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(영문) 수원지방법원 안양지원 2019.07.12 2016고단1863

사기

Text

A defendant shall be punished by imprisonment for not less than one year and six months.

However, the execution of the above punishment shall be suspended for three years from the date this judgment becomes final and conclusive.

Reasons

Criminal facts

The Defendant received long-term hospitalized treatment more than necessary for the purpose of receiving insurance money, such as expenses for hospitalization and daily allowances, by using multiple insurances that are paid insurance money under the pretext of hospitalization and daily admission fees, and submitted them to an insurance company with a certificate of hospitalization, a medical certificate, and other related documents necessary for receiving insurance money, stating that the pertinent hospital had received proper hospitalized treatment at the time of discharge.

around March 28, 2009, the Defendant was diagnosed by “D Hospital” located in Ansan-si C, and was hospitalized for 73 days from March 28, 2009 to June 8, 2009.

However, in fact, although the above disease treatment can be sufficiently possible due to outpatient treatment and can be sufficiently conducted through hospital treatment for 14 days to observe the progress, the defendant was hospitalized in excess of the proper period with the intention of receiving insurance money, such as the cost of hospitalization, daily allowances for hospitalization, etc. from the insurance company that had already joined.

Nevertheless, the defendant, who received proper hospitalized treatment for the above disease E for 73 days, claimed for the payment of the insurance money and claimed for the payment of the insurance money. Accordingly, it is 2,200,000 won as insurance money from the employee in charge of compensation for the victim E around April 21, 2009, as the insurance money, such as the daily amount of hospitalization, etc., and

6.1. Around January, 201, a person received hospitalization of KRW 4,00,00 as insurance money, from around that time to January 15, 2016, 23 times, as described in the separate crime list, and obtained a total sum of KRW 224,063,935 from the victim insurance companies as insurance money, and acquired it by deception.

Summary of Evidence

1. Partial statement of the defendant;

1. Each legal statement of witness F, G and H;

1. Statement of the police officer to I;

1. Written Statement;

1. Report on internal investigation (Report on confirmation of the A hospitalization receipt);

1. Insurance fraud.