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(영문) 대전지방법원 2015.02.12 2014가단219627

보험금

Text

1. An artificial smoking machine purchased after being hospitalized by the Defendant on May 13, 2014 due to symptoms of closed waters without a view to the treatment of the Defendant.

Reasons

1. Basic facts

A. The Plaintiff entered into the instant insurance contract with C by setting the insured period from March 10, 2008 to May 14, 2032, 203, with the Defendant and the insurance period as the end of May 14, 2032, and entered into a non-dividend Samsung F&D’s children insurance contract (hereinafter “instant insurance contract”). The main contents of the instant insurance contract are as follows: (a) disease-disease and the instant special terms and conditions of securing medical expenses (hereinafter “instant special terms and conditions”).

Article 1 (Compensation for Loss) ① The Company shall compensate for the loss (hereinafter referred to as "damage") caused by a disease during the insurance period of this Special Terms and Conditions stated in the Insurance Policy (Insurance Policy) (hereinafter referred to as the "Insurance Policy") by the Insured (hereinafter referred to as the "insured") stated in the Insurance Policy (Insurance Policy) according to this Special Terms and Conditions.

(2) The term "diseases referred to in paragraph (1)" means diseases that have been infected or have been infected with the insured from the time when company guarantee was commenced under this special agreement.

However, if the insured was aware of the infection or outbreak before the commencement of the guarantee, it shall be compensated for.

Article 2 (Medical Expenses for Hospitalization of Diseases) (1) Where the insured is hospitalized in a hospital or clinic (including oriental medical hospitals or oriental medical clinics) due to a disease provided for in Article 1 (Damage to Compensation) which occurred during the period of insurance, the company shall pay the following expenses for hospitalization and medical treatment (hereinafter referred to as "patient for Hospitalization of Diseases") to the beneficiary (if the beneficiary is not designated, the insured):

1. Hospitalization fees: Medical examination fees, standard sick room (referring to the standard sick room applied by the relevant hospital or clinic to patients with national health insurance; hereinafter the same shall apply), user fees, patient management fees, and food room;

2. Expenses for hospitalization: testing fees, radiation fees, medication and prescription fees, the main feed, secondary feed, medical treatment fees, mental therapy fees, materials materials, gniferies, etc.; and