Grounds for Termination and Due Process in the Insurance Industry

The Philippine insurance industry is a highly regulated sector where the stability of financial institutions must be balanced with the fundamental constitutional right to security of tenure. Termination of employment in this field is governed primarily by the Labor Code of the Philippines, supplemented by jurisprudence from the Supreme Court and specific regulations from the Insurance Commission (IC).

I. The Two Pillars of Lawful Dismissal

Under Philippine law, for a dismissal to be valid, the employer must comply with two essential requirements:

  1. Substantive Due Process: The termination must be based on a valid and statutory ground (Just or Authorized Causes).
  2. Procedural Due Process: The employer must follow the "Two-Notice Rule" and provide the employee an opportunity to be heard.

II. Substantive Due Process: Grounds for Termination

The grounds for termination are categorized into Just Causes (fault of the employee) and Authorized Causes (business necessities).

1. Just Causes (Article 297, Labor Code)

In the insurance context, these grounds are often interpreted strictly due to the fiduciary nature of the business.

  • Serious Misconduct: Conduct that is improper, willful, and relates to the performance of duties. In insurance, this includes sexual harassment in the workplace or physical violence.

  • Willful Disobedience (Insubordination): Refusal to follow valid, work-related orders. Example: An underwriter refusing to follow new risk assessment protocols mandated by the board.

  • Gross and Habitual Neglect of Duties: This is particularly critical for claims processors or actuaries. A single act of negligence is usually insufficient unless it results in massive financial loss, but a pattern of neglect is a valid ground.

  • Fraud or Willful Breach of Trust: This is the most common ground in the insurance sector. Because insurance relies on "uberrimae fidei" (utmost good faith), employees—especially agents, brokers, and investment managers—occupy positions of trust.

  • Loss of Confidence: To dismiss based on loss of confidence, the employee must hold a position of trust, and there must be a factual basis for the loss of that trust (e.g., malversation of premiums).

  • Commission of a Crime: Against the employer, their family, or authorized representatives.

2. Authorized Causes (Article 298-299, Labor Code)

These are dismissals where the employee is not at fault but the business must terminate the relationship to survive.

  • Installation of Labor-Saving Devices: Using AI for automated underwriting or claims processing that replaces human roles.
  • Redundancy: When a position is superfluous. Common during insurance company mergers or restructuring.
  • Retrenchment: To prevent serious business losses.
  • Closure or Cessation of Operation: The total winding down of the insurance firm.
  • Disease: If the employee’s continued employment is prohibited by law or prejudicial to their health or the health of co-workers, provided a medical certificate is issued.

III. Procedural Due Process: The "Two-Notice Rule"

Failure to follow the procedural steps can render a dismissal "illegal" or "ineffectual," often leading to the awarding of nominal damages even if a just cause exists.

For Just Causes:

  1. First Written Notice (Notice to Explain): A notice specifying the grounds for termination and giving the employee at least five (5) calendar days to submit a written explanation.
  2. Administrative Hearing/Conference: An opportunity for the employee to present evidence and rebut the charges, often with the assistance of counsel.
  3. Second Written Notice (Notice of Termination): A final notice indicating that all circumstances have been considered and the grounds for termination have been established.

For Authorized Causes:

  1. One-Month Notice: A written notice served to both the employee and the Department of Labor and Employment (DOLE) at least 30 days before the intended date of termination.
  2. Separation Pay: Payment is mandatory. The amount varies (usually 0.5 to 1 month's salary per year of service) depending on whether the cause is redundancy, retrenchment, or closure.

IV. Industry-Specific Considerations

The Fiduciary Standard

Insurance employees are held to a higher standard of integrity. The Supreme Court has often ruled that in industries "imbued with public interest" (like banking and insurance), the threshold for "Loss of Confidence" is lower for employees handling funds than for rank-and-file workers in other sectors.

The Status of Insurance Agents

A critical distinction in this industry is whether an agent is an employee or an independent contractor.

  • Control Test: If the insurance company controls not only the result but also the means and methods by which the agent works (e.g., fixed hours, strict reporting, mandatory office presence), an employer-employee relationship exists.
  • If they are employees, they are protected by the Labor Code. If they are independent contractors, their "termination" is governed by the terms of their Agency Agreement and the Civil Code, not Labor law.

License Revocation

Under the Insurance Code, the Insurance Commissioner has the power to revoke the license of agents or brokers for "untrustworthiness" or "incompetence." While a license revocation by the IC is a powerful ground for termination, the employer must still follow the labor law procedures to officially sever the employment tie.


V. Consequences of Illegal Dismissal

If an insurance company fails to prove just/authorized cause or fails to follow due process, the employee may be entitled to:

  • Reinstatement to their former position without loss of seniority.
  • Full Backwages inclusive of allowances and benefits from the time of dismissal until actual reinstatement.
  • Moral and Exemplary Damages if the dismissal was conducted in a wanton or oppressive manner.
  • Attorney's Fees (typically 10% of the total monetary award).

Disclaimer: This content is not legal advice and may involve AI assistance. Information may be inaccurate.