G.R. No. 162802, October 09, 2013
EDS MANUFACTURING, INC., Petitioners, v. HEALTHCHECK INTERNATIONAL INC., Respondent.
D E C I S I O N
The plaintiff Healthcheck Inc. is a Health Maintenance Organization (HMO) that provides prepaid health and medical insurance coverage to its clients. To undergird its program, it maintains a network of accredited hospitals and medical clinics, one of which is the De La Salle University Medical Center located at Dasmariñas, Cavite. Being within the access of this medical facility, the defendant Eds Manufacturing Inc. with about 5,000 employees at Imus, Cavite saw fit in April 1998 to obtain insurance coverage from it. They entered into a one-year contract from May 1, 1998 to April 30, 1999 in which HCI was to provide the 4,191 employees of EMI and their 4,592 dependents as host of medical services and benefits. Attached to the Agreement was a Service Program which listed the services that HCI would provide and the responsibilities that EMI would undertake in order to avail of the services. Putting the Agreement into effect, EMI paid the full premium for the coverage in the staggering amount of P8,826,307.50.
Only two months into the program, problems began to loom in the horizon. On July 17, HCI notified EMI that its accreditation with DLSUMC was suspended and advised it to avail of the services of nearby accredited institutions. A more detailed communication to subscribers came out days later informing them of the problems of the HMO industry in the wake of the Asian regional financial crisis and proposing interim measures for the unexpired service contracts. In a quickly convened meeting, EMI and HCI hammered out this handwritten 5-point agreement:chanRoblesvirtualLawlibrary“1) Healthcheck to furnish EMI with list of procedural enhancements by 7/24 (FRI)-hospitals & professional fees payment.
2) Healthcheck to reduce no. of accredited hospitals to improve monitoring of bills for payment & other problems.
3) EMI to study the possibility of adding ‘LIABILITY CLAUSE’ to existing contract; to furnish HC copy for its review.
4) No renewal of contract w/ HC should there be another suspension of services in any hospitals to be chosen (w/ regard to item #2.) w/in the present contract period.
5) HC decision on APE provided by 7/24(FRI).”
Although HCI had yet to settle its accounts with it, DLSUMC resumed services on July 24. In another meeting with EMI on August 3, HCI undertook to settle all its accounts with DLSUMC in order to maintain its accreditation. Despite this commitment, HCI failed to preserve its credit standing with DLSUMC prompting the latter to suspend its accreditation for a second time from August 15 to 20. A third suspension was still to follow on September 9 and remained in force until the end of the contract period.
Until the difficulties between HCI and its client came to a head in September 1998, complaints from EMI employees and workers were pouring in that their HMO cards were not being honored by the DLSUMC and other hospitals and physicians. On September 3, EMI formally notified HCI that it was rescinding their April 1998 Agreement on account of HCI’s serious and repeated breach of its undertaking including but not limited to the unjustified non-availability of services. It demanded a return of premium for the unused period after September 3, giving a ballpark figure of P6 million.
What went in the way of the rescission of the contract, the fly in the ointment so to speak, was the failure of EMI to collect all the HMO cards of the employees and surrender them to HCI as stipulated in the Agreement. HCI had to tell EMI on October 12, 1998 that its employees were still utilizing the cards even beyond the pretermination date set by EMI. It asked for the surrender of the cards so that it could process the pretermination of the contract and finalize the reconciliation of accounts. Until we have received the IDs, HCI said, we will consider your account with us ongoing and existing, thus subject for inclusion to present billing and payment.
Without responding to this reminder, EMI sent HCI two letters in January 1999 demanding for the payment of P5,884,205 as the 2/3 portion of the premium that remained unutilized after the Agreement was rescinded in the previous September. The computation was made on the basis of these observations:- that EMI paid premium of P8,826,307.50
- Healthcheck’s accreditation with DLSUMC was suspended on July 17, August 15 and Sept. 9, 1998 by reason of Healthcheck’s unjustified failure to pay its benefits to the hospital.
- That Healthcheck’s accreditation with other hospitals and individual physicians was also suspended on various dates for the same reason.
- That, in effect Healthcheck managed to comply with its obligation only for the first 4 months of the year-long contract, or 1/3 thereof.
HCI pre-empted EMI’s threat of legal action by instituting the present case before the Regional Trial Court of Pasig. The cause of action it presented was the unlawful pretermination of the contract and failure of EMI to submit to a joint reconciliation of accounts and deliver such assets as properly belonged to HCI. EMI responded with an answer alleging that HCI reneged on its duty to provide adequate medical coverage after EMI paid the premium in full. Having rescinded the contract, it claimed that it was entitled to the unutilized portion of the premium, and that the accounting required by HCI could not be undertaken until it submitted the monthly utilization reports mentioned in the Agreement. EMI asked for the dismissal of the complaint and interposed a counterclaim for damages and unutilized premium of P5,884,205.
In September 2000, after trial, the court ruled in favor of HCI. It found that EMI’s rescission of the Agreement on September 3, 1998 was not done through court action or by a notarial act and was based on casual or slight breaches of the contract. Moreover, despite the announced rescission, the employees of EMI continued to avail of HCI’s services until March 1999. The services rendered by HCI from May 1998 to March 1999 purportedly came to a total of P10,149,821.13. The court deducted from this figure the premium paid by EMI, leaving a net payable to HCI of P1,323,513.63, in addition to moral damages and attorney’s fees. EMI’s counterclaims, on the other hand, were dismissed for lack of merit.3
THE COURT OF APPEALS, WHILE CORRECTLY OVERTURNING THE RTC’S DECISION BY DISMISSING THE COMPLAINT, COMMITTED A REVERSIBLE AND GROSS ERROR WHEN IT LIKEWISE DISMISSED THE COUNTERCLAIM ON THE GROUND THAT PETITIONER EMI DID NOT ACTUALLY RESCIND THE CONTRACT WHICH RULING BY THE APPELLATE COURT ALREADY WENT BEYOND THE AGREED/SUBMITTED ISSUES FOR ADJUDICATION.
THE COURT OF APPEALS COMMITTED SERIOUS ERROR OF LAW IN ADMITTING THE UTILIZATION REPORTS AS COMPETENT EVIDENCE OF THE PURPORTED NON-RESCISSION, WHEN SUCH EVIDENCE IS DOUBLE HEARSAY INASMUCH AS THE PERSON WHO PREPARED THE SAME DID NOT TESTIFY IN COURT AND HIS UNAVAILABILITY WAS UNEXPLAINED.
THE COURT OF APPEALS MADE A GRAVE ERROR WHEN IT DECLARED THAT PETITIONER, BY SUPPOSEDLY ALLOWING THE UTILIZATIONS AFTER THE RESCISSION, NEGATED ITS CLAIMED PRE-TERMINATION OF THE CONTRACT AND THEREFORE FORFEITED ITS P5.8M CLAIMS FOR UNUTILIZED PREMIUMS.4
The power to rescind obligations is implied in reciprocal ones, in case one of the obligors should not comply with what is incumbent upon him.
The injured party may choose between the fulfillment and the rescission of the obligation, with the payment of damages in either case. He may also seek rescission, even after he has chosen fulfillment, if the latter should become impossible.
The court shall decree the rescission claimed, unless there be just cause authorizing the fixing of a period.
This is understood to be without prejudice to the rights of third persons who have acquired the thing, in accordance with Articles 1385 and 1388 and the Mortgage Law.5
It is probable that the petitioner’s confusion arose from the defective technique of the new Code that terms both instances as “rescission” without distinction between them; unlike the previous Spanish Code of 1889 that differentiated between “resolution” for breach of stipulations from “rescission” by reason of lesion or damage. But the terminological vagueness does not justify confusing one case with the other, considering the patent difference in causes and results of either action.8
Relevantly, it has been pointed out that resolution was originally used in Article 1124 of the old Civil Code, and that the term became the basis for rescission under Article 1191 (and conformably, also Article 1659).10
Clearly, a judicial or notarial act is necessary before a valid rescission can take place, whether or not automatic rescission has been stipulated. It is to be noted that the law uses the phrase “even though” emphasizing that when no stipulation is found on automatic rescission, the judicial or notarial requirement still applies.
x x x
But in our view, even if Article 1191 were applicable, petitioner would still not be entitled to automatic rescission. In Escueta v. Pando, we ruled that under Article 1124 (now Article 1191) of the Civil Code, the right to resolve reciprocal obligations, is deemed implied in case one of the obligors shall fail to comply with what is incumbent upon him. But that right must be invoked judicially. The same article also provides: “The Court shall decree the resolution demanded, unless there should be grounds which justify the allowance of a term for the performance of the obligation.”
This requirement has been retained in the third paragraph of Article 1191, which states that “the court shall decree the rescission claimed, unless there be just cause authorizing the fixing of a period.”
Consequently, even if the right to rescind is made available to the injured party, the obligation is not ipso facto erased by the failure of the other party to comply with what is incumbent upon him. The party entitled to rescind should apply to the court for a decree of rescission. The right cannot be exercised solely on a party’s own judgment that the other committed a breach of the obligation. The operative act which produces the resolution of the contract is the decree of the court and not the mere act of the vendor. Since a judicial or notarial act is required by law for a valid rescission to take place, the letter written by respondent declaring his intention to rescind did not operate to validly rescind the contract.13
1 Penned by Associate Justice Mario L. Guariña III, with Associate Justices Martin S. Villarama, Jr. and Jose C. Reyes, Jr., concurring; rollo, pp. 30-38.
2 Id. at 50.
3 Id. at 30-34.
4 Id. at 16-17.
6Viloria v. Continental Airlines, Inc., G.R. No. 188288, January 16, 2012, 663 SCRA 57, 86-87.
7 144 Phil. 1 (1970).
8Universal Food Corporation v. Court of Appeals, supra, at 22. (Citation omitted)
9 497 Phil. 490 (2005).
10Pryce Corporation v. PAGCOR, supra, at 505.
11F.F. Cruz & Co., Inc. v. HR Construction Corporation, G.R. No. 187521, March 14, 2012, 668 SCRA 302, 327.
12 418 Phil. 286, 294 (2001).
13 Iringan v. Court of Appeals, supra, at 294-295. (Emphasis supplied.)
In other words, the party who deems the contract violated may consider it resolved or rescinded, and act accordingly, without previous court action, but it proceeds at its own risk. For it is only the final judgment of the corresponding court that will conclusively and finally settle whether the action taken was or was not correct in law. But the law definitely does not require that the contracting party who believes itself injured must first file suit and wait for a judgment before taking extrajudicial steps to protect its interest. Otherwise, the party injured by the other’s breach will have to passively sit and watch its damages accumulate during the pendency of the suit until the final judgment of rescission is rendered when the law itself requires that he should exercise due diligence to minimize its own damages (Civil Code, Article 2203).
We see no conflict between this ruling and the previous jurisprudence of this Court invoked by respondent declaring that judicial action is necessary for the resolution of a reciprocal obligation, since in every case where the extrajudicial resolution is contested only the final award of the court of competent jurisdiction can conclusively settle whether the resolution was proper or not. It is in this sense that judicial action will be necessary, as without it, the extrajudicial resolution will remain contestable and subject to judicial invalidation, unless attack thereon should become barred by acquiescence, estoppel or prescription.8
1Rubio de Larena v. Villanueva, 53 Phil. 923 (1928); Iringan v. Court of Appeals, G.R. No. 129107, September 26, 2001, 366 SCRA 41, 47.
2 Id. at 48.
4 Philippine Amusement Enterprises, Inc. v. Natividad, No. L-21876, September 29, 1967, 21 SCRA 284, 289 cited in Tan v. Court of Appeals, G.R. No. 80479, July 28, 1989, 175 SCRA 656, 662.
5 Adelfa Properties, Inc. v. Court of Appeals, G.R. No. 111238, January 25, 1995, 240 SCRA 565, 588; See also Sps. Eduardo and Agustin v. CA, G.R. No. 84751, June 6, 1990, 186 SCRA 375, 381.
6Adelfa Properties, Inc. v. Court of Appeals, supra note 5, at 588.
7 G.R. No. L-28602, 146 Phil. 108 (1970).
8 Id. at 115.
9 Id. at 116.
10Casiño, Jr. v. Court of Appeals, G.R. No. 133803, September 16, 2005, 470 SCRA 57, 67-68 citing Multinational Village Homeowners Association, Inc. v. Ara Security & Surveillance Agency, Inc., G.R. No. 154852, October 21, 2004, 441 SCRA 126, 135.