Finals Insurance Flashcards
Pertains to the provision where the beneficiary may be forfeited from the share in the profit
Section 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 such a case, the share forfeited shall pass on to the other beneficiaries, unless otherwise disqualified. In the absence of other beneficiaries, the proceeds shall be paid in accordance with the policy contract. If the policy contract is silent, the proceeds shall be paid to the estate of the insured.
Consideration in a contract of insurance on the part of the insured
Indemnification
Provision in which there’s a need of insurable interest at the time of the insurance
Section 19. An interest in PROPERTY insured must exist when the insurance TAKES EFFECT, and when the LOSS OCCURS, but need 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 LOSS OCCURS .
In an authorized driver clause, the insurer is not liable if the one that is driving is the ____
other than the insured
If it is an all risk policy marine insurance, both perils are covered, peril of navigation and _____
perils of a ship
Generally, expressed warranty are present and applicable in all insurance because implied warranty are not allowed in those insurance, what kind of insurance in which implied warranty is allowed?
Marine Insurance
__ is a kind of policy wherein the amount stated is the insurer’s maximum liability
OPEN POLICY
How much is the claimable amount of a third person in a no-fault clause
15K
In marine insurance, how do you call the income derived from leasing of the ship from the shipowner
freightage
In fire insurance, your insurer is liable if the cause of loss is what kind of fire?
Hostile Fire
__ provides for the option on the part of insured to cancel the policy
“Section 80. 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.
In case there is suicide committed by the insured, in what specific period is your insurer not liable
within the 2 yr period
If your insurer is adjudged to be liable for unreasonably refusing to pay the proceeds to your insured or beneficiary, your insurer is liable for the amount of the proceeds + attorney’s fees + the cost of suit + ____
twice the legal interest
If the basis of liability of the one at fault in casualty insurance is Quasi delict or tort, what is the basis for the liability of the insurer?
contract of insurance
If the beneficiary in life insurance is irrevocable, this can only be revoked by what provision of law
FAMILY CODE
Art. 64. After the finality of the decree of legal separation, the innocent spouse may revoke the donations made by him or by her in favor of the offending spouse, as well as the designation of the latter as beneficiary in any insurance policy, even if such designation be stipulated as irrevocable. The revocation of the donations shall be recorded in the registries of property in the places where the properties are located. Alienations, liens and encumbrances registered in good faith before the recording of the complaint for revocation in the registries of property shall be respected. The revocation of or change in the designation of the insurance beneficiary shall take effect upon written notification thereof to the insured.
The action to revoke the donation under this Article must be brought within five years from the time the decree of legal separation become final. (107a)
A person is disqualified from being beneficiary if he falls under Art 79 of the civil code in relation to what provision?
CIV CODE Article 2012. Any person who is forbidden from receiving any donation under article 739 cannot be named beneficiary of a life insurance policy by the person who cannot make any donation to him, according to said article. (n)
It refers to the act of salvaging cargoes at the expense of the cargoes for the common benefit of all
Jettison
The liability of the insurer’s of the ship or cargo that were not saved pertains to what?
Particular Average
If sending of notice and proof loss, pertains to conditions subsequent, what is the other kind of condition?
Condition precedent
was completely repealed by PD 612 (Insu Code)
RA 10607
Incontestability clause is found under what provision
“Section 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 (2) 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 rescindable by reason of the fraudulent concealment or misrepresentation of the insured or his agent.
Collateral inducement that an insurer can use to disapprove an insurance
Representation
also known as loss payable mortgage clause
Open mortgage clause
pertains to a kind of insurance wherein the proceeds should not be 5x more than the minimum wage
Industrial Life Insurance
In a property insurance wherein there is already the sending notice and proof of loss, your insurer should already make payment of your proceeds within a period of what?
30 days
In case the minor is the beneficiary in a life insurance of his father who is already dead, the following can assist her in getting insurance proceeds of not less than 200k, mother, grandparent, actual relative
Eldest sibling of legal age
In this kind of charter policy, the charterer is the disponent owner
Bareboat Charter
The test of materiality applies to your representation, the other kind of vice other than concealment
Section 46. The materiality of a representation is determined by the same rules as the materiality of a concealment.
is a kind of insurance that also includes investment
Variable Unit Linked Insurance (VUL)
Contract between the shipowner and the charter
Indemnity Agreement
Contract between the shipowner and the charter
Charter Party
Your shipowner is liable for what?
Abandonment
Loan entered into by the cargo owner making as collateral the cargoes
Respondentia Loan
Mortgage redemption insurance is what kind of insurance
Life insurance
Formula to get your co-insurance’s loss in fire insurance if there is a stipulation
(amt of insu / val of prop) x amt of loss= liability
provision that provides for the option of insurer to renew the policy
Section 66. In case of insurance other than life, unless the insurer at least forty-five (45) 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 (1) year shall be considered as if written for a term of one (1) year. Any policy written for a term longer than one (1) year or any policy with no fixed expiration date shall be considered as if written for successive policy periods or terms of one (1) year.
Formula to get the liability in case of overinsurance and double insurance in life insurance
No formula since no overinsurance in Life Insu
There is an accident and there are 3 deaths and the vehicle is a PUV, how much is the total liability of your insurer
400,000….70k +30 k = 100k x 3
AUTHORIZED DRIVER CLAUSE
Typical provision in Motor Vehicle Liability Insurance
Insurer will be liable only if the driver is an authorized driver at the time of the accident
Ensures that the person driving the vehicle other than the insured owner is a duly licensed driver and has no disqualification to drive a motor vehicle
Authorized Driver Clause-
Collecting the insurance barred when:
a.When the driver is without license
b.When the driver’s license has already expired
ADC no license but insured:
If the one driving is the insured, he may still recover under the insurance even without a license or with an expired one
may however be liable under Motor Vehicle Law
MOTOR VEHICLE LIABILITY INSURANCE
The insurer becomes liable for the damage or injury caused in the operation of motor vehicles
Maybe voluntary or compulsory
Covers death, incapacity or injury and damage to property
Not limited to third party liability; may be comprehensive and cover damage or injury to the person or property of the insured himself or third persons
No Action Clause
disallows suit against the insurer unless final judgment is obtained by a third party against the insured.
If direct liability to third party is provided for, a “no action clause” cannot be provided in the policy
THEFT CLAUSE
Makes theft of motor vehicle a risk insured against
The taking of a vehicle by another person without the permission or authority from the owner is sufficient to place it within the ambit of the word theft
Applies even if the person who took the vehicle is an employee of the insured; not covered by “malicious damage clause”
COMPULSORY MOTOR VEHICLE LIABILITY INSURANCE (CMVLI)
Section 387. 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.
Death Indemnity
Death indemnity is P70,000; indemnity fro burial and funeral expenses is P30,000
NO FAULT INDEMNITY CLAUSE
Section 391. 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:
What is CONCEALMENT
Section 26. A neglect to communicate that which a party knows and ought to communicate, is called a CONCEALMENT.
How is “correct estimation” achieved?
1) If all material information are disclosed; and
2) If the parties are certain that disclosed information can be relied upon.
How is “delimitation” achieved?
1) By specific description of the risk consisting of the designation of the specific person or property interest to be covered and the specification of the perils; or
2) By using exceptions.
How is “control” achieved?
1) Promissory warranties; and
2) Conditions;
a. This will prevent the occurrence of risks or hazards that may happen after the policy has been issued.
Kinds of Devices:
1) Concealment
2) Representation
3) Warranty
4) Condition
5) Exceptions
Requisites, rescission on the ground of concealment
a) The party involved must know the fact concealed or at least he ought to know the same
b) The fact concealed must be material
c) No warranty is extended by the party regarding the fact concealed
d) The other party does not have the means of ascertaining
When there is no material concealment
(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.
There is no material concealment that justifies the insurer or rescind the policy in the following cases:
a) When matters are known to the other party
b) When in the exercise of ordinary care, one party ought to know, and of which the other party has no reason to suppose him ignorant
c) When there is waiver of communication
d) When matters are those which prove or tend to prove the existence of a risk excluded by a warranty, and which are not otherwise material
e) When matters are those which relate to a risk excepted from the policy and which are not otherwise material
f) When the matter involves general causes that are open to inquiry of each party and which may affect the political or material perils contemplated
g) When the matter is included in general usages of trade
h) Information of the nature or amount of the insured property, is not disclosed unless in answer to an inquiry
i) When what is involved is information of the party’s own judgment upon the matters in question.
j) As long as they were made in good faith and without intent to deceive
what is REPRESENTATION
are statements made to give information to the insurer to induce him to enter into the insurance contract; a collateral communication made to the other party in writing or by word of mouth
REMEDY: CONCEALMENT
Rescission of the insurance contract (Sec 27)
The right to rescind should be exercised previous to the commencement of an action on the contract
FOUR PRIMARY CONCERNS
- Correct estimation of the risk
- Delimitation of the risk
- Control of the risk
- Determining whether the loss
Concealment: OPINION (gr & xpns)
gr: no need to disclose
xpn: when insured intentionally states something untrue as av=belief even if it’s untrue (w/ is known by him)
xpn to xpn: when opinions are made in good faith even if they are untrue (Philamcare vs CA)