beta
(영문) 전주지방법원남원지원 2013.01.09 2011가단4132

보험금

Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Basic facts

A. On December 30, 2005, the Plaintiff entered into an insurance contract with the Defendant with the same content as the attached list. According to the foregoing special terms and conditions of the insurance contract (hereinafter “the special terms and conditions of this case”), where the Defendant first diagnosed and determines the amount of insurance coverage of the special terms and conditions of this case, “100% of the purchase amount of the insurance coverage of this case shall be paid to the beneficiary only once, and it refers to the disease classified as the Hemovascular disease under the attached Table 6 in the 4th Korean Standard Classification of Diseases (the 4th Standard Classification of Hemovascular Diseases). The diagnosis and determination should be made by the hospital under Article 3 (Medical Institutions) of the Medical Service Act or by the doctor (excluding dentists) of a medical institution recognized by the company as equivalent thereto, and this diagnosis should be made by the person with the doctor (excluding dentist) of the medical institution, which is deemed as the cardiomovascular disease during the insurance period.”

In addition, according to the special terms and conditions of the "PPPPPPPPPPPPPPPPPPPP", it provides that more than three days of hospitalization shall be more than 50,000 won per day of hospitalization for more than four days.

B. Since September 6, 201, the Defendant was hospitalized for five days from September 10, 201, with scarcityd in the C Hospital located in Yasan-gu, Jeonsi-si, Jeonsi-si, and was diagnosed by C Hospital’s doctor D with a detailed scarcity, pure high frequency scarke, and detailed scarcityd with death (hereinafter “the instant diagnosis”). On September 7, 2011, the Defendant was diagnosed by the doctor D of C Hospital with a diagnosis of the scarcity, chest X X-ray’s heart, heart schopathm, cardiopathmosis, and the detailed scarcityd with death (hereinafter “the instant diagnosis”).

(hereinafter referred to as “instant accident”). C.

According to the fourth Korean Standard Disease Death Classification, I20-I25 (I20-I25), the hymosis(I20), acute cardiopulmonary tymosis(I21), Zinological tymosis(I22), and acute tymosis(I22).

참조조문