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(영문) 대구지방법원 2016.03.25 2015고단545

사기등

Text

Defendants shall be punished by imprisonment for eight months.

However, from the date of the final judgment of this case, the defendants are above two years from the date of the final judgment.

Reasons

Punishment of the crime

The Defendants are those who actually operate the “E Medical Care Center” in G, Gyeonglbuk-gun.

1. No person shall receive long-term medical care benefits or allow another person to receive long-term medical care benefits by fraud, violation of the Insurance Act for Long-Term Care of Older Persons or by other unlawful means;

However, from June 24, 2013 to July 30, 2014, the Defendants: (a) did not have worked in the aforementioned hospital; (b) did not appear to have worked in the hospital; or (c) did not claim for false travel expenses for each item of the medical care benefit even though three persons, such as F, who had worked in the E medical care center as an employee, had already retired; or (d) long-term medical care institutions did not additionally claim for expenses incurred in providing benefits; (b) even if they were unable to claim for additional expenses incurred in providing benefits; or (c) as if they actually provided the actual services, three service days such as G, etc., who were admitted from the E medical care center to the beneficiary from the E medical care center as if they were forced to retire, or were admitted to the E medical care center without paying liability insurance for professionals, and filed a claim for false travel expenses with the National Health Insurance Corporation without paying indemnity insurance for each item.

As above, the Defendants, by deceiving the victims from the National Health Insurance Corporation from June 24, 2013 to July 30, 2014, received the total of KRW 27,803,764, including KRW 11,504,259, KRW 3,514,969, KRW 3,514,969, and KRW 3,062,040, and KRW 3,062,040, and KRW 9,722,496, and KRW 27,803,764, respectively, from the victim to the victim for medical care benefits.

2. An employer who employs workers at a workplace in violation of the National Health Insurance Act, shall promote workers without any justifiable reason for the purpose of hindering those employed by him from becoming a workplace subscriber under the National Health Insurance Act, or of avoiding any increase in shares borne by him;