Answer First
Primary Text
COMMERCIAL LAWS NEGOTIABLE INSTRUMENTS, CORPORATION, INSURANCE, TRANSPORTATION, BANKING
deducted from any amount payable under the policy in
settlement;
(b) A provision that the policy shall be incontestable
after it has been in force during the lifetime of the insured
for a specified period, not more than two (2) years from its
date of issue, except for nonpayment of premiums and
except for violation of the conditions of the policy relating
to naval or military service, or services auxiliary thereto,
and except as to provisions relating to benefits in the
event of disability as defined in the policy, and those
granting additional insurance specifically against death
by accident or by accidental means, or to additional
insurance against loss of, or loss of use of, specific
members of the body;
(c) A provision that the policy shall constitute the
entire contract between the parties, or if a copy of the
application is endorsed upon and attached to the policy
when
issued,
a
provision
that
the
policy
and
the
application therefor shall constitute the entire contract
between the parties, and in the latter case, a provision
that all statements made by the insured shall, in the
absence of fraud, be deemed representations and not
warranties;
(d) A provision that if the age of the person insured, or
the age of any person, considered in determining the
premium, or the benefits accruing under the policy, has
been misstated, any amount payable or benefit accruing
under the policy shall be such as the premium paid
would have purchased at the correct age;
(e) A provision that if the policy is a participating
policy,
the
company
shall periodically ascertain and
apportion any divisible surplus accruing on the policy
under the conditions specified therein;
(f) A provision that in the event of default in premium
payments after three (3) full years' premiums have been
paid, the policy shall be converted into a stipulated form
of insurance, and that in the event of default in premium
payments after five (5) full years' premiums have been
paid, a specified cash surrender value shall be available, in
lieu of the stipulated form of insurance, at the option of
the policyholder. The net value of such stipulated form of
insurance and the amount of such cash value shall not be
less than the reserve on the policy and dividend additions
thereto, if any, at the end of the last completed policy year
for which premiums shall have been paid (the policy to
specify the mortality table, rate of interest and method of
valuation adopted to compute such reserve), exclusive of
any reserve on disability benefits and accidental death
benefits, less an amount not to exceed two and one-half
percent (2 1/2%) of the maximum amount insured by the
policy and dividend additions thereto, if any, when the
issue age is under ten (10) years, and less an amount not
to exceed two and one-half percent (2 1/2%) of the current
amount insured by the policy and dividend additions
thereto, if any, if the issue age is ten (10) years or older,
and less any existing indebtedness to the company on or
secured by the policy;
(g) A provision that the policy may be surrendered to
the company at its home office within a period of not less
than sixty (60) days after the due date of a premium in
default for the specified cash value: Provided, That the
insurer may defer payment for not more than six (6)
months after the application therefor is made;
(h) A table that shows in figures the nonforfeiture
benefits available under the policy every year upon
default in payment of premiums during at least the first
twenty (20) years of the policy, such table to begin with
the year in which such values become available, and a
provision that the company will furnish upon request an
extension of such table beyond the year shown in the
policy.
(i)
A
provision
that
specifies
which
one
of the
stipulated forms of insurance provided for under the
provision of paragraph (f) of this section shall take effect
in the event of the insured's failure, within sixty (60) days
from the due date of the premium in default, to notify the
insurer in writing as to which one of such forms he has
selected;
(j) A provision that the policy may be reinstated at any
time within two (2) years from the due date of the
premium in default unless the cash surrender value has
been paid or the period of extended term insurance
expired,
upon
production
of evidence of insurability
satisfactory to the company and payment of arrears of
premiums with interest at a rate not exceeding six
percent (6%) per annum payable annually;
(k) A provision that when a policy shall become a
claim by death of the insured, settlement shall be made
upon receipt of due proof of death, or not later than two
(2) months after receipt of such proof;
(l) A title on the face and on the back of the policy
correctly describing its form;
(m) A space on the front or the back of the policy for
the name of the beneficiary designated by the insured
with a reservation of the insured's right to designate or
change the beneficiary after the issuance of the policy.
The policy may also provide that no designation or
change of beneficiary shall be binding on the insurer
until endorsed on the policy by the insurer, and that the
insurer may refuse to endorse the name of any proposed
beneficiary who does not appear to the insurer to have an
insurable interest in the life of the insured. Such policy
may also contain a provision that if the beneficiary
designated in the policy does not surrender the policy
with due proof of death within the period stated in the
policy, which shall not be less than thirty (30) days after
the death of the insured, or if the beneficiary is the estate
of the insured, or is a minor, or dies before the insured, or
is not legally competent to give valid release, then the
insurer
may
make
any
payment thereunder to the
executor or administrator of the insured, or to any of the
insured's
relatives
by
blood
or
legal
adoption
or
connections by marriage or to any person appearing to
the insurer to be equitably entitled thereto by reason of
having incurred expense for the maintenance, medical
attention or burial of the insured; and
(n) A provision that when an industrial life insurance
policy is issued providing for accidental or health benefits,
or both, in addition to life insurance, the foregoing
provisions shall apply only to the life insurance portion of
the policy.
Any of the foregoing provisions or portions thereof
not applicable to nonparticipating or term policies shall
to that extent not be incorporated therein. The foregoing
provisions shall not apply to policies issued or granted
pursuant to the nonforfeiture provisions prescribed in
provisions of paragraphs (f) and (i) of this section, nor shall
provisions of paragraphs (f), (g), (h), and (i) hereof be
required in term insurance of twenty (20) years or less but
such term policies shall specify the mortality table, rate of
interest, and method of computing reserves.
SECTION 237. No policy of industrial life insurance
shall be issued or delivered in the Philippines if it contains
any of the following provisions:
(a) A provision that gives the insurer the right to
declare the policy void because the insured has had any
disease or ailment, whether specified or not, or because
the insured has received institutional, hospital, medical or
surgical treatment or attention, except a provision which
gives the insurer the right to declare the policy void if the
insured has, within two (2) years prior to the issuance of
the policy, received institutional, hospital, medical or
surgical treatment or attention and if the insured or the
claimant under the policy fails to show that the condition
occasioning such treatment or attention was not of a
serious nature or was not material to the risk;
(b) A provision that gives the insurer the right to
declare the policy void because the insured has been
rejected for insurance, unless such right be conditioned
upon a showing by the insurer that knowledge of such
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58 of 211
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