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(영문) 서울중앙지방법원 2017.04.13 2015가단5123354

보험금

Text

1. The Defendant: (a) KRW 14,285,714 for each of the Plaintiff A and the Plaintiff B and C respectively; and (b) from May 23, 2015 to May 2017.

Reasons

1. Basic facts

A. (1) On September 13, 2013, Hyundai Steel Co., Ltd. concluded a group accident insurance contract (hereinafter “instant insurance contract”) between September 15, 2013 and September 14, 2014 with respect to the insurance period of 5,215 workers belonging to the so-called company’s advanced factory.

(2) The deceased D worked at the above company company's company's company's company's company's company's company's company's company's company's company's company's company's company's company's death on November 14, 2013, and the Plaintiff A's wife, Plaintiff B,

B. The main contents of the terms and conditions of the instant insurance contract are as follows: (a) the terms and conditions of the instant insurance contract’s “Special Terms and Conditions for Guarantee of Treatment Costs for Hemical Diseases” and “Special Terms and Conditions for Guarantee of Treatment Costs for Hemical Diseases” (hereinafter collectively referred to as the “Special Terms and Conditions”).

Article 1 (Types and Grounds for Payment of Insurance Money) (1) of the General Terms and Conditions for the Guarantee of Medical Fees in Fluorical Mutical Defliation (the insured) shall pay the insured (the insured) the full amount of the insurance money covered by this Special Terms and Conditions to cover the insurance money for Fluorical M&D medical treatment only once for the first time in accordance with this Special Terms and Conditions.

Article 2 (Definition and Confirmation of Diseases) (1) The term "emergency alarming" in this Special Terms and Conditions refers to diseases classified as acute alarming in the sixth Korean Standard Industrial Disease Classification (Annex 25).

(2) The diagnosis and confirmation under paragraph (1) of this Article shall be made by a hospital or clinic under Article 3 (2) of the Medical Service Act, or by a person holding a certificate of doctor (excluding dentists) of a medical institution recognized by the company equivalent thereto, and this diagnosis shall be made based on the heart, heart, ultra-high wave, ornamental beer and beer, and heart test of blood, etc. along with medical history.

However, the insured (subject to insurance) dies, as set forth above.