Appertaining Thereto or Connected Therewith (Sec. 181) - Life Insurance Covers
Appertaining Thereto or Connected Therewith (Sec. 181) - Life Insurance Covers
Appertaining Thereto or Connected Therewith (Sec. 181) - Life Insurance Covers
(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.
Blood relationship is limited to the insurable interest over the life of the spouse
and children. Children also include Illegitimate children.
Also, one has insurable interest on the life of any person whom he depends wholly
or in part for education or support. The Code does not require that the person on
whom one depends for education or support is legally obligated to do so.
Under the Insurance Code, Life Insurance can be classified into:
A. Whole Life Insurance – This kind of insurance covers the life of a
person permanently or for his whole life. It can also be subdivided
depending on the manner in which a person pays his premium and
these are:
1.) Single Premium – The person pays the premium in one setting or
transaction.
2.) Continuous Premium – The person pays the premium in different
settings, or in a staggered basis or installment form.
3.) Limited Payment Premium – The person pays the premium in a
specified time line.
C. Endowment Policy – This kind of Life Insurance pays the full sum
assured to the beneficiaries if the insured dies during the policy term
or to the policy holder on maturity of the policy if he/she survives the
term. So the interest of the beneficiary is contingent upon the death
of the insured within the policy term. Meanwhile, if the insured
survives the period, the benefits will be payable to him or to his
assignees even if there is a beneficiary designated in the policy.
E. Life Annuity – The Insurance Code provides that every contract for
payments of endowments or annuities are considered Life Insurance.
However, annuities are basically different from life insurance
because it is considered as an investment under the Civil Code. So
how would it become a specie of Life Insurance? It can be classified
as a life insurance if the payment of annuities for example in a
Company, is being directly handled by an Insurance Company. So if
those payment of annuities in a given Corporation, is contracted to
another Insurance Company, then such transaction would become a
specie of Life Insurance.
A peril is the contingent or unknown event which may cause a loss. It is the
contingency that one insures against. Its existence creates the risk, and its
occurrence results in loss.
The following are the three types of Peril:
1. LIFE (death) - A person who insures his own life can designate any person
as his beneficiary, whether or not the beneficiary has an insurable interest
in the life of the insured subject to the limits under Article 2012 in relation
to Article 739 of the New Civil Code.
2. HEALTH (illness) - Like life insurance contracts, health insurance
contracts that provide a specific periodic income to disabled persons are
not contracts of indemnity. But those that cover medical expenses are
contracts of indemnity. In these contracts, only medical expenses incurred
by the insured are paid.
Such an agreement with a health maintenance organization (HMO) is in the
nature of a non-life insurance which is primarily a contract of indemnity.
Once a member incurs hospital, medical or any other expense arising from
sickness, injury or other stipulated contingent, the health care provider
must pay for the same to the extent agreed upon under the contract.
3. ACCIDENT - Insurable risks must also normally be accidental in nature.
Insurance is intended to cover fortuitous or unexpected losses. Intentional
losses caused by the insured are usually uninsurable because they cannot
be reasonably predicted, and payment for them would be against public
policy. Other losses are common as to be expected rather than unexpected.
Wear and tear and depreciation are examples.
Section 248 of the Insurance Code provides that
“the proceeds of a life insurance policy must be paid immediately upon maturity of
the policy. However, the same provision also provides that, in case the maturing of
the policy was by death of the insured, it must be paid within 60 days after filing of
the claim and filing of the proof of death of the insured.”
Paragraph 2 of Section 248 of the Insurance Code provides that:
“the insured may claim the proceeds at the moment the life insurance policy
matures. And in case of maturity by death, the beneficiary may collect the
proceeds within 60 days after the filing of proof of death. Both claims must be paid
in full by the insurer, 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.”