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(영문) 서울중앙지방법원 2020.04.22 2016가합548181

보험에관한 소송

Text

1. The plaintiff's claims against the defendants are all dismissed.

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

Reasons

1. Basic facts

A. 1) On September 7, 2007, the Plaintiff entered into an insurance contract with Defendant C and Defendant C as the insured on September 7, 2007 (hereinafter “instant insurance contract”).

The key contents are as follows. The subscription amount (the cost of general injury, temporary living cost) shall be the amount to be paid for the order of security:

1. In cases of general injury, hospitalized treatment (the daily subscription amount and 180 days limit) for at least one day to the sick person and council members;

2. 30,000 disease and hospital medical expenses II: Provided, That the disease and hospital expenses shall not be compensated for a 30,000 disease, and the hospital shall be hospitalized for at least one day (the daily subscription amount and 180 days limit) at the time of hospitalized treatment (the maximum of 180 days);

1. Medical expenses under the terms and conditions of a contract in cases of illness and hospital treatment;

2. 366 days from the date of the outbreak and compensation within the limit of subscription amount;

3. When national health insurance is not applied: 40% of the amount borne by the principal himself/herself, which is 30,000,000 women's exclusive disease treatment expenses.

1. When he/she is hospitalized or operated for at least four days in a hospital or clinic for the direct purpose of treating a disease exclusively for women;

2. One percent (120 days limit) of the subscription amount per day exceeding three days but exceeding three days in the case of hospitalization;

3. Defendant C changed the contractor of the instant insurance contract and the beneficiary of the instant insurance contract to Defendant B, his/her dependent, on December 11, 2014. (b) After the conclusion of the instant insurance contract, Defendant C was hospitalized for 25 days from March 17, 2008 to April 10, 208, due to a closed frame of the bones of the bones, such as dynasium, mathal disease, and cryp signboard disability accompanied by nephal ppuri disease, etc., and was hospitalized for 826 days from around that time to June 8, 2016, as indicated in the following table. However, Defendant C claimed that the period for which the Plaintiff claimed was hospitalized for 848 days from March 17, 2008 to June 10, 2014 as the period for which the Plaintiff claimed was hospitalized for 20 days from March 23, 2014 to June 24, 2016.

The plaintiff was paid insurance money, such as expenses for hospitalization of disease, etc., and the plaintiff was paid to defendant C on 38.