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(영문) 광주지방법원 2017.09.07 2016고단5735

사기

Text

The defendant shall be innocent.

Reasons

1. For the purpose of receiving insurance money, such as expenses for hospitalization and allowances for hospitalization, rather than for treatment, after the Defendant selected several insurance products with high coverage, and purchased them as a result of intensive examination, the Defendant did not receive proper hospitalized treatment from time to time after having been formally hospitalized at a hospital where it is easy to provide sufficient medical treatment. Although a disease requires hospitalized treatment, the Defendant, after being hospitalized for a long time after being hospitalized for a long time, was hospitalized for a long time, submitted relevant documents necessary for receiving insurance money, such as a certificate of hospitalization and a medical certificate, stating that he/she had undergone adequate hospitalized treatment from the hospital at the time of discharge, and submitted them to each insurance company that had already been insured.

On December 19, 2008, the Defendant purchased an insurance policy that provides not only medical expenses but also daily allowances for hospitalization, and received hospitalization for 53 days from February 9, 2009, upon requesting hospitalization to the effect that “he breast-child” at the E hospital located in Gwangju Northern-gu D was called “herb”.

However, even though the treatment of the symptoms of the defendant was sufficiently possible by the patient, the patient was hospitalized with the intention of receiving insurance money, such as expenses for hospitalization and allowances for hospitalization, from the insurance company that already joined, and during the period of hospitalization, the medical treatment was substantially limited to medical treatment due to the lack of active treatment, such as that it was merely an infection and oral medication.

Nevertheless, on February 25, 2009, the defendant received proper hospitalized treatment for the above disease to the victim life insurance company around February 25, 2009. Accordingly, the defendant paid insurance money to the victim life insurance company.

The claim is filed by the victim's employee in charge of compensation, from the time of September 25, 2015, including the receipt of KRW 4,000,000 under the name of insurance money, such as hospitalization allowances, from around April 3, 2009.