Title
Andres vs. Crown Life Insurance Co.
Case
G.R. No. L-10874
Decision Date
Jan 28, 1958
A lapsed insurance policy was not reinstated before the insured's death due to incomplete premium payment, absolving the insurer of liability.

Case Summary (G.R. No. 271012)

Factual Background

On April 20, 1952, Rufino D. Andres filed a complaint in the Court of First Instance of Ilocos Norte seeking to recover the full amount of the insurance policy following the denial of his claim by the Crown Life Insurance Company. The company asserted that the policy had lapsed due to non-payment of premiums. The court case progressed after both parties submitted a stipulation of facts outlining the series of events surrounding the insurance policy.

Legal Proceedings and Stipulation of Facts

The stipulation provided detailed timelines, including the issuance of the policy, payments made, notifications of lapse, and attempts at reinstatement. Notably, the policy lapsed on December 25, 1950, after the plaintiffs failed to pay the third premium, due to a customary grace period expiring without a reinstatement being made prior to Severa G. Andres's death.

Lower Court’s Decision

On August 5, 1954, the trial court ruled in favor of the Crown Life Insurance Company, concluding that the insurance policy had lapsed and was not reinstated before Severa G. Andres's death. Consequently, the company was absolved from any liability for the claim. Dissatisfied with this ruling, Rufino D. Andres appealed the decision.

Main Legal Question

The central issue of the case revolved around whether Policy No. 536423 had been validly reinstated after lapsing due to unpaid premiums. The court contended that for reinstatement to be valid, several conditions stipulated within the original policy must be met.

Conditions for Reinstatement of the Policy

The policy explicitly stated that lapse could be rectified through an application within three years and the demonstration of insurability through evidence of good health, along with the payment of all overdue premiums and indebtedness with interest. Critical to the court's analysis was whether these conditions were sufficiently satisfied by the plaintiff following the policy's lapse.

Findings on Premium Payment

The court noted that Rufino D. Andres had only made partial payments towards the overdue premium. He remitted P100 on May 5, 1951, a mere two days after his wife's death, failing to meet the complete payment of P165.15 required for the renewal of the policy before Severa's demise. The court found the conditions for reinstatement unmet due to this failure.

Analysis of Waiver Claims by the Plaintiff

Rufino D. Andres argued that the insurance company had waived the premium payment requirements based on letters received from the company. The court, however, found insufficient evidence to support such a wa

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