보험금
1. All appeals filed by the Plaintiff (Counterclaim Defendant) and the Defendant (Counterclaim Plaintiff) are dismissed.
2. The costs of appeal shall be borne respectively by each party.
A principal lawsuit and a counterclaim shall be deemed simultaneously.
1. Basic facts
A. On January 17, 2003, the Plaintiff entered into an insurance contract with the Defendant who runs the insurance business (hereinafter “instant insurance contract”).
Insurance name: Insurance name: The amount of insurance premiums for the Plaintiff’s contract from January 17, 200 to January 17, 2045: the aggregate monthly insurance premium of KRW 89,710 per month : The amount of operating expenses for diagnosis and confirmation of major adult diseases or excluding cancer and diseases, and for the direct purpose of treatment; the amount of KRW 573,541 as a lump-sum payment for the surgery (one time of surgery); the amount of hospitalization expenses: The amount of principal disease (after the date of commencement of cancer liability for cancer); the amount of hospitalization expenses: the amount of more than three days per day for hospitalization; the amount of more than four days per 4: the amount of 10 days per day for emergency treatment; the amount of more than 20 days per 20 days per day after hospitalization due to an emergency disease (one day of surgery); the amount of more than 20 days per day after hospitalization or the amount of more than 20 days per 30 days per day after hospitalization due to an emergency treatment (one day after the date of cancer or the date of hospitalization); the maximum amount of more than 20 days per day;
B. The main terms and conditions of the instant insurance contract 1) Article 18 (Definition and Confirmation of Maternal Disease) of the General Terms and Conditions of the instant contract 1) 1 “Maternal Disease” in this contract refers to the disease classified as Dispactical disease (see attached Table 9 Denial and Disease Classification) among the third Korean Standard Classification of Disease Death. <2> The diagnosis confirmation of “Maternal Disease” is based on the diagnosis letter by a domestic hospital under Article 3 (Medical Institution) of the Medical Service Act, a member of the domestic medical institution, or a doctor of an overseas medical institution (excluding dentists) recognized as equal to the above.