보험금
1. With respect to a traffic accident that occurred to the defendant around February 9, 2011, the plaintiff is based on an insurance contract stated in the attached Form.
1. On November 25, 2010, the Plaintiff entered into an insurance contract in the separate sheet (hereinafter “instant insurance contract”) with the Defendant.
On January 14, 2014, the Defendant asserted that, around February 9, 2011, the Defendant sustained injury of the escape certificate of the 4-5 conical signboard (hereinafter “instant injury”) due to a traffic accident that happens from the ice ice on the drive of a motor vehicle and conflicts with the walls (hereinafter “instant accident”), and filed a claim for the payment of insurance proceeds under the instant insurance contract.
The terms and conditions contained in the insurance contract of this case relating to this case are as follows.
Article 15 (Types and Grounds for Payment of Insurance Money) The Company shall pay the insurance money agreed upon to the beneficiary (beneficiary) when any of the following events occurs to the insured (beneficiary):
2. If a beneficiary of an insurance policy becomes a disability equivalent to the rate of disability payment specified in the disability classification table (see attached Table 1) during the insurance period, the following amount shall be paid to the beneficiary of an insurance policy (person who receives the insurance proceeds) with the benefit of a later disability:
In general aftermath disability insurance proceeds: Less than 80% of the disability payment rate, and the amount paid shall be calculated by multiplying the rate of payment prescribed in the disability classification table by the amount subscribed to the disability insurance. Article 16 (Detailed Provisions concerning Payment of Insurance Money) ① Notwithstanding Article 15 (Types and Grounds for Payment of Insurance Money), with respect to a disability which appears temporarily after the completion of treatment for at least five years, Article 15 (Types and Grounds for Payment of Insurance Money) shall be applied by calculating 20% of the disability payment rate as the disability payment rate.
(3) The amount of subsequent disability not falling under the disability classification table shall be determined according to the classification of the disability classification table according to the degree of physical disability, regardless of the occupation, age, status, gender, etc. of an insured person.