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Insular Vs Suva

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Republic of the Philippines

SUPREME COURT
Manila

EN BANC

G.R. No. L-42874 October 22, 1935

THE INSULAR LIFE ASSURANCE CO., LTD., plaintiff-appellant,


vs.
MARIA NARCISA SUVA, as administratrix of the intestate estate of Benito Patrocinio
Suva, defendant-appellee.
FELICIDAD CRUZ, intervenor-appellant,
MARIA, NARCISA SUVA, intervenor-appellee.

Araneta, Zaragoza and Araneta for plaintiff.


Jose Gutierrez David for intervenors.

BUTTE, J.:

This is an appeal from a judgment of the Court of First Instance of Manila in an action brought by the
Insular Life Assurance Co., Ltd,, for the cancellation of two policies each issued and delivered by it
upon the life of Benito Patrocinio Suva, now deceased. The action was originally brought by against
the administratrix of the estate of the insured, but by leave of court, Maria Narcisa Suva, in her own
right, and Felicidad Cruz filed their interventions claiming to be the beneficiaries of the two policies
involved in this action.

The first of the policies, numbered 47726, bears date of December 1, 1932, and names as
beneficiary Isabel Simbulan, the wife of the insured. The second of the said policies, numbered
48819, bears date of February 1, 1933, and names as beneficiary the appellee, Maria Narcisa Suva,
sister of the, insured. The company acknowledges having received the premium due on said policies
for the first year and tenders the return of the same in its petition. The intervenors, besides praying
for judgment for the amount due on said policies, also pray for P1,000 each as damages.

The ground alleged by the plaintiff for the cancellation of said policies is that the insured made false
statements as to the past and present state of his health in his applications which, by the terms of
the policies themselves, are made a part of the contract. The applicant was examined on October
17, 1932, by Dr. G. Ocampo, one of the physicians of the company. He was again examined on
December 28, 1932, by Dr. M. Llora, a physician of the company sent out from the home office for
that purpose. In connection with his first application for policy No. 47726, among the numerous
questions with relation to specific diseases, the following question and answers appear in the report
of Dr. Ocampo (Exhibit B):

¿Ha padecido V. alguna vez de las siguientes enfermedades . . . del pulmon, pleuresia,
pulmonia, asma? — No.

¿Ha escupido V. sangre? ¿Por que causa? — No. No doubt is raised as to the correctness
of any other statements of the applicant.
The report of Dr. Ocampo is a detailed account of the complete examination made by him. Item No.
30 of his report is as follows: "¿Encuentra V. despues de una dadosa interrogacion y
reconocimiento, algun sintoma de pedecimiento actual o anterior . . . de los pulmones? to which the
doctor answered "No". Item 33 of his report is as follows: "¿Ha revisado V. cuidadosamente todas
las contestaciones de este reconocimiento y estil V. seguro de que son claras y completas?" to
which the doctor answered "Si". Item 34 is as follows: "¿Cree V. que los informes dados por el
solicitante son verdaderos y completos en todos los conceptos?" to which the doctor answered "Si".
Item 35 is as follows: "¿Recomienda V., como representante fiel de la compañia, que se acepte este
riesgo como excelente bueno, o que no se acepte?" to which the doctor answered "Si, que se
acepte como excelente."

On December 28, 1932, when the applicant was examined by Dr. M. Llora, he was asked the same
questions as were put to him by Dr. Ocampo. In the questions relating to his clinical history he was
asked: "Have you ever suffered from any ailment or disease of (c) the lungs, pleurisy, pneumonia or
asthma? The applicant answered "Yes, trancazo 1918" and (h) "Have you ever spat blood? What
was it due to?" to which the applicant answered "No". No other answers made by him are called in
question in this litigation.

In Dr. Llora's detailed report which appears on the back of said application, Exhibit C, appear the
following:

Item 30: Do you find after careful inquiry and physical examination any evidence of past or
present disease . . . (d) of the lungs?

Answer: No.

Item 34: Do you believe the party has given full and true information in all respects?

Answer: Si

Item 35: Would you classify applicant as first class, good, average or poor risk?

Answer — Creo que es acceptable. His report concludes with the following certificate:

I CERTIFY that I have carefully examined Benito Patrocinio Suva of Arayat, Pampanga, in private
and in not in the presence of any third person, at Arayat, Pampanga, his 28th day of December,
1932, at 5:15 o'clock P.M. for an insurance of P5,000 for 20 C.P. years on the applicant's life; that I
have asked each question exactly as set forth on the other side of this sheet and that the applicant's
answers thereto are in my handwriting, and are exactly as made by the applicant to me and that the
applicant signed them in my presence.

(Sgd.) M. LLORA. Med. Ex.

The insured died of pulmonary tuberculosis in the Chinese General Hospital in Manila on September
23, 1933.

The substance of the plaintiff's cause of action is that the statements made by the insured in his
applications as above quoted, were false and that the applicant was not in good health either at the
time he presented his applications or on the date when said policies were delivered. lawphil.net
Upon this issue of fact the learned trial judge made a complete and careful analysis of the evidence.
We accept his conclusions as to the credibility of the witnesses. We have carefully re-examined the
entire record and see no reason to disturb his findings of fact. It seems to us the company's
physicians were entirely warranted in their conclusion that the insured was an acceptable risk. The
preponderance of the evidence discloses that the applicant, a young man 27 years of age and
recently married, was devoted to vigorous athletic sports and regularly carried on his business as a
farmer and contractor up to May, 1933.

In reply to the question in the printed application, "Are you in good health? he replied "Yes". If two
qualified physicians, not selected by him, independently examine a man with critical attention and in
the interest of their employer, the insurance company, and they pronounce him, to be in good health.
We should find it difficult to declare that he knowingly made a false statement when he said he
believed the same thing himself. "Good health" is a relative term. A person with sound body may
honestly believe himself to be in "good health" although at the moment he may have a terrific
headache, or a running cold, or an attack of diarrhea, or indigestion, or any other of a host of minor
common ailments which may possibly develop later into a serious illness. A hemorrhage may be due
to any one of a variety of causes, grave or slight, having no necessary relation with pulmonary
tuberculosis. Even if we gave credence to the testimony that Benito Patrocinio Suva spat blood on
one occasion in May, 1932, and another in August, 1932, there is no evidence whatever in the
record as to the cause of the alleged hemorrhage. We have no right to jump at the conclusion that it
was grave and could only be due to pulmonary tuberculosis, especially as it left no trace, for Drs.
Ocampo and Llora found nothing wrong with the applicant in October or December, 1932. No
serious illness prior to May, 1933, is established by the evidence. We agree with the trial court that
the applicant was in good health when the policies were delivered and that it is not proved that he
made any material false statement in his said applications for insurance.

The appellant company complains that the trial court failed to consider the death certificate signed
by Dr. Tablante. This certificate (Exhibit J) states that Suva died in the Chinese General Hospital of
Manila on September 23, 1933; that the cause of the death was pulmonary tuberculosis: that the
duration of the disease was one year and five months. The source of information of the latter
statement is not mentioned. Suva entered the hospital in Au gust, 1933, and the certificate itself
recites that Dr. Tablante treated him only from August 18, 1933, to September 23, 1933. The plaintiff
did not offer Dr. Tablante as a witness and none of the hospital records were put in evidence. The
statement of Dr. Tablante as to the duration of the disease is apparently hearsay and, under the
circumstances, we cannot give the recital in the certificate of death the conclusiveness which the
plaintiff claims for it. (U.S. vs. Que Ping, 40 Phil., 17.)

Felicidad Cruz appeals from that part of the judgment which holds that the insured, Benito Suva,
having renounced in his application the right to change the beneficiary in policy No. 47726, his wife,
Isabel Simbulan, acquired a vested interest in the policy which neither the insured nor the company
could take from her without her consent. The conclusion of the trial court is sustained by our decision
in the case of Gercio vs. Sun Life Assurance Co. of Canada (48 Phil., 53) and the American
authorities therein cited. We think that the attempted change of beneficiary made by the insured on
August 16, 1933, and endorsed by the company on the back of the policy on August 24, 1933, was
due to a mutual mistake. The application in which the insured, over his personal signature,
renounced the right to change the beneficiary, should prevail over the printed phrase "WITH RIGHT
OF REVOCATION" which occurs in the policy. It is to be noted that the application itself is made a
part of the contract.

In view of the premises, the judgment is affirmed with costs against the appellant insurance
company as to the appellee Maria Narcisa Suva and without special pronouncement as to costs in
the appeal of Felicidad Cruz.
Malcolm, Imperial, Goddard, and Diaz, JJ., concur.

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