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(영문) 서울중앙지방법원 2018.03.15 2017가단5011615

보험금

Text

1. The Defendant shall pay KRW 50,020,00 to the Plaintiff KRW 50,00 per annum from February 1, 2017 to March 15, 2018 and the next day.

Reasons

1. Facts of recognition;

A. On January 15, 2014, the Plaintiff entered into an insurance contract with the Defendant with the following content (hereinafter “instant insurance contract”).

D A C

B. On November 16, 2016, the Plaintiff was diagnosed by E Hospital (final diagnosis, “final diagnosis” (the Maternal Matern C73, No. 173, No. 1770), head face of a wound, and item (the sensal Matern C770), and the Maternal Matern C770 in detail).

C. From November 22, 2016 to December 3, 2016, the Plaintiff was hospitalized in E Hospital. On November 23, 2016, 2016, the Plaintiff was hospitalized in the G Hospital. On November 23, 2016, the upper-line cream control and the light-line cream control.

On December 13, 2016, the Defendant paid to the Plaintiff KRW 3,000,000,000 for the diagnosis expenses for the Athonam cancer, KRW 600,000 for the surgery, and KRW 240,00 for the hospitalization expenses, and KRW 340,000 for the hospitalization expenses on March 10, 2017, respectively.

E. Of the instant insurance terms and conditions, Section 1 of Section 2 of the General Terms and Conditions

1. In the definition and diagnosis determination of "Amam" in paragraph (3) of the phased cancer diagnosis expenses (10-year maturity renewal), "C7-C80 [Amam" in this contract means the disease specified in attached Table 1 of the Mamar Life Classification Table 1: Provided, That in the case of the Mamar Life (amalmalmalmant's status before being changed to cancer, a traditionalmalmnant's status, and a classification number C44 and C73 shall be excluded from the disease corresponding to the Mamalmalmar's sex life of other skins", "I will exclude the disease corresponding to the Mamalmalmant's sex life of the other skins". The following classification is prescribed as "Iram the first Mamalmalmar's status (the known, the Mamalmalmar and the unknown Mamalmar's Mamalmant')".

(hereinafter referred to as “matters subject to subscription” is referred to as “special agreement for classification based on original cancer”). [Grounds for recognition] No dispute is raised, Gap evidence Nos. 1 through 4, Eul evidence Nos. 1 and 2, and the purport of the whole pleadings.

2. Determination

A. The cause of payment of the insurance accident or insurance money, which is a major part of the relevant legal doctrine insurance contract, is generally accepted.