사기등
Defendant shall be punished by imprisonment with prison labor for a period of one year and six months, and the execution of the above punishment shall be suspended for a period of three years from the date this judgment becomes final and conclusive.
Punishment of the crime
The Defendant is the representative of the “E Elderly Welfare Center” located in Gwangju Northern-gu.
1. On February 21, 2013, the Defendant: (a) provided a victim’s bathing service to F to the National Health Insurance Corporation on or around December 21, 2012; and (b) filed a claim for medical care benefits to the victim, from the “E Elderly Welfare Center; (c) around February 21, 2012, the Defendant provided the victim with bathing service.
However, in fact, there was no medical care protection company affiliated with the "E Elderly Welfare Center" that had provided F with the service during the above period.
On May 16, 2014, the Defendant received KRW 794,80 from the injured party as the benefit for medical care, and from February 21, 2013 to May 3, 2014, the Defendant filed a claim for the payment of medical care benefits in the above manner 58 times in total, as shown in attached Table 1, from February 21, 2013 to May 3, 2014, and received KRW 20,176,440 from March 14, 2013 to May 16, 2014 as the benefit for medical care.
2. Around April 3, 2014, the Defendant provided an unqualified recipient’s services to the National Health Insurance Corporation (EM Welfare Center) and filed a claim for medical care benefits with the victim G of the above Center’s medical care care assistance to H, who is eligible recipient for long-term care.
However, in fact, I, not qualified G, provided medical care services.
Around May 15, 2014, the Defendant received KRW 401,00 from the injured party as a benefit for medical care, and from April 3, 2014 to June 2, 2014, the Defendant claimed the above method of medical care benefits through 32 times in total as shown in attached Table 2, as in attached Table 2, from around April 3, 2014. From April 15, 2014 to June 16, 2014, the Defendant received KRW 3,65,630 as a benefit for medical care.
3. On April 23, 2013, the Defendant violated the standard for the number of two visiting bathing workers, and the Defendant provided bathing service to the Victim’s J to the National Health Insurance Corporation (EM Welfare Center) by two of the above Center’s medical care care care care care workers.