This case involves a dispute over life insurance proceeds between beneficiaries and an insurance company. The insurance company denied the beneficiaries' claim and rescinded the policy, alleging misrepresentation by the deceased insured. The beneficiaries argue the insurance company can no longer rescind the contract as the insured has died. The court held that based on Section 48 of the Insurance Law, the insurer has two years to contest the policy, regardless of whether the insured is still living. As the insured in this case died before two years had passed, the insurer was not barred from proving the policy is void due to misrepresentation.
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Emilio Tan Vs CA
This case involves a dispute over life insurance proceeds between beneficiaries and an insurance company. The insurance company denied the beneficiaries' claim and rescinded the policy, alleging misrepresentation by the deceased insured. The beneficiaries argue the insurance company can no longer rescind the contract as the insured has died. The court held that based on Section 48 of the Insurance Law, the insurer has two years to contest the policy, regardless of whether the insured is still living. As the insured in this case died before two years had passed, the insurer was not barred from proving the policy is void due to misrepresentation.
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Emilio Tan, et.al. vs.
The Court of Appeals if the insurance has been in force for at
GR No. 48049 least two years during the insured’s lifetime. The phrase “during the lifetime” FACTS: Tan Lee Siong, father of herein found in Section 48 of the Insurance Law petitioners, applied for life insurance in the simply means that the policy is no longer amount of P80,000.00 with respondent considered in force after the insured has company Philippine American Life Insurance died. The key phrase in the second Company. Said application was approved paragraph of Section 48 is “for a period of and a corresponding policy was issued two years”. The insurer has two years from effective November 5, 1973, with the date of issuance of the insurance petitioners as the beneficiaries. On April 26, contract or of its last reinstatement within 1975, Tan Lee Siong died of hepatoma. which to contest the policy, whether or not, Petitioners then filed with respondent the insured still lives within such period. company their claim for the proceeds of the The policy was issued on November 6, 1973 life insurance policy. However, the and the insured died on April 26, 1975. The insurance company denied their claim and policy was thus in force for a period of only rescinded the policy by reason of the one year and five months. Considering that alleged misrepresentation and concealment the insured died before the two-year period of material facts made by the deceased Tan has lapsed, respondent company is not, Lee Siong in his application for insurance. therefore, barred from proving that the The premiums paid on the policy were policy is void ab initio by reason of the thereupon refunded. The petitioners insured’s fraudulent concealment or contend that the respondent company no misrepresentation. Moreover, respondent longer had the right to rescind the contract company rescinded the contract of of insurance as rescission must allegedly be insurance and refunded the premiums paid done during the lifetime of the insured on November 11, 1975, previous to the within two years and prior to the commencement of this action on November commencement of action. According to the 27, 1975. petitioners, the Insurance Law was amended and the second paragraph of Section 48 added to prevent the insurance company from exercising a right to rescind after the death of the insured.
ISSUE: Whether or not the insurance
company has the right to rescind the contract of insurance despite the presence of an incontestability clause
HELD: YES. The so-called “incontestability
clause” precludes the insurer from raising the defenses of false representations or concealment of material facts insofar as health and previous diseases are concerned