Insurance Code
Insurance Code
1. CON SE N SUAL - It is pe rfected by the me eting of the mind s of the partie s PO LICY O F THE IN SURAN CE
a s to th e object, ca use and conside ra tion of th e insu ra nce contra ct. There It is th e w ritten instrument in w hich the contra ct of insurance is s et forth (IC,
should be a ccepta nce of the applica tion of the ins ura nce . Sec. 49). It is the written d ocu ment embodying th e terms and stipula tions of
2. VOLUN TARY - As a rule, th e pa rties ma y incorpora te such terms a nd the contra ct of insurance betw een the insured and insu rer.
conditions a s they ma y dee m conv enient: Provid ed they do not contrav ene a ny Th e policy is not ne ce ssary for the perfe ction of the contract (Sund iang Sr. &
provis ion of la w and a re not opposed to g ood customs, pu blic order, or pub lic Aquino, 20 14). Howe ver, the law provid es tha t no policy of insu ra nce sha ll be
policy. issued or d elivered unles s in the form previou sly approv ed by th e Insurance
E XCEPTIO NS: Commission
A. F or motor vehicle s;
BASIC CON TE NTS O F A POL ICY :
B. As a cond ition to granting a license to cond uct business or calling a ffecting
Pa rties
th e pub lic sa fety or w elfa re;
Pe riod d uring wh ich the insura nce is to
C. F or employees ;
continu e
D. Socia l insu ra nce for members of the GSIS a nd for employee s of the priv ate
Prope rty or lif e insu red
sector covered by the SSS.
Amount of insura nce, e xcept in open or running
3. UN ILATE RAL – It imposes leg al d utie s only on the insure r w ho promise s to
policie s
ind emnify the insured . It is executed as to th e insu red a fte r pa yment of the
Interes t of th e insu red in the property if he is
premium, a nd executory on the pa rt of th e insu rer in the sense tha t it is not
not the a bsolute ow ner
exe cu ted u ntil payme nt f or a loss .
R isk insured ag ainst
4. CON DITION AL – It is subject to cond itions the principa l one of w hich is the
R ate of premiu m (IC, Sec. 51)
ha ppe ning of th e e vent insure d ag ainst.
5. CON TRACT OF IN DE MNITY – R ecovery is commensura te with the a mou nt of R IDER
th e loss suf fered . An atta chment to an ins ura nce policy th at modifies the conditions of the policy
As a general ru le, the insurer promises to make g ood only the los s of the b y expand ing or restricting its benefits or e xclud ing ce rtain cond itions from the
insured. coverag e (Bla ck’ s Law Dictionary).
R ide rs are not bind ing on th e insu red unle ss the des criptiv e title or name
E XCEPTIO N: This principle is not applica ble to life and a ccident insurance where thereof is mentione d and written on the bla nk spa ces prov ide d in the policy. It
th e result is d eath becau se life is not capa ble of pecunia ry es tima tion. s hould be countersigne d by the insured or owner unless he wa s the one who
a pplied for the s ame (IC, Se c. 50).
WHAT MAY BE INSUR ED
WHO MAY BE INSURED :
V ARIABLE CON TRACT
Th e term va ria ble contra ct s hall mea n a ny policy or contra ct on either a g roup
AN YON E except a public enemy ma y be insured .
or on a n ind ivid ua l ba sis issue d by an insura nce company providing for benef its
A pu blic e ne my is a na tion a t wa r with the Philippines and ev ery citizen or
or oth er contra ctua l pa yments or va lues th ereu nd er to va ry so a s to refle ct
sub ject of such na tion. It d oes not includ e mob s, thie ves, or robbers.
inv estme nt results of any se grega te d portfolio of inve stments or of a
d esig nated sepa ra te a ccount in which amounts received in connection with such
Q UE STIO N: May a membe r of th e MILF or Abu Sayya f, be ins ured w ith a contracts sh all ha ve been placed a nd accounted f or se pa ra te ly and a part from
compa ny licensed to d o bus iness u nder the Insu ra nce Code of the Philippines? other inves tments a nd a ccounts. This contract ma y als o provid e benefits or
v alu es incid enta l thereto payab le in fixe d or va riable a mounts, or both. It shall
Consent of the Pe rson Insured is NO T E ssential to the Va lid ity of th e Policy not be de emed to be a security or securitie s a s d efined in The Se cu rities Act,
So long as it could be proved tha t the insured ha s a n insu ra ble interest a t the a s amend ed, or in the Inv estme nt Company Act, a s a mende d, nor subject to
inception of the policy, the insurance is va lid e ven w ithout s uch consent. (Sec. reg ulations u nd er sa id Acts.
10, IC)
CLAIM SE TTLE MEN T w hich has a te nd ency to mislea d; a nd
This re fers to the ind emnification of tha t suffe red by the insure d. Such fact in eith er case is materia l to the risk .
The claimant may b e the:
Insure d; E F FE CTS OF MISRE PRSE N TATION :
Reins ured , the insurer who is e ntitled to subroga tion; or It renders the insurance contract void a ble at the option of the insure r,
A third party who ha s a cla im a ga inst the ins ured a lthough the policy is not the reby rendered void a b initio. The injured party
e ntitled to rescind from the time when the re presentation be comes fa lse.
RULE S IN CLAIM SE TTLEME N T Th e a ccepta nce of the premium will not estop the insurer from rescind ing the
N o insurance compa ny d oing busine ss in the Philippine s sh all ref use, without policy on the ground of misreprese ntation.
justifiab le ca use, to pay or settle cla ims a rising under coverag e provid ed by its
IN CON TESTABILITY CLAUSE
policies, nor shall a ny such company eng ag e in unfa ir claim settle ment practices.
Af ter the policy of life insurance ma de pa ya ble on the d eath of the ins ured
s hall ha ve been in force d uring the lifetime of th e insu red for a period of tw o
PRIN CIPL E OF SUBR OGATION
(2) yea rs from the da te of its issue or its la st reins ta tement, the insurer
If the plaintiff’ s property ha s be en insured , a nd he has re ce ived ind emnity
ca nnot prov e that the policy is v oid ab initio (construe d as void able ) or is
from the insurance compa ny for the inju ry or loss a rising out of wrong or
rescind ible by rea son of the fraud ule nt concealment or misrepres enta tion of th e
breach of contract complained of, the insura nce company sha ll be subrog ated
ins ured or his a gent
to the rights of th e insu red a ga inst the w rongd oer or the person who h as
viola te d the contra ct (N CC, Art. 220 7).
Unde r the Ne w Civ il Cod e, a contra ct is void a ble if the conse nt b y one party is
PUR POSES OF SUBROGATION v itia te d by mistake or fra ud. The incontesta bility cla use in the Insu ra nce Code
To ma ke the pers on who ca used the loss lega lly responsible for it. is a n exception to th is Civ il Cod e provision. The incontestab ility clause provides
To prevent th e insu red from re ce iving d ou ble recovery from the wrong doer a nd tha t a life insura nce policy sh all be incontestable a fte r two yea rs from the
th e insu rer. d a te of iss uance, reg a rd less of a ny mista ke, fra ud , concealme nt or
To prevent th e tortfeas ors from be ing free from lia bility and is th us f ou nd ed mis repre senta tion. Unde r Ph ilippine law s, it ma y only be conteste d on the g round
on consid era tion of public policy. of non-pa yment of premiums
RE Q UISITE S OF CO NCE ALME NT E ffective June 1, 2 009, th e ma ximum deposit insu ra nce covera ge is P500,000
A pa rty knows a f act which he neg lects to communica te or disclose to th e per d epositor. All de posit accounts by a d epos itor in a close d bank maintaine d in
oth er pa rty; the same right a nd capa city sha ll be ad ded toge ther.
Such pa rty concea ling is duty bound to dis clos e su ch fa ct to the other;
Unde r R .A. N o. 9576, the PD IC ma y propose to ad just th e MD IC, sub ject to the
Such pa rty concea ling make s no w arra nty as to th e fa ct concea led ;
a pprova l of the Pre side nt of th e Philippines, in cas e of a cond ition tha t
The othe r pa rty has no mea ns of asce rta ining th e fa ct concea led ; and
thre atens the mone ta ry and fina ncial stability of the ba nking system tha t may
The fa ct mus t be ma te ria l.
h ave systemic conse quences.
TE ST OF MATE RIALITY: E xcept for th e ex clusions s tipula te d in RA 9576 , d eposits of all comme rcia l
It is d ete rmined not by th e ev ent, but sole ly by th e proba ble a nd rea sona ble b anks, sa vings a nd mortg ag e b anks, ru ra l ba nks, priva te d evelopment ba nks,
influe nce of the fa cts u pon the party to wh om the communication is du e, in coopera tive b anks, sa vings a nd loa n a ssocia tions, as well a s b ranche s a nd
forming h is es tima te of the dis ad vantag es of the propose d contra ct, or in a g encies in th e Philippine s of foreig n b anks and a ll other corpora tions authorized
mak ing his inqu irie s (IC, Sec. 31). to perform b anking functions in the Philippines , a re insured with PD IC. As f or
Ph ilippine b anks with branche s outside the country, R A 9576 stipula tes that
MISR EPR ESEN TATION s ubject to the approva l of the Boa rd of Dire ctors, a ny ins ured b ank with
It occu rs when the fa cts fail to corres pond with its a ssertions or stipula tions. b ra nch outs ide th e Philippines ma y elect to includ e f or insu ra nce its d eposit
obliga tions payable a t such bra nch .
RE Q UISITE S: Th e ma ximum deposit insu ra nce covera g e (MDIC) refers to th e ma ximum amount
The insured sta te d a fact w hich is untrue; of de positor’ s mone y in a n insured ba nk g uaranteed a s sa fe by th e PD IC.
Such fa ct wa s stated with know led ge th at it is untrue and w ith inte nt to Sta rting March 15, 202 5, d eposits will now be insured by the new MDIC of ₱ 1
d eceive or which he sta tes positively a s true without knowing it to be true and million. This a llows for more d eposits to be protected . The new MDIC of ₱ 1
million will ha ve a prospectiv e a pplication a nd w ill only a pply to deposits
mainta ined in ba nks orde red closed on March 15, 2 025, and thereafter.
As such, when a bank is closed prior to March 15, 2025, d eposits will be
covere d up to ₱ 500 ,000 only.
Wh en should the d epos itor of a close d insure d bank file his claim with PDIC?
D epositors wh o a re required to file d epos it insura nce cla ims are the following:
Th os e w ith va lid d epos it accounts with b ala nces of more tha n Php100,000 .0 0;
Th os e w ith outsta nd ing oblig ations w ith th e closed bank either as borrower,
co-mak er, or as spouse of borrower;
Those with incomplete ma iling a dd re ss found in the ba nk record s, or fa iled to b y hidd en ch arges, uncerta inty of interest ra te s, d ed uction of inte rests f rom
upd ate them through th e MAUF issu ed by th e PD IC; the loaned a mount, a nd the like.
Those with a ccounts maintained u nd er the na me of busine ss e ntities; D isclosure require ment
Those with a ccounts not eligible for e arly payme nt, reg ardless of types of Section 4. Any cred itor sha ll furnish to ea ch person to whom credit is e xtend ed ,
a ccount a nd account balance per a dv ice of PDIC; and prior to the consummation of the transa ction, a clea r sta tement in writing
s etting forth, to the extent applicab le and in a ccorda nce w ith ru les and
Those who are d ecea sed whose filing of cla im is th ru the leg a l he irs.
reg ulations prescrib ed by th e Boa rd , the following informa tion:
(1) th e ca sh price or d elive red price of the property or serv ice to be acquired ;
If the de posit account in a closed b ank is more than P500,0 00.00 , w hat
ha ppe ns to th e ex ce ss of th e ma ximum amount of insu red d eposit? (2) the amounts, if a ny, to be cred ited a s down pa yme nt a nd/or trad e-in;
The claim for th e uninsu red portion of the de posit is a cla im a g ainst the asse ts (3) the d ifference be twe en the amounts set forth unde r cla use s (1) and (2);
of the closed ba nk.
(4) th e cha rg es, individu ally itemized , which are pa id or to be pa id by su ch
The claim may b e filed with the Liquida tor of the closed ba nk within sixty (6 0) person in connection with the transa ction b ut which are not incid ent to the
d ays from publica tion of notice of closu re. Howeve r, payment of sa id claim will e xtension of cre dit;
d epend on th e ba nk’ s ava ila ble ass ets and a pprova l of the Liquida tion Court.
(5) the tota l amount to be financed ;
The sched ule of pa yment beyond the P500,000 .0 0 ma ximum insurance s hall be
ba sed on priorities set by la w.
(6) th e fina nce cha rg e expres sed in terms of pe sos a nd ce ntav os ; a nd
(7) the perce nta ge tha t th e fina nce b ears to the tota l a mount to be f inanced
e xpresse d as a simple annua l rate on the outsta nding unpa id ba lance of the
obliga tion.
(2) "Credit" mea ns a ny loan, mortg ag e, de ed of trus t, ad va nce , or d iscou nt; any
conditiona l sa les contra ct; any contract to sell, or sale or contra ct of sa le of
prope rty or services, either for pres ent or fu ture d eliv ery, u nd er wh ich pa rt or
a ll of the price is pa ya ble subse qu ent to the making of such sale or contra ct;
a ny rental-purchase contract; a ny contract or a rra nge me nt f or the hire ,
b ailme nt, or leasing of property; a ny option, d emand , lien, pledg e, or other cla im
a g ainst, or for th e d eliv ery of, property or money; any purcha se, or other
a cquisition of, or a ny cred it upon the security of, any oblig ation of claim arising
out of any of the fore going ; a nd any transa ction or se ries of tra nsactions
h aving a s imila r purpose or effe ct.
Section 6. (a ) Any cred itor who in connection w ith a ny credit tra nsa ction fa ils
to d isclose to a ny person any informa tion in viola tion of this Act or a ny
reg ulation is sued there under sh all be lia ble to such person in the a mount of
P100 or in a n a mou nt e qu al to twice the f inance ch arged required by such
creditor in connection w ith such transa ction, whiche ver is the g rea ter, except
tha t such liab ility s hall not exceed P2 ,000 on a ny cred it transa ction. Action to
recover such penalty may be brough t by such pe rson w ithin one year from the
d a te of the occurrence of th e v iolation, in any court of competent juris diction.
In any a ction und er th is su bsection in w hich a ny person is entitled to a
Truth in lending act (RA NO. 3765)
recovery, the cred itor s hall be lia ble for rea sonable a ttorney's fe es a nd court
Date approved: Approved: June 22, 1963 costs a s d etermined b y the court.
PUR POSE N B: Prescriptive period is one (1) ye ar from the d ate of the d ate of de mand
a nd not f rom the da te of the promissory note .
To protect users of cred it from lack of a wa reness of the true cost thereof,
proceed ing from the experience tha t ba nk s a re ab le to conceal such true cost
LAW ON SECRECY OF BANK DEPOSITS tax a uth ority pursua nt to a n interna tiona l convention or a g reeme nt on ta x
(R.A. 1405, AS AMENDED) ma tters to which th e Philippines is a pa rty (Ibid )
The purposes of R A 140 5 a re: Th e proh ibition ag a inst exa mination of b ank deposit d oes not preclu de its
g a rnishment to sa tisf y a jud g me nt a g ainst the depositor (Oña te v. Abrog ar, G.R.
E ncourag e deposit in banking ins titutions; a nd
N o. 10 7303, F ebrua ry 21, 1994)
Dis courag e priva te hoa rd ing so th at ba nks ma y lend su ch fund s a nd ass ist in
Presid entia l Commis sion on Good Government (PCGG) may require the production
th e e conomic d evelopment of the country.
of ba nk re cords material to its investig ation (Opinion of the Se cretary of
Justice, Feb rua ry 27, 1987)
Th e Anti-Mone y Lau nd ering Cou ncil (AMLC) ma y inqu ire into any d epos it with
Prohibite d acts :
a ny ba nk in ca se of viola tion of the RA 9160 or the AMLA if there is prob able
The following a re th e proh ibited acts in RA 1405: ca use tha t it is related to an unlaw ful activity (RA 916 0, as ame nd ed , Sec. 11)
E xamina tion/inquiry/looking into all d eposits of w hatever na ture with ba nks or Th e PDIC and the BSP ma y exa mine d eposit a ccounts a nd all informa tion related
ba nking institutions in the Philippines (including investme nt in bonds issu ed by th e to them in case of a finding of unsa fe or unsound ba nking pra ctices (R A 3591,
g ov ernment) by any person, g overnment officia l or office (RA 1405, Sec. 2). a s amend ed, Sec. 8)
2. Inve stments in bonds issue d by the Philippine g overnment, its bra nch es,
and institutions (R.A. 1405, Se c. 2).
WITH OUT COURT O RDE R:
3. Trust a ccounts
1. If th e AML C d etermines tha t a particula r de posit or inve stment with any
b anking institu tion is related to th e follow ing (H K-MADS):
1. Upon writte n cons ent of th e d epositor (RA 1405, Sec. 2) - Kidna pping,
Upon orde r of compe tent court in cases of b ribe ry or dereliction of d uty of - Destructive Arson, and
public officia ls
- Viola tion of the D ang erous Drugs Act.
In ca ses where the money d eposited or invested is the subject ma tter of the
litig ation - Acts of Terrorism or in violation of H uman Se cu rity Act.
OTH ER IN STAN CES GAR NISHME NT OF D EPOSITS (including foreig n d epos its)
Section 9 of Rule 39 of the 2019 Amend ments to the Ru les of Court states
Upon orde r of th e Commissioner of Interna l R evenue in respect of the ba nk
d epos its of a d eced ent for the purpose of d ete rmining such de ce dent’ s g ross tha t:
Upon the ord er of the Commiss ione r of Internal Reve nue in res pe ct of ba nk
(a) xx x
d epos its of a tax pa ye r w ho ha s filed a n a pplication for compromise of his ta x
lia bility by reason of fina ncial incapa city to pay his tax lia bility (Ib id) (b) xxx
Th e Commissioner of Interna l Revenue is au thorized to inqu ire into bank (c) Garnis hment of d ebts a nd cred its. — The officer ma y levy on d ebts d ue
d epos its of a specif ic taxpa yer upon request for tax informa tion from a foreig n the ju dg ment oblig or a nd other credits, includ ing bank de posits, fina ncia l
inte rests, roya lties, commissions a nd other persona l property not ca pable of
manu al delivery in the posse ssion or control of third pa rties. Levy sha ll be mad e
by serving notice upon the pe rson owing s uch d ebts or ha ving in h is posse ssion
or control such credits to w hich the judg ment oblig or is e ntitled. The
g arnishment sha ll cove r only su ch a mou nt a s will satisfy the ju dg ment and a ll
la wful fees .