Verendia V Ca (Fidelity & Surety Co. of The Phils)
Verendia V Ca (Fidelity & Surety Co. of The Phils)
Verendia V Ca (Fidelity & Surety Co. of The Phils)
OF THE PHILS)
217 SCRA 417
MELO; January 22, 1993
NATURE
Petition to review decision of the CA
FACTS
- Fidelity Co. issued a Fire Insurance Policy covering Verendia’s residential building in the amount of P385k.
Verendia also insured the same building with two other companies (Country Bankers Insurance for P56k, and
Development Insurance for P400k).
- While all 3 policies were in force, the insured property was completely destroyed by fire. Verendia filed a claim
against Fidelity, but the latter refused payment, thus a complaint was filed in the RTC.
Fidelity’s reason for refusal: the policy was avoided by reason of over-insurance, and that Verendia maliciously
represented that the building was under lease to a Roberto Garcia, when it was actually a Marcelo Garcia who was
the lessee.
- RTC: policy was violated by Verendia when it failed to inform Fidelity of his other insurance coverages, thus no
need to pay.
- CA: reversed decision
ISSUE
(There is a procedural issue involved here, but is irrelevant to our discussion. It concerns the filing of a motion for
extension of time to file a motion for reconsideration, where the court said that although it now prohibits filing of
such motion, the instant motion was filed before the effectivity of this rule, thus allowing the adjudication of the
case)
WON Fidelity was liable to pay Verendia considering the circumstances
HELD
1. NO
Ratio As the insurance contract is the law between the parties, Verendia is deemed to have forfeited his right to
claim by the misrepresentation he made.
Reasoning
- the court reviewed the factual findings of the courts below, since it appears that there was a misapprehension of
the facts by the CA.
- Verendia is found to have concocted the lease contract to deflect responsibility for the fire towards an alleged
lessee, even making it appear that the alleged lessee had disappeared, inflated the value of the property, and
insured same property with two other companies.
- An insurance contract is the law between the parties, its terms and conditions constitute the measure of the
insurer’s liability and compliance therewith is a condition precedent to the insured’s right to recovery from the
insurer.
- As it is also a contract of adhesion, an insurance contract should be liberally construed in favor of the insured and
strictly against the insurer company which usually prepares it.
- Considering, however, the fact that Verendia used a false lease contract to support his claim, the terms of the
policy should be strictly construed against the insured. Verendia failed to live by the terms of the policy, specifically
Section 13 thereof which is expressed in terms that are clear and unambiguous, that all benefits under the policy
shall be forfeited “If the claim be in any respect fraudulent, or if any false declaration be made or used in support
thereof, or if any fraudulent means or devises are used by the Insured or anyone acting in his behalf to obtain any
benefit under the policy”. Verendia, having presented a false declaration to support his claim for benefits in the
form of a fraudulent lease contract, he forfeited all benefits therein by virtue of Section 13 of the policy in the
absence of proof that Fidelity waived such provision. Worse yet, by presenting a false lease contract, Verendia
reprehensibly disregarded the principle that insurance contracts are uberrimae fidae and demand the most
abundant good faith.
Disposition Decision of CA reversed, and that of RTC is reinstated.