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(영문) 수원지방법원 안산지원 2020.01.22 2018고정822

보험사기방지특별법위반

Text

The defendant shall be innocent.

Reasons

1. No person prosecuted shall acquire insurance proceeds by deceiving an insurer with respect to the occurrence, cause, or content of a peril insured against;

Based on the fact that the Defendant, with a bridge pass certificate generated from a chronic disease, and based on the fact that the insurance company believed only the details of the medical expenses, receipts, and certificates of entrance and discharge issued by the hospital and paid insurance money, the Defendant was willing to receive insurance money by receiving insurance money by claiming insurance money, such as daily allowances by excessive or false hospitalization, even though it was sufficient to provide the hospital with the pain treatment only.

Therefore, from December 16, 2016 to March 31, 2016, the Defendant was hospitalized in C Council members located in Siried City B, and submitted a written confirmation of hospitalization, etc. issued excessively or falsely by filing a claim for insurance money against the victim, while claiming for insurance money against the victim, and acquired KRW 5,403,70 from the victim’s bank account in the name of the Defendant on January 3, 2017.

2. The Defendant was hospitalized in the pertinent C Hospital for 16 days from December 16, 2016 to December 31, 2016 under the name of injury or disease, such as spine chronching, bronchis accompanied by falchis, conical signboard disorders, etc.

In other words, the defendant sent 24 times during the period of hospitalization, which is recognized as a copy of medical records, a copy of nursing register, a copy of blood pressure records, and the following circumstances, which are recognized as follows: (a) the defendant sent 224 times during the period of hospitalization; (b) 46 times the defendant was sent through a base station located in Seocheon-gu, Sori-gu, Seoul, the residence of the defendant who is not the base station where the hospital is located; (c) 22:50 on December 16, 2016, the first day and 06:45 on December 17, 2016, the first day of hospitalization, and the next day and second day of December 17, 2016, all of which were sent to the base station E during the period of hospitalization; and (d) the defendant was not a blood pressure on December 17, 12, 17, 128, and December 27, 127.