보험에관한 소송
1. The costs of diagnosis of the Henal disease in the insurance contract stated in the attached Form against the Defendant (Counterclaim Defendant) by the Plaintiff (Counterclaim Plaintiff) 40.
The main lawsuit and counterclaim are also finite.
1. Basic facts
A. On August 8, 2005, the Plaintiff entered into an insurance contract with the Defendant for “conformt Integration Insurance” (from August 8, 2005 to August 8, 2040).
B. The above insurance contract between the plaintiff and the defendant includes the "Special Terms and Conditions of the Expenses for Diagnosis of Hemovascular Diseases" (hereinafter "the insurance contract of this case"). The main contents are as follows.
Article 1 (Compensation for Loss) (1) If the insured stated in the insurance policy (insurance policy) becomes final and conclusive as the first her chronic disease during the insurance period of the special terms and conditions stated in the insurance policy (insurance policy), the company shall be bound to compensate for it in accordance with this Policy.
Article 2 (Definition and Confirmation of Ethical Diseases) (1) The term "hovascular diseases" refers to diseases classified as hovascular, acute cardioscular fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorals
(2) The diagnosis and confirmation of a He/she shall be conducted by a person with a doctor's license (excluding dentists) of a domestic hospital prescribed in Article 3 of the Medical Service Act or a foreign medical institution overseas recognized by the company as equivalent thereto, and this diagnosis shall be conducted based on the depth degree, heart, primary wave, ornamental crympathm, ornamental cryming surgery, and cardio-zymology test, etc. of blood together with medical history.
Article 4 (Expenses for Diagnosis of Ethical Diseases) If the insured has been diagnosed and confirmed as the first “hovascular disease”, the Company is bound to pay only once the amount set forth below in accordance with this Special Clause.
50% of the amount of insurance covered by a special contract for less than one year from the date of the insurance contract under a special contract for less than one year from the date of the insurance contract shall be stipulated in the classification of the Hedic diseases table in attached Table 6.