PRESIDENTIAL DECREE NO. 612
December 18, 1974
ORDAINING AND INSTITUTING AN INSURANCE CODE OF THE PHILIPPINES
I,
Ferdinand E. Marcos, President of the Philippines, by virtue of the powers in
me vested by the Constitution, do hereby decree and order the following:
GENERAL PROVISIONS
Sec. 1. This Decree shall be
known as "The Insurance Code".
Sec. 2. Whenever used in
this Code, the following terms shall have the respective meanings hereinafter
set forth or indicated, unless the context otherwise requires:
(1) A "contract of
insurance" is an agreement whereby one undertakes for a consideration
to indemnify another against loss, damage or liability arising from an unknown
or contingent event.
A contract of suretyship
shall be deemed to be an insurance contract, within the meaning of this Code,
only if made by a surety who or which, as such, is doing an insurance business
as hereinafter provided.
(2) The term "doing
an insurance business" or "transacting an insurance
business", within the meaning of this Code, shall include:
(a) making or proposing to make, as insurer, any insurance
contract;
(b)
making or proposing to make, as surety, any contract of suretyship as a
vocation and not as merely incidental to any other legitimate business or
activity of the surety;
(c)
doing any kind of business, including a reinsurance business, specifically
recognized as constituting the doing of an insurance business within the
meaning of this Code;
(d)
doing or proposing to do any business in substance equivalent to any of the
foregoing in a manner designed to evade the provisions of this Code.
In
the application of the provisions of this Code the fact that no profit is
derived from the making of insurance contracts, agreements or transactions or
that no separate or direct consideration is received therefor, shall not be
deemed conclusive to show that the making thereof does not constitute the doing
or transacting of an insurance business.
(3) As used in this code,
the term "Commissioner" means the "Insurance Commissioner". chanrobles virtual law library
Chapter 1
THE
CONTRACT OF INSURANCE
Title 1
WHAT MAY
BE INSURED
Sec. 3. Any contingent or
unknown event, whether past or future, which may damnify a person having an
insurable interest, or create a liability against him, may be insured against,
subject to the provisions of this chapter.
The consent of the husband
is not necessary for the validity of an insurance policy taken out by a married
woman on her life or that of her children.
Any minor of the age of
eighteen years or more, may, notwithstanding such minority, contract for life,
health and accident insurance, with any insurance company duly authorized to do
business in the Philippines, provided the insurance is taken on his own life
and the beneficiary appointed is the minor's estate or the minor's father,
mother, husband, wife, child, brother or sister.
The married woman or the
minor herein allowed to take out an insurance policy may exercise all the
rights and privileges of an owner under a policy.
All rights, title and
interest in the policy of insurance taken out by an original owner on the
life or health of a minor shall automatically vest in the minor upon the death
of the original owner, unless otherwise provided for in the policy.
Sec. 4. The preceding
section does not authorize an insurance for or against the drawing of any
lottery, or for or against any chance or ticket in a lottery drawing a prize.
Sec. 5. All kinds of
insurance are subject to the provisions of this chapter so far as the provisions
can apply.
Title 2
PARTIES
TO THE CONTRACT
Sec. 6. Every person,
partnership, association, or corporation duly authorized to transact insurance
business as elsewhere provided in this code, may be an insurer.
Sec. 7. Anyone except a
public enemy may be insured.
Sec. 8. Unless the policy
otherwise provides, where a mortgagor of property effects insurance in his own
name providing that the loss shall be payable to the mortgagee, or assigns a
policy of insurance to a mortgagee, the insurance is deemed to be upon the
interest of the mortgagor, who does not cease to be a party to the original
contract, and any act of his, prior to the loss, which would otherwise avoid
the insurance, will have the same effect, although the property is in the hands
of the mortgagee, but any act which, under the contract of insurance, is to be
performed by the mortgagor, may be performed by the mortgagee therein named,
with the same effect as if it had been performed by the mortgagor.
Sec. 9. If an insurer
assents to the transfer of an insurance from a mortgagor to a mortgagee, and,
at the time of his assent, imposes further obligation on the assignee, making a
new contract with him, the act of the mortgagor cannot affect the rights of
said assignee.
Title 3
INSURABLE
INTEREST
Sec. 10. Every person has an
insurable interest in the life and health:
(a) Of himself, of his spouse and of his children;
(b)
Of any person on whom he depends wholly or in part for education or support, or
in whom he has a pecuniary interest;
(c)
Of any person under a legal obligation to him for the payment of money, or
respecting property or services, of which death or illness might delay or
prevent the performance; and
(d)
Of any person upon whose life any estate or interest vested in him depends.
Sec.
11. The insured shall have the right to change the beneficiary he designated in
the policy, unless he has expressly waived this right in said policy.
Sec. 12. The interest of a
beneficiary in a life insurance policy shall be forfeited when the beneficiary
is the principal, accomplice, or accessory in willfully bringing about the
death of the insured; in which event, the nearest relative of the insured shall
receive the proceeds of said insurance if not otherwise disqualified.
Sec. 13. Every interest in
property, whether real or personal, or any relation thereto, or liability in
respect thereof, of such nature that a contemplated peril might directly
damnify the insured, is an insurable interest.
Sec. 14. An insurable
interest in property may consist in:
(a) An existing interest;
(b)
An inchoate interest founded on an existing interest; or
(c)
An expectancy, coupled with an existing interest in that out of which the
expectancy arises.
Sec.
15. A carrier or depository of any kind has an insurable interest in a
thing held by him as such, to the extent of his liability but not to exceed the
value thereof.
Sec. 16. A mere contingent
or expectant interest in anything, not founded on an actual right to the thing,
nor upon any valid contract for it, is not insurable.
Sec. 17. The measure of an
insurable interest in property is the extent to which the insured might be
damnified by loss or injury thereof.
Sec. 18. No contract or
policy of insurance on property shall be enforceable except for the benefit of
some person having an insurable interest in the property insured.
Sec. 19. An interest in
property insured must exist when the insurance takes effect, and when the loss
occurs, but not exist in the meantime; and interest in the life or health of a
person insured must exist when the insurance takes effect, but need not exist
thereafter or when the loss occurs.
Sec. 20. Except in the cases
specified in the next four sections, and in the cases of life, accident, and
health insurance, a change of interest in any part of a thing insured
unaccompanied by a corresponding change in interest in the insurance, suspends
the insurance to an equivalent extent, until the interest in the thing and the
interest in the insurance are vested in the same person.
Sec. 21. A change in
interest in a thing insured, after the occurrence of an injury 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:
(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
proposed contract, or in making his inquiries.
Sec. 32. Each party to a
contract of insurance is bound to know all the general causes which are open to
his inquiry, equally with that of the other, and which may affect the political
or material perils contemplated; and all general usages of trade.
Sec. 33. The right to
information of material facts may be waived, either by the terms of the insurance
or by neglect to make inquiry as to such facts, where they are distinctly
implied in other facts of which information is communicated.
Sec. 34. Information of the
nature or amount of the interest of one insured need not be communicated unless
in answer to an inquiry, except as prescribed by section fifty-one.
Sec. 35. Neither party to a
contract of insurance is bound to communicate, even upon inquiry, information
of his own judgment upon the matters in question.
Title 5
REPRESENTATION
Sec. 36. A representation
may be oral or written.
Sec. 37. A representation
may be made at the time of, or before, issuance of the policy.
Sec. 38. The language of a
representation is to be interpreted by the same rules as the language of
contracts in general.
Sec. 39. A representation as
to the future is to be deemed a promise, unless it appears that it was merely a
statement of belief or expectation.
Sec. 40. A representation
cannot qualify an express provision in a contract of insurance, but it may
qualify an implied warranty.
Sec. 41. A representation
may be altered or withdrawn before the insurance is effected, but not
afterwards.
Sec. 42. A representation
must be presumed to refer to the date on which the contract goes into effect.
Sec. 43. When a person
insured has no personal knowledge of a fact, he may nevertheless repeat
information which he has upon the subject, and which he believes to be true,
with the explanation that he does so on the information of others; or he may
submit the information, in its whole extent, to the insurer; and in neither
case is he responsible for its truth, unless it proceeds from an agent of the
insured, whose duty it is to give the information.
Sec. 44. A representation is
to be deemed false when the facts fail to correspond with its assertions or
stipulations.
Sec. 45. If a representation
is false in a material point, whether affirmative or promissory, the injured
party is entitled to rescind the contract from the time when the representation
becomes false. The right to rescind granted by this Code to the insurer is
waived by the acceptance of premium payments despite knowledge of the ground
for rescission. (As amended by Batasang Pambansa Blg. 874).
Sec. 46. The materiality of
a representation is determined by the same rules as the materiality of a
concealment.
Sec. 47. The provisions of
this chapter apply as well to a modification of a contract of insurance as to
its original formation.
Sec. 48. Whenever a right to
rescind a contract of insurance is given to the insurer by any provision of
this chapter, such right must be exercised previous to the commencement of an
action on the contract.
After a policy of life
insurance made payable on the death of the insured shall have been in force
during the lifetime of the insured for a period of two years from the date of
its issue or of its last reinstatement, the insurer cannot prove that the
policy is void ab initio or is rescindible by reason of the fraudulent
concealment or misrepresentation of the insured or his agent.
Title 6
THE
POLICY
Sec. 49. The written
instrument in which a contract of insurance is set forth, is called a policy of
insurance.
Sec. 50. The policy shall be
in printed form which may contain blank spaces; and any word, phrase, clause,
mark, sign, symbol, signature, number, or word necessary to complete the
contract of insurance shall be written on the blank spaces provided therein.
Any rider, clause, warranty
or endorsement purporting to be part of the contract of insurance and which is
pasted or attached to said policy is not binding on the insured, unless the
descriptive title or name of the rider, clause, warranty or endorsement is also
mentioned and written on the blank spaces provided in the policy.
Unless applied for by the
insured or owner, any rider, clause, warranty or endorsement issued after the
original policy shall be countersigned by the insured or owner, which
countersignature shall be taken as his agreement to the contents of such rider,
clause, warranty or endorsement.
Group insurance and group
annuity policies, however, may be typewritten and need not be in printed form.
Sec. 51. A policy of
insurance must specify:
(a) The parties between whom the contract is made;
(b)
The amount to be insured except in the cases of open or running policies;
(c)
The premium, or if the insurance is of a character where the exact premium is
only determinable upon the termination of the contract, a statement of the
basis and rates upon which the final premium is to be determined;
(d)
The property or life insured;
(e)
The interest of the insured in property insured, if he is not the absolute
owner thereof;
(f)
The risks insured against; and
(g)
The period during which the insurance is to continue.
Sec.
52. Cover notes may be issued to bind insurance temporarily pending the
issuance of the policy. Within sixty days after the issue of the cover
note, a 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:
(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:
(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:
(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:
(1) Insurance against loss of or damage to:
(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:
(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.
Sec. 112. The eventual
falsity of a representation as to expectation does not, in the absence of
fraud, avoid a contract of marine insurance.
Sub-Title 1-E
IMPLIED
WARRANTIES
Sec. 113. In every marine
insurance upon a ship or freight, or freightage, or upon any thing which is the
subject of marine insurance, a warranty is implied that the ship is
seaworthy.
Sec. 114. A ship is
seaworthy when reasonably fit to perform the service and to encounter the
ordinary perils of the voyage contemplated by the parties to the policy.
Sec. 115. An implied
warranty of seaworthiness is complied with if the ship be seaworthy at the time
of the of commencement of the risk, except in the following cases:
(a) When the insurance is made for a specified length of time, the
implied warranty is not complied with unless the ship be seaworthy at the
commencement of every voyage it undertakes during that time;
(b)
When the insurance is upon the cargo which, by the terms of the policy,
description of the voyage, or established custom of the trade, is to be
transhipped at an intermediate port, the implied warranty is not complied with
unless each vessel upon which the cargo is shipped, or transhipped, be
seaworthy at the commencement of each particular voyage.
Sec.
116. A warranty of seaworthiness extends not only to the condition of the structure
of the ship itself, but requires that it be properly laden, and provided with a
competent master, a sufficient number of competent officers and seamen, and the
requisite appurtenances and equipment, such as ballasts, cables and anchors,
cordage and sails, food, water, fuel and lights, and other necessary or proper
stores and implements for the voyage.
Sec. 117. Where different
portions of the voyage contemplated by a policy differ in respect to the things
requisite to make the ship seaworthy therefor, a warranty of seaworthiness is
complied with if, at the commencement of each portion, the ship is seaworthy
with reference to that portion.
Sec. 118. When the ship
becomes unseaworthy during the voyage to which an insurance relates, an
unreasonable delay in repairing the defect exonerates the insurer on ship or
shipowner's interest from liability from any loss arising therefrom.
Sec. 119. A ship which is
seaworthy for the purpose of an insurance upon the ship may, nevertheless, by
reason of being unfitted to receive the cargo, be unseaworthy for the purpose
of the insurance upon the cargo.
Sec. 120. Where the
nationality or neutrality of a ship or cargo is expressly warranted, it is
implied that the ship will carry the requisite documents to show such
nationality or neutrality and that it will not carry any documents which cast
reasonable suspicion thereon.
Sub-Title 1-F
THE
VOYAGE AND DEVIATION
Sec. 121. When the voyage
contemplated by a marine insurance policy is described by the places of beginning
and ending, the voyage insured in one which conforms to the course of sailing
fixed by mercantile usage between those places.
Sec. 122. If the course of
sailing is not fixed by mercantile usage, the voyage insured by a marine
insurance policy is that way between the places specified, which to a master of
ordinary skill and discretion, would mean the most natural, direct and
advantageous.
Sec. 123. Deviation is a
departure from the course of the voyage insured, mentioned in the last two
sections, or an unreasonable delay in pursuing the voyage or the commencement
of an entirely different voyage.
Sec. 124. A deviation is
proper:
(a) When caused by circumstances over which neither the master nor
the owner of the ship has any control;
(b)
When necessary to comply with a warranty, or to avoid a peril, whether or not
the peril is insured against;
(c)
When made in good faith, and upon reasonable grounds of belief in its necessity
to avoid a peril; or
(d)
When made in good faith, for the purpose of saving human life or relieving
another vessel in distress.
Sec.
125. Every deviation not specified in the last section is improper.
Sec. 126. An insurer is not
liable for any loss happening to the thing insured subsequent to an improper
deviation.
Sub-Title 1-G
LOSS
Sec. 127. A loss may be
either total or partial.
Sec. 128. Every loss which
is not total is partial.
Sec. 129. A total loss may
be either actual or constructive.
Sec. 130. An actual total
loss is cause by:
(a) A total destruction of the thing insured;
(b)
The irretrievable loss of the thing by sinking, or by being broken up;
(c)
Any damage to the thing which renders it valueless to the owner for the purpose
for which he held it; or
(d)
Any other event which effectively deprives the owner of the possession, at the
port of destination, of the thing insured.
Sec.
131. A constructive total loss is one which gives to a person insured a right
to abandon, under Section one hundred thirty-nine.
Sec. 132. An actual loss may
be presumed from the continued absence of a ship without being heard of. The
length of time which is sufficient to raise this presumption depends on the
circumstances of the case.
Sec. 133. When a ship is
prevented, at an intermediate port, from completing the voyage, by the perils insured
against, the liability of a marine insurer on the 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:
(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
three-fourths;
(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 cannot
in any case be abandoned unless the ship is also abandoned.
Sec.
140. An abandonment must be neither partial nor conditional.
Sec. 141. An abandonment
must be made within a reasonable time after receipt of reliable information of
the loss, but where the information is of a doubtful character, the insured is
entitled to a reasonable time to make inquiry.
Sec. 142. Where the
information upon which an abandonment has been made proves incorrect, or the
thing insured was so far restored when the abandonment was made that there was
then in fact no total loss, the abandonment becomes ineffectual.
Sec. 143. Abandonment is
made by giving notice thereof to the insurer, which may be done orally, or in
writing; Provided, That if the notice be done orally, a written notice of such
abandonment shall be submitted within seven days from such oral notice.
Sec. 144. A notice of
abandonment must be explicit, and must specify the particular cause of the
abandonment, but need state only enough to show that there is probable cause
therefor, and need not be accompanied with proof of interest or of loss.
Sec. 145. An abandonment can
be sustained only upon the cause specified in the notice thereof.
Sec. 146. An abandonment is
equivalent to a transfer by the insured of his interest to the insurer, with
all the chances of recovery and indemnity.
Sec. 147. If a marine
insurer pays for a loss as if it were an actual total loss, he is entitled to
whatever may remain of the thing insured, or its proceeds or salvage, as if
there had been a formal abandonment.
Sec. 148. Upon an
abandonment, acts done in good faith by those who were agents of the insured in
respect to the thing insured, subsequent to the loss, are at the risk of the
insurer and for his benefit.
Sec. 149. Where notice of
abandonment is properly given, the rights of the insured are not prejudiced by
the fact that the insurer refuses to accept the abandonment.
Sec. 150. The acceptance of
an abandonment may be either express or implied from the conduct of the
insurer. The mere silence of the insurer for an unreasonable length of time
after notice shall be construed as an acceptance.
Sec. 151. The acceptance of
an abandonment, whether express or implied, is conclusive upon the parties, and
admits the loss and the sufficiency of the abandonment.
Sec. 152. An abandonment
once made and accepted is irrevocable, unless the ground upon which it was made
proves to be unfounded.
Sec. 153. On an accepted
abandonment of a ship, freightage earned previous to the loss belongs to the
insurer of said freightage; but freightage subsequently earned belongs to the
insurer of the ship.
Sec. 154. If an insurer
refuses to accept a valid abandonment, he is liable as upon actual total loss,
deducting from the amount any proceeds of the thing insured which may have come
to the hands of the insured.
Sec. 155. If a person
insured omits to abandon, he may nevertheless recover his actual loss.
Sub-Title 1-I
MEASURE
OF INDEMNITY
Sec. 156. A valuation in a
policy of marine insurance in conclusive between the parties thereto in the
adjustment of either a partial or total loss, if the insured has some interest
at risk, and there is no fraud on his part; except that when a thing has been
hypothecated by bottomry or respondentia, before its insurance, and without the
knowledge of the person actually procuring the insurance, he may show the real
value. But a valuation fraudulent in fact, entitles the insurer to rescind the
contract.
Sec. 157. A marine insurer is
liable upon a partial loss, only for such proportion of the amount insured by
him as the loss bears to the value of the whole interest of the insured in the
property insured.
Sec. 158. Where profits are
separately insured in a contract of marine insurance, the insured is entitled
to recover, in case of loss, a proportion of such profits equivalent to the
proportion which the value of the property lost bears to the value of the
whole.
Sec. 159. In case of a
valued policy of marine insurance on freightage or cargo, if a part only of the
subject is exposed to the risk, the evaluation applies only in proportion to
such part.
Sec. 160. When profits are
valued and insured by a contract of marine insurance, a loss of them is
conclusively presumed from a loss of the property out of which they are
expected to arise, and the valuation fixes their amount.
Sec. 161. In estimating a
loss under an open policy of marine insurance the following rules are to be
observed:
(a) The value of a ship is its value at the beginning of the risk,
including all articles or charges which add to its permanent value or which are
necessary to prepare it for the voyage insured;
(b)
The value of the cargo is its actual cost to the insured, when laden on board,
or where the cost cannot be ascertained, its market value at the time and place
of lading, adding the charges incurred in purchasing and placing it on board,
but without reference to any loss incurred in raising money for its purchase,
or to any drawback on its exportation, or to the fluctuation of the market at
the port of destination, or to expenses incurred on the way or on arrival;
(c)
The value of freightage is the gross freightage, exclusive of primage, without
reference to the cost of earning it; and
(d)
The cost of insurance is in each case to be added to the value thus estimated.
Sec.
162. If cargo insured against partial loss arrives at the port of destination
in a damaged condition, the loss of the insured is deemed to be the same
proportion of the value which the market price at that port, of the thing so
damaged, bears to the market price it would have brought if sound.
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 the state of insanity shall be compensable regardless of the date
of commission. (As amended by Batasang Pambansa Blg. 874).
Sec. 181. A policy of
insurance upon life or health may pass by transfer, will or succession to any
person, whether he has an insurable interest or not, and such person may
recover upon it whatever the insured might have recovered.
Sec. 182. Notice to an
insurer of a transfer or bequest thereof is not necessary to preserve the
validity of a policy of insurance upon life or health, unless thereby expressly
required.
Sec. 183. Unless the
interest of a person insured is susceptible of exact pecuniary measurement, the
measure of indemnity under a policy of insurance upon life or health is the sum
fixed in the policy.
Chapter III
THE
BUSINESS OF INSURANCE
Title 1
INSURANCE
COMPANIES, ORGANIZATION,
CAPITALIZATION
AND AUTHORIZATION
Sec. 184. For purposes of
this Code, the term "insurer" or "insurance
company" shall include all individuals, partnerships, associations, or
corporations, including government-owned or controlled corporations or
entities, engaged as principals in the insurance business, excepting mutual
benefit associations. Unless the context otherwise requires, the terms shall
also include professional reinsurers defined in section two hundred eighty. "Domestic
company" shall include companies formed, organized or existing under
the laws of the Philippines. "Foreign company" when used
without limitation shall include companies formed, organized, or existing under
any laws other than those of the Philippines.
Sec. 185. Corporations
formed or organized to save any person or persons or other corporations
harmless from loss, damage, or liability arising from any unknown or future or
contingent event, or to indemnify or to compensate any person or persons or
other corporations for any such loss, damage, or liability, or to guarantee the
performance of or compliance with contractual obligations or the payment of
debt of others shall be known as "insurance corporations".
The provisions of the Corporation Law shall apply
to all insurance corporations now or hereafter engaged in business in the
Philippines insofar as they do not conflict with the provisions of this
chapter.
Sec. 186. No person,
partnership, or association of persons shall transact any insurance business in
the Philippines except as agent of a person or corporation authorized to do the
business of insurance in the Philippines, unless possessed of the capital and
assets required of an insurance corporation doing the same kind of business in
the Philippines and invested in the same manner; nor unless the Commissioner
shall have granted to him or them a certificate to the effect that he or they
have complied with all the provisions of law which an insurance corporation
doing business in the Philippines is required to observe.
Every person, partnership,
or association receiving any such certificate of authority shall be subject to
the insurance laws of the Philippines and to the jurisdiction and supervision
of the Commissioner in the same manner as if an insurance corporation
authorized by the laws of the Philippines to engage in the business of
insurance specified in the certificate.
Sec. 187. No insurance
company shall transact any insurance business in the Philippines until after it
shall have obtained a certificate of authority for that purpose from the
Commissioner upon application therefor and payment by the company concerned of
the fees hereinafter prescribed.
The Commissioner may refuse
to issue a certificate of authority to any insurance company if, in his
judgment, such refusal will best promote the interest of the people of this
country. No such certificate of authority shall be granted to any such company
until the Commissioner shall have satisfied himself by such examination as he
may make and such evidence as he may require that such company is qualified by
the laws of the Philippines to transact business therein, that the grant of
such authority appears to be justified in the light of economic requirements,
and that the direction and administration, as well as the integrity and
responsibility of the organizers and administrators, the financial organization
and the amount of capital, notwithstanding the provisions of section one
hundred eighty-eight, reasonably assure the safety of the interests of the
policyholders and the public.
In order to maintain the
quality of the management of the insurance companies and afford better
protection to policyholders and the public in general, any person of good moral
character, unquestioned integrity and recognized competence may be elected or
appointed director or officer of insurance companies. The Commissioner shall
prescribe the qualifications of the executive officers and other key officials
of insurance companies for purposes of this section.
No person shall concurrently
be a director and/or officer of an insurance company and an adjustment company.
Incumbent directors and/or
officers affected by the above provisions are hereby allowed to hold on to
their positions until the end of their terms or two years from the effectivity
of this decree, whichever is shorter.
Before issuing such
certificate of authority, the Commissioner must be satisfied that the name of
the company is not that of any other known company transacting a similar
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 the company is continuing to comply with the provisions of
this Code or the circulars, instructions, rulings or decisions of the
Commissioner. Every company receiving any such certificates of authority
shall be subject to the provisions of this Code and other related laws and to
the jurisdiction and supervision of the Commissioner.
No insurance company may be
authorized to transact in the Philippines the business of life and non-life
insurance concurrently unless specifically authorized to do so: Provided,
That the terms "life" and "non-life"
insurance shall be deemed to include health, accident and disability insurance.
No insurance company shall
have equity in an adjustment company and neither shall an adjustment company
have an equity in an insurance company.
Insurance companies and
adjustment companies presently affected by the above provision shall have two
years from the effectivity of this Decree within which to divest of their
stockholdings. (As amended by Presidential Decree No. 1455).
Sec. 188. Except as provided
in section two hundred eighty-one, no domestic insurance company shall, in a
stock corporation, engage in business in the Philippines unless possessed of a
paid-up capital stock equal to at least five million pesos: Provided,
That a domestic insurance company already doing business in the Philippines
with a paid-up capital stock which is less than five million pesos shall have a
paid-up capital stock of at least three million pesos by December thirty-one,
nineteen hundred seventy-eight, four million pesos by December thirty-one,
nineteen hundred seventy-nine and five million pesos by December thirty-one,
nineteen hundred eighty: Provided, further, that the Secretary of
Finance may, upon recommendation of the Insurance Commissioner, increase such
minimum paid-up capital stock requirement, under such terms and conditions as
he may impose, to an amount which, in his opinion, would reasonably assure the
safety of the interests of the policyholders and the public. chanrobles virtual law library
The Commissioner may, as a
pre-licensing requirement of a new insurance company, in addition to the
paid-up capital stock, require the stockholders to pay in cash to the company
in proportion to their subscription interests a contributed surplus fund of not
less than one million pesos, in the case of a life insurance company, or not
less than five hundred thousand pesos, in the case of an insurance company
other than life. He may also require such company 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.
If organized as a
mutual company, in lieu of such capital stock, it must have available cash
assets of at least five million pesos above all liabilities for losses reported,
expenses, taxes, legal reserve, and reinsurance of all outstanding risks, and
the contributed surplus fund equal to the amounts required of stock
corporations. A stock insurance company doing business in the Philippines may,
subject to the pertinent law and regulations which now are of hereafter may be
in force, alter its organization and transform itself into a mutual insurance
company. (As amended by Presidential Decree No. 1455).
Sec. 189. Every company
must, before engaging in the business of insurance in the Philippines, file
with the Commissioner the following:
(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:
"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 twenty per 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 thirty-seven. 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 lien on the certificates of stock of the insurance company
concerned appearing in its books in the name of the defaulting stockholder on
the date of default, as well as on any interests or dividends that have accrued
or will accrue to the said certificates of stock, until the corresponding
payment or reimbursement is made by the defaulting stockholder. (As amended by
Presidential Decree No. 1455).
Sec. 195. No domestic
insurance corporation shall declare or distribute any dividend on its
outstanding stocks except from profits attested in a sworn statement to the
Commissioner by the president or treasurer of the corporation to be remaining
on hand after retaining unimpaired:
(a) The entire paid-up capital stock;
(b)
The margin of solvency required by section one hundred ninety-four;
(c)
In the case of life insurance corporation, the legal reserve fund required by
section two hundred eleven;
(d)
In the case of corporations other than life, the legal reserve fund required by
section two hundred thirteen;
(e)
A sum sufficient to pay all net losses reported, or in the course of
settlement, and all liabilities for expenses and taxes.
Any
dividend declared or distributed under the preceding paragraph shall be
reported to the Commissioner within thirty days after such declaration or
distribution.
If the Commissioner finds
that any such corporation has declared or distributed any such dividend in
violation of this section, he may order such corporation to cease and desist
from doing business until the amount of such dividend or the portion thereof in
excess of the amount allowed under this section has been restored to said
corporation.
Title 3
ASSETS
Sec. 196. In any
determination of the financial condition of any insurance company doing
business in the Philippines, there shall be allowed and admitted as assets only
such assets owned by the insurance company concerned and which consist of:
1. Cash in the possession of the insurance company or in transit
under its control, and the true and duly verified balance of any deposit of
such company in a financially sound commercial bank or trust company.
2.
Investments in securities, including money market instruments, and in real
property acquired or held in accordance with and subject to the applicable
provisions of this Code and the income realized therefrom or accrued thereon.
3.
Loans granted by the insurance company concerned to the extent of that portion
thereof adequately secured by non-speculative assets with readily realizable
values in accordance with and subject to the limitations imposed by applicable
provisions of this Code.
4.
Policy loans and other policy assets and liens on policies, contracts or
certificates of a life insurance company, in an amount not exceeding legal
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:
(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:
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:
(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 company of such bonds, debentures, or other evidences of
indebtedness, the net earnings of the issuing, assuming or guaranteeing
institution available for its fixed charges, as hereinafter defined, shall have
been not less than one and one-quarter times the total of its fixed charges for
such year; and Provided, further, that no life insurance company shall
invest in or loan upon the obligations of any one institution in the kinds
permitted under this sub-section an amount in excess of twenty-five per centum
of the total admitted assets of such insurer as of December thirty-first next
preceding the date of such investment.
As
used in this sub-section the term "net earnings available for fixed
charges" shall mean net income after deducting operating and
maintenance expenses, taxes other than income taxes, depreciation and
depletion; but excluding extraordinary non-recurring items of income or expense
appearing in the regular financial statement of the issuing, assuming or
guaranteeing institution. The term "fixed charges" shall
include interest on funded and unfunded debt, amortization of debt discount,
and rentals for leased properties.
(e) Preferred or guaranteed stocks of any solvent corporation or
institution created or existing under the laws of the Philippines: Provided,
however, That the issuing, assuming or guaranteeing entity or its
predecessors has paid regular dividends upon its preferred or guaranteed stocks
for a period of at least three years next preceding the date of investment in
such preferred or guaranteed stock: Provided, further, That if the
stocks are guaranteed, the amount of stocks so guaranteed is not excess of
fifty per centum of the amount of the preferred or common stocks, as the case
may be, of the guaranteeing corporation: and Provided, finally, That no
life insurance company shall invest in or loan upon obligations of any one
institution in the kinds permitted under this sub-section an amount in excess
of ten per centum of the total admitted assets of such insurer as of December
thirty-first next preceding the date of such investment.
(f)
Common stocks of any solvent corporation or institution created or existing
under the laws of the Philippines upon which regular dividends shall have been
paid for the three years next preceding the purchase of such stock: Provided,
however, That no life insurance company shall invest in or loan upon the
obligations of any one corporation or institution in the kinds permitted under
this sub-section an amount in excess of ten per centum of the total admitted
assets of such insurer as of December thirty-first next preceding the date of
such investment.
(g)
Certificates, notes and other obligations issued by the trustees or receivers
of any institution created or existing under the laws of the Philippines which,
or the assets of which, are being administered under the direction of any court
having jurisdiction; Provided, however, That such certificates, notes or
other obligations are adequately secured as to principal and interests.
(h)
Equipment trust obligations or certificates which are adequately secured or
other adequately secured instruments evidencing an interest in equipment 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:
(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 market value, or at
their appraised value, or at prices determined by him as representing their fair
market value. If the Commissioner finds that in view of the character of
investments of any insurer authorized to do business in this country it would
be prudent for such insurer to establish a special reserve for possible losses
or fluctuations in the values of its investments, he may require such insurer
to establish such reserve, reasonable in amount, and may require that such
reserve be maintained and reported in any statement or report of the financial
condition of such insurer. The Commissioner may, in connection with any
examination or required financial statement of an authorized insurer, require
such insurer to furnish him complete financial statements and audited report of
the financial condition of any corporation of which the securities are owned
wholly or partly by such insurer and may cause an examination to be made of any
subsidiary or affiliate of such insurer.
(3) The stock of an
insurance company shall be valued at the lesser of its market value or its book
value as shown by its last approved annual statement or the last report on
examination, whichever is more recent. The book value of a share of common
stock of an insurance company shall be ascertained by dividing (a) the amount
of its capital and surplus less the value of all of its preferred stock, if
any, outstanding, by (b) the number of shares of its common stock issued and
outstanding.
Notwithstanding
the foregoing provisions, an insurer may, at its option, value its holdings of
stock in a subsidiary insurance company in an amount not less than acquisition
cost if such acquisition cost is less than the value determined as hereinbefore
provided.
(4) Real estate required by
foreclosure or by deed in lieu thereof, in the absence of a recent appraisal
deemed by the Commissioner to be reliable, shall not be valued at an amount
greater than the unpaid principal of the defaulted loan at the date of such
foreclosure or deed, together with any taxes and expenses paid or incurred by
such insurer at such time in connection with such acquisition, and the cost of
additions or improvements thereafter paid by such insurer and any amount or
amounts thereafter paid by such insurer on any assessments levied for
improvements in connection with the property. chanrobles virtual law library
(5) Purchase money mortgages
received on dispositions of real property held pursuant to section one hundred
ninety-eight shall be valued in an amount equivalent to ninety per centum of
the value of such real property. Purchase money mortgages received on disposition
of real property otherwise held shall be valued in an amount not exceeding
ninety per centum of the value of such real property as determined by an
appraisal made by an appraiser at or about the time of disposition of such real
property.
(6) The stock of a
subsidiary of an insurer shall be valued on the basis of the greater of (i) the
value of only such subsidiary of the assets of such subsidiary as would
constitute lawful investments for the insurer if acquired or held directly 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 thirty-two 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 surety's control and for
the surety's protection.
Title 7
REINSURANCE
TRANSACTIONS
Sec. 216. An insurance
company doing business in the Philippines may accept reinsurances only of such
risks, and retain risk thereon within such limits, as it is otherwise
authorized to insure.
Sec. 217. No insurance
company doing business in the Philippines shall cede all or part of any risks
situated in the Philippines by way of reinsurance directly to any foreign
insurer not authorized to do business in the Philippines unless such foreign
insurer or, if the services of a non-resident broker are utilized, such
non-resident broker is represented in the Philippines by a resident agent duly
registered with the Commissioner as required in this Code.
The resident agent of such
unauthorized foreign insurer or non- resident broker shall immediately upon
registration furnish the Commissioner with the annual statement of such
insurer, or of such company or companies where such broker may place Philippine
business as of the year preceding such registration, and annually thereafter as
soon as available.
Sec. 218. All insurance
companies, both life and non-life, authorized to do business in the Philippines
shall cede their excess risks to other companies similarly authorized to do
business in the Philippines in such amounts and under such arrangements as
would be consistent with sound underwriting practices before they enter into
reinsurance arrangements with unauthorized foreign insurers.
Sec. 219. Any insurance
company doing business in the Philippines desiring to cede their excess risks
to foreign insurance or reinsurance companies not authorized to transact
business in the Philippines may do so under the following conditions:
(1) Except in facultative reinsurance and excess of loss covers,
the full amount of the reserve fund required by law shall be set up in the
books of and held by the ceding company for so long as the risk concerned is in
force: Provided, That in case of facultative insurance, the ceding
company shall show to the satisfaction of the Commissioner that the Philippine
market cannot provide the facilities sought abroad.
(2)
The reserve fund withheld shall be invested in 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, and/or other securities acceptable under
section two hundred.
Should
any reinsurance agreement be for any reason cancelled or terminated, the ceding
company concerned shall inform the Commissioner in writing of such cancellation
or termination within thirty days from the date of such cancellation or
termination or from the date notice or information of such cancellation or
termination is received by such company as the case may be.
Sec. 220. Every insurance
company authorized to do business in the Philippines shall report to the
Commissioner on forms prescribed by him the particulars of reinsurance treaties
as of the first day of January of the year following the approval of this Code
and shall thereafter similarly report to the Commissioner particulars of any
new treaties or changes in existing treaties.
Sec. 221. No credit shall be
allowed as an admitted asset or as a deduction from liability, to any ceding
insurer for reinsurance made, ceded, renewed, or otherwise becoming effective
after January first, nineteen hundred seventy-five, unless the reinsurance
shall be payable by the assuming insurer on the basis of the liability of the
ceding insurer under the contract or contracts reinsured without diminution
because of the insolvency of the ceding insurer nor unless under the contract
or contracts of reinsurance the liability for such reinsurance is assumed by
the assuming insurer or insurers as of the same effective date; nor unless the
reinsurance agreement provides that payments by the assuming insurer shall be made
directly to the ceding insurer or to its liquidator, receiver, or statutory
successor except (a) where the contract specifically provides another payee of
such reinsurance in the event of the insolvency of the ceding insurer and (b)
where the assuming insurer with the consent of the direct insured or insureds
has assumed such policy obligations of the ceding insurer as direct obligations
of the assuming insurer to the payees under such policies and in substitution
for the obligations of the ceding insurer to such payees.
Sec. 222. No life insurance
company doing business in the Philippines shall reinsure its whole risk on any
individual life or joint lives, or substantially all of its insurance in force,
without having first obtained the written permission of the Commissioner.
Title 8
ANNUAL
STATEMENT
Sec. 223. Every insurance
company doing business in the Philippines shall terminate its fiscal period on
the thirty-first day of December every year, and shall annually on or before
the thirtieth day of April of each year render to the Commissioner a statement
signed and sworn to by the chief officer of such company showing, in such form
and details as may be prescribed by the Commissioner, the exact condition of
its affairs on the preceding thirty-first day of December.
Any entry in the statement
which is found to be false shall constitute a misdemeanor and the officer
signing such statement shall be subject to the penalty provided for under
section four hundred nineteen.
Sec. 224. Every insurance
company authorized under title ten of this chapter to issue, deliver or use
variable contracts shall annually file with the Commissioner separate annual
statement of its separate variable accounts. Such statement shall be on a form
prescribed or approved by the Commissioner and shall include details as to all
of the income, disbursements, assets and liability items of and associated with
the said separate variable accounts. Said statement shall be 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:
(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:
(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 years
prior to reinstatement.
Any
of the foregoing provisions or portions thereof not applicable to single
premium or term policies shall to that extent not be incorporated therein; and
any such policy may be issued and delivered in the Philippines which in the
opinion of the Commissioner contains provisions on any one or more of the
foregoing requirements more favorable to the policyholder than hereinbefore
required.
This section
shall not apply to policies of group life or industrial life insurance.
Sec. 228. No policy of group
life insurance shall be issued and delivered in the Philippines unless it
contains in substance the following provisions, or provisions which in the
opinion of the Commissioner are more favorable to the persons insured, or at
least as favorable to the persons insured and more favorable to the
policy-holders:
(a) A provision that the policyholder is entitled to a grace period
of either thirty days or of one month for the payment of any premium due after
the first, during which grace period the death benefit coverage shall continue
in force, unless the policyholder shall have given the insurer written notice
of discontinuance in advance of the date of discontinuance and in accordance
with the terms of the policy. The policy may provide that the policyholder
shall be liable for the payment of a pro rata premium for the time the policy
is in force during such grace period;
(b)
A provision that the validity of the policy shall not be contested, except for
non-payment of premiums after it has been in force for two years from its date
of issue; and that no statement made by any insured under the policy relating
to his insurability shall be used in contesting the validity of the insurance
with respect to which such statement was made after such insurance has been in
force prior to the contest for a period of two years during such person's
lifetime nor unless contained in written instrument signed by him;
(c)
A provision that a copy of the application, if any, of the policyholder shall
be attached to the policy when issued, that all statements made by the
policyholder or by persons insured shall be deemed representations and not warranties,
and that no statement made by any insured shall be used in any contest unless a
copy of the instrument containing the statement is or has been furnished to
such person or to his beneficiary;
(d)
A provision setting forth the conditions, if any, under which the insurer
reserves the right to require a person eligible for insurance to furnish
evidence of individual insurability satisfactory to the insurer as a condition
to part or all of his coverage;
(e)
A provision specifying an equitable adjustment of premiums or of benefits or of
both to be made in the event that the age of a person insured has been
misstated, such provision to contain a clear statement of the method of
adjustment to be used;
(f)
A provision that any sum becoming due by reason of death of the person insured
shall be payable to the beneficiary designated by the insured, subject to the
provisions of the policy in the event that there is no designated beneficiary,
as to all or any part of such sum, living at the death of the insured, and
subject to any right reserved by the insurer in the policy and set forth in the
certificate to pay at its option a part of such sum not exceeding five hundred
pesos to any person appearing to the insurer to be equitably entitled thereto
by reason of having incurred funeral or other expenses incident to the last
illness or death of the person insured;
(g)
A provision that the insurer will issue to the policyholder for delivery to
each person insured an individual certificate setting forth a statement as to
the insurance protection to which he is entitled, to whom the insurance
benefits are payable, and the rights set forth in paragraphs (h), (i) and (j)
following;
(h)
A provision that if the insurance, or any portion of it, on a person covered
under the policy ceases because of termination of employment or of membership
in the class or classes eligible for coverage under the policy, such person
shall be entitled to have issued to him by the insurer, without evidence of
insurability, an individual policy of life insurance without disability or
other supplementary benefits, provided application for the individual policy
and payment of the first premium to the insurer shall be made within thirty
days after such termination and provided further that:
(1) the individual policy shall be on any one of the forms, except
term insurance, then customarily issued by the insurer at the age and for an
amount not in excess of the coverage under the group policy; and
(2)
the premium on the individual policy shall be at the insurer's then customary
rate applicable to the form and amount of the individual policy, to the class
of risk to which such person then belongs, and to his age attained on the
effective date of the individual policy.
(i) A
provision that if the group policy terminates or is amended so as to terminate
the insurance of any class of insured persons, every person insured thereunder
at the date of such termination whose insurance terminates and who has been so
insured for five years prior to such termination date shall be entitled to have
issued to him by the insurer an individual policy of life insurance subject to
the same limitations as set forth in paragraph (h), except that the group
policy may provide that the amount of such individual policy shall not exceed
the smaller of (a) the amount of the person's life insurance protection ceasing
less the amount of any life insurance for what he is or becomes eligible under
any group policy issued or reinstated by the same or another reinsurer within thirty
days after such termination, and (b) two thousand pesos;
(j)
A provision that if a person insured under the group policy dies during the
thirty-day period within which he would have been entitled to an individual
policy issued to him in accordance with (h) and (i) above and before such
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 non-payment 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:
(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 services auxiliary thereto, and except as to provisions relating to
benefits in the event of disability as defined in the policy, and those
granting additional insurance specifically against death by accident or by
accidental means, or to additional insurance against loss of, or loss of use
of, specific members of the body;
(c)
A provision that the policy shall constitute the entire contract between the
parties, or if a copy of the application is endorsed upon and attached to the
policy when issued, a provision that the policy and the application therefor
shall constitute the entire contract between the parties, and in the latter
case, a provision that all statements made by the insured shall, in the absence
of fraud, be deemed representations and not warranties;
(d)
A provision that if the age of the person insured, or the age of any person,
considered in determining the premium, or the benefits accruing under the
policy, has been misstated, any amount payable or benefit accruing under the
policy shall be such as the premium paid would have purchased at the correct
age;
(e)
A provision that if the policy is a participating policy, the company shall
periodically ascertain and apportion any divisible surplus accruing on the
policy under the conditions specified therein;
(f)
A provision that in the event of default in premium payments after three full
years' premiums have been paid, the policy shall be converted into a stipulated
form of insurance, and that in the event of default in premium payments after
five full years' premiums have been paid, a specified cash surrender value
shall be available, in lieu of the stipulated form of insurance, at the option
of the policyholder. The net value of such stipulated form of insurance and the
amount of such cash value shall not be less than the reserve on the policy and
dividend additions thereto, if any, at the end of the last completed policy
year for which premiums shall have been paid (the policy to specify the
mortality table, rate of interest and method of valuation adopted to compute
such reserve), exclusive of any reserve on disability benefits and accidental
death benefits, less an amount not to exceed two and one-half per centum of
the maximum amount insured by the policy and dividend additions thereto, if
any, at the end of the last completed policy year for which premiums shall have
been paid (the policy to specify the mortality table, rate of interest and
method of valuation adopted to compute such reserve), exclusive of any reserve
on disability benefits and accidental death benefits, less an amount not to
exceed two and one-half per centum of the maximum amount insured by the policy
and dividend additions thereto, if any, when the issue age is under ten years,
and less an amount not to exceed two and one-half per centum of the
current amount insured by the policy and dividend additions thereto, if any, if
the issue age is ten years or older, and less any existing indebtedness to the
company on or secured by the policy;
(g)
A provision that the policy may be surrendered to the company at its home
office within a period of not less than sixty days after the due date of a
premium 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-participating or term policies shall to that extent not be incorporated
therein. The foregoing provisions shall not apply to policies issued or granted
pursuant to the non-forfeiture provisions prescribed in provisions of
paragraphs (f) and (i) of this section, nor shall provisions of paragraphs (f),
(g), (h), and (i) hereof be required in term insurance of twenty years or less
but such term policies shall specify the mortality table, rate of interest, and
method of computing reserves.
Sec. 231. No policy of
industrial life insurance shall be issued or delivered in the Philippines if it
contains any of the following provisions:
(a) A provision that gives the insurer the right to declare the
policy void because the insured has had any disease or ailment, whether
specified or not, or because the insured has received institutional, hospital,
medical or surgical treatment or attention, except a provision which gives the
insurer the right to declare the policy void if the insured has, within two
years prior to the issuance of the policy, received institutional hospital,
medical or surgical treatment or attention and if the insured or the claimant
under the policy fails to show that the condition occasioning such treatment or
attention was not of a serious nature or was not material to the risk;
(b)
A provision that gives the insurer the right to declare the policy void because
the insured has been rejected for insurance, unless such right be conditioned
upon a showing by the insurer that knowledge of such rejection would have led
to a refusal by the insurer to make such contract;
(c)
A provision that allows the company to pay the proceeds of the policy at the
death of the insured to any person other than the named beneficiary, except in
accordance with a standard provision as specified under the provisions of
paragraph (m) of the preceding section;
(d)
A provision that limits the time within which any action at law or in equity
may be commenced to less than six years after the cause of action shall accrue;
and
(e)
A provision that specifies any mode of settlement at maturity of less value
than the amount insured by the policy plus dividend additions, if any, less any
indebtedness to the company on the policy and less any premium that may by the
terms of the policy be deducted, payments to be made in accordance with the
terms of the policy.
Nothing
contained in this section nor in the provision of paragraph (b) of the preceding
section, relating to incontestability, shall be construed as prohibiting the
life insurance company from placing in its industrial life policies provisions
limiting its liability with respect to: (1) death resulting from aviation other
than as a fare-paying passenger on a regularly scheduled route between
definitely established airports; and (2) military or naval service: Provided,
That if the liability of the company is limited as herein provided, such
liability shall in no event be fixed at an amount less than the reserve on the
policy (excluding the reserve for any additional benefits in the event of death
by accident or 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-the-counter 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:
(a) knowingly misrepresenting to claimants pertinent facts or
policy provisions relating to coverage at issue;
(b)
failing to acknowledge with reasonable promptness pertinent communications with
respect to claims arising under its policies;
(c)
failing to adopt and implement reasonable standards for the prompt
investigation of claims arising under its policies;
(d)
not attempting in good faith to effectuate prompt, fair and equitable
settlement of claims submitted in which liability has become reasonably clear;
or
(e)
compelling policyholders to institute suits to recover amounts due under its
policies by offering without justifiable reason substantially less than the amounts
ultimately recovered in suits brought by them.
(2)
Evidence as to numbers and types of valid and justifiable complaints to the
Commissioner against an insurance company, and the Commissioner's complaint
experience with other insurance companies writing similar lines of insurance
shall be admissible in evidence in an administrative or judicial proceeding
brought under this section.
(3) If it is found, after
notice and an opportunity to be heard, that an insurance company has violated
this section, each instance of non-compliance with paragraph (1) may be treated
as a separate violation of this section and shall be considered sufficient
cause for the suspension or revocation of the company's certificate of
authority.
Sec. 242. The proceeds of a
life insurance policy shall be paid immediately upon maturity of the policy,
unless such proceeds are made payable in installments or as an annuity, in
which case the installments, or annuities shall be paid as they become due: Provided,
however, That in the case of a policy maturing by the death of the insured,
the proceeds thereof shall be paid within sixty days after presentation of the
claim and filing of the proof of the death of the insured. Refusal or failure
to pay the claim within the time prescribed herein will entitle the beneficiary
to collect interest on the proceeds of the policy for the duration of the delay
at the rate of 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.
The proceeds of the policy
maturing by the death of the insured payable to the beneficiary shall include
the discounted value of all premiums paid in advance of their due dates, but
are not due and payable at maturity.
Sec. 243. The amount of any
loss or damage for which an insurer may be liable, under any policy other than
life insurance policy, shall be paid within thirty days after proof loss is
received by the insurer and ascertainment of the loss or damage is made either
by agreement between the insured and the insurer or by arbitration; but if such
ascertainment is not had or made within sixty days after such receipt by the
insurer of the proof of loss, then the loss or damage shall be paid within
ninety days after such receipt. Refusal or failure to pay the loss or damage
within the time prescribed herein will entitle the assured to collect interest
on the proceeds of the policy for the duration of the delay at the rate of
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 terminated should be
Commissioner, on the basis of the report of the conservator or of his own
findings, determine that the continuance in business of the insurance company
would be hazardous to policy holders and creditors, in which case the
provisions of Title 15 shall apply.
Title 15
PROCEEDINGS
UPON INSOLVENCY
Sec. 249. Whenever, upon
examination or other evidence, it shall be disclosed that the condition of any
insurance company doing business in the Philippines is one of insolvency, or
that its continuance in business would be hazardous to its policyholders and
creditors, the Commissioner shall forthwith order the company to cease and
desist from transacting business in the Philippines and shall designate a
receiver to immediately take charge of its assets and liabilities, as
expeditiously as possible collect and gather all the assets and administer the
same for the benefit of its policyholders and creditors, and exercise all the
powers necessary for these purposes including, but not limited to, bringing
suits and foreclosing mortgages in the name of the insurance company.
The Commissioner shall
thereupon determine within thirty days whether the insurance company may be
reorganized or otherwise placed in such condition so that it may be permitted
to resume business with safety to its policyholders and creditors and shall
prescribe the conditions under which such resumption of business shall take
place as well as the time for fulfillment of such conditions. In such case, the
expenses and fees in the collection and administration of the insurance company
shall be determined by the Commissioner and shall be paid out of the assets of
such company.
If the Commissioner shall
determine and confirm within the said period that the insurance company is
solvent, as defined hereunder, or cannot resume business with safety to its
policyholders and creditors, he shall, if the public interest requires, order
its liquidation, indicate the manner of its liquidation and approve a
liquidation plan and implement it immediately. The Commissioner shall designate
a competent and qualified person as liquidator who shall take over the
functions of the receiver previously designated and, with all convenient speed,
reinsure all its outstanding policies, convert the assets of the insurance
company to cash, or sell, assign or otherwise dispose of the same to the
policyholders, creditors and other parties for the purpose of settling the liabilities
or paying the debts of such company and he may, in the name of the company,
institute such actions as may be necessary in the appropriate Court to collect
and recover accounts and assets of the insurance company, and to do such other
acts as may be necessary to complete the liquidation as ordered by the
Commissioner.
The provisions of any law to
the contrary notwithstanding, the actions of the Commissioner under this
Section shall be final and executory, and can be set aside by the Court upon
petition by the company and only if there is convincing proof that the action
is plainly arbitrary and made in bad faith. The Commissioner, through the
Solicitor General, shall then file the corresponding 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 approved in accordance with the provisions of the
respective by-laws of the constituent companies and all existing laws that may
be pertinent.
Sec. 253. Such agreement
shall include, aside from the proposed merger or consolidation, provisions
relative to the manner of transfer of assets to and assumption of liabilities
by the absorbing or acquiring company from the absorbed or dissolved company or
companies; the proposed articles of merger or consolidation and by-laws of the
surviving or acquiring company; the corporate name to be adopted which should
not be that of any other existing company transacting similar business or one
so similar as to be calculated to mislead the public; the rights of the
stockholders or members of the absorbed or dissolved companies; date of
effectivity of the merger or consolidation; and such particulars as may be
necessary to explain and make manifest the objects and purposes of the
absorbing or acquiring company.
Sec. 254. Upon execution of
such agreement to merge or consolidate by and between or among the boards of
directors of the constituent companies, notice thereof shall be mailed
immediately to their policyholders and creditors. The company or companies to
be absorbed or dissolved shall discharge all its accrued liabilities;
otherwise, such liabilities shall, with the consent of its creditors, be
transferred to and assumed by the absorbing or acquiring company, or such
liabilities be reinsured by the latter. In the case of such policies as are
subject to cancellation by the company or companies to be absorbed or
dissolved, same may be cancelled pursuant to the terms thereof in lieu of such
transfer, assumption, or reinsurance.
Sec. 255. Upon approval or
adoption in the meetings of the stockholders or members called for the purpose
in each of the constituent companies of the agreement to merge or consolidate,
all stockholders or members dissenting or objecting to merger or consolidation
shall be paid the value of their shares by the company concerned in accordance
with the by-laws thereof.
Sec. 256. Upon the approval
or adoption of the agreement to merge or consolidate by the stockholders or
members of the constituent companies, the corresponding articles of merger or
of consolidation shall be duly executed by the presidents and attested by the
corporate secretaries and shall bear the corporate seals of the merging or
consolidating companies setting forth:
(1) The plan of merger or the plan of consolidation;
(2)
As to each corporation, the number of shares outstanding, or in case of mutual
corporations, the number of members; and
(3)
As to each corporation, the number of shares or members voted for and against
such plan respectively. Thereafter, a certified copy of such articles of merger
or consolidation, together with a certificate of approval or adoption by the
stockholders or members of such articles of merger or consolidation, verified
by affidavits of such officers and under the seal of the constituent companies,
shall be submitted to the Commissioner, together with such other papers or documents
which the Commissioner may require, for his consideration.
Sec.
257. The articles of merger or of consolidation, signed and verified as
hereinabove required, shall be filed with the Securities and Exchange
Commission for its examination and approval.
Sec. 258. Upon receipt from
the Securities and Exchange Commission of the certificate of merger or of
consolidation, the constituent companies shall surrender to the Commissioner
their respective certificates of authority to transact insurance business. The
absorbing or surviving company in case of merger, or the newly formed company
in case of consolidation, shall immediately file with the commissioner the
corresponding application for issuance of a new certificate of authority to
transact insurance business, together with a certified copy of the certificate
of merger or of consolidation, and of the certificate of increase of stocks, if
there is any, issued by the Securities and Exchange Commission.
Sec. 259. Nothing in this
title shall be construed to enlarge the powers of the absorbing or surviving
company in case of merger, or the newly formed company in case of
consolidation, except those conferred by the certificate of merger or of
consolidation and the articles of merger of consolidation, or the amended
articles of incorporation, as registered with the Securities and Exchange
Commission.
Sec. 260. No director,
officer, or stockholder of any such constituent companies shall receive any
fee, commission, compensation, or other valuable consideration whatsoever,
directly or indirectly, or in any manner aiding, promoting or assisting in such
merger or consolidation.
Sec. 261. The merger of
consolidation of companies under, this Code shall be subject to the provisions
of the Corporation Law,
and, in those cases specified in Republic Act No. 5455, as amended, be further
subject to the provisions of said law.
Title 17
MUTUALIZATION
OF STOCK LIFE INSURANCE COMPANIES
Sec. 262. Any domestic stock
life insurance company doing business in the Philippines may convert itself
into an incorporated mutual life insurer. To that end it may provide and carry
out a plan for the acquisition of the outstanding shares of its capital stock
for the benefit of its policyholders, or any class or classes of its
policyholders, by complying with the requirements of this chapter.
Sec. 263. Such plan shall
include appropriate proceedings for amending the insurer's articles of
incorporation to give effect to the acquisition, by said insurer, for the
benefit of its policyholders or any class or classes thereof, of the
outstanding shares of its capital stock and the conversion of the insurer from
a stock corporation into a non-stock corporation for the benefit of its
members. The members of such non-stock corporation shall be the policyholders
from time to time of the class or classes for whose benefit the stock of the
insurer was acquired, and the policyholders of such other class or classes as
may be specified in such corporation's articles of incorporation as they may be
amended from time to time. Such plan shall be:
(1) Adopted by a vote of a majority of the directors;
(2)
Approved by the vote of the holders of at least a majority of the outstanding
shares at a special meeting of shareholders called for that purpose, or by the
written consent of such sharesholders;
(3)
Submitted to the Commissioner and approved by him in writing;
(4)
Approved by a majority vote of all the policyholders of the class or classes
for whose benefit the stock is to be acquired voting at an election by the
policyholders called for that purpose, subject to the provisions of section two
hundred sixty-five. The terms "policyholder" or "policyholders"
as used in this chapter shall be deemed to mean the person or persons insured
under an individual policy of life insurance, or of health and accident
insurance, or of any combination of life, health and accident insurance. They
shall also include the person or persons to whom any annuity or pure endowment
is presently or prospectively payable by the terms of an individual annuity or
pure endowment contract, except where the policy or contract declares some
other person to be the owner or holder thereof, in which case such other person
shall be deemed policyholder. In any case where a policy or contract names two
or more persons as joint insured, payees, owners or holders thereof, the
persons so named shall be deemed collectively to be one policyholder for the
purpose of this chapter. In any case where a policy or contract shall have been
assigned by assignment absolute on its face to an assignee other than the
insurer, and such assignment shall have been filed at the principal office of
the insurer at least thirty days prior to the date of any election or meeting referred
to in this chapter, then such assignee shall be deemed at such election or
meeting to be the policyholder. For the purpose of this chapter the terms
"policyholder" and "policyholders" include the
employer to whom, or a president, secretary or other executive officer of any
corporation or association to which a master group policy has been issued, but
exclude the holders of certificates or policies issued under or in connection
with a master group policy. Beneficiaries under unmatured contracts shall not
as such be deemed to be policyholders;
(5)
Filed with the Commissioner after having been approved as provided in this
section.
Sec.
264. The Commissioner shall examine the plan submitted to him under the
provisions of sub-paragraph three of section two hundred sixty-three. He shall
not approve such plan unless in his opinion the rights and interest of the
insurer, its policyholders and shareholders are protected nor unless he is
satisfied that the plan will be fair and equitable in its operation. chanrobles virtual law library
Sec. 265. The election
prescribed by sub-paragraph four of section two hundred sixty-three shall be
called by the board of directors or the president, and every policyholder of
the class or classes for whose benefit the stock is to be acquired, 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:
(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 facie evidence 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 sub-paragraph 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:
(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,
instructions, rulings, or decisions of the Commissioner and such other
pertinent law, rules and regulations.
Every such person,
partnership, association, or corporation receiving such certificate of
authority shall be subject to the provisions of this Code and other related
laws, and to the jurisdiction and supervision of the Commissioner.
Sec. 281. Any person,
partnership, association, or corporation authorized to transact solely
reinsurance business must have a paid-up capital stock of at least ten million
pesos, twenty-five per centum of which must be invested 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, and deposited with the
Commissioner, and the remaining seventy-five per centum in such other
securities as may be allowed and permitted by the Commissioner, which
securities shall at all times be maintained free from any lien or encumbrance: Provided,
That reinsurers already doing business as such in the Philippines shall comply
with the requirement of this section by increasing their respective capital as
herein provided not later than December thirty-one, nineteen hundred eighty: Provided,
Further, That the provisions of this chapter applicable to insurance
companies shall so far as practicable be likewise applicable to professional
reinsurers. (As amended by Presidential Decree No. 1455).
Title 20
HOLDING
COMPANIES
Sec. 282. As used in this title,
the following terms shall have the respective meanings hereinafter set forth
unless the context shall otherwise require:
(a) "Person" means an individual, partnership,
firm, association, corporation, trust, any similar entity or any combination of
the foregoing acting in concert;
(b)
"Control", including the terms "controlling",
"controlled by" and "under common control with",
means the possession directly or indirectly of the power to direct or cause the
direction of the management and policies of a person, whether through the
ownership of voting securities by a contract other than a commercial contract
for goods or non-management services or otherwise. Subject to section two
hundred eight-four, control shall be presumed to exist if any person directly
or indirectly owns, controls or holds with the power to vote forty per centum
or more of the voting securities of any other person: Provided, That no
person shall be deemed to control another person solely by reason of his being
an officer or director of such other person;
(c)
"Holding company" means any person who directly or indirectly
controls any authorized insurer;
(d)
"Controlled insurer" means an authorized insurer controlled
directly or indirectly by a holding company;
(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 ninety-four, 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:
(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 structure and
financial condition, and a description of its principal business activities.
Sec. 287. Every controlled
insurer shall file with the Commissioner such reports or material as he may
direct for the purpose of disclosing information concerning the operations of
persons within the holding company system which may materially affect the
operations, management or financial condition of the insurer.
Sec. 288. Every holding
company and every controlled person within a holding company system shall be
subject to examination by order of the Commissioner if he has cause to believe
that the operations of such persons may materially affect the operations,
management or financial condition of any controlled insurer with the system and
that he is unable to obtain relevant information from such controlled insurer.
The grounds relied upon by the Commissioner for such examination shall be
stated in his order, which order shall be subject to judicial review only at
the instance of the person sought to be examined. Such examination shall be
confined to matters specified in the order. The cost of such examination shall
be assessed against the person examined and no portion thereof shall thereafter
be reimbursed to it directly or indirectly by the controlled insurer.
Sec. 289. The Commissioner
shall keep the contents of each report made pursuant to this title and any
information obtained by him in connection therewith confidential and shall not
make the same public without the prior written consent of the controlled
insurer to which it pertains unless the Commissioner after notice and an
opportunity to be heard shall determine that the interests of policyholders,
stockholders or the public will be served by the publication thereof. In any
action or proceeding by the Commissioner against the person examined or any
other person within the same holding company system a report of such
examination published by him shall be admissible as evidence of the facts
stated therein.
Sec. 290. Transactions
within a holding company system to which a controlled insurer is a party shall
be subject to the following:
(a) The terms shall be fair and equitable;
(b)
charges or fees for services performed shall be reasonable;
(c)
expenses incurred and payments received shall be allocated to the insurer on an
equitable basis in conformity with customary insurance accounting practices
consistently applied.
The
books, accounts and records of each party to all such transactions shall be
maintained as to clearly and accurately disclose the nature and details of the
transactions including such accounting information as is necessary to support
the reasonableness of the charges or fees to the respective parties.
Sec. 291. The prior written
approval of the Commissioner shall be required for the following transactions
between a controlled insurer and any person in its holding company system:
sales, purchases, exchanges, loans or extensions of credit, or investments,
involving five per centum or more of the insurer's admitted assets as of the
thirty-first day of December next preceding.
Sec. 292. The following
transactions between a controlled insurer and any person in its holding company
system may not be entered into unless the insurer has notified the Commissioner
in writing of its intention to enter into any such transaction at least thirty
days prior thereto, or such shorter period as he may permit, and he has not
disapproved it within such period:
(a) sales, purchases, exchanges, loans or extensions of credit, or
investments, involving more than one-half of one per centum but less than five
per centum of the insurer's admitted assets as of the thirty-first day of
December next preceding;
(b)
reinsurance treaties or agreements;
(c)
rendering of services on a regular or systematic basis; or
(d)
any material transaction, specified by regulation, which the Commissioner
determines may adversely affect the interest of the insurer's policyholders or
stockholders or of the public.
Nothing
herein contained shall be deemed to authorize or permit any transaction which,
in the case of a non-controlled insurer, would be otherwise contrary to law.
Sec. 293. The Commissioner,
in reviewing transactions pursuant to sections two hundred ninety-one and two
hundred ninety-two, shall consider whether the transactions comply with the
standard set forth in section two hundred ninety and whether they may adversely
affect the interests of policyholders. This section shall not apply to
transactions subject to other sections of this Code which impose notice or
approval requirements greater than those prescribed by this title.
Sec. 294. (1) No person,
other than an authorized insurer, shall acquire control of any domestic
insurer, whether by purchase of its securities or otherwise, except (a) after
twenty days written notice to its insurer or such shorter period as the
Commissioner may permit, of its intention to acquire control, and (b) with the
prior written approval of the Commissioner.
(2) The Commissioner shall
disapprove the acquisition of control of a domestic insurer if he determines,
after notice and an opportunity to be heard, that such action is reasonably
necessary to protect the interest of the people of this country. The following
shall be the only factors to be considered by him in reaching the foregoing
determination:
(a) the financial condition of the acquiring person or and the
insurer;
(b)
the trustworthiness of the acquiring person or any of its officers or
directors;
(c)
a plan for the proper and effective conduct of the insurer's operations;
(d)
the source of the funds or assets for the acquisition;
(e)
the fairness of any exchange of stock, assets, cash or other consideration for
the stock or assets to be received;
(f)
whether the effect of the acquisition may be substantially to lessen
competition in any line of commerce in insurance or to tend to create a
monopoly therein; and
(g)
whether the acquisition is likely to be hazardous or prejudicial to the
insurer's policyholders or stockholders.
(3)
The following conditions affecting any controlled insurer, regardless of when
such control has been acquired, are violations of this title: (a) the
controlling person or any of its officers or directors have demonstrated
untrustworthiness; and (b) the effect of retention of control may be
substantially to lessen competition in any line of commerce in insurance in
this country or to tend to create a monopoly therein. If, after notice and an
opportunity to be heard, the Commissioner determines that any of the foregoing
violations exists, he shall reduce his findings to writing and shall issue an
order based thereon and cause the same to be served upon the insurer and upon
all persons affected thereby directing any person found to be in violation
thereof to take appropriate action to cure such violation. Upon the failure of
any such person to comply with such order, section two hundred ninety-eight
shall become applicable.
(4) The Commissioner may
require the submission of such information as he deems necessary to determine
whether any acquisition or retention of control complies with this title and
may require, as a condition of approval of such acquisition or retention of
control, that all or any portion of such information be disclosed to the
insurer's stockholders.
(5) Unless subject to
registration under section two hundred eighty-six or unless acquisition of its
control is subject to paragraphs one and two hereof, every authorized insurer
shall, on or before the first day of July, nineteen hundred seventy-five, or
within thirty days after any event requiring notice hereunder, whichever is
later, notify the Commissioner in writing of the identity of any person whom
the insurer then knows or has reason to believe controls or has taken any action,
other than preliminary negotiations or discussion, to acquire control of the
insurer.
Sec. 295. (1)
Notwithstanding the control of an authorized insurer by any person, the
officers and directors of the insurer shall not thereby be relieved of any obligation
or liability to which they would otherwise be subject by law, and the insurer
shall be managed so as to assure its separate operating identity consistent
with this title.
(2) Nothing herein shall
preclude an authorized insurer from having or sharing a common management or
cooperative or joint use of personnel, property or services with one or more
other persons under arrangements meeting the standards of section two hundred
ninety.
Sec. 296. To the extent that
any information or material is set forth in forms or other matter on file with
any government agency or in a registration form filed with the Commissioner by
another person within the same holding company system, the controlled insurer
may comply with the registration or reporting requirements of this title by
referring in its registration form or report to such other filed matter and
attaching a copy thereof certified by the insurer as a true and complete copy,
to such registration form or report or, if such other filed matter is on file with
the Commissioner, incorporating such matter by reference.
Sec. 297. No holding company
or controlled person shall directly or indirectly or through another person do
or cause to be done for or in behalf of the controlled insurer any act intended
to affect the insurance operations of the insurer which, if done by the
insurer, would violate any provision of this Code.
Sec. 298. In addition to any
other penalty provided by law, the Commissioner may, upon the willful failure
of any person within a holding company system to comply with this title or any
regulation or order promulgated hereunder:
(a) proceed under title fourteen or title fifteen, Chapter III, of
this Code with respect to insurer within the holding company system; or
(b)
revoke or refuse to renew the authority to do business in this country of an
insurer within the holding company system or refuse to issue such authority to
any other insurer in the system; or
(c)
direct that, in addition to any other penalty provided by law, such person
forfeit to the people of this country a sum not exceeding five hundred pesos
for a first violation and two thousand five hundred pesos for any subsequent
violation. An additional sum not exceeding two thousand five hundred pesos
shall be imposed for each month during which any such violation shall continue.
Chapter IV
SALES
AGENCIES AND TECHNICAL SERVICES
Title 1
INSURANCE
AGENTS AND INSURANCE BROKERS
Sec. 299. No insurance
company doing business in the Philippines, nor any agent thereof, shall
pay any commission or other compensation to any person for services in
obtaining insurance, unless such person shall have first procured from the
Commissioner a license to act as an insurance agent of such company or as an
insurance broker as hereinafter provided.
No person shall act as an
insurance agent or as an insurance broker in the solicitation or procurement of
applications for insurance, or receive for services in obtaining insurance, any
commission or other compensation from any insurance company doing business in
the Philippines, or any agent thereof, without first procuring a license to act
from the Commissioner, which must be renewed annually on the first day of
January, or within six months thereafter. Such license shall be issued by the
Commissioner only upon the written application of the person desiring it, such
application if for a license to act as insurance agent, being approved and
countersigned by the company such person desires to represent, and shall be
upon a form prescribed by the Commissioner giving such information as he may
require, and upon payment of the corresponding fee hereinafter prescribed. The
Commissioner shall satisfy himself 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:
(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 with the Commissioner
must be accompanied with:
(a) a copy of the power of attorney, duly notarized and
authenticated by the Philippine Consul in the place where such foreign insurer
or broker is domiciled, empowering the applicant to act as resident agent and
to receive notices, summons and legal processes for and in behalf of such
foreign insurer or broker in connection with any action or legal proceeding
against such foreign insurer or broker; and
(b)
a copy of the corresponding certificate issued by the Board of Investments as
required under Section 4 of Republic Act No. 5455, if such foreign insurer or
broker is not otherwise exempt from such requirement.
Sec.
316. It shall be the duty of such resident agent to notify immediately the
Commissioner of any change of his office address.
Sec. 317. A certificate of
registration issued to a resident agent shall expire on the thirtieth day of
June of the year following its issuance unless it is renewed.
The Commissioner may, after
due notice and hearing, recall or cancel the certificate of registration issued
to a resident agent for violation of any existing law, rule or regulation, or
any provision of this Code. (As amended by Presidential Decree
No. 1455).
Title 4
NON-LIFE
COMPANY UNDERWRITER
Sec. 318. No person shall
act, and no company shall employ any person, as non-life company underwriter,
whose duty and responsibility it shall be to select, evaluate and accept risks
for, and to determine the terms and conditions, including those pertaining to
amounts of retentions, under which such risks are to be accepted by the
company, unless such underwriter is registered as such with the Commissioner.
Sec. 319. Every non-life
insurance company doing business in the Philippines must maintain at all times
a register of risks accepted and a claims register for each line of risks
engaged in by such non-life insurance company with such entries therein as are
now or as may hereafter be required by the Commissioner, and it shall be the
responsibility of the underwriter on the particular line or risk involved to
see to it that the said registers are well maintained and kept, and that all
entries therein are properly and correctly recorded. Such registers shall be
open to inspection and examination of duly authorized representative of the
Commissioner at all times during business hours.
Sec. 320. No person shall be
registered with the Commissioner, unless such person shall be at least
twenty-one years of age on the date of such registration; a resident of the
Philippines; of good moral character and with no conviction of any crime
involving moral turpitude; has had at the time such registration is made at
least two years of underwriting work in the particular line or risk involved;
and has passed such qualifying written examination that the Commissioner shall
conduct at such time and in such place as he may decide to hold for applicants
desiring to act as underwriters.
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:
(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 Philippines, shall be duly
certified by an accredited actuary employed by such company:
1. Policy reserves and net due and deferred premiums.
2.
Statements of bases and net premiums, loading for gross premiums, and on
non-forfeiture values and reserves, when applying for approval of gross
premiums, reserves and non-forfeiture values.
3.
Policies of insurance under any plan submitted to the Commissioner as required
by law.
4.
Annual statements and valuation reports submitted to the Commissioner as
required by law.
5.
Financial projection showing the probable income and outgo and reserve
requirements, enumerating the acturial assumptions and bases of projections.
6.
Valuation of annuity funds or retirement plans.
Any life
insurance company authorized to do business in the Philippines may employ any
person who is not officially accredited under either of the qualifications for
any kind of acturial work, provided that he shall not, at any time, have the
authority to certify to the correctness of the foregoing documents.
Sec.
338. No accredited actuary shall serve more than one client or employer at the
same time. However, one already in the employ of an insurance company may be
allowed by the Commissioner to serve a mutual benefit association or any other
insurance company, provided the following conditions are first complied with:
(a) that the request to engage his services by the other employer is in
writing; (b) that his present employer acquiesced to it in writing; and (c)
that he furnishes the Commissioner with copies of said request and
acquiescence.
Title 7
RATING
ORGANIZATION AND RATE MAKING
Sec. 339. Every organization
which now exists or which may hereafter be formed for the purpose of making
rates to be used by more than one insurance company authorized to do business
in the Philippines shall be known as a "rating organization."
The term "rate" as used in this title shall generally mean the
ratio of the premium to the amount insured and shall include, as the context
may require, either the consideration to be paid or charged for insurance
contracts, including surety bonds, or the elements and factors forming the
basis for the determination or application of the same, or both.
Sec. 340. Every rating
organization which now exists or which may hereafter be formed shall be subject
to the provisions of this title.
Sec. 341. No rating
organization hereafter formed shall commence rate-making operations until it
shall have obtained a license from the Commissioner. Before obtaining such
license, such rating organization shall file with the Commissioner a notice of
its intention to commence rate-making operations, a copy of its constitution,
articles of agreement or association, or of incorporation, and its by-laws, a
list of insurance companies that have agreed to become members or subscribers,
and such other information concerning such rating organization and its
operations as may be required by the Commissioner. If the Commissioner finds
that the organization has complied with the provisions of law and that it has a
sufficient number of members or subscribers and is otherwise qualified to
function as a rating organization, the Commissioner may issue a license to such
rating organization authorizing it to make rates for the kinds of insurance or
subdivisions thereof as may be specified in such license. No license issued to
a rating organization shall be valid after the thirtieth day of June of the
year following its issuance unless it is renewed. No rating organization which
now exists and is not licensed pursuant to this section shall continue
rate-making operations until it shall have obtained from the Commissioner a
license which he may issue if satisfied that such organization is complying
with the provisions of this title. Every rating organization shall notify the Commissioner
promptly of every change in (1) its constitution, its articles of agreement or
association or its certificate of incorporation, and its by-laws rules and
regulations governing the conduct of its business, and (2) its list of members
and subscribers.
A "member" means
an insurer who participates in or is entitled to participate in the management
of a rating organization.
A "subscriber"
means an insurer which is furnished at its request with rates and rating
manuals by a rating organization of which it is not a member. (As amended
by Presidential Decree No. 1455).
Sec. 342. Each rating
organization shall furnish its rating service without discrimination to all of
its members and subscribers, and shall, subject to reasonable rules and
regulations, permit any insurance company doing business in the Philippines,
not admitted to membership, to become a subscriber to its rating services for
any kind of insurance or subdivisions thereof. Notice of proposed changes in
such rules and regulations shall be given to subscribers. The reasonableness of
any rule or regulation in its application to subscribers, or the refusal of any
rating organization to admit an insurance company as a subscriber, shall, at
the request of any subscriber or any such insurance company, be reviewed by the
Commissioner at a hearing held upon at least ten days' written notice to such
rating organization and to such subscriber or insurance company. The
Commissioner may, after such hearing, issue an appropriate order.
Sec. 343. No rating
organization or any other association shall refuse to do business with, or
prohibit or prevent the payment of commissions to, any person licensed as an
insurance broker pursuant to the provisions of title one of this chapter.
Sec. 344. Rating organization
shall be subject to examination by the Commissioner, as often as he may deem
such examination expedient, pursuant to the provisions of this Code applicable
to the examination of insurance companies. He shall cause such an examination
of each rating organization to be made at least once in every five years.
Sec. 345. The Commissioner
may suspend or revoke the license of any rating organization which fails to
comply with his order within the time limited by such order, or any extension
thereof which he may grant. The Commissioner may determine when a suspension of
license shall become effective and it shall remain in effect for the period
fixed by him, unless he modifies or rescinds such suspension.
Sec. 346. Any rating
organization may subscribe for or purchase acturial, technical or other
services, and such services shall be available to all members and subscribers
without discrimination.
Sec. 347. Any rating
organization may provide for the examination of policies, daily reports,
binders, renewal certificates, endorsements or other evidences of insurance, or
the cancellation thereof, and may make reasonable rules governing their
submission. Such rules shall contain a provision that in the event an insurance
company does not within sixty days furnish satisfactory evidence to the rating
organization of the correction of any error or omission previously called to
its attention by the rating organization, it shall be the duty of the rating
organization to notify the Commissioner thereof. All information so submitted
for examination shall be confidential.
Sec. 348. Cooperation among
rating organizations or among rating organizations and insurers in rate making
or in other matters within the scope of this title is hereby authorized,
provided the filings resulting from such cooperation are subject to all
provisions of this title which are applicable to filings generally. The
Commissioner may review such cooperative activities and practices and if he
finds that any such activity or practice is unfair or unreasonable or otherwise
inconsistent with the provisions of this title, he may issue a written order
specifying in what respects such activity or practice is unfair or unreasonable
or otherwise inconsistent with the provisions of this title, and requiring the
discontinuance of such activity or practice.
Sec. 349. Every rating
organization and every insurance company which makes and files its own rates,
shall make rates for all risks rated by such organization or insurance company
in accordance with the following provisions:
(a) Basic classification, manual, minimum, class, or schedule rates
or rating plans, shall be made and adopted for all such risks. Any departure
from such rates shall be in accordance with schedules, rating plans and rules
filed with the Commissioner;
(b)
Rates shall be reasonable and adequate for the class of risks to which they
apply;
(c)
No rate shall discriminate unfairly between risks involving essentially the
same hazards and expense elements or between risks in the application of like
charges and credits;
(d)
Consideration shall be given to the past and prospective loss experience,
including the conflagration and catastrophe hazards, if any, to all factors
reasonably attributable to the class of risks, to a reasonable profit, to commissions
paid during the most recent annual period and to past and prospective other
expenses. In case of fire insurance rates, consideration shall be given to the
experience of the fire insurance business during a period of not less than five
years next preceding the year in which the review is made;
(e)
Risk may be grouped by classifications for the establishment of rates and
minimum premiums. Classification rates may be modified to produce rates for
individual risks in accordance with rating plans which establish standards for
measuring variations in hazards or expense provisions, or both. Such standards
may measure any difference among risks that can be demonstrated to have a
probable effect upon losses or expenses.
Sec.
350. No rating organization and no insurance company which makes and files its
own rates shall make or promulgate any rate or schedule of rates which is to be
applied to any fire risk on the condition that the whole amount of insurance on
any risk or any specified part thereof shall be placed with the members of or
subscribers to such rating organization or with such insurer.
Sec. 351. Every insurance
company doing business in the Philippines shall annually file with the rating
organization of which it is a member or subscriber, or with such other agency
as the Commissioner may designate, a statistical report showing a
classification schedule of its premiums and losses on all kinds or types of
insurance business to which section three hundred forty-nine is applicable, and
such other information as the Commissioner may deem necessary or expedient for
the administration of the provisions of this title.
Sec. 352. Every non-life
rating organization and every non-life insurance company doing business in the
Philippines shall file with the Commissioner, except as to risks which by
general custom of the business are not written according to manual rates or
rating plans, every rate manual, schedule of rates, classification of risks,
rating plan, and every other rating rule and every modification of any of the
foregoing which it proposes to use. An insurance company may satisfy its
obligation to make such filings for any kind or type of insurance by becoming a
member of or subscriber to a rating organization which makes such filings for
such kind or type of insurance, and by authorizing the Commissioner to accept
such filings of the rating organization on behalf of such insurance company.
Sec. 353. Every manual or
schedule of rates and every rating plan filed as provided in the preceding
section shall state or clearly indicate the character and extent of the
coverage to which any such rate or any modification thereof will be applied.
Sec. 354. The Commissioner
shall review filings as soon as reasonably possible after they have been made
in order to determine whether they meet the requirements of this title. When a
filing is not accompanied by the information upon which the insurance company
supports such filing, and the Commissioner 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:
(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:
(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
passengers: Forty thousand pesos;
(c)
Motor vehicles with an authorized capacity of from six to eleven passengers:
Thirty thousand pesos;
(d)
Motor vehicles with an authorized capacity of five or less passengers: Five
thousand pesos multiplied by the authorized capacity.
Provided, however, That such cash deposit made to, or surety bond posted with, the
Commissioner shall be resorted to by him in cases of accidents the indemnities
for which to third-parties and/or passengers are not settled accordingly by the
land transportation operator and, in that event, the said cash deposit shall be
replenished or such surety bond shall be restored with sixty days after
impairment or expiry, as the case may be, by such land transportation operator,
otherwise, he shall secure the insurance policy required by this chapter. The
aforesaid cash deposit may be invested by the Commissioner in readily
marketable government bonds and/or securities.
(2) In the case of an owner
of a motor vehicle, the insurance or guaranty in cash or surety bond shall
cover liability for death or injury to third parties in an amount not less than
that set forth in the following scale in any one accident:
I. Private Cars
(a) Bantam : Twenty thousand pesos;
(b)
Light : Twenty thousand pesos;
(c)
Heavy : Thirty thousand pesos;
II. Other
Private Vehicles
(a) Tricycles, motorcyles, and scooters : Twelve thousand
pesos;
(b) Vehicles
with an unladen weight of 2,600 kilos or less : Twenty thousand pesos;
(c) Vehicles
with an unladen weight of between 2,601 kilos and 3,930 kilos : Thirty thousand
pesos;
(d) Vehicles
with an unladen weight over 3,930 kilos : Fifty thousand pesos.
The
Commissioner may, if warranted, set forth schedule of indemnities for the
payment of claims for death or bodily injuries with the coverages set forth
herein. (As amended by Presidential Decree No. 1455 and 1814).
Sec. 378. Any claim for
death or injury to any passenger or third party pursuant to the provisions of
this chapter shall be paid without the necessity of proving fault or negligence
of any kind; Provided, That for purposes of this section:
(i) The total indemnity in respect of any person shall not exceed
five thousand pesos;
(ii)
The following proofs of loss, when submitted under oath, shall be sufficient
evidence to substantiate the claim:
(a) Police report of accident; and
(b)
Death certificate and evidence sufficient to establish the proper payee; or
(c)
Medical report and evidence of medical or hospital disbursement in respect of
which refund is claimed;
(iii) Claim
may be made against one motor vehicle only. In the case of an occupant of a
vehicle, claim shall lie against the insurer of the vehicle in which the
occupant is riding, mounting or dismounting from. In any other case, claim
shall lie against the insurer of the directly offending vehicle. In all cases,
the right of the party paying the claim to recover against the owner of the
vehicle responsible for the accident shall be maintained.
Sec.
379. No land transportation operator or owner of motor vehicle shall be
unreasonably denied the policy of insurance or surety bond required by this
chapter by the insurance companies authorized to issue the same, otherwise, the
Land Transportation Commission shall require from said land transportation
operator or owner of the vehicle, in lieu of a policy of insurance or surety
bond, a certificate that a cash deposit has been made with the Commissioner in
such amount required as limits of indemnity in section three hundred
seventy-seven to answer for the passenger and/or third-party liability of such
land transportation operator or owner of the vehicle.
No insurance company may
issue the policy of insurance or surety bond required under this chapter unless
so authorized under existing laws.
The authority to engage in
the casualty and/or surety lines of business of an insurance company that
refuses to issue or renew, without just cause, the insurance policy or surety
bond therein required shall be withdrawn immediately. (As amended by
Presidential Decree No. 1455 and 1814).
Sec. 380. No cancellation of
the policy shall be valid unless written notice thereof is given to the land
transportation operator or owner of the vehicle and to the Land Transportation
Commission at least fifteen days prior to the intended effective date thereof.
Upon receipt
of such notice, the Land Transportation Commission, unless it receives evidence
of a new valid insurance or guaranty in cash or surety bond as prescribed in
this chapter, or an endorsement of revival of the cancelled one, shall order
the immediate confiscation of the plates of the motor vehicle covered by such
cancelled policy. The same may be re-issued only upon presentation of a new
insurance policy or that a guaranty in cash or surety band has been made or
posted with the Commissioner and which meets the requirements of this chapter,
or an endorsement or revival of the cancelled one. (As amended by
Presidential Decree No. 1455).
Sec. 381. If the
cancellation of the policy or surety bond is contemplated by the land
transportation operator or owner of the vehicle, he shall, before the policy or
surety bond ceases to be effective, secure a similar policy of insurance or
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
seventy-eight 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 becomes effective, having charitable or benevolent feature shall
abandon such incidental purpose upon effectivity of this Code if they desire to
continue operating as such mutual benefit associations. (As amended
by Presidential Decree No. 1455).
Sec. 391. A mutual benefit
association, before it may transact as such, must first secure a license from
the Commissioner. The application for such license shall be filed with the
Commissioner together with certified true copies of the articles of
incorporation or the constitution and by-laws of the association, and all
amendments thereto, and such other documents or testimonies as the Commissioner
may require.
No license shall be granted
to a mutual benefit association until the Commissioner shall have been
satisfied by such examination as may make and such evidence as he may require
that the association is qualified under existing laws to operate and transact
business as such. The Commissioner may refuse to issue a license to any mutual
benefit association if, in his judgment, such refusal will best promote the
interest of the members of such association and of the people of this country.
Any license issued shall expire on the last day of June of the year following
its issuance and, upon proper application, may be renewed if the association is
continuing to comply with existing laws, rules and regulations, orders,
instructions, rulings and decisions of the Commissioner. Every association
receiving any such license shall be subject to the supervision of the
Commissioner: Provided, That no such license shall be granted to any
such association if such association has no actuary.
All mutual benefit
association existing and licensed as such under the provisions of Article
Eight, Chapter Forty-One of the Revised
Administrative Code, as amended by Act No. 3612, shall, upon effectivity of
this Code, surrender their respective licenses to the Commissioner and apply
for new licenses under the provisions of this code if they still desire to
continue operating as such mutual benefit associations.
Sec. 392. No mutual benefit
association shall be issued a license to operate as such unless it has
constituted and established a Guaranty Fund by depositing with the Commissioner
an initial minimum amount of ten thousand pesos in cash, or in government
securities with a total value equal to such amount, to answer for any valid
benefit claim of any of its members.
All moneys received by the
Commissioner for this purpose must be deposited by him in interest-bearing
deposits with any bank or banks authorized to transact business in the
Philippines for the account of the particular association constituting the
Guaranty Fund.
Any accrual to such fund, be
it interest earned or dividend additions on moneys or securities so deposited,
may, with the prior approval of the Commissioner, be withdrawn by the
association if there is no pending benefit claim against it, including interest
thereon or dividend additions thereto.
The Commissioner, prior to
or after licensing a mutual benefit association, may 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' equitable
proportion of such deficiency as ascertained by said board and that if the
payment be not made it shall stand as an indebtedness against the membership certificates
of the defaulting members and draw interest not to exceed five per centum per
annum compounded annually.
Sec. 398. A mutual benefit
association may invest such portion of its funds as shall not be required to
meet pending claims and other obligations in any of the classes of investments
or types of securities in which life insurance companies doing business in the
Philippines may invest.
It may also grant loans to
members on the security of a pledge or chattel mortgage of personal properties
of the borrowers, or in the absence thereof, on the security of the membership
certificate of the borrowing members, in which event such loan shall become a
first lien on the proceed thereof.
Sec. 399. The Commissioner
or any of his duly designated representatives, shall have the power of
visitation, audit and examination into the affairs, financial condition, and
methods of doing business of all mutual benefit associations, and he shall
cause such examination to be made at least once every two years or whenever it
may be deemed proper and necessary. Free access to the books, records and
documents of the association shall be accorded to the Commissioner, to his
representatives, in such manner that the Commissioner or his representatives
may readily verify or determine the true affairs, financial condition, and
method of doing business of such association. In the course of such
examination, the Commissioner or his duly designated representatives shall have
authority to administer oaths and take testimony or other evidence on any
matter relating to the affairs of the association.
All minutes of the
proceedings of the board of directors or trustees of the association, and those
of the regular or special meetings of the members, shall be take, and a copy
thereof, in English or in Pilipino, shall be submitted to the Commissioner's
representatives or examiners in the course of such examination.
A copy of the findings of
such examination, together with the recommendations of the Commissioner, shall
be furnished the association for its information and compliance, and the same
shall be taken up immediately in the meetings of the board of directors or
trustees and of the members of the association.
Sec. 400. Every mutual
benefit association shall, annually on or before the thirtieth day of April of
each year, render to the Commissioner an annual statement in such form and
details as may be prescribed by the Commissioner, signed and sworn to by the
president, secretary, treasurer, and actuary of the association, showing the
exact condition of its affairs on the preceding thirty-first day of December.
Sec. 401. No money, aid or
benefit to be paid, provided or tendered by any mutual benefit association,
shall be liable to attachment, garnishment, or other process, or be seized,
taken, appropriated, or applied by any legal or equitable process to pay any
debt of liability of a member or beneficiary, or any other person who may have
a right thereunder, either before or after payment.
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:
(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:
(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 the Rules 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:
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
fee, if the licensee or holder of such license or certificate is continuing to
comply with all the applicable provisions of existing laws, and of rules,
instructions, orders and decisions of the Commissioner.
(2) For the filing of the
annual statement referred to in section two hundred twenty-three, the
Commissioner shall collect and receive from the insurance company so filing a
fee of five hundred pesos: Provided, That a fine of one hundred pesos
shall be imposed and collected by the Commissioner for each week of delay, or
any fraction thereof, in the filing of the annual statement.
For the filing of annual
statement referred to in section four hundred, the Commissioner shall collect and
receive from the mutual benefit association so filing a fee of ten pesos: Provided,
That a fine of ten pesos shall be imposed and collected by the Commissioner for
each week of delay, or any fraction thereof, in the filing of the annual
statement.
(3) For the examination
prescribed in section two hundred forty-six, the Commissioner shall collect and
receive fees according to the amount of its total assets, in the case of a
domestic company, or of its assets in the Philippines, in the case of a foreign
company, as follows:
(a) Two million pesos or more but less than four million pesos,
Four hundred pesos;
(b)
Four million pesos or more but less than six million pesos, Eight hundred
pesos;
(c)
Six million pesos or more but less than eight million pesos, One thousand two
hundred pesos;
(d)
Eight million pesos or more but less than ten million pesos, One thousand six
hundred pesos;
(e)
Ten million pesos or more, Two thousand pesos;
Provided, That if the said
examination is made in places outside the Metropolitan Manila area, besides
these fees, the Commissioner shall require of the company examined the payment
of the actual and necessary travelling and subsistence expenses of the examiner
or examiners concerned.
For
the examination prescribed in section three hundred ninety-nine, the
Commissioner shall collect and receive a minimum fee of one hundred pesos from
the mutual benefit association examined: Provided, That if such
association has total assets of more than one hundred thousand pesos, an
additional fee of ten pesos for every fifty thousand pesos in excess thereof
shall be imposed: Provided, further, That such fee shall not exceed two
thousand pesos.
(4) For the filing of an
application to withdraw from the Philippines under title eighteen, the Commissioner
shall collect and receive from the foreign company so withdrawing a fee of one
thousand pesos.
(5) The Commissioner may fix
and collect fees or charges for documents, transcripts, or other materials
which may be furnished by him not in excess of reasonable cost. (As amended by
Presidential Decree No. 1455).
Sec. 418. If the total
expenses of the Insurance Commissioner for every fiscal 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