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(영문) 광주지방법원 2020.05.14 2019나61020

보험금

Text

1. The plaintiff's appeal is dismissed.

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

The purport of the claim and appeal is the purport of the appeal.

Reasons

1. Basic facts

A. On May 31, 2001, the Plaintiff concluded a “C” insurance contract as indicated in attached Table 1 (hereinafter “instant insurance contract”) with the Defendant, an insurance company.

B. Of the general terms and conditions of the instant insurance contract (hereinafter “instant insurance terms and conditions”), the parts relating to the instant insurance terms and conditions are as follows.

C In the General Terms and Conditions, Article 3 (Definition and Confirmation of Maump and Maumpamam) of the General Terms and Conditions, the term "Maump" means a disease (refer to attached Table 2 (Maio-Manocal Classification) classified as malicious life in the Third Korean Standard Disease Classification.

However, the term "Pregrant Pirrant Pirrant Pirrant Pirrant Pirrant Pirrant Pirrant Pirrism" and "Arregrative Organism Classification Table 2", which show symptoms of diseases falling under C44, are excluded from the above classification: < Amended by Presidential Decree No. 20134, Feb. 1, 201>

In this Agreement, the term “inward cancer” means the disease (referring to the Table 3 (referring to the Table 3) classified as a Organisms in the upper half of the Korean Standard Industrial Classification of Diseases in the Third Standard Industrial Classification.

The diagnosis and confirmation of cancer or clinical cancer shall be conducted by a person who holds a professional doctor's license of autopsy pathology or clinical pathology, and this diagnosis shall be based on the present opinion about the organization's blood test or blood test.

However, if it is not possible to conduct the above pathological diagnosis, the clinical diagnosis of cancer or upper cancer is admitted as evidence of cancer or upper cancer.

In such cases, I shall have a documented record or evidence proving that the insured has been diagnosed or treated as a cancer or an internal cancer.

Article 4 (Definition and Place of Hospitalization and Operation) The term "operation" in this insurance shall be deemed to require the treatment of cancer by a doctor at a place prescribed in paragraph 1.