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https://www.lawyerly.ph/juris/view/c2847?user=fbGU2WFpmaitMVEVGZ2lBVW5xZ2RVdz09
[INSULAR LIFE ASSURANCE CO. v. SERAFIN D. FELICIANO ET AL.](https://www.lawyerly.ph/juris/view/c2847?user=fbGU2WFpmaitMVEVGZ2lBVW5xZ2RVdz09)
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74 Phil. 468

[ G.R. No. 47593, December 29, 1943 ]

THE INSULAR LIFE ASSURANCE CO., LTD., PETITIONER, VS. SERAFIN D. FELICIANO ET AL., RESPONDENTS.

D E C I S I O N

OZAETA, J.:

In a four-to-three decision promulgated on September 13, 1941,[1] this Court affirmed the judgment of the Court of Appeals  in favor  of the  respondents  and  against  the  petitioner for the sum of P25,000, representing the value of two insurance policies issued by the petitioner on the life of Evaristo Feliciano.  A motion to  reconsider and set aside said decision has been filed by the petitioner,  and  both parties have submitted exhaustive and luminous written arguments in support of their respective contentions.

The facts of the case are  set forth in the majority and dissenting opinions heretofore handed down by this Court, the salient points of which  may be briefly restated as follows:

Evaristo Feliciano, who  died  on September 29, 1935, was suffering with advanced  pulmonary tuberculosis when he signed his application for insurance with the petitioner on October 12, 1934.  On that same date  Doctor  Trepp,  who had taken X-ray pictures of his lungs, informed the respondent Dr. Serafin D. Feliciano, brother of Evaristo, that the latter "was already in a very serious and practically hopeless condition." Nevertheless the  question contained in the application "Have  you ever "suffered from any ailment or disease of the lungs,  pleurisy,  pneumonia  or  asthma?" appears to have been answered, "No."  And above  the signature of the applicant, following the answers to the various questions propounded to him, is the following printed statement:

"I declare on behalf of myself and of any person who shall have or claim  any interest in any policy issued hereunder, that each of the above answers is full, complete and true, and  that to the best of my 'knowledge  and belief  I am a proper subject for life insurance."  (Exhibit K.)

The false answer above referred to, as well as the others, was written by the Company's soliciting agent Romulo M. David, in collusion with the medical examiner Dr. Gregorio Valdez, for the purpose of securing the Company's approval of the application so  that the policy to be  issued  thereon might be credited to said agent in connection with the inter-provincial contest which the Company was then  holding among its soliciting agents to boost the sales of its  policies. Agent David bribed Medical Examiner Valdez  with money which the  former borrowed  from the  applicant's  mother by way of advanced payment on the premium,  according to the finding of  the Court of Appeals.  Said court also found that before the insured signed the application he, as well as the members of his family, told the agent, and the medical examiner that he had been sick and coughing for some time and that  he had gone three times to the Santol Sanatorium and had X-ray pictures of his lungs taken; but  that in  spite of such information the  agent and the medical examiner told them that the applicant was a fit subject for insurance.

Each of the policies  sued upon  contains the following stipulations:
"This policy and the application herefor constitute the entire contract between the parties hereto. * *  * Only the President,  or the Manager, acting jointly with  the Secretary or Assistant Secretary (and then only in writing signed by them) have power in behalf of the Company to issue permits, or to modify this or any contract, or to extend the time for making any premium payment, and the Company shall not be bound by any promise or representation heretofore or hereafter given by any person other than the above-named officials, and by them only in writing and signed conjointly as stated."
The application contains, among others, the  following statements:
"18. I [the applicant] hereby declare that all the above statements and answers as well as all those that I may make to the Company's Medical Examiner in continuation of this application, to be complete, true and correct to the best of my knowledge and belief, and I hereby agree  as follows:

"1. That this declaration, with the answers to be given by  me to the  Medical Examiner, shall be the basis  of the policy and form part of same.

"*      *      *      *      *      *      *

"3. That the said policy shall not take effect until the first premium has been paid  and  the policy has been delivered to and accepted by me, while I am in good health.

"4. That the agent taking this application has no author ity to make, modify or discharge contracts, or to waive any of the  Company's rights or requirements.

"5. My acceptance of any policy issued on this application will constitute a ratification by me of any corrections in or, additions to this  application made  by  the Company  in the space provided 'For Home Office Corrections  or Additions Only.'   I agree that photographic copy of this  application as  corrected or added to  shall constitute  sufficient notice to me of the changes made."  (Emphasis added.)
The petitioner insists that upon the facts of the case the policies in question are null and void ab initio and that all that the respondents are entitled to is the refund of the premiums paid thereon.  After a careful re-examination of the facts and the law, we are persuaded that petitioner's contention is correct.  To the reasons adduced in the dissenting opinion heretofore published, we only desire to add the following considerations:

When Evaristo Feliciano, the applicant for insurance, signed the application in blank and authorized the soliciting agent and/or the medical examiner of the Company to write the answers for  him, he made them his own agents for that purpose,  and he  was responsible for their acts in that connection.  If they falsified the answers for him, he could not evade the responsibility for the falsification.  He was not supposed to sign the application in blank. He knew that the answers  to the questions therein contained would  be "the basis of  the  policy," and for that very reason he was required with  his signature to vouch for the truth thereof.

Moreover,  from the facts of the case we cannot escape the conclusion that the insured acted in connivance with the soliciting agent and the medical examiner of the Company in accepting  the policies in question.  Above the signature of the applicant  is the printed statement or representation: "*  * * I am a  proper subject for life insurance."  In another sheet of the same application and  above  another signature of the applicant was also printed this statement: "That the said  policy shall not take effect until the first premium has been paid and the policy has been delivered to and accepted by  me, while I am in good health."  When the applicant signed the application he was "having difficulty in breathing,  *  * *  with a very high fever."  He had gone three times to the Santol Sanatorium and had X-ray pictures taken of his lungs. He therefore knew that he was not "a proper subject for life insurance."  When he accepted the policy, he knew that he was not in good health. Nevertheless, he not only accepted the first policy of P20,000 but then and there applied for and later  accepted another policy  of P5,000.

We cannot bring ourselves to believe that the insured did not take the  trouble to read the answers contained in the photostatic copy of the application attached to and made a part of the policy before he accepted it and paid the premium thereon.  He must have noticed that the answers to the questions therein asked concerning his clinical history were false, and yet he accepted  the first policy and applied for another.  In any  event, he obligated  himself  to read the policy  when he subscribed  to this statement:  "My acceptance of any policy issued on this application will constitute a ratification by me of any corrections  in or additions to this application made  by the  Company  *  *  *"  By  accepting the policy he became charged with knowledge of its contents, whether he actually  read it or not.  He could not ostrich-like hide his head from it in order to avoid his part of the  bargain and at the same time claim the benefit thereof.  He knew, or was chargeable with knowledge, from  the very terms of the two policies sued  upon (one of which is printed in English and the other in Spanish)  that the soliciting agent and the medical examiner had no power to bind the Company by any verbal  promise or oral  representation. The insured, therefore, had no right to rely and we cannot believe he relied in good faith upon the oral representation of said agent and  medical examiner that he  (the applicant) was a  fit subject for insurance notwithstanding that he had been and was still suffering with advanced pulmonary tuberculosis.

From all  the facts  and circumstances of this  case, we are constrained to conclude that the insured was a coparticipant, and coresponsible with Agent David and Medical Examiner Valdez, in the fraudulent procurement of the policies in question and that by reason thereof said policies are void ab initio.

Wherefore, the motion  for reconsideration is sustained and the judgment of the Court of Appeals is hereby reversed. Let another judgment  be entered in favor of the respondents and against the petitioner for the refund of the premiums amounting to P1,389, with legal interest thereon from the date of the complaint, and without any finding as to costs.

Moran, Paras and Bocobo, JJ., concur.





CONCURRING

YULO, C.J.,

I can find no quarrel with the legal considerations and conclusions set forth in the original decision  promulgated by this Court. As. general rules of law they find full support not only in reason and in logic,  but  also in simple  human sense of justice.  More so, modern and complicated practices attendant to the ever growing trade in life insurance demand the strictest accountability by insurance companies for acts of  their authorized agents.  In this way only may the State afford reasonable protection to the unwary public from abuse by such organizations as may be found, to be of questionable moral standards.

But a careful consideration of the evidentiary facts as set forth in the decision of the Court of  Appeals leads me to conclude that the ends of justice would not be served by the application to the present case of the rules  so enunciated.  Rather, to serve the ends of justice the case of the respondents should be removed from the protection of such rules.

The subject of the insurance policies under consideration is the life of the assured.  It is contended by his beneficiaries that they took these policies on the basis of a life expectancy of a person gravely stricken with tuberculosis.  They have consistently made  protestations that they  had  so informed the agents of the insurance company.  But the policies were issued  upon the life of the assured, as a perfectly normal and healthy person.  The error is vital and goes to the very existence of the contract itself.  Who is responsible for the error?

The  direct cause, of course, is the false recitals in the application for insurance.  While it is true that it was  the agents of the insurance company who filled out such application, yet it  was  the assured who, by signing the application in blank, made it possible for the said agents to procure the issuance  of the policies on the basis  of  false  information, in order to suit their own purposes. Upon the admitted facts, I am of the opinion that in justice and in equity, the responsibility for the falsifications made by the insurance agents in the preparation of the insurance application should be laid at the door of the assured and  his beneficiaries.

I vote with the majority in granting the motion for reconsideration and in reversing the decision under review.





DISSENTING

HONTIVEROS, J.,

The reasons given in the dissenting opinion  in this case, as published in the Official Gazette of October 4, 1941  (pp. 2847  to 2855), supplemented by those in the resolution of the majority on the motion for  reconsideration, do not seem to me sufficient  to overthrow the decision rendered  by the Court of First Instance, confirmed by the Court of Appeals, and sustained by this Supreme Court in its decision of September 18,  1941.  The alleged connivance between the insured Evaristo Peliciano, the agent  Romulo M. David,  and the medical examiner Dr. Gregorio Valdez not only does not clearly appear of record, but on the contrary is denied in the finding of facts  of the court a quo and of the Court of  Appeals which cannot be reviewed or altered by this Court.

The mere fact that the insured signed at the bottom of the application for insurance when some of its lines intended for answers to certain questions were still in blank, answers which according to the evidence and to the findings of the two inferior courts he had grounds to believe will be made in accordance with the information which he and his family had given to agent David and to Dr. Valdez, does not convert these two persons into agents of the insured in a way as to make the latter responsible for the acts of the former. That the photostatic  copies of said  forms which are attached to the policies object of this case  are almost illegible, is a fact which should be taken into account, together with the other fact  that Evaristo Feliciano  does not know  English, the language in which those documents are written.  In support of this dissenting opinion, the following authorities may be cited:
"The mere failure of the insured to inform himself of the insertion of false answers  in  the application which has been filled out by the agent of the insurer does not convict him of lack of good faith."  (Vol. 5,  Cooley's Briefs on Insurance, 2nd Ed., p.  4136, and many cases cited.)

"The insured is not  chargeable  with such negligence as will render him liable for false answers inserted by the agent merely because he signed the application in blank and trusted the agent to fill out by the agent, without reading it." (Id., p. 4136, and many cases cited.)

"An illiterate person or one who does not understand the English language (as is the  case with Evaristo Feliciano) is not guilty of inexcusable negligence in failing to read the application or having it read to him, nor can it be said that such person deliberately made a false statement because he did not read over the application."  (81 ALR 865, 866, W. 117 ALR 796.)

"Nor can it be said that the assured, who has fully, frankly,  truthfully, and in good faith answered all the required questions, is guilty of negligence in signing, without reading, the application which  is thereupon prepared by the agent. He is justified in assuming  that the agent, has, with equal good faith, truthfully recorded the answers given. He may well say to the Company:  'You accredited this man to me as your representative, and I signed  the application thus prepared  by him, relying upon the character which you gave him, when you commissioned him to come to me as your agent.  If he acted dishonestly in the matter, you, and not I, must  suffer the consequences   *  *  * !" (Germania Life Ins. Co. vs. Lunkeheimer [1931] Ind., 538; 26 N. E., 1052.)

"In such case the acceptance of the policy,  with this application attached, does not require the insured to institute an  investigation  into its provisions, or the 'conditions upon which it was  issued,  to ascertain whether the  agent has acted in good faith, since,  under such circumstances, the insured may rely upon the presumption  that he has been honestly dealt with by the insurer."   (Otto vs. Hartford Ins. Co., 38 Minn.,  423).

"Besides, the principles  that the insured is not bound to know the contents of the application, and may rely on the agent's assurances that his answers have been correctly written will, of course, apply with special force where the insured is illiterate and  unable to read,  or  is ignorant  of the language."  (Vol. 5, Cooley's Briefs on Insurance, 2nd Ed. p. 4138, cases cited.)

"And also where the photostatic copies of the application embodied in the policy are practically illegible, the insured is not bound  to know  the contents of the application."  (New York Ins. Co. vs. Holpem D. C, 57 Fed.  2d, 200).

"According to the great weight of authority, if an agent of the insurer, after obtaining from an applicant for insurance  a correct and truthful answer to interrogations  contained in the application  for insurance, without knowledge of the applicant fills in false answers, either fraudulently  or otherwise, the insurer cannot assert the falsity of such answers as a defense to  the liability on  the policy and  this is generally without  regard to the subject  matter of the answers or the nature of the agent's duties or limitations  on his authority, at least  if not brought to the attention of the applicant.   It is equally well settled that  if a correct representation is made in a written application, or the  insurance agent issuing the policy is  appraised  of the  true facts concerning the matter in question, as for instance the title  to the  insured premises, but the agent inserts  an incorrect statement in  the policy,  the  insurer  cannot rely upon the error in avoidance  of its liability".  Home Ins. Co. vs. Mendenhall, 154 111., 452, 45 NE., 1078, 36 LRA., 374; Phoenix Ins. Co. vs. Tucker, 92 111., 64,  34 Am Rep., 106; Commercial Ins. Co. vs. Spanknoble, 52 111., 53, 4 Am. Report, 582; Young vs. Hartford F. Ins. Co. 45 Iowa, 377, 24  Am. Rep., 754; Welsh vs. London Assur.  151  Pa.,  607, 25 A, 142,  21 Am St. Rep., 726 (Taken from  Am Juris, on  Insurance Vol.29, par. 843).

"An insured may be justified in  signing an application in blank at the request of the insurer's agent, who agrees to fill it in from data furnished by the insured or from an old application.  In  fact, an insurer cannot urge the falsity of representations  contained  in the  policy issued,  or in the application, where such representations were inserted therein, either by the company or its agent, after the application was signed,  without the knowledge or consent of the insured, who has made no such representations."  (Couch on Insurance,  Vol. 4, par. 842 b.)
I believe that the motion for reconsideration presented in  this case  should be  denied, not only because of the weighty  reasons relied upon in the  decision which  it attacks, but also because a dangerous precedent would otherwise be established, for, with the  destruction of the  confidence which the public  has hitherto reposed  in  the  duly accedited agents of insurance companies and in their examining physicians, this  branch of the economic life of the people, will have to be unfavorably affected.

IMPERIAL, J.: I concur in the forgoing dissenting opinion:

(Note:  Justices Imperial and  Hontiveros of the Court of Appeals took part in  this case  by special designation.)



[1] Reported in 40 Off. Gaz., (Oct. 4, 1941)  2842-2855.

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