추가상병불승인처분취소
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
1. Details of the disposition;
A. On September 5, 2018, the Plaintiff was at the construction site of the roof of a housing roof and falling down on the roof of the bridge (hereinafter “the instant disaster”).
The Plaintiff diagnosed the injury or disease of the "alleys (No. 5, 6, and 7 on the shores)" and the plebral aggregate (closed) caused by the instant disaster, and received medical treatment from the Defendant with the approval of the medical care.
B. On January 7, 2019, the Plaintiff received an additional diagnosis of “the instant additional injury and disease,” and applied for recognition of the additional injury and disease to the Defendant. On February 7, 2019, the Defendant issued a disposition to not approve the Plaintiff’s additional injury and disease application (hereinafter “instant disposition”) on the ground that “The instant additional injury and disease in light of the video data review is verified, but the instant additional injury and disease is extremely high, and this is caused by frequent shock rather than the external injury, and the causal link with the instant accident is not recognized due to the observation of the IM image.”
C. The Plaintiff dissatisfied with the instant disposition and filed a request for an examination to the Defendant, but the request for examination was dismissed on May 14, 2019.
[Reasons for Recognition] Unsatisfy, Gap evidence 1 to 7, Eul evidence 2, the purport of whole pleadings
2. Whether the instant disposition is lawful
A. The gist of the Plaintiff’s assertion is that the Plaintiff had not received treatment on the grounds of the instant additional disease before the instant accident, and according to the medical record with the Plaintiff, the Plaintiff has continuously received medical treatment by asserting the pain of the instant additional disease since the instant accident. In light of the circumstances, such as the fact that the general cause of the instant additional disease is a serious shock from the outside, the Plaintiff’s fall at a high place of the instant accident, and the instant additional disease occurred due to a strong shock in the said area and the said area of the said additional disease.