Title
Malayan Insurance Co., Inc. vs. PAP Co., Ltd.
Case
G.R. No. 200784
Decision Date
Aug 7, 2013
Insurance claim denied due to unauthorized transfer of insured properties, violating policy terms and increasing risk, as ruled by the Supreme Court.
A

Case Summary (G.R. No. L-61016)

Petitioner and Respondent

Malayan Insurance (petitioner) issued a fire insurance policy to PAP Co., Ltd. (respondent) covering PAP’s machineries and equipment, with proceeds payable to RCBC as mortgagee. PAP brought suit against Malayan after Malayan denied the claim for loss by fire.

Key Dates

Original policy issued May 13, 1996 (coverage to May 13, 1997); renewal policy issued May 13, 1997 (coverage to May 13, 1998); loss by fire occurred October 12, 1997 at the Pace Pacific building; RTC decision September 17, 2009; Court of Appeals decision October 27, 2011; Supreme Court decision August 7, 2013. The petition was brought under Rule 45 of the Rules of Court.

Applicable Law

Governing constitutional framework: 1987 Philippine Constitution (decision date post-1990). Statutory and contractual provisions relied upon in the decision: provisions of the Insurance Code cited in the record, including Sections 26, 27, 45 and 74 (and the decision’s reference to Section 168 and Section 68 as quoted), Condition No. 9(c) of the renewal policy (prohibiting removal of insured property to a place other than that stated in the policy without the insurer’s sanction), and principles applicable to rescission for concealment, misrepresentation, breach of warranty, and alteration of the insured risk.

Facts

Malayan issued Fire Insurance Policy No. F-00227-000073 to PAP on May 13, 1996 for P15,000,000 covering machineries and equipment at the Sanyo Precision building. The policy was renewed on an “as is” basis as Fire Insurance Policy No. F-00227-000079 effective May 13, 1997 to May 13, 1998. PAP’s insured property was moved to the Pace Pacific building in September 1996 (as alleged by the parties), and on October 12, 1997 the machineries were totally lost by fire at the Pace Pacific location. Malayan denied the claim on the ground that the insured properties had been transferred to a location different from that indicated in the policy without Malayan’s sanction.

Ruling of the Regional Trial Court

The RTC (September 17, 2009) ordered Malayan to pay PAP P15,000,000 as indemnity, plus 12% interest per annum from the time of loss until fully paid, and awarded attorney’s fees of P500,000 and costs of suit. The RTC reasoned that Malayan failed to prove that the transfer increased the insured risk and that notice to RCBC sufficed to comply with the policy’s notice requirement because RCBC had procured the insurance.

Ruling of the Court of Appeals

The CA (October 27, 2011) affirmed the RTC’s decision but deleted the award for attorney’s fees. The CA held that Malayan did not prove a prohibition on transfer or that its contractual consent was required, noting Malayan failed to cite specific policy provisions; the CA also found that the transfer had occurred prior to the renewal so Malayan was or should have been aware of it when issuing the renewal policy. The CA applied the principle that ambiguities in adhesion contracts are construed against the drafter (the insurer) and concluded Malayan failed to show an increase in risk.

Issues Presented by Malayan in the Rule 45 Petition

Malayan contended that (1) PAP committed concealment, misrepresentation and breached an affirmative warranty by failing to disclose or warrant the true location of the risk under Sections 27, 45 and 74 (in relation to Section 31) of the Insurance Code; (2) the CA erred in awarding 12% interest from time of loss; (3) the CA erred in allowing PAP to sue for proceeds despite a mortgagee clause favoring RCBC; and (4) the CA wrongly applied the contra proferentem rule in favor of the insured.

Malayan’s Principal Arguments

Malayan argued that Condition No. 9(c) of the renewal policy expressly required insurer sanction for removal of the insured property from the location stated in the policy, that PAP did not notify or obtain Malayan’s consent to the transfer, and thus PAP committed concealment, misrepresentation and breach of warranty entitling Malayan to rescind. Malayan further asserted the transfer increased the risk (citing differential tariff rates: 0.449% at Sanyo vs. 0.657% at Pace), which would have affected premium and insurer’s willingness to assume the risk. Malayan maintained that any notice to RCBC was not binding on Malayan absent an agency or representative relationship and that it had grounds to avoid liability.

PAP’s Position at Trial and on Appeal

PAP argued there was no concealment or misrepresentation, that it had notified RCBC and that notice to RCBC sufficed, that it retained standing to sue notwithstanding the mortgagee clause, and that it was entitled to 12% interest because Malayan unduly delayed payment of the indemnity.

Supreme Court’s Analysis of Notice and Evidence

The Supreme Court found no convincing, concrete evidence that Malayan was notified of the transfer from Sanyo to Pace. The Court emphasized that notice allegedly given to RCBC did not bind Malayan absent proof that RCBC acted as Malayan’s agent or representative. The record showed no written referral agreement and testimony indicating RCBC merely referred clients to Malayan. PAP’s proof of notice rested on hearsay (testimony by Mr. Yoneda repeating statements by secretaries) and the Court found PAP failed to produce the secretaries who allegedly transmitted notice. The Court also noted admissions that the transfer occurred after the renewal, undermining PAP’s claim that the transfer preceded and was disclosed prior to renewal.

Supreme Court’s Finding on Increase of Risk

The Court agreed with Malayan that the transfer to the Pace

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