Gulf Resorts, Inc., vs. Philippine Charter Insurance Corporation
Gulf Resorts, Inc., vs. Philippine Charter Insurance Corporation
Gulf Resorts, Inc., vs. Philippine Charter Insurance Corporation
PHILIPPINE
CHARTER INSURANCE CORPORATION
YES
RULING:
The insurance policy covers only the two swimming pools.
It is basic that all the provisions of the insurance policy should be
examined and interpreted in consonance with each other. All its parts
are reflective of the true intent of the parties. The policy cannot be
construed piecemeal. All the provisions and riders, taken and
interpreted together, indubitably show the intention of the parties to
extend earthquake shock coverage to the two swimming pools only.
A careful examination of the premium recapitulation will show that it is
the clear intent of the parties to extend earthquake shock coverage only
to the two swimming pools.
Section 2(1) of the Insurance Code defines a contract of insurance as an
agreement whereby one undertakes for a consideration to indemnify another
against loss, damage or liability arising from an unknown or contingent event.
Thus, an insurance contract exists where the following elements concur:
1. The insured has an insurable interest;
2. The insured is subject to a risk of loss by the happening of the designated peril;
3. The insurer assumes the risk;
4. Such assumption of risk is part of a general scheme to distribute actual losses among a large group
of persons bearing a similar risk; and
5. In consideration of the insurer's promise, the insured pays a premium.
An insurance premium is the consideration paid an insurer for undertaking to indemnify the
insured against a specified peril. In fire, casualty, and marine insurance, the premium payable
becomes a debt as soon as the risk attaches.
In the subject policy, no premium payments were made with regard to earthquake shock
coverage, except on the two swimming pools. There is no mention of any premium payable for
the other resort properties with regard to earthquake shock. This is consistent with the history of
petitioners previous insurance policies from AHAC-AIU.
In sum, there is no ambiguity in the terms of the contract and its riders. Petitioner cannot
rely on the general rule that insurance contracts are contracts of adhesion which should be
liberally construed in favor of the insured and strictly against the insurer company which
usually prepares it.
A contract of adhesion is one wherein a party, usually a corporation, prepares
the stipulations in the contract, while the other party merely affixes his
signature or his "adhesion" thereto. Through the years, the courts have held
that in these type of contracts, the parties do not bargain on equal footing, the
weaker party's participation being reduced to the alternative to take it or leave
it. Consequently, any ambiguity therein is resolved against the insurer, or
construed liberally in favor of the insured.
The case law will show that this Court will only rule out blind adherence to
terms where facts and circumstances will show that they are basically one-
sided.
We cannot apply the general rule on contracts of adhesion to the case at bar.
Thus, petitioner cannot claim that it did not know the provisions of the
policy. From the inception of the policy, petitioner had required the
respondent to copy verbatim the provisions and terms of its latest
insurance policy from AHAC-AIU.