보험금
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
1. Basic facts
(a) Name of insurance products covered by an insurance contract: The major coverage of the Plaintiff - Special Agreement on Guarantee of Women’s Health: 20,000,000 won at the time of cancer diagnosis - Special Agreement on Guarantee of Operation: 20,000 won at the time of cancer diagnosis - Special Agreement on Guarantee of New Cancer Security III: 10,000,000 won at the time of cancer diagnosis, and 5,00,000,000 won at the time of first cancer surgery (hereinafter referred to as the “instant insurance contract”) with the Plaintiff on July 4, 2003 as follows:
(2) The details of the relevant terms and conditions are as shown in the attached Form.
The main point is that the insured's disease falls under the malicious life of the fire extinguishing agency (Classification No. 315-C26, workplace malicious life is C20) among the Korean Standard Disease Death Classification.
B. 1) On February 5, 2013, the Plaintiff was diagnosed at the Gldong University Hospital in the Gldong-do (Seoul National University Hospital) for the species of the workplace Kakaodon. 2) The Plaintiff was hospitalized in the hospital from February 18, 2013 to February 20, 2013.
On February 19, 2013, the Plaintiff was subject to an indeption at internal intervals.
[Reasons for Recognition] Facts without dispute, Gap evidence Nos. 1, 3, and 5 (including paper numbers; hereinafter the same shall apply) and the purport of the whole pleadings
2. The parties' assertion
A. The gist of the Plaintiff’s assertion 1) The Plaintiff’s injury occurred in the place of work. The terms and conditions of the instant insurance contract stipulate that “Cam” is based on the 4th amended Korean Standard Disease Classification. (2) The fourth amended Korean Standard Disease Classification, which was applied at the time of the instant insurance contract, is classified as malicious cancer, and thus, the Plaintiff’s disease falls under the category of malicious cancer.
3) Therefore, the Defendant is entitled to KRW 37,00,000 of cancer insurance money (i.e., cancer diagnosis expenses of KRW 20,000,000 under a special contract for women’s health security II) to the Plaintiff.