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(영문) 전주지방법원 2019.03.20 2016가합3484

보험에관한 소송

Text

1. All of the plaintiff's claims are dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

1. Facts of recognition;

A. On July 24, 2007, the Plaintiff concluded the instant insurance contract with the Defendant as the insured on July 24, 2007, with the main content of guaranteeing operating expenses or hospitalization expenses for injuries, diseases, etc. as the insured.

B. After entering into the instant insurance contract from August 6, 2007 to August 20, 2007, the Defendant began to receive KRW 319,190 as insurance proceeds after being hospitalized for 15 days from August 6, 2007, and received KRW 47,738,039 in total from the Plaintiff on the ground of a disease described in the “accident” as follows.

순번 사고일자 진단병명 치료개시일 치료종료일 입원일수 지급일자 지급보험금(원) 1 2007-08-04 족관절염좌 2007-08-06 2007-08-20 15 2007-08-22 319,190 2 2007-09-15 현기 및 어지러움 2007-09-15 2007-09-21 6 2007-09-28 254,850 3 2010-01-06 우반달 연골손상 2010-01-07 2010-02-05 24 2010-02-16 812,015 4 슬관절통 2010-01-21 2010-02-05 16 5 2011-01-29 무릎관절통 2011-01-29 2011-02-11 14 2011-02-22 938,148 6 2012-02-28 아래허리 통증 2012-02-28 2012-03-19 21 2012-03-22 2,485,020 7 2012-04-14 좌외측반월상 연골파열 2012-04-14 2012-05-04 21 2013-05-22 10,703,940 8 무릎관절증 2012-05-05 2012-05-24 20 9 무릎관절증 2012-05-30 2012-06-07 9 10 무릎관절증 2012-08-31 2012-09-13 14 11 무릎관절증 2012-09-14 2012-09-27 14 12 2012-11-28 추간판장애 2012-11-28 2012-12-18 21 2013-12-04 6,079,653 13 2013-08-13 2013-08-28 16 14 추간판장애 2013-11-29 2013-12-02 14 15 2014-03-03 무릎관절증 2014-03-03 2014-03-17 15 2014-12-04 3,927,220 16 2014-03-18 2014-04-02 16 17 무릎관절증 2014-07-28 2014-08-11 15 18 무릎관절증 2014-11-13 2014...

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