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(영문) 광주지방법원 2015.08.21 2015가합53232

부당이득반환 등

Text

1. It is confirmed that an insurance contract entered in the separate sheet concluded between the Plaintiff and the Defendant is null and void.

2. The defendant.

Reasons

1. Basic facts

A. On February 28, 2009, the Defendant concluded an insurance contract with the Plaintiff and the Defendant as the insured on February 28, 2009, as indicated in the attached list that guarantees expenses for hospitalization of diseases, expenses for disease-disease, etc. (hereinafter “instant insurance contract”).

B. The Defendant paid the Plaintiff’s insurance proceeds from March 23, 2009 to April 11, 2009: (a) hospitalized at the Gwangju Sejong Hospital for twenty (20) days due to brain dust, etc.; and (b) hospitalized total of thirty (32) days from around that time on the ground of 32 occasions on the ground that he/she had been hospitalized at the hinitis, conical signboard escape certificate, and father-training life (hereinafter “instant accident”); and (c) received total of thirty (31,940,000 won from the Plaintiff according to the instant insurance contract.

순번 사고일자 사고 내용 치료기간 입원 일수 병원명 진단명 (질병코드) 입원일당 16대질병치료 간병비/의료실비 합 계 1 2009-03-22 자전거에서 넘어짐(상해) 2009-03-23 2009-04-11 20 광주삼성병원 뇌진탕 우주관절부염좌 600,000 600,000 2 2009-07-14 치질 (질병) 2009-07-14 2009-07-20 7 B장항외과 내치질(I84.2) 210,000 210,000 3 2009-09-17 교통 사고 (상해) 2009-09-17 2009-10-10 24 C한방병원 목뼈의염좌(S134) 720,000 1,000,000 3,460,000 4 2009-10-13 2009-12-09 58 D한방병원 1,740,000 5 2009-10-26 뜸치료중화상 (상해) 2009-10-26 2009-10-26 0 D병원 몸통의 2도화상(T212) 200,000 6 2010-06-01 갯바위에서 미끄러짐(상해) 2009-08-29 2009-09-14 15 C한방병원 허리뼈의 염좌(S335) 450,000 450,000 7 2010-07-14 공사장에서 넘어짐(상해) 2010-07-15 2010-07-28 14 E의원 420,000 500,000 1,460,000 8 2010-08-30 2010-09-16 18 F한방병원 540,000 9 2010-12-21 2011-01-07 18 G 한방병원 기타어깨병터 (M758) 540,000 540,000 10 2011-06-25 허리통증 (질병) 2011-06-25 2011-07-15 21 G병원 요추염좌 (M545) 630,000 630,000 11 2011-09-21 2011-10-11 21 H한방병원 척추증 (M472) 630,000 500,000 1,550,000 12 2011-11-01 2011-11-14 14 상무병원...