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Case Digest: Florendo vs. Philam Plans, Inc. (GR No. 186983, February 22, 2012)

Insurance Law | Concealment, Representations, Warranties, Conditions, Exceptions Kind of Insurance: Group life insurance attached to a comprehensive pension (pre-need) plan Parties to the Case: Ma. Lourdes S. Florendo (petitioner-beneficiary) vs. Philam Plans, Inc. (respondent plan provider) Insured: Manuel Florendo Insurer: Philippine American Life Insurance Company (Philam Life), through the Group Master Policy issued to Philam Plans Beneficiary: Ma. Lourdes S. Florendo On October 23, 1997, Manuel Florendo applied for a comprehensive pension plan with Philam Plans, Inc., after being persuaded by its agent, Perla Abcede. The plan had a pre-need price of ₱997,050.00 payable over ten years and a maturity value of ₱2,890,000.00 after twenty years. The plan included life insurance coverage under a Group Master Policy issued by Philippine American Life Insurance Company (Philam Life) to Philam Plans, which automatically insured all plan holders. Under the group policy, if the plan h...
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Case Digest: Sun Life vs. Spouses Bacani (246 SCRA 268)

Insurance Law | Concealment, Representations, Warranties, Conditions, Exceptions Kind of Insurance: Life insurance (non-medical policy with accidental death benefit) Parties: Sun Life Assurance Company of Canada (petitioner-insurer) and Bernarda Bacani (respondent-beneficiary) Insured: Robert John B. Bacani Insurer: Sun Life Assurance Company of Canada Beneficiary: Bernarda Bacani On April 15, 1986 , Robert John B. Bacani procured a life insurance policy from Sun Life Assurance Company of Canada with a face value of ₱100,000.00 and double indemnity in case of accidental death. The designated beneficiary under the policy was his mother, Bernarda Bacani . In his application, the insured answered questions regarding his medical history and disclosed only a consultation with Dr. Reinaldo D. Raymundo in February 1986 for cough and flu complications, while answering in the negative to questions regarding hospital confinement, diagnostic tests, and kidney disorders. Two weeks prior to...
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