commissioner for the benefit and security of the
policyholders and creditors of such company in the Philippines, securities
satisfactory to the Commissioner consisting of good securities of the Philippines,
including new issues of stock of"registered enterprises", as this term is defined
in Republic Act No. 5186, otherwise known as the Investment Incentives Act, as
amended, to the actual market value of not less than the minimum paid-up
capital required of domestic insurance companies: Provided, That at least
fifty per centum of such securities shall consist of bonds or other evidences of
debt of the Government of the Philippines, its political subdivisions and
instrumentalities, or of government-owned or controlled corporations and
entities, including the Central Bank. The total investment of a foreign insurance
company in any registered enterprise shall not exceed twenty per centum of the
net worth of said foreign insurance company nor twenty per centum of the
capital of the registered enterprise, unless previously authorized in writing by
the Commissioner.
For purposes of this Code, the net worth of a foreign insurance company shall
refer only to its net worth in the Philippines.
Sec. 192. The Commissioner shall hold the securities, deposited as aforesaid, for
the benefit and security of all the policyholders of the company depositing the
same, but shall as long as the company is solvent, permit the company to collect
the interest or dividends on the securities so deposited, and, from time to time,
with his assent, to withdraw any of such securities, upon depositing with said
Commissioner other like securities, the market value of which shall be equal to
the market value of such as may be withdrawn. In the event of any company
ceasing to do business in the Philippines the securities deposited as aforesaid
shall be returned upon the company's making application therefor and proving
to the satisfaction of the Commissioner that it has no further liability under any
of its policies in the Philippines.
Sec. 193. Every foreign company doing business in the Philippines shall set aside
an amount corresponding to the legal reserves of the policies written in the
Philippines and invest and keep the same therein in accordance with the
provisions of this section. The legal reserve therein required to be set aside shall
be invested only in the classes of the Philippine securities described in section
two hundred: Provided, however, That no investment in stocks or bonds of any
single entity shall, in the aggregate exceed twentyper centum of the net worth
of the investing company or twenty per centum of the capital of the issuing
company, whichever is the lesser unless otherwise approved in writing by the
Commissioner. The securities purchased and kept in the Philippines under this
section, shall not be sent out of the territorial jurisdiction of the Philippines
without the written consent of the Commissioner.
Title 2
MARGIN OF INSOLVENCY
Sec. 194. An insurance company doing business in the Philippines shall at all
times maintain a margin of solvency which shall be an excess of the value of its
admitted assets exclusive of its paid-up capital, in the case of a domestic
company, or an excess of the value of its admitted assets in the Philippines,
exclusive of its security deposits, in the case of a foreign company, over the
amount of its liabilities, unearned premium and reinsurance reserves in the
Philippines of at least two per mille of the total amount of its insurance in force
as of the preceding calendar year on all policies, except term insurance, in the
case of a life insurance company, or of at least ten per centum of the total
amount of its net premium written during the preceding calendar year, in the
case of a company other than a life insurance company: Provided, That in either
case, such margin shall in no event be less than five hundred thousand pesos:
and Provided, further, That the term"paid-up capital" shall not include
contributed surplus and capital paid in excess of par value. Such assets,
liabilities and reserves shall exclude assets, liabilities and reserves included in
separate accounts established in accordance with section two hundred thirtyseven. Whenever the aforementioned margin be found to be less than that
herein required to be maintained, the Commissioner shall forthwith direct the
company to make good any such deficiency by cash, to be contributed by all
stockholders of record in proportion to their respective interest, and paid to the
treasurer of the company, within fifteen days from receipt of the
order: Provided, That the company in the interim shall not be permitted to take
any new risk of any kind or character unless and until it make good any such
deficiency:Provided, further, that a stockholder who aside from paying the
contribution due from him, pays the contribution due from the another
stockholder by reason of the failure or refusal of the latter to do so, shall have a
reserves and other policy liabilities carried on each individual life insurance
policy, contract or certificate.
5. The net amount of uncollected and deferred premiums and annuity
considerations in the case of a life insurance company which carries the full
mean tabular reserve liability.
6. Reinsurance recoverable by the ceding insurer:chanroblesvirtuallawlibrary
(a) from an insurer authorized to transact business in this country, the full
amount thereof; or
(b) from an insurer not authorized in this country, in an amount not exceeding
the liabilities carried by the ceding insurer for amounts withheld under a
reinsurance treaty with such unauthorized insurer as security for the payment of
obligations thereunder if such funds are held subject to withdrawal by, and
under the control of, the ceding insurer. The Commissioner may prescribe the
conditions under which a ceding insurer may be allowed credit, as an asset or as
a deduction from loss and unearned premium reserves, for reinsurance
recoverable from an insurer not authorized in this country but which presents
satisfactory evidence that it meets the applicable standards of solvency required
in this country.
7. Funds withheld by a ceding insurer under a reinsurance treaty, provided
reserves for unpaid losses and unearned premiums are adequately provided.
8. Deposits or amounts recoverable from underwriting associations, syndicates
and reinsurance funds, or from any suspended banking institution, to the extent
deemed by the Commissioner to be available for the payment of losses and
claims and values to be determined by him.
9. Electronic data processing machines, as may be authorized by the
Commissioner to be acquired by the insurance company concerned, the
acquisition cost of which to be amortized in equal annual amounts within a
period of five years from the date of acquisition thereof.
10. Other assets, not inconsistent with the provisions of paragraphs 1 to 9
hereof, which are deemed by the Commissioner to be readily realizable and
available for the payment of losses and claims at values to be determined by
him.
Sec. 197. In addition to such assets as the Commissioner may from time to time
determine to be non-admitted assets of insurance companies doing business in
the Philippines, the following assets shall in no case be allowed as admitted
assets of an insurance company doing business in the Philippines, in any
determination of its financial condition:chanroblesvirtuallawlibrary
1. Goodwill, trade names, and other like intangible assets.
2. Prepaid or deferred charges for expenses and commissions paid by such
insurance company.
3. Advances to officers (other than policy loans), which are not adequately
secured and which are not previously authorized by the Commissioner, as well
as advances to employees, agents, and other persons on mere personal security.
4. Shares of stock of such insurance company, owned by it, or any equity therein
as well as loans secured thereby, or any proportionate interest in such shares of
stock through the ownership by such insurance company of an interest in
another corporation or business unit.
5. Furniture, furnishing, fixtures, safes, equipment, library, stationery, literature,
and supplies.
6. Items of bank credits representing checks, drafts or notes returned unpaid
after the date of statement.
7. The amount, if any, by which the aggregate value of investments as carried in
the ledger assets of such insurance company exceeds the aggregate value
thereof as determined in accordance with the provisions of this Code and/or the
rules of the Commissioner.
All non-admitted assets and all other assets of doubtful value or character
included as ledger or non-ledger assets in any statement submitted by an
insurance company to the Commissioner, or in any insurance examiner's report
to him, shall also be reported, to the extent of the value disallowed as
deductions from the gross assets of such insurance company, except where the
Commissioner permits a reserve to be carried among the liabilities of such
insurance company in lieu of any such deduction.
Title 4
INVESTMENTS
Sec. 198. No insurance company shall loan any of its money or deposits to any
person, corporation or association, except upon first mortgage or deeds of trust
of unencumbered, improved or unimproved real estate, including condominiums,
in cities and centers of population of municipalities in the Philippines when the
amount of such loan is not in excess of seventy per centum of the market value
of such real estate; or upon the security of first mortgages or deeds of trust of
actually cultivated, improved and unencumbered agricultural lands in the
Philippines when the amount of such loan is not in excess of forty per centum of
the market value of such land; or upon the purchase money mortgages or like
securities received by it upon the sale or exchange of real property acquired
pursuant to sections two hundred and two hundred two; or upon bonds or other
evidences of debt of the Government of the Philippines or its political
subdivisions authorized by law to issue bonds, or upon bonds or other evidences
of debt of government-owned or controlled corporations and instrumentalities
including the Central Bank or upon obligations issued or guaranteed by the
International Bank for Reconstruction and Development; or upon stocks, bonds
or other evidences of debt as are specified in section two hundred.
A life insurance company, however, may lend to any of its policyholders upon the
security of the value of its policy such sum as may be determined pursuant to
the provisions of the policy.
Loans granted upon the security of real estate for a period longer than five years
shall be amortized in monthly, quarterly, semi-annual or annual installments;
Provided, That no such loans shall have a maturity in excess of twenty years.
The phrase "improved real estate" used above is hereby defined to mean land
with permanent building or buildings erected or being erected thereon. Except
as otherwise approved by the Commissioner, in case the building or buildings on
land do not belong to the owner of the latter, no loan shall be granted on the
security of the real estate in question unless both the owner of the building or
buildings and the owner of the land sign the deed of mortgage, and unless the
owner of the land is the Government of the Philippines or one of its political
subdivisions, in which event the owner is not required to sign the deed of
mortgage.
Sec. 199. No loan by any insurance company on the security of real estate shall
be made unless the title to such real estate shall have first been registered in
accordance with the existing Land Registration Act, or shall be a titulo real duly
registered, or have been previously registered under the provisions of the
existing Mortgage Law.
Sec. 200. (1) An insurance company may purchase, hold, own and convey such
property, real and personal, as may have been mortgaged, pledged, or conveyed
to it in good faith in trust for its benefit by reason of money loaned by it in
pursuance of the regular business of the company, and such real or personal
property as may have been purchased by it at sales under pledges, mortgages or
deeds of trust for its benefit on account of money loaned by it; and such real and
personal property as may have been conveyed to it by borrowers in satisfaction
and discharge of loans made by the company to them: Provided, however, That
any real estate purchased by an insurance company in payment or by reason of
any loan made by it shall be sold by the company within twenty years after the
title thereto has been vested in it.
(2) An insurance company may purchase, hold, own and convey real and
personal property as follows:chanroblesvirtuallawlibrary
(a) The lot with building thereon in which the company conducts and carries on
its business.
(b) Bonds or other evidences of debt of the Government of the Philippines or its
political subdivisions authorized by law to issue bonds at the reasonable market
value thereof.
(c) Bonds or other evidences of debt of the government-owned or controlled
corporations and entities, including the Central Bank.
(d) Bonds, debentures or other evidences of indebtedness of any solvent
corporations or institution created or existing under the laws of the
Philippines: Provided, however, That the issuing, assuming or guaranteeing
entity or its predecessors shall not have defaulted in the payment of interest on
any of its securities and that during each of any three including the last two of
the five fiscal years next preceding the date of acquisition by such insurance
wholly or in part within the Philippines: Provided, however, That there is a right
to receive determined portions of rental, purchase or other fixed obligatory
payments for the use or purchase of such equipment.
(i) Any obligation of any corporation or institution created or existing under the
laws of the Philippines which is, on the date of acquisition by the insurer,
adequately secured and has qualities and characteristics wherein the speculative
elements are not predominant.
(j) Such other securities as may be approved by the Commissioner.
(3) Any domestic insurer which has outstanding insurance, annuity or
reinsurance contracts in currencies other than the national currency of the
Philippines may invest in, or otherwise acquire or loan upon securities and
investments in such currency which are substantially of the same kinds, classes
and investment grades as those eligible for investment under the foregoing
subdivisions of this section; but the aggregate amount of such investment and of
such cash in such currency which is at anytime held by such insurer shall not
exceed one and one-half times the amount of its reserves and other obligations
under such contracts or the amount which such insurer is required by the law of
any country or possession outside the Republic of the Philippines to be invest in
such country or possession, whichever shall be greater.
Sec. 201. An insurance company may (1) invest in equities of other financial
institutions, and (2) engage in the buying and selling of short-term debt
instruments: Provided, That any or all of such investments shall be with the prior
approval of the Commissioner.
Sec. 202. Any life insurance company may:chanroblesvirtuallawlibrary
(a) Acquire or construct housing projects and, in connection with any such
project, may acquire land or any interest therein by purchase, lease or
otherwise, or use land acquired pursuant to any other provision of this Code.
Such company may thereafter own, maintain, manage, collect or receive income
from, or sell and convey, any land or interest therein so acquired and any
improvements thereon. The aggregate book value of the investments of any such
company in all such projects shall not exceed at the time of such investments
twenty five per centum of the total admitted assets of such company on the
thirty-first day of December next preceding;
(b) Acquire real property, other than property to be used primarily for providing
housing and property for accommodation of its own business, as an investment
for the production of income, or may acquire real property to be improved or
developed for such investment purpose pursuant to a program therefor, subject
to the condition that the cost of each parcel of real property so acquired under
the authority of this paragraph (b), including the estimated cost to the company
of the improvement or development thereof, when added to the book value of all
other real property held by its pursuant to this paragraph (b), shall not exceed
twenty-five per centum of its admitted assets as of the thirty-first day of
December next preceding.
Sec. 203. Every domestic insurance company shall, to the extent of an amount
equal in value to twenty-five per centum of the minimum paid-up capital
required under section one hundred eighty-eight, invest its funds only in
securities, satisfactory to the Commissioner, consisting of bonds or other
evidences of debt of the Government of the Philippines or its political
subdivisions or instrumentalities, or of government-owned or controlled
corporations
and
entities,
including
the
Central
Bank
of
the
Philippines:Provided, That such investments shall at all times be maintained free
from any lien or encumbrance; and Provided, further, That such securities shall
be deposited with and held by the Commissioner for the faithful performance by
the depositing insurer of all its obligations under its insurance contracts. The
provisions of section one hundred ninety-two shall, so far as practicable, apply
to the securities deposited under this section.
Except as otherwise provided in this Code, no judgment creditor or other
claimant shall have the right to levy upon any of the securities of the insurer
held on deposit under this section or held on deposit pursuant to the
requirement of the Commissioner. (As amended by Presidential Decree No.
1455).
Sec. 204. After satisfying the requirements contained in the preceding section,
any domestic non-life insurance company, shall invest, to an amount prescribed
below, its funds in, or otherwise, acquire or loan upon, only the classes of
investments described in section two hundred, including securities issued by
any "registered enterprise", as this term is defined in Republic Act No. 5186,
otherwise known as the Investment Incentives Act, and such other classes of
investments as may be authorized by the Commissioner for purposes of this
section: Provided, That (a) no more than twenty per centum of the net worth of
such company as shown by its latest financial statement approved by the
Commissioner shall be invested in the lot and building in which the insurance
company conducts its business and (b) the total investment of an insurance
company in any registered enterprise shall not exceed twenty per centum of the
net worth of said insurance company as shown by its aforesaid financial
statement nor twenty per centum of the paid-up capital of the registered
enterprise excluding the intended investment, unless previously authorized by
the Commissioner: and,Provided, further, That such investments free from any
lien or encumbrance, shall be at least equal in amount to the aggregate amount
of (a) its legal reserve, as provided in section two hundred thirteen, and (b) its
reserve fund held for reinsurance as provided for in the pertinent treaty
provision in the case of reinsurance ceded to authorized insurers. (As amended
by Presidential Decree No.1455).
Sec. 205. After satisfying the requirements contained in sections one hundred
ninety-one, one hundred ninety-three, two hundred three and two hundred four,
any non-life insurance company may invest any portion of its funds representing
earned surplus in any of the investments described in sections one hundred
ninety-eight, two hundred and two hundred one, or in any securities issued by
a "registered enterprise" mentioned in the preceding sections: Provided, That no
investment in stocks or bonds of any single entity shall in the aggregate, exceed
twenty per centum of the net worth of the insurance company as shown in its
latest financial statement approved by the Commissioner or twenty per centum
of the paid-up capital of the issuing company, whichever is lesser, unless
otherwise approved by the Commissioner.
Sec. 206. After satisfying the minimum capital investment required in section
two hundred three, any life insurance company may invest its legal policy
reserve, as provided in section two hundred eleven or in section two hundred
twelve, in any of the classes of securities or types of investments described in
sections one hundred ninety-eight, two hundred, two hundred one and two
hundred two, subject to the limitations therein contained, and in any securities
issued by any "registered enterprise" mentioned in section two hundred four,
free from any lien or encumbrance, in such amounts as may be approved by the
Commissioner. Such company may likewise invest any portion of its earned
surplus in the aforesaid securities or investments subject to the aforesaid
limitations.
Sec. 207. Any investment made in violation of the applicable provisions of this
title shall be considered non-admitted assets.
Sec. 208. (1) All bonds or other evidences of indebtedness having a fixed term
and rate of interest and held by any life insurance company authorized to do
business in this country, if amply secured and if not in default as to principal or
interest, shall be valued as follows: If purchased at par, at the par value; if
purchased above or below par, on the basis of the purchase price adjusted so as
to bring the value to par at maturity and so as to yield in the meantime the
effective rate of interest at which the purchase was made, or in the discretion of
the Commissioner, on the basis of the method of calculation commonly known as
the pro-rata method. In applying the foregoing rule the purchase price shall in
no case be taken at a higher figure than the actual market value at the time of
acquisition. The Commissioner shall have the power to determine the eligibility
of any such investments for valuation on the basis of amortization, and may by
regulation prescribe or limit the classes of securities so eligible for amortization.
All bonds or other evidences of indebtedness which in the judgment of the
Commissioner are not amply secured shall not be eligible for amortization and
shall be valued in accordance with paragraph two. The Commissioner may, if he
finds that the interest of policy holders so permit or require, by official
regulation permit or require any class or classes of insurers, other than life
insurance companies, authorized to do business in this country, to value their
bonds or other evidences of indebtedness in accordance with the foregoing rule.
(2) The investments of all insurers authorized to do business in this country,
except securities subject to amortization and except as otherwise provided in
this chapter, shall be valued, in the discretion of the Commissioner, at their
by the insurer or (ii) such other value determined pursuant to standards and
cumulative limitations, contained in a regulation to be promulgated by the
Commissioner.
(7) Notwithstanding any provision contained in this section or elsewhere in this
chapter, if the Commissioner find that the interests of policyholders so permit or
require, he may permit or require any class or classes of insurers authorized to
do business in this country to value their investments or any class or classes
thereof as of any date heretofore or hereafter in accordance with any applicable
valuation or method.
Sec. 209. It shall be the duty of the officers of the insurance company to report
within the first fifteen days of every month all such investments as may be made
by them during the preceding month, and the Commissioner may, if such
investments or any of them seem injudicious to him, require the sale or disposal
of the same. The report shall also include a list of investments sold or disposed
of by the company during the same period.
Title 5
RESERVES
Sec. 210. Every life insurance company, doing business in the Philippines, shall
annually make a valuation of all policies, additions thereto, unpaid dividends,
and all other obligations outstanding on the thirty-first day of December of the
preceding year. All such valuations shall be made upon the net premiums basis,
according to the standard adopted by the company, which standard shall be
stated in its annual report.
Such standard of valuation whether of the net level premium, full preliminary
term, any modified preliminary term, or select and ultimate reserve basis, shall
be according to a standard table of mortality with interest at not more than six
per centum compound interest. When the preliminary term basis is used, the
term insurance shall be limited to the first policy year.
The results of such valuations shall be reported to the Commissioner on or
before the thirtieth day of April of each year accompanied by a sworn statement
of the company's actuary certifying to the figures and stating upon what
mortality table it is based, upon what rate of interest the valuation is made, and
the methods used in arriving at the result obtained.
Sec. 211. The aggregate net value so ascertained of the policies of such company
shall be deemed its reserve liability, to provide for which it shall hold funds in
secure investments equal to such net value, above all its other liabilities; and it
shall be the duty of the Commissioner, after having verified, to such an extent as
he may deem necessary, the valuation of all policies in force, to satisfy himself
that the company has such amount in safe legal securities after all other debts
and claims against it have been provided for.
The reserve liability for variable contracts defined in section two hundred thirtytwo shall be established in accordance with actuarial procedures that recognize
the variable nature of the benefits provided, and shall be approved by the
Commissioner.
Sec. 212. Every domestic life insurance company, conducted on the mutual plan
or a plan in which policyholders are by the terms of their policies entitled to
share in the profits or surplus shall, on all policies of life insurance heretofore or
hereafter issued, under the conditions of which the distribution of surplus is
deferred to a fixed or specified time and contingent upon the policy being in
force and the insured living at that time, annually ascertain the amount of the
surplus to which all such policies as separate class are entitled, and shall
annually apportion to such policies as a class the amount of the surplus so
ascertained, and carry the amount of such apportioned surplus, plus the actual
interest earnings and accretions to such fund, as a distinct and separate liability
to such class of policies on and for which the same was accumulated, and no
company or any of its officers shall be permitted to use any part of such
apportioned surplus fund for any purpose whatsoever other than for the express
purpose for which the same was accumulated.
Sec. 213. Every insurance company, other than life, shall maintain a reserve for
unearned premiums on its policies in force, which shall be charged as a liability
in any determination of its financial condition. Such reserve shall be equal to
forty per centum of the gross premiums, less returns and cancellations, received
on policies or risks having not more than a year to run, and pro rata on all gross
premiums received on policies or risks having more than a year to run: Provided,
That for marine cargo risks the reserve shall be equal to forty per centum of the
premiums written in the policies upon yearly risks, and the full amount of the
premiums written during the last two months of the calendar year upon all other
marine risks not terminated.
Sec. 214. In addition to its liabilities and reserves on contracts of insurance
issued by it, every insurance company shall be charged with the estimated
amount of all of its other liabilities, including taxes, expenses and other
obligations due or accrued at the date of statement, and including any special
reserves required by the Commissioner pursuant to the provisions of this Code.
Title 6
LIMIT OF SINGLE RISK
Sec. 215. No insurance company other than life, whether foreign or domestic,
shall retain any risk on any one subject of insurance in an amount exceeding
twenty per centum of its net worth. For purposes of this section, the
term "subject of insurance" shall include all properties or risks insured by the
same insurer that customarily are considered by non-life company underwriters
to be subject to loss or damage from the same occurrence of any hazard insured
against.
Reinsurance ceded as authorized under the succeeding title shall be deducted in
determining the risk retained. As to surety risk, deduction shall also be made of
the amount assumed by any other company authorized to transact surety
business and the value of any security mortgage, pledged, or held subject to the
under oath of two officers of the company and shall be filed simultaneously with
the annual statement required by the preceding section.
Sec. 225. Within thirty days after receipt of the annual statement approved by
the Commissioner, every insurance company doing business in the Philippines
shall publish in two newspapers of general circulation in the City of Manila, one
published in English and one in Pilipino, a full sypnosis of its annual financial
statement showing fully the conditions of its business, and setting forth its
resources and liabilities.
Title 9
POLICY FORMS
Sec. 226. No policy, certificate or contract of insurance shall be issued or
delivered within the Philippines unless in the form previously approved by the
Commissioner, and no application form shall be used with, and no rider, clause,
warranty or endorsement shall be attached to, printed or stamped upon such
policy, certificate or contract unless the form of such application, rider, clause,
warranty or endorsement has been approved by the Commissioner.
Sec. 227. In the case of individual life or endowment insurance, the policy shall
contain in substance the following conditions:chanroblesvirtuallawlibrary
(a) A provision that the policyholder is entitled to a grace period either of thirty
days or of one month within which the payment of any premium after the first
may be made, subject at the option of the insurer to an interest charge not in
excess of six per centum per annum for the number of days of grace elapsing
before the payment of the premium, during which period of grace the policy
shall continue in full force, but in case the policy becomes a claim during the said
period of grace before the overdue premium is paid, the amount of such
premium with interest may de deducted from the amount payable under the
policy in settlement;
(b) A provision that the policy shall be incontestable after it shall have been in
force during the lifetime of the insured for a period of two years from its date of
issue as shown in the policy, or date of approval of last reinstatement, except for
non-payment of premium and except for violation of the conditions of the policy
relating to military or naval service in time of war;
(c) A provision that the policy shall constitute the entire contract between the
parties, but if the company desires to make the application a part of the contract
it may do so provided a copy of such application shall be indorsed upon or
attached to the policy when issued, and in such case the policy shall contain a
provision that the policy and the application therefor shall constitute the entire
contract between the parties;
(d) A provision that if the age of the insured is considered in determining the
premium and the benefits accruing under the policy, and the age of the insured
has been misstated, the amount payable under the policy shall be such as the
premium would have purchased at the correct age;
(e) If the policy is participating, a provision that the company shall periodically
ascertain and apportion any divisible surplus accruing on the policy under
conditions specified therein;
(f) A provision specifying the options to which the policyholder is entitled to in
the event of default in a premium payment after three full annual premiums
shall have been paid. Such option shall consist of:chanroblesvirtuallawlibrary
(1) A cash surrender value payable upon surrender of the policy which shall not
be less than the reserve on the policy, the basis of which shall be indicated, for
the then current policy year and any dividend additions thereto, reduced by a
surrender charge which shall not be more than one-fifth of the entire reserve or
two and one-half per centum of the amount insured and any dividend additions
thereto;
(2) One or more paid-up benefits on a plan or plans specified in the policy of
such value as may be purchased by the cash surrender value;
(g) A provision that at anytime after a cash surrender value is available under
the policy and while the policy is in force, the company will advance, on proper
assignment or pledge of the policy and on sole security thereof, a sum equal to,
or at the option of the owner of the policy, less than the cash surrender value on
the policy, at a specified rate of interest, not more than the maximum allowed by
law, to be determined by the company from time to time, but not more often
than once a year, subject to the approval of the Commissioner; and that the
company will deduct from such loan value any existing indebtedness on the
policy and any unpaid balance of the premium for the current policy year, and
may collect interest in advance on the loan to the end of the current policy year,
which provision may further provide that such loan may be deferred for not
exceeding six months after the application therefor is made;
(h) A table showing in figures cash surrender values and paid-up options
available under the policy each year upon default in premium payments, during
at least twenty years of the policy beginning with the year in which the values
and options first become available, together with a provision that in the event of
the failure of the policyholder to elect one of the said options within the time
specified in the policy, one of said options shall automatically take effect and no
policyholder shall ever forfeit his right to same by reason of his failure to so
elect;
(i) In case the proceeds of a policy are payable in installments or as an annuity,
a table showing the minimum amounts of the installments or annuity payments;
(j) A provision that the policyholder shall be entitled to have the policy
reinstated at any time within three years from the date of default of premium
payment unless the cash surrender value has been duly paid, or the extension
period has expired, upon production of evidence of insurability satisfactory to
the company and upon payment of all overdue premiums and any indebtedness
to the company upon said policy, with interest rate not exceeding that which
would have been applicable to said premiums and indebtedness in the policy
individual policy shall have become effective, the amount of life insurance which
he would have been entitled to have issued to him as an individual policy shall
be payable as a claim under the group policy whether or not application for the
individual policy or the payment of the first premium has been made;
(k) In the case of a policy issued to a creditor to insure debtors of such creditor,
a provision that the insurer will furnish to the policyholder for delivery to each
debtor insured under the policy a form which will contain a statement that the
life of the debtor is insured under the policy and that any death benefit paid
thereunder by reason of his death shall be applied to reduce or extinguish
indebtedness.
The provisions of paragraphs (f) to (j) shall not apply to policies issued to a
creditor to insure his debtors. If a group life policy is on a plan of insurance
other than term, it shall contain a non-forfeiture provision or provisions which in
the opinion of the Commissioner is or are equitable to the insured or the
policyholder: Provided, That nothing herein contained shall be so construed as to
require group life policies to contain the same non-forfeiture provisions as are
required of individual life policies.
Sec. 229. The term "industrial life insurance" as used in this Code shall mean
that form of life insurance under which the premiums are payable either monthly
or oftener, if the face amount of insurance provided in any policy is not more
than five hundred times that of the current statutory minimum daily wage in the
City of Manila, and if the words "industrial policy" are printed upon the policy as
part of the descriptive matter.
An industrial life policy shall not lapse for non-payment of premium if such nonpayment was due to the failure of the company to send its representative or
agent to the insured at the residence of the insured or at some other place
indicated by him for the purpose of collecting such premium: Provided, That the
provisions of this paragraph shall not apply when the premium on the policy
remains unpaid for a period of three months or twelve weeks after the grace
period has expired.
Sec. 230. In the case of industrial life insurance, the policy shall contain in
substance the following provisions:chanroblesvirtuallawlibrary
(a) A provision that the insured is entitled to a grace period of four weeks within
which the payment of any premium after the first may be made, except that
where premiums are payable monthly, the period of grace shall be either one
month or thirty days; and that during the period of grace, the policy shall
continue in full force, but if during such grace period the policy becomes a claim,
then any overdue and unpaid premiums may be deducted from any amount
payable under the policy in settlement;
(b) A provision that the policy shall be incontestable after it has been in force
during the lifetime of the insured for a specified period, not more than two years
from its date of issue, except for non-payment of premiums and except for
violation of the conditions of the policy relating to naval or military service, or
in default for the specified cash value, provided that the insurer may defer
payment for not more than six months after the application therefor is made;
(h) A table that shows in figures the non-forfeiture benefits available under the
policy every year upon default in payment of premiums during at least the first
twenty years of the policy, such table to begin with the year in which such
values become available, and a provision that the company will furnish upon
request an extension of such table beyond the year shown in the policy;
(i) A provision that specifies which one of the stipulated forms of insurance
provided for under the provision of paragraph (f) of this section shall take effect
in the event of the insured's failure, within sixty days from the due date of the
premium in default, to notify the insurer in writing as to which one of such forms
he has selected;
(j) A provision that the policy may be reinstated at any time within two years
from the due date of the premium in default unless the cash surrender value has
been paid or the period of extended term insurance expired, upon production of
evidence of insurability satisfactory to the company and payment of arrears of
premiums with interest at a rate not exceeding six per centum per annum
payable annually;
(k) A provision that when a policy shall become a claim by death of the insured,
settlement shall be made upon receipt of due proof of death, or not later than
two months after receipt of such proof;
(l) A title on the face and on the back of the policy correctly describing its form;
(m) A space on the front or the back of the policy for the name of the beneficiary
designated by the insured with a reservation of the insured's right to designate
or change the beneficiary after the issuance of the policy. The policy may also
provide that no designation or change of beneficiary shall be binding on the
insurer until endorsed on the policy by the insurer, and that the insurer may
refuse to endorse the name of any proposed beneficiary who does not appear to
the insurer to have an insurable interest in the life of the insured. Such policy
may also contain a provision that if the beneficiary designated in the policy does
not surrender the policy with due proof of death within the period stated in the
policy, which shall not be less than thirty days after the death of the insured, or
if the beneficiary is the estate of the insured, or is a minor, or dies before the
insured, or is not legally competent to give valid release, then the insurer may
make any payment thereunder to the executor or administrator of the insured,
or to any of the insured's relatives by blood or legal adoption or connections by
marriage or to any person appearing to the insurer to be equitably entitled
thereto by reason of having incurred expense for the maintenance, medical
attention or burial of the insured; and
(n) A provision that when an industrial life insurance policy is issued providing
for accidental or health benefits, or both, in addition to life insurance, the
foregoing provisions shall apply only to the life insurance portion of the policy.
Any of the foregoing provisions or portions thereof not applicable to non-
accidental means or for benefits in the event of any type of disability), less any
indebtedness on or secured by such policy; nor shall any provision of this section
apply to any provision in an industrial life insurance policy for additional benefits
in the event of death by accident or accidental means.
Title 10
VARIABLE CONTRACTS
Sec. 232. (1) No insurance company authorized to transact business in the
Philippines shall issue, deliver, sell or use any variable contract in the
Philippines, unless and until such company shall have satisfied the
Commissioner that its financial and general condition and its methods of
operations, including the issue and sale of variable contracts, are not and will
not be hazardous to the public or to its policy and contract owners. No foreign
insurance company shall be authorized to issue, deliver or sell any variable
contract in the Philippines, unless it is likewise authorized to do so by the laws
of its domicile.
(2) The term "variable contract" shall mean any policy or contract on either a
group or on an individual basis issued by an insurance company providing for
benefits or other contractual payments or values thereunder to vary so as to
reflect investment results of any segregated portfolio of investments or of a
designated separate account in which amounts received in connection with such
contracts shall have been placed and accounted for separately and apart from
other investments and accounts. This contract may also provide benefits or
values incidental thereto payable in fixed or variable amounts, or both. It shall
not be deemed to be a "security" or"securities" as defined in The Securities Act,
as amended, or in the The Investment Company Act, as amended, nor subject to
regulation under said Acts.
(3) In determining the qualifications of a company requesting authority to issue,
deliver, sell or use variable contracts, the Commissioner shall always consider
the following: (a) the history, financial and general condition of the
company: Provided, That such company, if a foreign company, must have
deposited with the Commissioner for the benefit and security of its variable
contract owners in the Philippines, securities satisfactory to the Commissioner
consisting of bonds of the Government of the Philippines or its instrumentalities
with an actual market value of two million pesos; (b) the character,
responsibility and fitness of the officers and directors of the company; and (c)
the law and regulation under which the company is authorized in the state of
domicile to issue such contracts.
(4) If after notice and hearing, the Commissioner shall find that the company is
qualified to issue, deliver, sell or use variable contracts in accordance with this
Code and the regulations and rules issued thereunder, the corresponding order
of authorization shall be issued. Any decision or order denying authority to
issue, deliver, sell or use variable contracts shall clearly and distinctly state the
reasons and grounds on which it is based.
Sec. 233. Any insurance company issuing variable contracts pursuant to this
Code may in its discretion issue contracts providing a combination of fixed
amount and variable amount of benefits and for option lump-sum payment of
benefits.
Sec. 234. Every variable contract form delivered or issued for delivery in the
Philippines, and every certified form evidencing variable benefits issued
pursuant to any such contract on a group basis, and the application, rider and
endorsement forms applicable thereto and used in connection therewith, shall be
subject to the prior approval of the Commissioner.
Sec. 235. Illustration of benefits payable under any variable contract shall not
include or involve projections of past investment experience into the future and
shall conform with the rules and regulations promulgated by the Commissioner.
Sec. 236. Variable contracts may be issued on the industrial life basis, provided
that the pertinent provisions of this Code and of the rules and regulations of the
Commissioner governing variable contracts are complied with in connection with
such contracts.
Sec. 237. Every life insurance company authorized under the provisions of this
Code to issue, deliver, sell or use variable contracts shall, in connection with
same, establish one or more separate accounts to be known as separate variable
accounts. All amounts received by the company in connection with any such
contracts which are required by the terms thereof, to be collected or applied to
one or more designated separate variable accounts shall be placed in such
designated account or accounts. The assets and liabilities of each such separate
variable account shall at all times be clearly identifiable and distinguishable from
the assets and liabilities in all other accounts of the company. Notwithstanding
any provision of law to the contrary, the assets held in any such separate
variable account shall not be chargeable with liabilities arising out of any other
business the company conduct but shall be held and applied exclusively for the
benefit of the owners or beneficiaries of the variable contracts applicable
thereto. In the event of the insolvency of the company, the assets of each such
separate variable account shall be applied to the contractual claims of the
owners or beneficiaries of the variable contracts applicable thereto. Except as
otherwise specifically provided by the contract, no sale, exchange or other
transfer of assets may be made by a company, between any of its separate
accounts or between any other investment account and one or more of its
separate accounts, unless in the case of a transfer into a separate account, such
transfer is made solely to establish the account or to support the operation of
the contracts with respect to the separate account to which the transfer is made,
or in case of a transfer from a separate account, such transfer would not cause
the remaining assets of the account to become less than the reserves and other
contract liabilities with respect to such separate account. Such transfer, whether
into or from a separate account, shall be made by a transfer of cash, or by a
transfer of securities having a valuation which could be readily determined in
the market place, provided that such transfer of securities is approved by the
Commissioner. The Commissioner may authorize other transfers among such
accounts, if, in his opinion, such transfer would not be inequitable. All amounts
and assets allocated to any such separate variable account shall be owned by
the company and with respect to same the company shall not be nor hold itself
out to be a trustee.
Sec. 238. Any insurance company which has established one or more separate
variable accounts pursuant to the preceding section may invest and re-invest all
or any part of the assets allocated to any such account in the securities and
investments authorized by sections one hundred ninety-eight, two hundred, two
hundred one and two hundred two for any of the funds of an insurance company
in such amount or amounts as may be approved by the Commissioner. In
addition thereto, such company may also invest in common stocks or other
equities which are listed on or admitted to trading in a securities exchange
located in the Philippines, or which are publicly held and traded in the "over-thecounter market" as defined by the Commissioner and as to which market
quotations have been available:Provided, however, That no such company shall
invest in excess of ten per centum of the assets of any such separate variable
accounts in any one corporation issuing such common stock. The assets and
investments of such separate variable accounts shall not be taken into account
in applying the quantitative investment limitations applicable to other
investments of the company. In the purchase of common capital stock or other
equities, the insurer shall designate to the broker, or to the seller if the purchase
is not made through a broker, the specific variable account for which the
investment is made.
Sec. 239. Assets allocated to any separate variable account shall be valued at
their market value on the date of any valuation, or if there is no readily available
market then in accordance with the terms of the variable contract applicable to
such assets, or if there are no such contract terms then in such manner as may
be prescribed by the rules and regulations of the Commissioner.
Sec. 240. The reserve liability for variable contracts shall be established in
accordance with actuarial procedures that recognize the variable nature of the
benefits provided, and shall be approved by the Commissioner.
Title 11
CLAIMS SETTLEMENT
Sec. 241. (1) No insurance company doing business in the Philippines shall
refuse, without just cause, to pay or settle claims arising under coverages
provided by its policies, nor shall any such company engage in unfair claim
settlement practices. Any of the following acts by an insurance company, if
committed without just cause and performed with such frequency as to indicate
a general business practice, shall constitute unfair claim settlement
practices:chanroblesvirtuallawlibrary
(a) knowingly misrepresenting to claimants pertinent facts or policy provisions
twice the ceiling prescribed by the Monetary Board, unless such failure or refusal
to pay is based on the ground that the claim is fraudulent.
Sec. 244. In case of any litigation for the enforcement of any policy or contract
of insurance, it shall be the duty of the Commissioner or the Court, as the case
may be, to make a finding as to whether the payment of the claim of the insured
has been unreasonably denied or withheld; and in the affirmative case, the
insurance company shall be adjudged to pay damages which shall consist of
attorney's fees and other expenses incurred by the insured person by reason of
such unreasonable denial or withholding of payment plus interest of twice the
ceiling prescribed by the Monetary Board of the amount of the claim due the
insured, from the date following the time prescribed in section two hundred
forty-two or in section two hundred forty-three, as the case may be, until the
claim is fully satisfied; Provided, That the failure to pay any such claim within
the time prescribed in said sections shall be considered prima facie evidence of
unreasonable delay in payment.
Title 12
EXAMINATION OF COMPANIES
Sec. 245. The Commissioner shall require every insurance company doing
business in the Philippines to keep its books, records, accounts and vouchers in
such manner that he or his authorized representatives may readily verify its
annual statements and ascertain whether the company is solvent and has
complied with the provisions of this Code or the circulars, instructions, rulings or
decisions of the Commissioner.
Sec. 246. The Commissioner shall at least once a year and whenever he
considers the public interest so demands, cause an examination to be made into
the affairs, financial condition and method of business of every insurance
company authorized to transact business in the Philippines and of any other
person, firm or corporation managing the affairs and/or property of such
insurance company. Such company, as well as such managing person, firm or
corporation, shall submit to the examiner all such books, papers and securities
as he may require and such examiner shall also have the power to examine the
officers of such company under oath touching its business and financial
condition, and the authority to transact business in the Philippines of any such
company shall be suspended by the Commissioner if such examination is refused
and such company shall not thereafter be allowed to transact further business in
the Philippines until it has fully complied with the provisions of this section.
Government-owned or controlled corporations or entities engaged in social
private insurance shall similarly be subject to such examination by the
Commissioner unless their respective charters otherwise provide.
Title 13
SUSPENSION OR REVOCATION OF AUTHORITY
Sec. 247. If the Commissioner is of the opinion upon examination of other
evidence that any domestic or foreign insurance company is in an unsound
condition, or that it has failed to comply with the provisions of law or regulations
obligatory upon it, or that its condition or method of business is such as to
render its proceedings hazardous to the public or to its policyholders, or that its
paid-up capital stock, in the case of a domestic stock company, or its available
cash assets, in the case of a domestic mutual company, or its security deposits,
in the case of a foreign company, is impaired or deficient, or that the margin of
solvency required of such company is deficient, the Commissioner is authorized
to suspend or revoke all certificates of authority granted to such insurance
company, its officers and agents, and no new business shall thereafter be done
by such company or for such company by its agent in the Philippines while such
suspension, revocation or disability continues or until its authority to do
business is restored by the Commissioner. Before restoring such authority, the
Commissioner shall require the company concerned to submit to him a business
plan showing the company's estimated receipts and disbursements, as well as
the basis therefor, for the next succeeding three years. (As amended by
Presidential Decree No. 1455).
Title 14
APPOINTMENT OF CONSERVATOR
Sec. 248. If at any time before, or after, the suspension or revocation of the
certificate of authority of an insurance company as provided in the preceding
title, the Commissioner finds that such company is in a state of continuing
inability or unwillingness to maintain a condition of solvency or liquidity deemed
adequate to protect the interest of policy holders and creditors, he may appoint
a conservator to take charge the assets, liabilities, and the management of such
company, collect all moneys and debts due said company and exercise all
powers necessary to preserve the assets of said company, reorganize the
management thereof, and restore its viability. The said conservator shall have
the power to overrule or revoke the actions of the previous management and
board of directors of the said company, any provision of law, or of the articles of
incorporation or by-laws of the company, to the contrary notwithstanding, and
such other powers as the Commissioner shall deem necessary.
The conservator may be another insurance company doing business in the
Philippines, by officer or officers of such company, or any other competent and
qualified person, firm or corporation. The remuneration of the conservator and
other expenses attendant to the conservation shall be borne by the insurance
company concerned.
The conservator shall not be subject to any action, claim or demand by, or
liability to, any person in respect of anything done or omitted to be done in good
faith in the exercise, or in connection with the exercise, of the powers conferred
on the conservator.
The conservator appointed shall report and be responsible to the Commissioner
until such time as the Commissioner is satisfied that the insurance company can
continue to operate on its own and the conservatorship shall likewise be
answer reciting the proceeding taken and praying the assistance of the Court in
the liquidation of the company. No restraining order or injunction shall be issued
by the Court enjoining the Commissioner from implementing his actions under
this Section, unless there is convincing proof that the action of the
Commissioner is plainly arbitrary and made in bad faith and the petitioner or
plaintiff files with the Clerk or Judge of the Court in which the action is pending
a bond executed in favor of the Commissioner in an amount to be fixed by the
Court. The restraining order or injunction shall be refused or, if granted, shall be
dissolved upon filing by the Commissioner, if he so desires, of a bond in an
amount twice the amount of the bond of the petitioner or plaintiff conditioned
that it will pay the damages which the petition or plaintiff may suffer by the
refusal or the dissolution of the injunction. The provisions of Rule 58 of the New
Rules of Court insofar as they are applicable shall govern the issuance and
dissolution of the restraining order or injunction contemplated in this Section.
All proceedings under this Title shall be given preference in the Courts. The
Commissioner shall not be required to pay any fee to any public officer for filing,
recording, or in any manner authenticating any paper or instrument relating to
the proceedings.
As used in this Title, the term "Insolvency" shall mean the inability of an
insurance company to pay its lawful obligations as they fall due in the usual and
ordinary course of business as may be shown by its failure to maintain the
margin of solvency required under Section 194 of this Code. (As amended by
Presidential Decree No. 1141 and further amended by Presidential Decree No.
1455).
Sec. 250. In case of liquidation of an insurance company, after payment of the
cost of the proceedings, including reasonable expenses and fees incurred in the
liquidation to be allowed by the Court, the Commissioner shall pay all allowed
claims against such company, under order of the Court, in accordance with their
legal priority.
Sec. 251. The receiver or the liquidator, as the case may be, designated under
the provisions of this title shall not be subject to any action, claim or demand by,
or liability to, any person in respect of anything done or omitted to be done in
good faith in the exercise, or in connection with the exercise, of the powers
conferred on such receiver or liquidator.
Title 16
CONSOLIDATION AND MERGER OF INSURANCE COMPANIES
Sec. 252. Upon prior notice to the Commissioner, two or more domestic
insurance companies, acting through their respective boards of directors, may
negotiate to merge into a single corporation which shall be one of the
constituent corporations, or consolidate into a single corporation which shall be
a new corporation to be formed by the consolidation. A common agreement of
the proposed merger or consolidation shall be drawn up for submission to the
stockholders or members of the constituent companies for adoption and
whose insurance shall have been in force for at least one year prior to such
election shall have one vote, regardless of the number of policies or amount of
insurance he holds, and regardless of whether such policies are policies of life
insurance or policies of health and accident insurance or annuity contracts.
Notice of such election shall be given to policyholders entitled to vote by mail
from the principal office of such insurer at least thirty days prior to the date set
for such election, in a sealed envelope, postage prepaid, addressed to each such
policyholder at his last known address.
Voting shall be by one of the following methods:chanroblesvirtuallawlibrary
(1) At a meeting of such policyholders, held pursuant to such notice, by ballot in
person or by proxy.
(2) If not by the method described in the preceding sub-paragraph, then by mail
pursuant to a procedure and on forms to be prescribed by such plan.
Such election shall be conducted under the direction and supervision of three
impartial and disinterested inspectors appointed by the insurer and approved by
the Commissioner. In case any person appointed as inspector fails to appear at
such meeting or fails or refuses to act at such election, the vacancy, if occurring
in advance of the convening of the meeting or in advance of the opening of the
mail vote, may be filled in the manner prescribed for the appointment of
inspectors and, if occurring at the meeting or during the canvass of the mail
vote, may be filled by the person acting as chairman of said meeting or
designated for that purpose in such plan. The decision, act or certificate of a
majority of the inspectors shall be effective in all respects as the decision, act or
certificate of all. The inspectors of election shall determine the number of
policyholders, the voting power of each, the policyholders represented at the
meeting or voting by mail, the existence of a quorum and the authencity, validity
and effect of proxies. They shall receives votes, hear and determine all
challenges and questions in any way arising in connection with the right to vote,
count and tabulate all votes, determine the result, and do such other acts as are
proper to conduct the vote with fairness to all policyholders. The inspectors of
election shall, before commencing performance of their duties, subscribe to and
file with the insurer and with the Commissioner on oath that they, and each of
them, will perform their duties impartially, in good faith, to the best of their
ability and as expeditiously as in practicable. On the request of the insurer, the
Commissioner, a policyholder or his proxy, the inspectors shall make a report in
writing of any challenge or question or matter determined by them and execute
a certificate of any fact found by them. They shall also certify the result of such
vote to the insurer and to the Commissioner. Any report or certificate made by
them shall be prima facieevidence of facts stated therein. All necessary expenses
incurred in connection with such election shall be paid by the insurer. For the
purpose of this section, a quorum shall consist of five per centum of the
policyholders of such insurer entitled to vote at such election.
Sec. 266. In carrying out any such plan, the insurer may acquire any shares of
its own stock by gift, bequest or purchase. Any shares so acquired shall, unless
as a result of such acquisition all of the shares of the insurer shall have been
acquired, be acquired in trust for the policyholders of the class or classes for
whose benefit the plan provides that the stock of the insurer shall be acquired as
hereinafter provided. Such shares shall be assigned and transferred on the
books of such insurer and approved by the Commissioner. Such trustees shall
hold such stock in trust until all of the outstanding shares of capital stock of
such insurer have been acquired, but for not longer than thirty years with such
extensions of not more than five years each as may be granted by the
Commissioner. Such extensions may be granted by the Commissioner if the plan
so provides and if in his opinion the plan of acquisition of all of such stock can be
completed within a reasonable period. Such trustees shall vote such stock at all
corporate meetings at which stockholders have the right to vote. When all the
outstanding shares of capital stock of such insurer have been acquired, all said
shares shall be cancelled, the certificate of amendment of the insurer's articles
of incorporation giving effect thereto shall be filed in accordance with the
provisions of the Corporation Law, and the insurer shall become a non-stock
corporation for the profit of its members and such trust shall thereupon
terminate. Thereafter such corporation shall be conducted for the mutual
benefit, ratably, of its policyholders of the class or classes for whose benefit the
stock was acquired and shall have power to issue non-assessable policies on a
reserve basis subject to all provisions of law applicable to incorporated life
insurers issuing nonassessable policies on a reserve basis. Policies so issued
may be upon the basis of full or partial participation therein as agreed between
the insurer and the insured.
Upon the termination of any such voting trust, either in accordance with its
terms or as hereinabove provided, such plan of mutualization shall terminate,
unless theretofore completed. Upon such termination, unless the plan of
mutualization provides for the disposition of the shares acquired by the insurer
under such plan or for the disposition of the proceeds thereof, the shares held by
such trustees shall be disposed of in accordance with an order of the court of
competent jurisdiction in the judicial district in which is located the principal
office of such insurer, made upon a verified petition of the Commissioner.
Sec. 267. Any such plan of mutualization may provide for the creation of a voting
trust under a trust agreement for the holding and voting by three or more
trustees of any portion or all of the shares of the insurer not required upon the
adoption of such plan. The voting trustees shall be named in accordance with
such plan or, if no provision is made therein for the naming of such trustees,
then by the insurer. The voting trust agreement and voting trustees shall be
subject to the approval of the Commissioner. Any or all of the trustees under
such voting trust agreement may be the same person or persons as any or all of
the trustees referred to in section two hundred sixty-six. Such voting trust
agreement shall provide that in the event of acquisition by the insurer of any of
the shares of stock held thereunder in accordance with the provisions of the
plan, such shares so acquired together with the voting rights thereof shall be
transferred by the trustees named under the provisions of this section to the
trustees named under the provisions of section two hundred sixty-six. Any
voting trust agreement created pursuant to the provisions of this section may be
made irrevocable for not longer than thirty years and thereafter until the
termination of the trust provided for in section two hundred sixty-six. The trust
created pursuant to the provisions of this section shall terminate in any event
upon termination of the trust provided for in section two hundred sixty-six. Upon
the termination of the trust created pursuant to the provisions of this section,
any shares held in such trust shall revert to the persons entitled thereto by law.
Sec. 268. Every payment for the acquisition of any shares of the capital stock of
such insurer, the purchase price of which is not fixed by such plan, shall be
subject to the prior approval of the Commissioner. Neither such plan, nor any
such payment, may be approved by the Commissioner unless he finds that the
rights and interests of the insurer, its policyholders, and shareholders are
protected.
Sec. 269. The trustees referred to in section two hundred sixty-six shall file with
such insurer and with the Commissioner a verified acceptance of their
appointments and verified declarations that they will faithfully discharge their
duties as such trustees. All dividends and other sums received by said trustees
on the shares held by them, after paying the necessary expenses of executing
their trust, shall be immediately repaid to such insurer for the benefit of all who
are, or may become, policyholders of such insurance of the class or classes for
whose benefit the stock of such insurer was acquired and entitled to participate
in the profits thereof and shall be added to and become part of the assets of
such insurer.
Sec. 269-A. If, at any time within the period provided in the plan for the
acquisition of the outstanding shares of stock of the insurer, ninety percent
thereof has already been acquired and transferred to the trustees under the
plan, the insurer by a vote of a majority of the directors may determine to make
an offer, with the permission of the Commissioner and subject to such
requirement as he may specify, to acquire by purchase all of the shares not
theretofore acquired under the plan, at a specified price which the insurer
considers to be their fair value as of the date of making such offer.
If the offer to acquire is permitted by the Commissioner, the insurer shall make
a written offer by registered mail to each shareholder whose shares have not
theretofore been acquired under the plan or otherwise, offering to acquire all his
shares at such price if accepted in writing within thirty days after the mailing of
such offer. Any shareholder accepting such offer, within the time therefor shall,
within sixty days after his acceptance, transfer to the insurer the certificates
representing such shares and, upon doing so, shall be paid by the insurer the
amount of such offer for his shares. Any share so acquired shall be assigned and
transferred to the trustees under the plan and held by them as shares acquired
pursuant to the plan.
Each shareholder who does not accept such offer to acquire his shares within the
time stated in such offer for acceptance thereof shall within fifteen days after
the expiration of such offer apply to the Secretary of Finance for determination
of the fair value of his shares as of the date of making such offer. The Secretary
of Finance may himself, after due notice and hearing, determine upon the
evidence received the fair value of the shares as of the date of making such
offer, or appoint three impartial and disinterested persons to appraise the fair
value of such shares with such direction as he shall deem proper and necessary
to expedite the proceedings. Upon completion of the appraisal proceedings, the
appraisers shall file with the Secretary of Finance their report in writing stating
the fair value of such shares as of the date of the making of such offer and
setting forth their findings in support of such statement. The appraisers shall
furnish each party to the proceedings a copy of their appraisal report, and within
ten days after receipt thereof any such party may signify his objection, if any, to
the report or move for the approval thereof. Upon the expiration of the period of
ten days referred to above, the report shall be set for hearing, after which the
Secretary of Finance shall issue an order adopting, modifying or rejecting the
report in whole or in part or he may receive further evidence or may recommit it
with instructions. Whenever the Secretary of Finance shall determine in any
manner, as aforesaid, the fair value of such shares, he may also determine the
terms of payment thereof by the insurer. The expenses incidental to the
proceedings including charges of the appraisers, if any, shall be paid equally by
the insurer and the shareholder. chanrobles virtual law library
The findings of the Secretary of Finance on all questions of fact raised at the
hearing of the application for determination of the fair value of such shares shall
be conclusive upon all parties to the proceedings. The order of the Secretary of
Finance determining the fair value of the shares and the terms of payment
thereof shall have the force and effect of a judgment which shall be appealable
on any question of law. Such order shall become final and executory fifteen days
after receipt thereof by the parties to the proceedings.
Upon any such order becoming final and from which no appeal is pending, or
when the time to appeal therefrom has expired, each shareholder party to the
proceedings shall transfer his shares to the insurer and surrender to the said
insurer the certificates representing such shares and the insurer shall make
payment therefor as provided in such order. Any shares so acquired by the
insurer shall be assigned and transferred to the trustees and held by them as
shares acquired pursuant to the plan.
Any shareholder who does not apply to the Secretary of Finance in the manner
and within the time hereinbefore prescribed shall be deemed to have accepted
the offer referred to above, effective, however, upon the expiration of the time
hereinabove prescribed for making such application, and such shareholder's
time for accepting such offer shall, for that purpose only, be deemed to have
been extended accordingly.
Any offer to acquire shares made pursuant to this section shall, except as
otherwise provided herein, be irrevocable until all proceedings upon such offer
have been completed or all shares have otherwise been earlier acquired by the
insurer.
Any shareholder who has expressly or impliedly accepted the plan or the offer to
acquire his shares not theretofore acquired under the plan, and any shareholder
who has rejected such plan or such offer and has applied, as aforesaid, to the
Secretary of Finance for a determination of the fair value of his shares
subsequent to which an agreement has been reached or a final order issued
fixing such fair value but who fails to surrender his certificates for cancellation
upon payment of the amount to which he is entitled, may be compelled to do so
by an order of the Secretary of Finance for that purpose and such order may
provide that upon failure of such shareholder to surrender such certificates for
cancellation such order shall stand in lieu of such surrender and
cancellation. (As amended by Presidential Decree No. 1280).
Sec. 270. Such insurer, after mutualization, shall be a continuation of the
original insurer, and such mutualization shall not affect such insurer's certificate
of authority nor existing suits, rights or contracts except as provided in said plan
for the acquisition of the outstanding shares of the capital stock of such insurer,
approved as provided in this chapter. Such insurer, after mutualization, shall
exercise all the rights and powers and shall perform all the duties conferred or
imposed by law upon insurers writing the classes of insurance written by it, and
to protect rights and contracts existing prior to mutualization, subject to the
effect of said plan. The board of directors of such insurer, prior to mutualization,
may adopt amendments to its by-laws to take effect upon mutualization.
Sec. 271. (1) An annual meeting of members shall be held at ten o'clock in the
morning of the fourth Tuesday of March of each year at the principal office of the
insurer, unless a different time or place be provided in the by-laws.
(2) Special meetings of the members, for any purpose or purposes whatsoever,
may be called at any time by the president, or by the board of directors, or by
one or more members holding not less than one-fifth of the voting power of such
insurer, or by such other officers or persons as the by-laws authorize.
(3) Notice of all meetings of members whether annual or special shall be given
in writing to the members entitled to vote by the secretary, or an assistant
secretary, or other person charged with that duty, or if there be no such officer,
or in case of his neglect or refusal, by any director or member. At the option of
the insurer such notice may be imprinted on premium notices of receipts or on
both.
A notice may be given by such insurer to any member either personally, or by
mail, or other means of written communication, charges prepaid, addressed to
such member at his address appearing on the books of the insurer, or given by
him to the insurer for the purpose of notice. If a member gives no address,
notice shall be deemed to have been given him if sent by mail or other means of
written communication addressed to the place where the principal office of the
insurer is situated, or if published at least once in some newspaper of general
circulation in the place in which said office is located.
Notice of any meeting of members shall be sent to each member entitled thereto
not less than seven days before such meeting, unless the by-laws provide
otherwise.
Notice of any meeting of members shall specify the place, the day and the hour
of the meeting and the general nature of the business to be transacted.
Notice of an annual meeting to be held at the time and place specified in subparagraph one of this section shall be sufficiently given if published at least once
in each of four successive weeks in a newspaper of general circulation in the
place in which the principal office of such insurer is located, and if so published
no other notice of such meeting shall be required.
(4) The presence in person or by proxy of five per centum of the members
entitled to vote at any meeting shall constitute a quorum for the transaction of
business, unless otherwise provided by the by-laws.
(5) Each such member shall have one vote at any meeting of members
regardless of the number of policies or the amount of insurance that such
member holds and regardless of whether such policies are policies of life
insurance, or of health and accident insurance, or both. Any member entitled to
vote shall have the right to do so either in person or by an agent or agents
authorized by a written proxy executed by such person or his duly authorized
agent and filed with the secretary of such insurer.
(6) The directors of the insurer in office at the time the insurer is mutualized as
provided in this chapter shall continue in office until the first annual meeting of
members. At the first annual meeting of members and at each annual meeting
thereafter directors shall be elected by the members for the term or terms
authorized by this chapter.
(7) The articles of incorporation or the bay-laws may provide that the directors
may be divided into two or more classes whose terms of office shall expire at
different times, but no terms shall continue longer than six years. In the absence
of such provisions, each director, except members of the board of directors at
the time the insurer is mutualized, shall be elected for a term of one year. All
directors shall hold office for a term for which they are elected and until their
successors are elected and qualified. A director may, but need not be a member
or policyholder of the insurer of which he is acting as director. Vacancies in the
board of directors may be filled by a majority of the remaining directors, though
less than a quorum, and each director so elected shall hold office until the next
annual meeting.
(8) All insurers mutualized under the provisions of this chapter shall be subject
to all other applicable provisions of this Code and of the Corporation Law.
Sec. 272. The provisions of Commonwealth Act No. 83, otherwise known as
the Securities
Act,
as
amended,
shall
not
apply
to
any
of
the
following:chanroblesvirtuallawlibrary
(a) Shares of the capital stock of such insurer acquired as provided in section
two hundred sixty-six and assigned and transferred to the trustees as is
provided in said section, and the assignment and transfer of said shares as so
provided;
(b) Any certificate or other instrument issued to a policyholder of such
mutualized insurer conferring or evidencing membership in such mutualized
insurer or conferring or evidencing such member's right to participate in the
profits or share in the assets of such mutualized insurer by the virtue of his
membership therein, and the issuance of such certificate or other instrument;
(c) The plan for the acquisition of the outstanding shares of the capital stock of
such insurer authorized by the provisions of this chapter, the submission of said
plan to the Commissioner and to the policyholders of such insurer as provided in
this chapter, and the approval and carrying out of said plan or any part thereof
in accordance with the provisions of this chapter.
Title 18
WITHDRAWAL OF FOREIGN INSURANCE COMPANIES
Sec. 273. A foreign insurance company doing business in the Philippines, upon
payment of the fee hereinafter prescribed and surrender to the Commissioner of
its certificate of authority, may apply to withdraw from the Philippines. Such
application shall be duly executed in writing, accompanied by evidence of due
authority for such execution, properly acknowledged.
Sec. 274. The Commissioner shall publish the application for withdrawal daily for
a period of one week in two newspapers of general circulation in the City of
Manila, one in English and the other in Pilipino. The expenses of such publication
shall be paid by the insurance company filing such application.
Sec. 275. Every foreign insurance company desiring to withdraw from the
Philippines shall, prior to such withdrawal, discharge its liabilities to
policyholders and creditors in this country. In case of its policies insuring
residents of the Philippines, it shall cause the primary liabilities under such
policies to be reinsured and assumed by another insurance company authorized
to transact business in the Philippines. In the case of such policies as are subject
to cancellation by the withdrawing company, it may cancel such policies
pursuant to the terms thereof in lieu of such reinsurance and assumption of
liabilities.
Sec. 276. The Commissioner shall make an examination of the books and records
of the withdrawing company, and if, upon such examination, the Commissioner
finds that the insurer has no outstanding liabilities to residents of the
Philippines, it shall cancel the withdrawing company's certificate of authority, if
unexpired, and shall permit the insurer to withdraw. The cost and expenses of
all such examination shall be paid as prescribed in section four hundred
seventeen.
Sec. 277. Upon the failure of such withdrawing insurance company or its agents
in the Philippines to pay the expenses of such publication within thirty days after
the presentation of the bill therefor, the Commissioner shall collect such fee
from the deposit furnished in accordance with the provisions of section one
hundred ninety-one.
Sec. 278. A foreign life insurance company that withdraws from the Philippines
shall be considered a "servicing insurance company" if its business transactions
are confined to accepting periodic premium payments from, or granting policy
loans and paying cash surrender values of outstanding policies to, or reviving
lapsed policies of, Philippine policyholders, and such other related services.
Sec. 279. No company shall act as a servicing insurance company until after it
shall have obtained a special certification of authority to act as such from the
Commissioner upon application therefor and payment by the company of the
fees hereinafter prescribed. Such certificate shall expire on the last day of June
of each year and shall be renewed annually, while the company continues to
service its policyholders, and to comply with all the applicable provisions of law
and regulations.
Title 19
PROFESSIONAL REINSURERS
Sec. 280. Except as otherwise provided in this Code, no person, partnership,
association or corporation shall transact any business in the Philippines as a
professional reinsurer until it shall have obtained a certificate of authority for
that purpose from the Commissioner upon the application therefor and payment
by such person, partnership, association or corporation of the fees hereinafter
prescribed. As used in this Code, the term "professional reinsurer" shall mean
any person, partnership, association or corporation that transacts solely and
exclusively reinsurance business in the Philippines.
The Commissioner may refuse to issue a certificate of authority to any such
person, partnership, association or corporation if, in his judgment, such refusal
will best promote public interest. No such certificate of authority shall be
granted to any such person, partnership, association or corporation unless and
until the Commissioner shall have satisfied himself by such examination as he
may make and such evidence as he may require that such person, partnership,
association or corporation is qualified by the laws of the Philippines to transact
business therein as a professional reinsurer.
Before issuing such certificate of authority of the Commissioner must be
satisfied that the name of the applicant is not that of any other known company
transacting insurance or reinsurance business in the Philippines, or a name so
similar as to be calculated to mislead the public.
Such certificate of authority shall expire on the last day of June of each year and
shall be renewed annually if such person, partnership, association, or
corporation is continuing to comply with provisions of this Code, or the circulars,
(e) "Controlled person" means any person, other than a controlled insurer, who
is controlled directly or indirectly by a holding company;
(f) "Holding company system" means a holding company together with its
controlled insurers and controlled persons.
Sec. 283. Notwithstanding paragraph (b) of section two hundred eighty-two, the
Commissioner may determine after notice and opportunity to be heard, that a
person exercises directly or indirectly either alone or pursuant to an agreement
with one or more other persons such a controlling influence over the
management or policies of an authorized insurer as to make it necessary or
appropriate in the public interest or for the protection of policyholders or
stockholders of the insurer that the person be deemed to control the insurer.
Sec. 284. The Commissioner may determine upon application that any person,
either alone or pursuant to agreement with one or more other persons, does not
or will not upon the taking of some proposed action control another person. The
filing of an application hereunder in good faith by any person shall relieve the
applicant from any obligation or liability imposed by this title with respect to the
subject of the application, except as contained in section two hundred ninetyfour, until the Commissioner has acted upon the application. Within thirty days
or such further period as he may prescribe, the Commissioner may prospectively
revoke or modify his determination, after notice and opportunity to be heard,
whenever in his judgment revocation or modification is consistent with his title.
Sec. 285. Notwithstanding any other provisions of this title, the following shall
not be deemed holding companies:chanroblesvirtuallawlibrary
(a) authorized insurers or reinsurers or their subsidiaries;
(b) the Government of the Philippines, or any political subdivision, agency or
instrumentality thereof, or any corporation which is wholly owned directly or
indirectly by one or more of the foregoing.
The Commissioner may conditionally or unconditionally exempt any specified
person or class of persons from any of the obligations or liabilities imposed
under this title, if and to the extent he finds the exemption necessary to
appropriate in the public interest or not adverse to the interests of policyholders
or stockholders and consistent with the purposes of this title.
Sec. 286. (1) Every person who on the date this Code takes effect is a controlled
insurer and every person who thereafter becomes a controlled insurer, shall,
within sixty days thereafter, or within thirty days after becoming a controlled
insurer, whichever is later, register with the Commissioner. Such registration
shall be amended within thirty days following any change in the identity of its
holding company. The Commissioner may grant one or more reasonable
extensions of the time to register.
(2) Every registrant shall furnish the Commissioner with the following
information concerning its holding company: (a) a copy of its charter or articles
of incorporation and its by-laws, (b) the identities of its principal shareholders,
officers, directors and controlled persons, and (c) information as to its capital
as to competence and trustworthiness of the applicant and shall have the right
to refuse to issue or renew and to suspend or revoke any such license in his
discretion. No such license shall be valid after the thirtieth day of June of the
year following its issuance unless it is renewed. (As amended by Presidential
Decree No. 1455).
Sec. 300. Any person who for compensation solicits or obtains insurance on
behalf of any insurance company or transmits for a person other than himself an
application for a policy or contract of insurance to or from such company or
offers or assumes to act in the negotiating of such insurance shall be an
insurance agent within the intent of this section and shall thereby become liable
to all the duties, requirements, liabilities and penalties to which an insurance
agent is subject.
Sec. 301. Any person who for any compensation, commission or other thing of
value acts or aids in any manner in soliciting, negotiating or procuring the
making of any insurance contract or in placing risk or taking out insurance, on
behalf of an insured other than himself, shall be an insurance broker within the
intent of this Code, and shall thereby become liable to all the duties,
requirements, liabilities and penalties to which an insurance broker is subject.
Sec. 302. Every applicant for an insurance broker's license shall file with the
application and shall thereafter maintain in force while so licensed, a bond in
favor of the people of the Republic of the Philippines executed by a company
authorized to become surety upon official recognizances, stipulations, bonds and
undertakings. The bond shall be in such amount as may be fixed by the
Commissioner, but in no case less than one hundred thousand pesos, and shall
be conditioned upon full accounting and due payment to the person entitled
thereto of funds coming into the broker's possession through insurance
transactions under license. The bond shall remain in force until released by the
Commissioner, or until cancelled by the surety. Without prejudice to any liability
previously incurred thereunder, the surety may cancel the bond on thirty days
advance written notice to both the broker and the Commissioner.
Upon approval of the application, the applicant must also file two errors and
omissions (professional liability or professional indemnity) policies issued
separately by two insurance companies authorized to do business in the
Philippines, satisfactory to the Commissioner to indemnify the applicant against
any claim or claims for breach of duty as insurance broker which may be made
against him by reason of any negligent act, error or omission, whenever or
wherever committed or alleged to have been committed, on the part of the
applicant or any person who has been, is now, or may hereafter during the
subsistence of the policies be employed by the said applicant in his capacity as
insurance broker, provided that the filing of any claim or claims under one of
such policies shall preclude the filing of the said claim or claims under the other
policy. The said policies shall be in such amounts as may be prescribed by the
Insurance Commissioner, depending upon the size or amount of the broking
business of the applicant, but in no case shall the amount of each of such
policies be less than five hundred thousand pesos. (As amended by Presidential
Decree No. 1455).
Sec. 303. The Commissioner shall, in order to determine the competence of
every applicant to have the kind of license applied for, require such applicant to
submit to a written examination and to pass the same to the satisfaction of the
Commissioner. Such examination shall be held at such times and places as the
Commissioner shall from time to time determine.
Sec. 304. An applicant for the written examination mentioned in the preceding
section must be of good moral character and must not have been convicted of
any crime involving moral turpitude. He must satisfactorily show to the
Commissioner that he has been trained in the kind of insurance contemplated in
the
license
applied
for.
Such examination may be waived if it is shown to the satisfaction of the
Commissioner that the applicant has undergone extensive education and/or
training in insurance.
Sec. 305. An application for the issuance or renewal of a license to act as an
insurance agent or insurance broker may be refused, or such license, if already
issued or renewed, shall be suspended or revoked if the Commissioner finds that
the applicant for, or holder of, such license:chanroblesvirtuallawlibrary
(a) has willfully violated any provision of this Code; or
(b) has intentionally made a material misstatement in the application to qualify
for such license; or
(c) has obtained or attempted to obtain a license by fraud or misrepresentation;
or
(d) has been guilty of fraudulent or dishonest practices; or
(e) has misappropriated or converted to his own use or illegally withheld
moneys required to be held in a fiduciary capacity;
(f) has not demonstrated trustworthiness and competence to transact business
as an insurance agent or insurance broker in such manner as to safeguard the
public; or
(g) has materially misrepresented the terms and conditions of policies or
contracts of insurance which he seeks to sell or has sold; or
(h) has failed to pass the written examination prescribed, if not otherwise
exempt from taking the same.
In addition to the foregoing causes, no license to act as insurance agent or
insurance broker shall be renewed if the holder thereof has not been actively
engaged as such agent or broker in accordance with such rules as the
Commissioner may prescribe. (As amended by Presidential Decree No. 1814).
Sec. 306. The premium, or any portion thereof, which an insurance agent or
insurance broker collects from an insured and which is to be paid to an
insurance company because of the assumption of liability through the issuance
of policies or contracts of insurance, shall be held by the agent or broker in a
fiduciary capacity and shall not be misappropriated or converted to his own use
or illegally withheld by the agent or broker.
Any insurance company which delivers to an insurance agent or insurance
broker a policy or contract of insurance shall be deemed 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.
Sec. 307. Any provision of existing laws to the contrary notwithstanding, no
person shall, within the Philippines, sell or offer for sale a variable contract or do
or perform any act or thing in the sale, negotiation, making or consummating of
any variable contract other than for himself unless such person shall have a
valid and current license from the Commissioner authorizing such person to act
as a variable contract agent. No such license shall be issued unless and until the
Commissioner is satisfied, after examination that such person is by training,
knowledge, ability and character qualified to act as such agent. Any such license
may be withdrawn and cancelled by the Commissioner after notice and hearing,
if he shall find that the holder thereof does not then have the qualifications
required for the issuance of such license.
Sec. 308. It shall be unlawful for any person, company or corporation in the
Philippines to act as general agent of any insurance company unless he is
empowered by a written power of attorney duly executed by such insurance
company, and registered with the Commissioner to receive notices, summons
and legal processes for and in behalf of the insurance company concerned in
connection with actions or other legal proceedings against said insurance
company. It shall be the duty of said general agent to notify the Commissioner of
his post office address in the Philippines, or any change thereof. Notices,
summons, or processes of any kind sent by registered mail to the last registered
address of such general agent of the company concerned or to the Commissioner
shall be sufficient service and deemed as if served on the insurance company
itself.
Sec. 309. Except as otherwise provided by law or treaty, it shall be unlawful for
any person, partnership, association or corporation in the Philippines, for
himself or itself, or for some other person, partnership, association or
corporation, either to procure, receive or forward applications of insurance in, or
to issue or to deliver or accept policies or contracts of insurance of or for, any
insurance company or companies not authorized to transact business in the
Philippines, covering risks, life or nonlife, situated in the Philippines; and any
such person, partnership, association or corporation violating the provisions of
this section shall be deemed guilty of a penal offense, and upon conviction
thereof, shall for each such offense be punished by a fine of ten thousand pesos,
or imprisonment of six months, or both at the discretion of the
court: Provided, That the provisions of this section shall not apply to
reinsurance.
Title 2
REINSURANCE BROKERS
Sec. 310. Except as provided in the next succeeding title, no person shall act as
reinsurance broker in the Philippines unless he is authorized as such by the
Commissioner.
A reinsurance broker is one who, for compensation, not being a duly authorized
agent, employee or officer of an insurer in which any reinsurance is effected, act
or aids in any manner in negotiating contracts of reinsurance, or placing risks of
effecting reinsurance, for any insurance company authorized to do business in
the Philippines.
Sec. 311. Upon application and payment of the corresponding fee hereinafter
prescribed, and the filing of two errors and omissions (professional liability or
professional indemnity) policies hereinafter described, a person may, if found
qualified, be issued a license to act as reinsurance broker by the Commissioner.
No such license shall be valid after the thirtieth day of June of the year following
its issuance unless it is renewed. (As amended by Presidential Decree No. 1455).
The errors and omissions (professional liability or professional indemnity)
policies mentioned above shall indemnify the applicant against any claim or
claims for breach of duty as reinsurance broker which may be made against him
by reason of any negligent act, error or omission, whenever or wherever
committed or alleged to have been committed, on the part of the applicant or
any person who has been, is now, or may hereafter during the subsistence of the
policies be employed by the said applicant in his capacity as reinsurance broker;
Provided, That the filing of any claim or claims under one of such policies shall
preclude the filing of the said claim or claims under the other policy. The said
policies shall be issued separately by two insurance companies authorized to do
business in the Philippines and shall be in such amounts as may be prescribed by
the Insurance Commissioner, depending upon the size or amount of the broking
business of the applicant, but in no case shall the amount of each of such
policies be less than five hundred thousand pesos. (As amended by Presidential
Decree No. 1455).
Sec. 312. The Commissioner may recall, suspend or revoke the license granted to
a reinsurance broker for violation of any existing law, rule and regulation, or any
provision of this Code after due notice and hearing.
Title 3
RESIDENT AGENTS
Sec. 313. No person shall act as resident agent, as hereinafter defined, unless he
is registered as such with the Commissioner.
Sec. 314. The term "resident agent", as used in this title, is one duly appointed
by a foreign insurer or broker not authorized to do business in the Philippines to
receive in its behalf notices, summons and legal processes in connection with
actions or other legal proceedings against such foreign insurer or broker.
Sec. 315. The application for a certificate of registration as resident agent filed
Such examination shall not be required of any person who has served as non-life
company underwriter for a period of at least five years, if the Commissioner is
satisfied of the applicant's competence as shown by the results of his
underwriting work in the non-life insurance company or companies that
employed him in that capacity. The minimum underwriting experience herein
required may be reduced or waived if it is shown to the satisfaction of the
Commissioner that the non-life company underwriter has undergone extensive
education and/or training in insurance.
Sec. 321. Any applicant who misrepresents or omits any material fact in his
application for registration as a non-life company underwriter, or commits any
dishonest act in taking or in connection with the qualifying written examination
for underwriters, shall be barred from being registered as such non-life company
underwriter and, if already registered, his registration shall be cancelled and the
certificate of registration issued in his favor shall be recalled immediately by the
Commissioner.
In the event that the certificate of authority of a non-life insurance company to
transact business is suspended or revoked due to business failure arising largely
from the imprudent and injudicious acceptance of risks by the underwriter
concerned, the registration of such underwriter shall likewise be cancelled and
his certificate of registration shall be recalled by the Commissioner, and no
similar certificate shall thereafter be issued in his favor.
Sec. 322. No certificate of registration issued to an underwriter shall be valid
after the thirtieth day of June of the year following its issuance unless it is
renewed.
The Commissioner may, after due notice and hearing, also suspend or cancel
such certificate for violation of existing laws, rules and regulations or of any
provisions of this Code. (As amended by Presidential Decree No. 1455).
Title 5
ADJUSTERS
Sec. 323. No person, partnership, association, or corporation shall act as an
adjuster, as hereinafter defined, unless authorized so to act by virtue of a
license issued or renewed by the Commissioner pursuant to the provisions of
this Code: Provided, That in the case of a natural person, he must be a Filipino
citizen and in the case of a partnership, association or corporation, at least sixty
per centum of its capital must be owned by citizens of the Philippines.
Sec. 324. An adjuster may be an independent adjuster or a public adjuster.
The term "independent adjuster" means any person, partnership, association or
corporation which, for money, commission or any other thing of value, acts for
or on behalf of an insurer in the adjusting of claims arising under insurance
contracts or policies issued by such insurer.
The term "public adjuster" means any person, partnership, association or
corporation which, for money, commission or any other thing of value, acts on
behalf of an insured in negotiating for, or effecting, the settlement of a claim or
claims of the said insured arising under insurance contracts or policies, or which
advertises for or solicits employment as an adjuster of such claims.
Sec. 325. For every line of insurance claim adjustment, adjusters shall be
licensed either as independent adjusters or as public adjusters. No adjuster shall
act on behalf of an insurer unless said adjuster is licensed as an independent
adjuster; and no adjuster shall act on behalf of an insured unless said adjuster is
licensed as a public adjuster: Provided, however, That when a firm or person has
been licensed as public adjuster, he shall not be granted another license as
independent adjuster and vice versa.
No license, however, shall be required of any company adjuster who is a salaried
employee of an insurance company for the adjustment of claims filed under
policies issued by such insurance company.
Sec. 326. Such license or any renewal thereof may be issued by the
Commissioner upon written application filed by the person interested on the
form or forms prescribed by the Commissioner, which shall contain such
information as he may require, and upon payment of the corresponding fee
hereinafter prescribed.
Sec. 327. The Commissioner shall conduct, at such times, and in such places as
he may decide to hold, written examinations to determine the competence and
ability of applicants desiring to act as adjuster of insurance claims.
Sec. 328. Every adjuster's license issued hereunder shall be valid until after the
thirtieth day of June of the year following the issuance of such license unless it
is renewed. (As amended by Presidential Decree No. 1455).
Sec. 329. Nothing contained in this title shall apply to any duly licensed
attorney-at-law who acts or aids in adjusting insurance claims as an incident to
the practice of his profession and who does not advertise himself as an adjuster.
Sec. 330. The Commissioner may suspend or revoke any adjuster's license if,
after giving notice and hearing to the adjuster concerned, the Commissioner
finds that the said adjuster:chanroblesvirtuallawlibrary
(1) has violated any provision of this Code and of the circulars, rulings and
instructions of the Commissioner or has violated any law in the course of his
dealings as an adjuster; or
(2) has made a material misstatement in the application for such license; or
(3) has been guilty of fraudulent or dishonest practices; or
(4) has demonstrated his incompetence or untrustworthiness to act as adjuster;
or
(5) has made patently unjust valuation of loss; or
(6) has failed to make a report of the adjustment he proposed within sixty days
from the date of the filing of the claim by the insured with the insurer, unless
prevented so to do by reasons beyond his control; or
(7) has refused to allow an examination into his affairs or method of doing
business as hereinafter provided.
Sec. 331. Every adjuster shall submit to the Commissioner a quarterly report of
all losses which are the subject of adjustment effected by him during each
month in the form prescribed by the Commissioner. The report shall be filed
within one month after the end of each quarter.
Sec. 332. Every adjuster shall keep his or its books, records, reports, accounts,
and vouchers in such manner that the Commissioner or his duly authorized
representatives may readily verify the quarterly reports of the said adjuster and
ascertain whether the said adjuster has complied with the provisions of law or
regulations obligatory upon him or whether the method of doing business of the
said adjuster has been fair, just and honest.
Sec. 333. The Commissioner shall, at least once a year and whenever he
considers the public interest so demands, cause an examination to be made into
the affairs and method of doing business of every adjuster.
Sec. 334. Any violation of any provision of this title shall be punished by a fine of
not more than ten thousand pesos, or by imprisonment in the discretion of the
court; Provided, That, in case of a partnership, association or corporation, the
said penalty shall be imposed upon the partner, president, manager, managing
director, director or person in charge of its business or responsible for the
violation.
Title 6
ACTUARIES
Sec. 335. No life insurance company shall be licensed to do business in the
Philippines nor shall any life insurance company doing business in the
Philippines be allowed to continue doing such business unless they shall engage
the services of an actuary duly accredited with the Commissioner who shall,
during his tenure of office, be directly responsible for the direction and
supervision of all actuarial work connected with or that may be involved in the
business of the insurance company.
Sec. 336. Any person may be officially accredited by the Commissioner to act as
any actuary in any life insurance company or in any mutual benefit association
authorized to do business in the Philippines upon application therefor and the
payment of the corresponding fee hereinafter prescribed:Provided, That: (1) he
is a fellow of good standing of the Acturial Society of the Philippines at the time
of his appointment and remains in such good standing during the tenure of his
engagement; or (2) in the case of one who is not a fellow of the Acturial Society
of the Philippines, he meets all the requirements of the said Society for
accreditation as a fellow of the Society, and has been given permission by the
pertinent government authorities in the Philippines to render services in the
Philippines, in the event that he is not a citizen of the Philippines.
No certificate of registration issued under this title shall be valid after the
thirtieth day of June of the year following its issuance unless it is renewed.(As
amended by Presidential Decree No. 1455).
Sec. 337. The following documents, which are from time to time submitted to the
Commissioner by a life insurance company authorized to do business in the
does not have sufficient information to determine whether such filing meets the
requirements of this title, he shall require such insurance company to furnish the
information upon which it supports such filing. The information furnished in
support of a filing may include: (1) the experience or judgment of the insurance
company or rating organization making the filing; (2) its interpretation of any
statistical data it relies upon; (3) the experience of other insurance companies
or rating organization; or (4) any other relevant factors.
Sec. 355. If the Commissioner finds that any rate filings theretofore filed with
him do not comply with the provisions of this title or that they provide rates or
rules which are inadequate, excessive, unfairly discriminatory or otherwise
unreasonable, he may order the same withdrawn and at the expiration of sixty
days thereafter the same shall be deemed no longer on file. Before making any
such finding and order, the Commissioner shall give notice, not less than ten
days in advance, and a hearing, to the rating organization, or to the insurer,
which filed the same. Such order shall not affect any contract or policy made or
issued prior to the expiration of such sixty day period.
Sec. 356. No member or subscriber of a rating organization, and no insurance
company doing business in the Philippines, or agent, employee or other
representative of such company, and no insurance broker shall charge or
demand a rate or receive a premium which deviates from the rates, rating plans,
classifications, schedules, rules and standards, made and last filed by a rating
organization or by or on behalf of the insurance company, or shall issue or make
any policy or contract involving violation of such rate filings.
Sec. 357. Notwithstanding any other provisions of this title, upon the written
application of the insurer, stating his reasons therefor, filed with and approved
by the Commissioner, a rate in excess of that provided by a filing otherwise
applicable may be used on any specific risk.
Sec. 358. Whenever the Commissioner shall determine, after notice and a
hearing, that the rates charged or filed on any class of risks are excessive,
discriminatory, inadequate or unreasonable, he shall order that such rates be
appropriately adjusted. For the purpose of applying the provisions of this
section, the Commissioner may from time to time approve reasonable
classifications of risks for any or all such classes, having due regard to the past
and prospective loss experience, including conflagration or catastrophe hazards,
if any, to all other relevant factors and to a reasonable profit.
Sec. 359. Nothing contained in this title shall be construed as requiring any
insurer to become a member of or subscriber to any rating organization.
Sec. 360. Agreements may be made among insurance companies with respect to
the equitable apportionment among them of insurance which may be afforded
applicants who are in good faith entitled to but are unable to procure such
insurance through ordinary methods and such insurance companies may agree
among themselves on the use of reasonable rates and modifications for such
insurance, such agreements and rate modifications to be subject to the approval
of the Commissioner; Provided, however, That the provisions of this section shall
not be deemed to apply to workmen's compensation insurance.
Sec. 361. No insurance company doing business in the Philippines or any agent
thereof, no insurance broker, and no employee or other representative of any
such insurance company, agent, or broker, shall make, procure or negotiate any
contract of insurance or agreement as to policy contract, other than is plainly
expressed in the policy or other written contract issued or to be issued as
evidence thereof, or shall directly or indirectly, by giving or sharing a
commission or in any manner whatsoever, pay or allow or offer to pay or allow
to the insured or to any employee of such insured, either as an inducement to
the making of such insurance or after such insurance has been effected, any
rebate from the premium which is specified in the policy, or any special favor or
advantage in the dividends or other benefits to accrue thereon, or shall give or
offer to give any valuable consideration or inducement of any kind, directly or
indirectly, which is not specified in such policy or contract of insurance; nor shall
any such company, or any agent thereof, as to any policy or contract of
insurance issued, make any discrimination against any Filipino in the sense that
he is given less advantageous rates, dividends or other policy conditions or
privileges than are accorded to other nationals because of his race.
Sec. 362. No insurance company doing business in the Philippines, and no
officer, director, or agent thereof, and no insurance broker or any other person,
partnership or corporation shall issue or circulate or cause or permit to be issued
or circulated any literature, illustration, circular or statement of any sort
misrepresenting the terms of any policy issued by any insurance company of the
benefits or advantages promised thereby, or any misleading estimate of the
dividends or share of surplus to be received thereon, or shall use any name or
title of any policy or class of policies misrepresenting the true nature thereof;
nor shall any such company or agent thereof, or any other person, partnership or
corporation make any misleading representation or incomplete comparison of
policies to any person insured in such company for the purpose of inducing or
tending to induce such person to lapse, forfeit, or surrender his said insurance.
Sec. 363. If the Commissioner, after notice and hearing, finds that any insurance
company, rating organization, agent, broker or other person has violated any of
the provisions of this title, it shall order the payment of a fine not to exceed five
hundred pesos for each such offense, and shall immediately revoke the license
issued to such insurance company, rating organization, agent, or broker. The
issuance, procurement or negotiation of a single policy or contract of insurance
shall be deemed a separate offense.
Title 8
PROVISION COMMON TO AGENTS, BROKERS,
AND ADJUSTERS
Sec. 364. A license issued to a partnership, association or corporation to act as
an insurance agent, general agent, insurance broker, reinsurance broker, or
adjuster shall authorize only the individual named in the license who shall
qualify therefor as though an individual licensee. The Commissioner shall
charge, and the licensee shall pay, a full additional license fee as to each
respective individual so named in such license in excess of one.
Licenses and certificates of registration issued under the provisions of this
chapter may be renewed by the filing of notices of intention on forms to be
prescribed by the Commissioner and payment of the fees therefor. (As amended
by Presidential Decree No. 1455).
Chapter V
SECURITY FUND
Sec. 365. There is hereby created a fund to be known as the "Security
Fund" which shall be used in the payment of allowed claims against an insurance
company authorized to transact business in the Philippines remaining unpaid by
reason of the solvency of such company. The said Fund may also be used to
reinsure the policy of the insolvent insurer in any solvent insurer authorized to
do business in the Philippines as provided in section two hundred forty-nine. In
the event of national emergency or calamity, the Fund may likewise be used to
pay insured claims which otherwise would not be compensable under the
provisions of the policy. No payment from the Security Fund shall, however, be
made to any person who owns or controls ten per centum or more of the voting
shares of stock of the insolvent insurer and no payment on any one claim shall
exceed twenty thousand pesos.
Sec. 366. Such Fund shall consist of all payments made to the Fund by insurance
companies authorized to do business in the Philippines. Payments made by life
insurance companies shall be treated separately from those made by non-life
insurance companies and the corresponding fund shall be called "Life
Account" and "Non-Life Account", respectively, and shall be held and
administered as such by the Commissioner in accordance with the provisions of
this title. The "Life Account" shall be utilized exclusively for disbursements that
refer to life insurance companies, while the "Non-Life Account" shall be utilized
exclusively for disbursements that refer to non-life insurance companies.
Sec. 367. All insurance companies doing business in the Philippines shall
contribute to the Security Fund, Life or Non-Life Account, as the case may be, on
or before the fifteenth day of June, nineteen hundred and seventy-five, the
aggregate amount of five million pesos for each Account. The contributions of
the life insurance companies and of the non-life insurance companies shall be in
direct proportion to the ratio between a particular life insurance company or a
particular non-life insurance company's net worth and the aggregate net worth
of all life insurance companies or all non-life insurance companies, as the case
may be, as shown in their latest financial statements approved by the
Commissioner. This proportion applied to the five million pesos shall be the
contribution of a particular company to the corresponding Account of the
Security Fund.
The amount of five million pesos in each Account shall be in the form of a
revolving trust fund. The respective contributions of the companies shall remain
as admitted assets in their books and any disbursement therefrom shall be
deducted proportionately from the contributions of each company which will be
allowed as deductions for income tax purposes. Any earnings of the Fund shall
be turned over to the contributing companies in proportion to their
contributions.
In the case of disbursements of funds from the Fund as provided in the
foregoing paragraph, the life and non-life companies, as the case may be, shall
replenish the amount disbursed in direct proportion to the individual company's
net worth and the aggregate net worth of the life or non-life companies, as the
case may be. However, in no case shall the Fund exceed the aggregate amount
of
ten
million
pesos,
or
five
million
pesos
for
each
Account.
Should the Fund, Life of Non-Life Account, as the case may be, be inadequate for
a disbursement as provided for, then the Life or Non-Life companies, as the case
may be, shall contribute to the Fund their respective shares in the proportion
previously mentioned.
Sec. 368. The Commissioner may adopt, amend, and enforce all reasonable rules
and regulations necessary for the proper administration of the Fund and of the
Accounts. In the event any insurer shall fail to make any payment required by
this title, or that any payment made is incorrect, he shall have full authority to
examine all the books and records of the insurer for the purpose of ascertaining
the facts and shall determine the correct amount to be paid and may proceed in
any court of competent jurisdiction to recover for the benefit of the Fund or of
the Account concerned any sum shown to be due upon such examination and
determination. Any insurer which fails to make any payment to the Fund or to
the Account concerned when due, shall thereby forfeit to said Fund or Account
concerned a penalty of five per centum of the amount determined to be due as
provided by this title, plus one per centum of such amount for each month of
delay or fraction thereof, after the expiration of the first month of such delay,
but the Commissioner, if satisfied that the delay was excusable, may remit all or
any part of such penalty. The Commissioner, in his discretion, may suspend or
revoke the certificate of authority to do business in the Philippines of any
insurance company which shall fail to comply with this title or to pay any penalty
imposed in accordance therewith.
Sec. 369. The Accounts created by this title shall be separate and apart from
each other and from any other fund. The Treasurer of the Philippines shall be the
custodian of the Life Account and Non-Life Account of the Security Fund; and all
disbursements from any Account shall be made by the Treasurer of the
Philippines upon vouchers signed by the Commissioner or his deputy, as
hereinafter provided. The moneys of said Account may be invested by the
Commissioner only in bonds or other evidences of debt of the government of the
Philippines or its political subdivisions or instrumentalities. The Commissioner
may sell any of the securities in which an Account is in vested, if advisable, for
its proper administration or in the best interest of such Account.
Sec. 370. Payments from either the Life Insurance Account or Non-Life Account,
as the case may be, shall be made by the Treasurer of the Philippines to the
Commissioner, upon the authority of appropriate certificate filed with him by the
Commissioner acting in such capacity.
Sec. 371. The Commissioner may, in his discretion, designate or appoint a duly
authorized representative or representatives to appear and defend before any
court or other body or official having jurisdiction any or all actions or
proceedings against principals or assureds on insurance policies or contracts
issued to them where the insurer has become insolvent or unable to meet its
insurance obligations. The Commissioner shall have, as of the date of insolvency
of such insurer or as of the date of its inability meet its insurance obligations,
only the rights which such insurer would have had if it had not become insolvent
or unable to meet its insurance obligations. For the purpose of this title the
Commissioner shall have power to employ such counsel, clerks and assistants as
he may deem necessary.
Sec. 372. The expense of administering an Account shall be paid out of the
Account concerned. The Commissioner shall serve as administrator of the Fund
and of the Accounts without additional compensation, but may be allowed and
paid from the Account concerned expenses incurred in the performance of his
duties in connection with said Account. The compensation of those persons
employed payable from the Account concerned. The Commissioner shall include
in his annual report to the Secretary of Finance a statement of the expenses of
administration of the Fund and of the Life Account and Non-Life Account for the
preceding year.
Chapter VI
COMPULSORY MOTOR VEHICLE
LIABILITYINSURANCE
Sec.
373.
For
purposes
of
this
chapter:chanroblesvirtuallawlibrary
(a) "Motor Vehicle" is any vehicle as defined in section three, paragraph (a) of
Republic Act Numbered Four Thousand One Hundred Thirty-Six, Otherwise
known as the "Land Transportation and Traffic Code."
(b) "Passenger" is any fare paying person being transported and conveyed in
and by a motor vehicle for transportation of passengers for compensation,
including persons expressly authorized by law or by the vehicle's operator or his
agents to ride without fare.
(c) "Third-Party" is any person other than a passenger as defined in this section
and shall also exclude a member of the household, or a member of the family
within the second degree of consanguinity or affinity, of a motor vehicle owner
or land transportation operator, as likewise defined herein, or his employee in
respect of death, bodily injury, or damage to property arising out of and in the
course of employment. (As amended by Presidential Decree No. 1814 and 1981).
(d) "Owner" or "motor vehicle owner" means the actual legal owner of a motor
vehicle, in whose name such vehicle is duly registered with the Land
Transportation Commission;
(e) "Land transportation operator" means the owner or owners of motor
vehicles for transportation of passengers for compensation, including school
buses;
(f) "Insurance policy" or "Policy" refers to a contract of insurance against
passenger and thirty-party liability for death or bodily injuries and damaged to
property arising from motor vehicle accidents. (As amended by Presidential
Decree No. 1455 and 1814).
Sec. 374. It shall be unlawful for any land transportation operator or owner of a
motor vehicle to operate the same in the public highways unless there is in force
in relation thereto a policy of insurance or guaranty in cash or surety bond
issued in accordance with the provisions of this chapter to indemnify the death,
bodily injury, and/or damage to property of a third-party or passenger, as the
case may be, arising from the use thereof. (As amended by Presidential Decree
No. 1455 and 1814).
Sec. 375. The Commissioner shall furnish the Land Transportation Commissioner
with a list of insurance companies authorized to issue the policy of insurance or
surety bond required by this chapter. (As amended by Presidential Decree No.
1814).
Sec. 376. The Land Transportation Commission shall not allow the registration or
renewal of registration of any motor vehicle without first requiring from the land
transportation operator or motor vehicle owner concerned the presentation and
filing of a substantiating documentation in a form approved by the Commissioner
evidencing that the policy of insurance or guaranty in cash or surety bond
required by this chapter is in effect. (As amended by Presidential Decree No.
1455).
Sec. 377. Every land transportation operator and every owner of a motor vehicle
shall, before applying for the registration or renewal of registration of any motor
vehicle, at his option, either secure an insurance policy or surety bond issued by
any insurance company authorized by the Commissioner or make a cash deposit
in such amount as herein required as limit of liability for purposes specified in
section three hundred seventy-four.
(1) In the case of a land transportation operator, the insurance guaranty in cash
or surety bond shall cover liability for death or bodily injuries of third-parties
and/or passengers arising out of the use of such vehicle in the amount not less
than twelve thousand pesos per passenger or third party and an amount, for
each of such categories, in any one accident of not less than that set forth in the
following scale:chanroblesvirtuallawlibrary
(a) Motor vehicles with an authorized capacity of twenty-six or more
passengers: Fifty thousand pesos;
(b) Motor vehicles with an authorized capacity of from twelve to twenty-five
Other
Twenty
Twenty
Private
thousand
thousand
pesos;
pesos;
Vehicles
surety bond to replace the policy or surety bond to be cancelled or make a cash
deposit in sufficient amount with the Commissioner and without any gap, file the
required documentation with the Land Transportation Commission, and notify
the insurance company concerned of the cancellation of its policy or surety
bond. (As amended by Presidential Decree No. 1455).
Sec. 382. In case of change of ownership of a motor vehicle, or change of the
engine of an insured vehicle, there shall be no need of issuing a new policy until
the next date of registration or renewal of registration of such vehicle, and
provided that the insurance company shall agree to continue the policy, such
change of ownership or such change of the engine shall be indicated in a
corresponding endorsement by the insurance company concerned, and a signed
duplicate of such endorsement shall, within a reasonable time, be filed with the
Land Transportation Commission.
Sec. 383. In the settlement and payment of claims, the indemnity shall not be
availed of by any accident victim or claimant as an instrument of enrichment by
reason of an accident, but as an assistance or restitution insofar as can fairly be
ascertained.
Sec. 384. Any person having any claim upon the policy issued pursuant to this
Chapter shall, without any unnecessary delay, present to the insurance company
concerned a written notice of claim setting forth the nature, extent and duration
of the injuries sustained as certified by a duly licensed physician. Notice of claim
must be filed within six months from date of accident, otherwise, the claim shall
be deemed waived. Action or suit for recovery of damage due to loss or injury
must be brought, in proper cases, with the Commissioner or the Courts within
one year from denial of the claim, otherwise, the claimant's right of action shall
prescribe. (As amended by Presidential Decree 1814 and Batas Pambansa Blg.
874).
Sec. 385. The insurance company concerned shall forthwith ascertain the truth
and extent of the claim and make payment within five working days after
reaching an agreement. If no agreement is reached, the insurance company shall
pay only the "no-fault" indemnity provided in section three hundred seventyeight without prejudice to the claimant from pursuing his claim further, in which
case, he shall not be required or compelled by the insurance company to execute
any quit claim or document releasing it from liability under the policy of
insurance or surety bond issued. (As amended by Presidential Decree No. 1455).
In case of any dispute in the enforcement of the provisions of any policy issued
pursuant to this chapter, the adjudication of such dispute shall be within the
original and exclusive jurisdiction of the Commissioner, subject to the limitations
provided in section four hundred sixteen.
Sec. 386. It shall be unlawful for a land transportation operator or owner of
motor vehicle to require his or its drivers or other employees to contribute in the
payment of premiums.
Sec. 387. No government office or agency having the duty of implementing the
provisions of this chapter nor any official or employee thereof shall act as agent
in procuring the insurance policy or surety bond provided for herein. The
commission of an agent procuring the said policy or bond shall in no case exceed
ten per centum of the amount of the premiums therefor.
Sec. 388. Any land transportation operator or owner of motor vehicle or any
other person violating any of the provisions of the preceding sections shall be
punished by a fine of not less than five hundred pesos but not more than one
thousand pesos and/or imprisonment for not more than six months. The
violation of section three hundred seventy-seven by a land transportation
operator shall be a sufficient cause for the revocation of the certificate of public
convenience issued by the Board of Transportation covering the vehicle
concerned.
Sec. 389. Whenever any violation of the provisions of this chapter is committed
by a corporation or association, or by a government office or entity, the
executive officer or officers of said corporation, association or government office
or entity who shall have knowingly permitted, or failed to prevent, said violation
shall be held liable as principals.
Chapter VII
MUTUAL BENEFIT ASSOCIATIONS AND
TRUSTS FOR CHARITABLE USES
Title 1
MUTUAL BENEFIT ASSOCIATIONS
Sec. 390. Any society, association or corporation, without capital stock, formed
or organized not for profit but mainly for the purpose of paying sick benefits to
members, or of furnishing financial support to members while out of
employment, or of paying to relatives of deceased members of fixed or any sum
of money, irrespective of whether such aim or purpose is carried out by means
of fixed dues or assessments collected regularly from the members, or of
providing, by the issuance of certificates of insurance, payment of its members
of accident or life insurance benefits out of such fixed and regular dues or
assessments, but in no case shall include any society, association, or corporation
with such mutual benefit features and which shall be carried out purely from
voluntary contributions collected not regularly and or no fixed amount from
whomsoever may contribute, shall be known as a mutual benefit association
within the intent of this Code.
Any society, association, or corporation principally organized as labor union shall
be governed by the Labor Code notwithstanding any mutual benefit feature
provisions
in
its
charter
as
incident
to
its
organization.
In no case shall a mutual benefit association be organized and authorized to
transact business as a charitable or benevolent organization, and whenever it
has this feature as incident to its existence, the corresponding charter provision
shall be revised to conform with the provision of this section. Mutual benefit
association, already licensed to transact business as such on the date this Code
require such association to increase its Guaranty Fund from the initial minimum
amount required to an amount equal to at least ten per centum of its assets, if
such assets exceed one hundred thousand pesos, but in no case shall such
increase exceed the maximum amount of capital investment required of a
domestic insurance company under section two hundred and three of this
Code. (As amended by Presidential Decree No. 1455).
Sec. 393. Every mutual benefit association licensed to do business as such shall
issue membership certificates to its members specifying the benefits to which
such members are entitled.
Such certificates, together with the articles of incorporation of the association or
its constitution and by-laws, and all existing laws as may be pertinent shall
constitute the agreement, as of the date of its issuance, between the association
and the member. The membership certificate shall be in a form previously
approved by the Commissioner.
Sec. 394. A mutual benefit association may, by reinsurance agreement, cede in
whole or in part any individual risk or risks under certificates of insurance issued
by it, only to a life insurance company authorized to transact business or to a
professional reinsurer authorized to accept life risks in the Philippines: Provided,
That copy of the draft of such reinsurance agreement shall be submitted to the
Commissioner for his approval. The association may take credit for the reserves
on such ceded risks to the extent reinsured.
Sec. 395. The constitution or by-laws of a mutual benefit association must
distinctly state the purpose for which dues and/or assessments are made and
collected and the portion thereof which may be used for expenses.
Death benefit and other relief funds shall be created and used exclusively for
paying benefits due the members under their respective membership
certificates. A general fund shall likewise be created and used for expenses of
administration of the association.
Sec. 396. Every outstanding membership certificate must have, after three full
years of being continuously in force, an equity value equivalent to at least
fifty per centum of the total membership dues collected thereon.
Sec. 397. Every mutual benefit association must accumulate and maintain, out of
the periodic dues collected from its members, sufficient reserves for the
payment of claims or obligations for which it shall hold funds in securities
satisfactory to the Commissioner consisting of bonds of the Government of the
Philippines, or any of its political subdivisions and instrumentalities, or in such
other good securities as may be approved by the Commissioner.
The reserve liability shall be established in accordance with acturial procedures
and shall be approved by the Commissioner.
The articles of incorporation or the constitution and by-laws of a mutual benefit
association must provide that if its reserve as to all or any class of certificates
becomes impaired, its board of directors or trustees may require that there shall
be paid by the members to the association the amount of the members'
Sec. 402. Any member of a mutual benefit association shall have the right at all
times to change the beneficiary or beneficiaries or add another beneficiary or
other beneficiaries in accordance with the rules and regulations of the
association unless he has expressly waived this right in the membership
certificate. Every association may, under such rules as it may adopt, limit the
scope of beneficiaries and provide that no beneficiary shall have or obtain any
vested interest in the proceeds of any certificate until the certificate has become
due and payable under the terms of the membership certificate.
Sec. 403. Any chapter affiliate independently licensed as a mutual benefit
association may consolidate or merge with any other similar chapter affiliate or
with the mother association.
Sec. 404. Any mutual benefit association may be converted into and licensed as
a mutual life insurance company by complying with the requirements of the
pertinent provisions of this Code and submitting the specific plan for such
conversion to the Commissioner for his approval. Such plan, as approved, shall
then be submitted to the members either in the regular meeting or in a special
meeting called for the purpose for their adoption. The affirmative vote of at least
two-thirds of all the members shall be necessary in order to consider such plan
as adopted.
No such conversion shall take effect unless and until approved by the
Commissioner.
Sec. 405. No mutual benefit association shall be dissolved without first notifying
the Commissioner and furnishing him with a certified copy of the resolution
authorizing the dissolution, duly adopted by the affirmative vote of two-thirds of
the members at a meeting called for that purpose, the financial statements as of
the date of the resolution, and such other papers or documents as may be
required by the Commissioner.
No dissolution shall proceed until and unless approved by the Commissioner and
all proceedings in connection therewith shall be witnessed and attested by his
duly designated representative.
No mutual benefit association shall be officially declared as dissolved until after
the Commissioner so certifies that all outstanding claims against the association
have been duly settled and liquidated.
Sec. 406. The Commissioner shall after notice and hearing, have the power
either to suspend or revoke the licensed issued to a mutual benefit association if
he finds that the association has:chanroblesvirtuallawlibrary
(a) failed to comply with any provision of this Code;
(b) failed to comply with any other law or regulation obligatory upon it;
(c) failed to comply with any order, ruling, instruction, requirement, or
recommendation of the Commissioner;
(d) exceeded its power to the prejudice of its members;
(e) conducted its business fraudulently or hazardously;
(f) rendered its affairs and condition to one of insolvency; or
(g) failed to carry out its aims and purposes for which it was organized due to
any cause.
After receipt of the order from the Commissioner suspending or revoking the
license, the association must immediately exert efforts to remove such cause or
causes which brought about the order, and, upon proper showing, may apply
with the Commissioner for the lifting of the order and restoration or revival of
the license so revoked or suspended.
Sec. 407. For failure to remove such cause or causes which brought about the
suspension or revocation of the license of a mutual benefit association, the
Commissioner shall apply under this Code for an order from the proper court to
liquidate such association.
The provisions of titles fourteen and fifteen, chapter three, pertaining to the
appointment of a conservator and proceedings upon insolvency of an insurance
company, shall, insofar as practicable, apply to mutual benefit associations.
Sec. 408. To secure the enforcement of any provision under this title, the
Commissioner may issue such rules, rulings, instructions, orders and circulars,
subject to the approval of the Secretary of Finance.
Sec. 409. The violation of any provision of this title shall subject the person
violating or the officer of the association responsible therefor to a fine of not
exceeding one thousand pesos, or imprisonment of not exceeding three years, or
both such fine and imprisonment, at the discretion of the court.
Title 2
TRUSTS FOR CHARITABLE USES
Sec. 410. The term "trust for charitable uses", within the intent of this Code,
shall include, all the real or personal properties or funds, as well as those
acquired with the fruits or income therefrom or in exchange or substitution
thereof, given to or received by any person, corporation, association, foundation,
or entity, except the National Government, its instrumentalities or political
subdivisions, for charitable, benevolent, educational, pious, religious, or other
uses for the benefit of the public at large or a particular portion thereof or for
the benefit of an indefinite number of persons.
Sec. 411. The term "trustee" shall include any individual, corporation,
association, foundation, or entity, except the National Government, its
instrumentalities or political subdivisions, in charge of, or acting for, or
concerned with the administration of, the trust referred to in the section
immediately preceding and with the proper application of trust property.
Sec. 412. The term "trust property" shall include all real or personal properties
or funds pertaining to the trust as well as those acquired with the fruits or
income therefrom or in exchange or substitution thereof.
Sec. 413. All trustees shall, before entering in the performance of the duties of
their trust, obtain a certificate of registration from the Commissioner.
Trustees who are already discharging the duties of their trust on the date this
Code becomes effective may continue as such, subject to the provisions of this
Code.
All provisions of this Code governing mutual benefit associations and such other
provisions herein, whenever practicable and necessary, shall be applicable to
trusts for charitable uses.
Chapter VIII
THE INSURANCE COMMISSIONER
Title 1
ADMINISTRATIVE AND ADJUDICATORY POWERS
Sec. 414. The Insurance Commissioner shall have the duty to see that all laws
relating to insurance, insurance companies and other insurance matters, mutual
benefit associations, and trusts for charitable uses are faithfully executed and to
perform the duties imposed upon him by this Code, and shall, notwithstanding
any existing laws to the contrary, have sole and exclusive authority to regulate
the issuance and sale of variable contracts as defined in section two hundred
thirty-two and to provide for the licensing of persons selling such contracts, and
to issue such reasonable rules and regulations governing the same.
The Commissioner may issue such rulings, instructions, circulars, orders and
decision as he may deem necessary to secure the enforcement of the provisions
of this Code, subject to the approval of the Secretary of Finance. Except as
otherwise specified, decisions made by the Commissioner shall be appealable to
the Secretary of Finance.
Sec. 415. In addition to the administrative sanctions provided elsewhere in this
Code, the Insurance Commissioner is hereby authorized, at his discretion, to
impose upon the insurance companies, their directors and/or officers and/or
agents, for any willful failure or refusal to comply with, or violation of any
provision of this Code, or any order, instruction, regulation, or ruling of the
Insurance Commissioner, or any commission or irregularities, and/or conducting
business in an unsafe or unsound manner as may be determined by the
Insurance Commissioner, the following:chanroblesvirtuallawlibrary
(a) fines not in excess of five hundred pesos a day; and
(b) suspension, or after due hearing, removal of directors and/or officers and/or
agents.
Sec. 416. The Commissioner shall have the power to adjudicate claims and
complaints involving any loss, damage or liability for which in insurer may be
answerable under any kind of policy or contract of insurance, or for which such
insurer may be liable under a contract of suretyship, or for which a reinsurer
may be sued under any contract of reinsurance it may have entered into; or for
which a mutual benefit association may be held liable under the membership
certificates it has issued to its members, where the amount of any such loss,
damage or liability, excluding interest, cost and attorney's fees, being claimed or
sued upon any kind of insurance, bond, reinsurance contract, or membership
certificate does not exceed in any single claim one hundred thousand pesos.
The insurer or surety may, in the same action file a counterclaim against the
insured
or
the
obligee.
The insurer or surety may also file a cross-claim against a party for any claim
arising out of the transaction or occurrence that is the subject matter of the
original action or of a counterclaim therein.
With leave of the Commissioner, an insurer or surety may file a third-party
complaint against its reinsurers for indemnification, contribution, subrogation or
any other relief, in respect of the transaction that is the subject matter of the
original action filed with the Commissioner.
The party filing an action pursuant to the provisions of this section thereby
submits his person to the jurisdiction of the Commissioner. The Commissioner
shall acquire jurisdiction over the person of the impleaded party or parties in
accordance with and pursuant to the provisions of theRules of Court.
The authority to adjudicate granted to the Commissioner under this section shall
be concurrent with that of the civil courts, but the filing of a complaint with the
Commissioner shall preclude the civil courts from taking cognizance of a suit
involving
the
same
subject
matter.
Any decision, order or ruling rendered by the Commissioner after a hearing shall
have the force and effect of a judgment. Any party may appeal from a final
order, ruling or decision of the Commissioner by filing with the Commissioner
within thirty days from receipt of copy of such order, ruling or decision a notice
of appeal to the Intermediate Appellate Court in the manner provided for in
the Rules of Court for appeals from the Regional Trial Court to the Intermediate
Appellate Court. (As amended by Batas Pambansa Blg. 874).
As soon as a decision, order or ruling has become final and executory, the
Commissioner shall motu proprio or on motion of the interested party, issue a
writ of execution requiring the sheriff or the proper officer to whom it is directed
to execute said decision, order or award, pursuant to Rule thirty-nine of
the Rules
of
Court.
For the purpose of any proceeding under this section, the Commissioner, or any
officer thereof designated by him, empowered to administer oaths and
affirmation, subpoena witnesses, compel their attendance, take evidence, and
require the production of any books, papers, documents, or contracts or other
records which are relevant or material to the inquiry. In case of contumacy by,
or refusal to obey a subpoena issued to any person, the Commissioner may
invoke the aid of any court of first instance within the jurisdiction of which such
proceeding is carried on, where such person resides or carries on his own
business, in requiring the attendance and testimony of witnesses and the
production of books, papers, documents, contracts or other records. And such
court may issue an order requiring such person to appear before the
Commissioner, or officer designated by the Commissioner, there to produce
records, if so ordered or to give testimony touching the matter in question. Any
failure to obey such order of the court may be published by such court as a
contempt thereof.
A full and complete record shall be kept of all proceedings had before the
commissioner, or the officers thereof designated by him, and all testimony shall
be taken down and transcribed by a stenographer appointed by the
Commissioner.
A transcribed copy of the evidence and proceeding, or any specific part thereof,
of any hearing taken by a stenographer appointed by the Commissioner, being
certified by such stenographer to be a true and correct transcript of the
testimony on this hearing of a particular witness, or of a specific proof thereof,
carefully compared by him from his original notes, and to be a correct statement
of evidence and proceeding had in such hearing so purporting to be taken and
subscribed, may be received as evidence by the Commissioner and by any court
with the same effect as if such stenographer were present and testified to the
facts so certified. (As amended by Presidential Decree No. 1455).
Title 2
FEES AND OTHER SOURCES OF FUNDS
Sec. 417. (1) For the issuance or renewal of certificates of authority, licenses
and certificates of registration, pursuant to pertinent provisions of this Code, the
Commissioner shall collect and receive fees which shall be not less than the
following:chanroblesvirtuallawlibrary
For each certificate of authority issued to an insurance company doing business
in the Philippines, two hundred pesos.
For each special certificate of authority issued to a servicing insurance company,
one hundred pesos.
For each license issued to a general agent of an insurance company, fifty pesos.
For each license issued to an insurance agent, twenty-five pesos.
For each license issued to an agent of variable contract policy, twenty-five
pesos.
For each license issued to an insurance broker, one hundred pesos.
For each license issued to an reinsurance broker, one hundred pesos.
For each license issued to an insurance adjuster, one hundred pesos.
For each certificate of registration issued to an actuary, fifty pesos.
For each certificate of registration issued to a resident agent, fifty pesos.
For each license issued to a rating organization, one hundred pesos.
For each certificate of registration issued to a non-life company underwriter,
fifty pesos.
For each license issued to a mutual benefit association, ten pesos.
For each certificate of registration issued to a trust for charitable uses, ten
pesos.
All certificates of authority and all other licenses, as well as all certificates of
registration, issued to any person, partnership, association or corporation under
the pertinent provisions of this Code for which no expiration date has been
prescribed, shall expire on the last day of June of each year and shall be
renewed annually upon application therefor and payment of the corresponding
year exceed the aggregate amount of the fees collected under the pertinent
provisions of this Code, the excess shall be charged against the Insurance Fund,
which shall hereafter be created out of the proceeds of taxes on insurance
premiums mentioned in section two hundred fifty-five of the National Internal
Revenue Code, as amended: Provided, however, That pending the creation of
said Insurance Fund, the provisions of section two, three and four of Republic
Act Numbered Two Hundred Seventy-Five, shall continue to remain in force and
effect.
MISCELLANEOUS PROVISIONS
Sec. 419. Any person, company or corporation subject to the supervision and
control of the Commissioner who violates any provision of this Code, for which
no penalty is provided, shall be deemed guilty of a penal offense, and upon
conviction be punished by a fine not exceeding ten thousand pesos or
imprisonment of six months, or both, at the discretion of the court.
If the offense is committed by a company or corporation, the officers, directors,
or other persons responsible for its operation, management, or administration,
unless it can be proved that they have taken no part in the commission of the
offense, shall likewise be guilty of a penal offense, and upon conviction be
punished by a fine not exceeding ten thousand pesos or imprisonment of six
months, or both, at the discretion of the court.
Sec. 420. All criminal actions for the violation of any of the provisions of this
Code shall prescribed after three years from the discovery of such
violation:Provided, That such actions shall in any event prescribe after ten years
from the commission of such violation.
Sec. 421. Any person, partnership, association or corporation heretofore
authorized, licensed or registered by the Insurance Commissioner shall be
deemed to have been authorized, licensed or registered under the provisions of
this Code and shall be governed by the provisions thereof:Provided,
however, That where any such person, partnership, association or corporation is
affected by the new requirements of this Code, said person, partnership
association or corporation shall, unless otherwise herein provided, be given a
period of one year from the effectivity of this Code within which to comply with
the same.
Sec. 422. Except as expressly provided by this Code, all laws or parts thereof
inconsistent with any provision of this Code shall be deemed repealed.
Sec. 423. Should any provisions of this Code or any part thereof be declared
invalid, the other provisions, so far as they are separable from the invalid ones,
shall remain in force.
Sec. 424. This Code shall take effect immediately.
DONE in the City of Manila, this 18th day of December, in the year of Our Lord,
nineteen
hundred
and
seventy-four.
FERDINAND E. MARCOS
President
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Since 19.07.98