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231 Finman Assurance Vs CA

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Delay in Payment of Insurance Proceeds

Finman General Assurance Corp. v. Court of Appeals


G.R. No. 138737 July 12, 2001

FACTS:
Usiphil, Inc. obtained a fire insurance policy from Finman General Assurance Corp.
then doing business in the name of Summa Insurance Corp.). Sometime in 1982, Usiphil
filed with Finman an insurance claim for the loss of the insured properties due to fire.
Despite several demands by Usiphil, Finman refused to pay the insurance claim on the
grund that the same could not be allowed because Usiphil failed to comply with a condition
in the policy regarding the submission of certain documents to prove the loss. Thus,
Usiphil was constraint to file a complaint against Finman for the unpaid insurance claim.
After trial, the trial court rendered a decision in favor of Usiphil, and ordered Finman to
pay Usiphil the amount of the insurance proceeds plus a 24% interest rate per annum
until the judgment proceeds is fully paid.

ISSUE:

Whether or not there is a delay in the payment of the Inusrance proceeds.

RULING:

Yes

Under Section 244, a prima facie evidence of unreasonable delay in payment of the
claim is created by the failure of the insurer to pay the claim within the time fixed in both
Sections 243 and 244. Further, Section 29 of the policy itself provides for the payment of
such interest:

29. Settlement of claim clause. The amount of any loss or damage for which
the company may be liable, under this policy shall be paid within thirty days after proof
of loss is received by the company and ascertainment of the loss or damage is made
either in an agreement between the insured and the company or by arbitration; but if
such ascertainment is not had or made within sixty days after such receipt by the
company of the proof of loss, then the loss or damage shall be paid within ninety days
after such receipt. Refusal or failure to pay the loss or damage within the time
prescribed herein will entitle the assured to collect interest on the proceeds of the
policy for the duration of the delay at the rate of twice the ceiling prescribed by the
Monetary Board, unless such failure or refusal to pay is based on the grounds (sic)
that the claim is fraudulent.
The policy itself obliges petitioner to pay the insurance claim within thirty days after
proof of loss and ascertainment of the loss made in an agreement between private
respondent and petitioner. In this case, as found by the CA, petitioner and private
respondent signed the agreement (Exhibit E) indicating that the amount due private
respondent was P842,683.40 on April 2, 1985. Petitioner thus had until May 2, 1985 to
pay private respondents insurance. For its failure to do so, the CA and the trial court
rightfully directed petitioner to pay, inter alia, 24% interest per annum in accordance with
the above quoted provisions.

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