Grounds for
Recission of the Insurance Contract:
1.)
Concealment
2.)
Misrepresentation
3.) Breach
or warranty
The right to
rescind can be waived if the insurer continues to accept premium
payments even if he knew any of the grounds to rescind the contract
were present.
Limitations
on the Insurer's Right to Rescind:
1.) Non-life
insurance
The right
must be exercised before an action (in court) on the contract begins.
2.) Life
insurance
The right
must be exercised during the first 2 years from the policy's date of
issue or its last reinstatement. There must be no court action yet.
After 2 years and the insurer can't prove that is was void ab
initio or there was fraudulent
concealment or misrepresentation it becomes incontestable.
Life insurance policies become incontestable if they've been in force
for at least 2 years from the date of issue or last reinstatement
Theories of
Incontestability
For the
insurer- the insurer is supposed to have a reasonable opportunity to
investigate the statements and claims of the applicant. After the
required period to investigate, the insurer can't question the
policy's validity by an affirmative action or by defense to a suit
brought by the beneficiary of a life policy.
For the
insured- the greatest possible assurance as to the policy's validity
must be given to the policyholder that his beneficiaries will
unquestioningly receive payment or the existence of the coverage once
the period of contestability expires.
The
following defenses aren't barred by incontestability:
1.) The
person taking the insurance lacks insurable interest
2.) The
cause of the death of the insured is an excepted risk
3.) The
premiums weren't paid
4.)
Conditions of the policy relating to military or naval service were
violated
5.) The
fraud is of a particularly vicious type
6.) Failure
of the beneficiaries to produce proof of death or comply with any
conditions imposed by the policy after th loss happened
7.) The
action wasn't brought during the specified time
1 comments:
is the 5th defense accepted in Philippine Jurisprudence? alam ko US jurisprudence lang ang vicious fraud exception. can you point me to a philippine case that has accepted the vicious fraud exception. thank you sir! currently working on my thesis for juris doctor
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