요양급여불승인처분취소
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
1. Details of the disposition;
가. 원고는 2008. 10. 1. 주식회사 에스엔에스코리아에 입사하여 서울 서초구 B오피스텔에서 경비 및 주차관리 업무를 수행하던 중, 2014. 8. 5. 피고에게 “2013. 7. 30. 16:30경 근무 중 전화하려 할 때 말이 어둔해져 이상하게 생각하였고 밤이 되니 완전히 말이 되지 않고 힘이 빠지면서 몸을 가누지 못하고 그대로 의자에 앉아 밤을 샜으며 교대근무를 끝내고 교대자의 부축을 받아 귀가 중에도 옆으로 넘어지기를 몇 차례 거듭하다가 집에 도착하여 현관문을 열자마자 쓰러졌고 구급차로 후송되어 강북삼성병원에서 보행장애, 구음장애, 우측편마비 증상으로 MRI 검사, 뇌척수액 검사 등을 시행한 결과 세균성뇌염, 허혈성뇌경색, 흡인성폐렴(이하 ‘이 사건 상병’이라 한다) 진단을 받았다”고 주장하면서 요양급여 신청을 하였다.
B. On November 13, 2014, the Defendant rendered a disposition of refusal of medical care (hereinafter “instant disposition”) in accordance with the determination of the Seoul Occupational Disease Determination Committee, which did not recognize the Plaintiff’s instant injury and disease due to occupational reasons, to the Plaintiff.
[Reasons for Recognition] Unsatisfy, Gap evidence 1-2, Eul evidence 8, the purport of the whole pleadings
2. Whether the instant disposition is lawful
A. The Plaintiff asserted that the Plaintiff had been engaged in the above guard and parking management as 2:1. From July 28, 2013 to July 07:00 of the following day; from July 30, 2013 to July 07:00 of the following day; and from July 30, 2013 to July 07:00 of the following day, the Plaintiff served as a mixed person. On July 30, 2013, the symptoms appeared, such as the aggravation of the end on July 30, 2013, which led to the aggravation of the body by 07:00 on the following day.
The Plaintiff caused the decline in the immunity function due to its work, which caused the spread to the Plaintiff’s Minister of Justice of the Republic of Korea after intrusion, and caused spawn infection.