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(영문) 서울중앙지방법원 2015.06.24 2014나70176

보험금

Text

1. The plaintiff's appeal is dismissed.

2. The costs of appeal shall be borne by the Plaintiff.

Purport of claim and appeal

The first instance court.

Reasons

On January 28, 2013, the Plaintiff entered into an insurance contract with the Defendant on the premise that there is no dispute. On January 28, 2013, the Plaintiff entered into an insurance contract with the Defendant to pay KRW 50 million at the time of the first diagnosis and confirmation (CI2 insurance proceeds), KRW 600,000 at the time of diagnosis and confirmation (the insurance proceeds of the ice care special agreement), KRW 3 million at the time of diagnosis and confirmation (the insurance proceeds of the ice care special agreement) for the purpose of direct treatment of cancer, KRW 3 million at the time of blood transfusion surgery for the purpose of direct treatment of cancer, and KRW 1 million at the time of the new medical surgery (the insurance proceeds of the ice medical care special agreement).

The definitions of terms and conditions of the insurance terms and conditions [the terms and conditions of a special agreement (Renewal)] Article 4 (Definition of Terms and Conditions without Distribution)] are as follows:

1. The first "I" means the "serious disease" and "serious surgery" that occurs after the date of commencement of the Serious Disease and Operation Guarantee.

Article 12 (Definition and Confirmation of 'Serious Diseases') ① In this special agreement, 'Serious Diseases' refers to 'Serious Diseases', 'Serious Escopic Escopic Escopic Escopic Escopic Escopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopics

(2) (Omission) The diagnosis and confirmation of 'serious diseases' shall be based on the documented records or inspection results prepared by a person (excluding oriental medical doctors and dentists) who has a doctor's license (hereinafter referred to as "doctor") of a domestic hospital or a medical institution prescribed by medical law related to medical treatment outside the country pursuant to the provisions of Articles 3 and 5 of the Medical Service Act.

Article 15 (Types and Grounds for Payment of Insurance Money) Company shall be within the period of insurance under this special agreement.