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PRESIDENTIAL DECREE NO. 612
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
SECTION
1. This Decree shall be known as "The Insurance Code".
SECTION
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".
CHAPTER
I
The Contract of Insurance
TITLE I
What May Be Insured
SECTION
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.
SECTION
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.
SECTION
5. All kinds of insurance are subject to the provisions of this
chapter so far as the provisions can apply.
TITLE II
Parties to the Contract
SECTION
6. Every person, partnership, association, or corporation duly authorized
to transact insurance business as elsewhere provided in this code,
may be an insurer.
SECTION
7. Anyone except a public enemy may be insured.
SECTION
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.
SECTION
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
III
Insurable Interest
SECTION
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.
SECTION
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.
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 which event, the nearest relative of the insured shall receive
the proceeds of said insurance if not otherwise disqualified.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
17. The measure of an insurable interest in property is the extent
to which the insured might be damnified by loss or injury thereof.
SECTION
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.
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 the loss occurs.
SECTION
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 of 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.
SECTION
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.
SECTION
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.
SECTION
23. A change of 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.
SECTION
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.
SECTION
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
IV
Concealment
SECTION
26. A neglect to communicate that which a party knows and ought
to communicate, is called a concealment.
SECTION
27. A concealment whether intentional or unintentional entitles
the injured party to rescind a contract of insurance. (As amended
by Batasang Pambansa Blg. 874)
SECTION
28. Each party to a contract of insurance must communicate 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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION 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.
SECTION
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.
SECTION
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.
SECTION
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
V
Representation
SECTION
36. A representation may be oral or written.
SECTION
37. A representation may be made at the time of, or before, issuance
of the policy.
SECTION
38. The language of a representation is to be interpreted by the
same rules as the language of contracts in general.
SECTION
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.
SECTION
40. A representation cannot qualify an express provision in a contract
of insurance, but it may qualify an implied warranty.
SECTION
41. A representation may be altered or withdrawn before the insurance
is effected, but not afterwards.
SECTION
42. A representation must be presumed to refer to the date on which
the contract goes into effect.
SECTION
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.
SECTION
44. A representation is to be deemed false when the facts fail to
correspond with its assertions or stipulations.
SECTION
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)
SECTION
46. The materiality of a representation is determined by the same
rules as the materiality of a concealment.
SECTION
47. The provisions of this chapter apply as well to a modification
of a contract of insurance as to its original formation.
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 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
VI
The Policy
SECTION
49. The written instrument in which a contract of insurance is set
forth, is called a policy of insurance.
SECTION
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.
SECTION
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.
SECTION
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.
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION 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.
SECTION
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.
SECTION
59. A policy is either open, valued or running.
SECTION
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.
SECTION
61. A valued policy is one which expresses on its face an agreement
that the thing insured shall be valued at a specific sum.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
VII
Warranties
SECTION
67. A warranty is either expressed or implied.
SECTION
68. A warranty may relate to the past, the present, the future,
or to any or all of these.
SECTION
69. No particular form of words is necessary to create a warranty.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
VIII
Premium
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
81. A person insured is entitled to a 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.
SECTION
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
IX
Loss
SECTION
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.
SECTION 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
of which the peril insured against was only a remote cause.
SECTION
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.
SECTION
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.
SECTION
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
X
Notice of Loss
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
XI
Double Insurance
SECTION
93. A double insurance exists where the same person is insured by
several insurers separately in respect to the same subject and interest.
SECTION
94. Where the insured is over-insured 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 XII
Reinsurance
SECTION
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.
SECTION
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.
SECTION
97. A reinsurance is presumed to be a contract of indemnity against
liability, and not merely against damage.
SECTION
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
SECTION
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
SECTION
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.
SECTION
101. The insurable interest of the owner of a ship hypothecated
by bottomry is only the excess of its value over the amount secured
by bottomry.
SECTION
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.
SECTION
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.
SECTION 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.
SECTION
105. One who has an interest in the thing from which profits are
expected to proceed has an insurable interest in the profits.
SECTION
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
SECTION
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.
SECTION
108. In marine insurance, information of the belief or expectation
of a third person, in reference to a material fact, is material.
SECTION
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.
SECTION
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
SECTION
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.
SECTION
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
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
118. When a 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.
SECTION
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 insurance upon the
cargo.
SECTION
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
SECTION
121. When the voyage contemplated by a marine insurance policy is
described by the places of beginning and ending, the voyage insured
is one which conforms to the course of sailing fixed by mercantile
usage between those places.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
125. Every deviation not specified in the last section is improper.
SECTION
126. An insurer is not liable for any loss happening to the thing
insured subsequent to an improper deviation.
SUB-TITLE
1-G
Loss
SECTION
127. A loss may be either total or partial.
SECTION
128. Every loss which is not total is partial.
SECTION
129. A total loss may be either actual or constructive.
SECTION
130. An actual total loss is caused 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.
SECTION
131. A constructive total loss is one which gives to a person insured
a right to abandon, under Section one hundred thirty-nine.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
135. Upon an actual total loss, a person insured is entitled to
payment without notice of abandonment.
SECTION
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.
SECTION
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
SECTION
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.
SECTION
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.
SECTION
140. An abandonment must be neither partial nor conditional.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
145. An abandonment can be sustained only upon the cause specified
in the notice thereof.
SECTION 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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
152. An abandonment once made and accepted is irrevocable, unless
the ground upon which it was made proves to be unfounded.
SECTION
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.
SECTION 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.
SECTION
155. If a person insured omits to abandon, he may nevertheless recover
his actual loss.
SUB-TITLE
1-I
Measure of Indemnity
SECTION
156. A valuation in a policy of marine insurance is 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.
SECTION
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.
SECTION 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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
ECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
II
Fire Insurance
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
III
Casualty Insurance
SECTION
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,
workmen's compensation insurance, public liability insurance, motor
vehicle liability insurance, plate glass insurance, burglary and
theft insurance, personal accident and health insurance as written
by non-life insurance companies, and other substantially similar
kinds of insurance.
TITLE
IV
Suretyship
SECTION
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.
SECTION
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)
SECTION
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.
SECTION
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
V
Life Insurance
SECTION
179. Life insurance is insurance on human lives and insurance appertaining
thereto or connected therewith.
SECTION
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.
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
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 I
Insurance Companies: Organization, Capitalization and Authorization
SECTION 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.
SECTION
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.
SECTION
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.
SECTION
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).
SECTION
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.
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).
SECTION
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.
SECTION
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 of 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, and that such
service 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 Commissioner, 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.
SECTION
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.
SECTION
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.
SECTION
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 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
II
Margin of Insolvency
SECTION
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 interests,
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)
SECTION
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
III
Assets
SECTION
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.
SECTION
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
IV
Investsments
SECTION
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.
SECTION
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.
SECTION
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 in 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 invest in such country or possession,
whichever shall be greater.
SECTION 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.
SECTION
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 it 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.
SECTION
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)
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
207. Any investment made in violation of the applicable provisions
of this title shall be considered non-admitted assets.
SECTION
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 acquired 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.
(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.
SECTION
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
V
Reserves
SECTION
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.
SECTION
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.
SECTION
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 a 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.
SECTION
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.
SECTION
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
VI
Limit of Single Risk
SECTION
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 mortgaged,
pledged, or held subject to the surety's control and for the surety's
protection.
TITLE
VII
Reinsurance Transactions
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION 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
VIII
Annual Statement
SECTION
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.
SECTION 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.
SECTION 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
IX
Policy Forms
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
X
Variable Contracts
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 allocated 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 may 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.
SECTION
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.
SECTION
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.
SECTION
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
XI
Claims Settlement
SECTION
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.
SECTION
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.
SECTION
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 of 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.
SECTION
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
XII
Examinaton of Companies
SECTION
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.
SECTION
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 or private
insurance shall similarly be subject to such examination by the
Commissioner unless their respective charters otherwise provide.
TITLE
XIII
Suspension or Revocation of Authority
SECTION
247. If the Commissioner is of the opinion upon examination or 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
XIV
Appointment of Conservator
SECTION
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 of 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
XV
Proceedings Upon Insolvency
SECTION
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 insolvent, 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
provision 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 petitioner 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)
SECTION
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 allow all claims against such company, under
order of the Court, in accordance with their legal priority.
SECTION
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
XVI
Consolidation and Merger of Insurance Companies
SECTION
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 approval in accordance
with the provisions of the respective by-laws of the constituent
companies and all existing laws that may be pertinent.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 or of consolidation, or the amended articles of incorporation,
as registered with the Securities and Exchange Commission.
SECTION
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.
SECTION
261. The merger or 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
XVII
Mutualization of Stock Life Insurance Companies
SECTION
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.
SECTION
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 shareholders;
(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.
SECTION
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.
SECTION
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 authenticity, 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.
SECTION
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 non-assessable 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.
SECTION
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 acquired 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.
SECTION
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.
SECTION
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.
SECTION
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.
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)
SECTION
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.
SECTION
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.
SECTION
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 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
XVIII
Withdrawal of Foreign Insurance Companies
SECTION
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.
SECTION
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.
SECTION 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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
XIX
Professional Reinsurers
SECTION
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.
SECTION
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
XX
Holding Companies
SECTION
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.
SECTION
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.
SECTION
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 this title.
SECTION
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 or appropriate in the public interest or not adverse to
the interests of policyholders or stockholders and consistent with
the purposes of this title.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
(c)
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.
SECTION
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.
SECTION
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
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 I
Insurance Agents and Insurance Brokers
SECTION
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 the 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)
SECTION
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.
SECTION
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.
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 non-life, 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
II
Reinsurance Brokers
SECTION 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.
SECTION
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)
SECTION
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
III
Resident Agents
SECTION
313. No person shall act as resident agent, as hereinafter defined,
unless he is registered as such with the Commissioner.
SECTION
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.
SECTION
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.
SECTION
316. It shall be the duty of such resident agent to notify immediately
the Commissioner of any change of his office address.
SECTION
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
IV
Non-Life Company Underwriter
SECTION
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.
SECTION
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 of 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.
SECTION
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.
SECTION
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.
SECTION
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
V
Adjusters
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
328. No 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)
SECTION
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.
SECTION
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 has refused to allow an examination into his affairs
or method of doing business as hereinafter provided.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
VI
Actuaries
SECTION
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.
SECTION
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 Actuarial 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 Actuarial 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)
SECTION
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 out-go and
reserve requirements, enumerating the actuarial 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 actuarial work, provided that
he shall not, at any time, have the authority to certify to the
correctness of the foregoing documents.
SECTION
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
VII
Rating Organization and Rate Making
SECTION
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.
SECTION
340. Every rating organization which now exists or which may hereafter
be formed shall be subject to the provisions of this title.
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
346. Any rating organization may subscribe for or purchase actuarial,
technical or other services, and such services shall be available
to all members and subscribers without discrimination.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
359. Nothing contained in this title shall be construed as requiring
any insurer to become a member of or subscriber to any rating organization.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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
VIII
Provision Common to Agents, Brokers, and Adjusters
SECTION
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
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 invested,
if advisable, for its proper administration or in the best interest
of such Account.
SECTION
370. Payments from either the Life 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.
SECTION
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 to 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.
SECTION
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 by the Commissioner
shall be deemed administration expense 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 Liability Insurance
SECTION
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." (As amended by Presidential Decree No. 1455)
(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.
(As amended by Presidential Decree No. 1455)
(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; (As amended
by Presidential Decree No. 1455)
(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 third-party liability for death
or bodily injuries and damage to property arising from motor vehicle
accidents. (As amended by Presidential Decree No. 1455 and 1814)
SECTION
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)
SECTION
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)
SECTION
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)
SECTION
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, motorcycles, 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)
SECTION
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.
SECTION
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)
SECTION
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 bond 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)
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
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 Batasang Pambansa Blg. 874)
SECTION
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)
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 I
Mutual Benefit Associations
SECTION
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 a
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 associations, 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)
SECTION
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 he
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.
SECTION
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
or 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)
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 actuarial
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.
SECTION
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
proceeds thereof.
SECTION
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.
SECTION
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.
SECTION
401. No money, aid or benefit to be paid, provided or rendered 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 or liability of
a member or beneficiary, or any other person who may have a right
thereunder, either before or after payment.
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
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 statement 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.
SECTION
406. The Commissioner shall after notice and hearing, have the power
either to suspend or revoke the license 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.
SECTION
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.
SECTION
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.
SECTION 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 II
Trusts for Charitable Uses
SECTION 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, it 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.
SECTION
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.
SECTION
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.
SECTION
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 I
Administrative and Adjudicatory Powers
SECTION
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 ruling, 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.
SECTION
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.
SECTION
416. The Commissioner shall have the power to adjudicate claims
and complaints involving any loss, damage or liability for which
an 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 Batasang Pambansa Blg. 874)
As
soon as a decision, order or ruling has become final and executory,
the Commissioner shall motu propio or on motion of the interested
party, issue a writ of execution required 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 punished 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
II
Fees and Other Sources of Funds
SECTION
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)
SECTION
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
SECTION
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.
SECTION
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.
SECTION
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.
SECTION
422. Except as expressly provided by this Code, all laws or parts
thereof inconsistent with any provision of this Code shall be deemed
repealed.
SECTION
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.
SECTION
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.
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