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(영문) 서울행정법원 2018.01.18 2017구단67981

요양불승인처분취소

Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Details of the disposition;

A. On July 12, 2015, when the Plaintiff was employed by “B” and worked as a day-to-day employee, the Plaintiff applied for medical care benefits to the Defendant on July 4, 2016, after being faced with the left shoulder, chest, and boat in order (hereinafter “the instant accident”). At the Seongbuk Central Hospital, the Plaintiff applied for medical care benefits to the Defendant on the left-hand shoulder, extreme part of the instant accident (hereinafter “the instant injury”) at the Seongbuk Central Hospital, the left-hand shoulder, the upper left-hand shoulder, the upper left-hand chest, the upper left-hand chest, and the examination.

B. On July 5, 2016, the Defendant rendered a decision not to approve the instant injury on the ground that “the instant injury has no proximate causal relation with the instant accident due to the emeral path,” as to “the emeral emeral emeral emeral emeral emeral emers, the left plemeral emeral plemeral emeral emeral emers,” and that “the instant injury has no proximate causal relation with the instant accident” (hereinafter “instant disposition”).

C. Accordingly, the Plaintiff filed a request for review with the Defendant, but the Defendant rejected the request for review on the ground that “It is difficult to recognize a proximate causal relation between the instant accident and the instant injury and the injury and disease because the Plaintiff’s opinion is not observed on the left-hand side of the Plaintiff’s video data opinion,” and again filed a request for review with the Industrial Accident Compensation Insurance Reexamination Committee, but it was decided by the Industrial Accident Compensation Insurance Reexamination Committee on the ground that the Plaintiff’s request for review was based on a medical opinion that “it is difficult to recognize a proximate causal relation with the instant injury and disease according to a medical opinion that it is difficult to determine the Plaintiff’s left-hand side of the image data, or that it is difficult to recognize a proximate causal relation with the instant work of the instant injury and disease.”

[Ground of recognition] Facts without dispute, Gap evidence Nos. 1 through 3 (including additional numbers), Eul evidence No. 2, the purport of the whole pleadings

2. Whether the instant disposition is lawful