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Bodily injury
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consequent upon
i)
The insured person attempting to commit suicide or willfully
exposing himself to needless peril except in an attempt to save human life.
To repeat, the parties agree that Lim did not commit suicide. Nevertheless,
the petitioner contends that the insured willfully exposed himself to
needless peril and thus removed himself from the coverage of the
insurance policy.
It should be noted at the outset that suicide and willful exposure to
needless peril are in pari materia because they both signify a disregard for
one's life. The only difference is in degree, as suicide imports a positive act
of ending such life whereas the second act indicates a reckless risking of it
that is almost suicidal in intent. To illustrate, a person who walks a
tightrope one thousand meters above the ground and without any safety
device may not actually be intending to commit suicide, but his act is
nonetheless suicidal. He would thus be considered as "willfully exposing
himself to needless peril" within the meaning of the exception in question.
The petitioner maintains that by the mere act of pointing the gun to hip
temple, Lim had willfully exposed himself to needless peril and so came
under the exception. The theory is that a gun is per se dangerous and
should therefore be handled cautiously in every case.
That posture is arguable. But what is not is that, as the secretary testified,
Lim had removed the magazine from the gun and believed it was no longer
dangerous. He expressly assured her that the gun was not loaded. It is
submitted that Lim did not willfully expose himself to needless peril when
he pointed the gun to his temple because the fact is that he thought it was
not unsafe to do so. The act was precisely intended to assure Nalagon that
the gun was indeed harmless.
The contrary view is expressed by the petitioner thus:
Accident insurance policies were never intended to reward the insured for
his tendency to show off or for his miscalculations. They were intended to
provide for contingencies. Hence, when I miscalculate and jump from the
Quezon Bridge into the Pasig River in the belief that I can overcome the
current, I have wilfully exposed myself to peril and must accept the
consequences of my act. If I drown I cannot go to the insurance company
to ask them to compensate me for my failure to swim as well as I thought I
could. The insured in the case at bar deliberately put the gun to his head
and pulled the trigger. He wilfully exposed himself to peril.
The Court certainly agrees that a drowned man cannot go to the insurance
company to ask for compensation. That might frighten the insurance
people to death. We also agree that under the circumstances narrated, his
beneficiary would not be able to collect on the insurance policy for it is
clear that when he braved the currents below, he deliberately exposed
himself to a known peril.
The private respondent maintains that Lim did not. That is where she says
the analogy fails. The petitioner's hypothetical swimmer knew when he
dived off the Quezon Bridge that the currents below were dangerous. By
contrast, Lim did not know that the gun he put to his head was loaded.
Lim was unquestionably negligent and that negligence cost him his own
life. But it should not prevent his widow from recovering from the insurance
policy he obtained precisely against accident. There is nothing in the policy
that relieves the insurer of the responsibility to pay the indemnity agreed
upon if the insured is shown to have contributed to his own accident.
Indeed, most accidents are caused by negligence. There are only four
exceptions expressly made in the contract to relieve the insurer from
liability, and none of these exceptions is applicable in the case at bar. **
It bears noting that insurance contracts are as a rule supposed to be
interpreted liberally in favor of the assured. There is no reason to deviate
from this rule, especially in view of the circumstances of this case as above
analyzed.
On the second assigned error, however, the Court must rule in favor of the
petitioner. The basic issue raised in this case is, as the petitioner correctly
observed, one of first impression. It is evident that the petitioner was
acting in good faith then it resisted the private respondent's claim on the
ground that the death of the insured was covered by the exception. The
issue was indeed debatable and was clearly not raised only for the purpose
of evading a legitimate obligation. We hold therefore that the award of
moral and exemplary damages and of attorney's fees is unjust and so must
be disapproved.
In order that a person may be made liable to the payment of moral
damages, the law requires that his act be wrongful. The adverse result of
an action does not per se make the act wrongful and subject the act or to
the payment of moral damages. The law could not have meant to impose a
penalty on the right to litigate; such right is so precious that moral
damages may not be charged on those who may exercise it erroneously.
For these the law taxes costs. 7
The fact that the results of the trial were adverse to Barreto did not alone
make his act in bringing the action wrongful because in most cases one
party will lose; we would be imposing an unjust condition or limitation on
the right to litigate. We hold that the award of moral damages in the case
at bar is not justified by the facts had circumstances as well as the law.
If a party wins, he cannot, as a rule, recover attorney's fees and litigation
expenses, since it is not the fact of winning alone that entitles him to
recover such damages of the exceptional circumstances enumerated in
Art. 2208. Otherwise, every time a defendant wins, automatically the
plaintiff must pay attorney's fees thereby putting a premium on the right to
litigate which should not be so. For those expenses, the law deems the
award of costs as sufficient. 8
SO ORDERED.
It is not disputed that during the ring fight with another non-professional
boxer, Eduardo slipped, which was unintentional. At this opportunity, his
opponent landed on Eduardo's head a blow, which sent the latter to the
ropes. That must have caused the cranial injury that led to his death.
Eduardo was insured "against death or disability caused by accidental
means". Appellant insurer now contends that while the death of the
insured was due to head injury, said injury was sustained because of his
voluntary participation in the contest. It is claimed that the participation in
the boxing contest was the "means" that produced the injury which, in
turn, caused the death of the insured. And, since his inclusion in the boxing
card was voluntary on the part of the insured, he cannot be considered to
have met his death by "accidental means".1wph1.t
While said insurance policy was in full force and effect, the insured, Carlie
Surposa, died on October 18, 1988 as a result of a stab wound inflicted by
one of the three (3) unidentified men without provocation and warning on
the part of the former as he and his cousin, Winston Surposa, were waiting
for a ride on their way home along Rizal-Locsin Streets, Bacolod City after
attending the celebration of the "Maskarra Annual Festival."
Thereafter, private respondent and the other beneficiaries of said
insurance policy filed a written notice of claim with the petitioner insurance
company which denied said claim contending that murder and assault are
not within the scope of the coverage of the insurance policy.
On February 24, 1989, private respondent filed a complaint with the
Insurance Commission which subsequently rendered a decision, the
pertinent portion of which reads:
September 2, 1992
prohibited risks leads inevitably to the conclusion that it did not intend to
limit or exempt itself from liability for such death.
. . . The generally accepted rule is that, death or injury does not result from
accident or accidental means within the terms of an accident-policy if it is
the natural result of the insured's voluntary act, unaccompanied by
anything unforeseen except the death or injury. There is no accident when
a deliberate act is performed unless some additional, unexpected,
independent, and unforeseen happening occurs which produces or brings
about the result of injury or death. In other words, where the death or
injury is not the natural or probable result of the insured's voluntary act, or
if something unforeseen occurs in the doing of the act which produces the
injury, the resulting death is within the protection of the policies insuring
against death or injury from accident. 5
shall exist which shall bear the same proportion to the moneys, benefits,
privileges, and annuities so accruing or growing out of such insurance that
said five hundred pesos bears to the whole annual premiums paid.
In its broader sense, "life insurance" includes accident insurance, since life
is insured under either contract. American Trust & Banking Co. vs. Lessly,
106 S.W. 2d. 551, 552, 171 Tenn. 561, 111 A.L.R. 59.
Under statute providing that 'any life insurance' on life of husband shall
insure to benefit of widow and children exempt from husband's debt,
the insurance money is contingent upon the loss of life. Logan vs. Fidelity &
Casualty Co., 146 Mo. 114, 47 S.W. 948. See also Johnson vs. Fidelity &
Guaranty Co., 148 Mich. 406, 151 N.W. 593, L.R.A. 1916A, 475; Zimmer vs.
Central Accidental Co., 207 Pa. 472, 56 A. 1003; Wright vs. Fraternities
Health & Accident Ass'n. 107 Me. 418, 78A. 475, 32 L.R.A. (N.S.)461;
Metropolitan Life Ins. Co. vs. Ins. Com'r 208 Mass. 386, 94 N.E. 477;
Standard Life & Accident Ins. Co. vs. Caroll, 86 F. 567, 41 L.R.A. 194; Wahl
vs. Interstate Business Men's Accident Ass'n 201 Iowa; 1355, 207 N.W. 395,
50 A.L.R. 1377." (Provident Life & Accident Ins. Co. vs. Rimmer, 12 S. W. 2d
Series, 365, 367.)
For this reason, and because the above-quoted provision of the Rules of
Court makes reference to "any life insurance," we are inclined to believe
that the exemption there established applies to ordinary life insurance
contracts, as well as to those which, although intended primarily to
indemnify for risks arising from accident, likewise, insure against loss of life
due, either to accidental causes, or to the willful and criminal act of
another, which, as such, is not strictly accidental in nature. Indeed, it has
been held that statutes of this nature seek to enable the head of the family
to secure his widow and children from becoming a burden upon the
community and, accordingly, should merit a liberal interpretation.
The object of this statue was to enable a husband, when death deprived
wife and children of his support, to secure them from want and to prevent
them from becoming a charge upon the public. Necessities of the wife and
children and the public interest are none the less if the death of the
husband be brought about by accident rather than by disease. The intent
of the legislature in the enactment of this statute would not be advanced
by the construction of the law upon which the petitioners insist. (American
Trust & Banking Co. vs. Lessly et al., Supreme Court of Tenn., 106 S.W. 2d,
551, 552.)
Under statutes providing to that effect, the proceeds of life insurance are
exempt from the claims of creditors, a limitation being sometimes imposed
as to amount, see infra Sec. 40, or as to the beneficiaries entitled to the
exemption, see infra subdivision of this section. Statutes exempting life
insurance are regarded as exemption laws, and not as part of the
insurance from law of the state, nor as designed simply to protect insurer
from harassing litigation. Such statutes should be construed liberally and in
the light of, and to give effect to, their purpose of enabling an individual to
provide a fund after his death for his family which will be free from the
claims of creditors. The exemption privilege is created not by contract but
by legislative grant, and grounds for the exemption of the proceeds of
insurance policies must be found in the statutes. (35 C.J.S. pp. 53-54.)
By weight of authority, exemption statutes or rules should be liberally
construed with a view to giving effect to their beneficent and humane
purpose. To this end, every reasonable doubt as to whether a given
property is or is not exempt should be resolved in favor of exemption.
(Comments on the Rules of Court by Moran [1957 ed.] Vol. 1, p. 564.)
Wherefore, the order appealed from is reversed, and the garnishment in
dispute hereby set aside and quashed, with the costs of this instance
against plaintiff Francisca Gallardo. It is so ordered.