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(영문) 서울중앙지방법원 2019.06.04 2018나59986

보험금

Text

1. The defendant's appeal is dismissed.

2. The costs of appeal shall be borne by the Defendant.

Purport of claim and appeal

1..

Reasons

1. Type of basic facts insurance: D bond number: The insurance period on July 10, 2001: the examination fees of 44,240 won from July 10, 2001 to July 10, 2036: 20 years (monthly payment of 24,240 won): The insured worker of C: the contract amount of 25,000 won for cancer diagnosis benefits (general cancer) 15,00,000 won for cancer diagnosis benefits of 3,00,000 won (average cancer) for cancer diagnosis benefits of 15,00,000 won, 100,000 won for cancer reduction benefits of 1,00,000 won ( maximum 333 times), 1,000,000 won for cancer death benefits of 1,000 won (specific grade 1,00 won), 0,000 won for cancer death benefits of 1,00 won (specific grade 1,00 won); and

A. On July 10, 2001, the Defendant entered into a “D” contract with C as described below (hereinafter “instant insurance contract”), and the said insurance is the insured of the instant insurance.

As the plaintiff's wife, the above C is a company belonging to the corporate insurance agency at the time of the insurance contract of this case, and was engaged in business as a solicitor for insurance goods of the defendant.

D Article 3 (Compensation for Loss) of the General Terms and Conditions (Liability) If an insured event falls under any of the following cases after the date of commencement of liability for cancer stipulated in Paragraph 1 of Article 7 during the insurance period, the insured shall be compensated for in accordance with this Clause:

4. Where the insured undergoes a surgery for the direct purpose of treating cancer (excluding the amamacy cancer) after the starting date of the responsibility for cancer security (1) the term "hospitalizes in this contract" means a hospital or clinic under Article 3 (2) of the Medical Service Act, or a hospital or clinic under Article 3 (2) of the Medical Service Act, or its equivalent because it is difficult to treat at home because it is deemed necessary by a hospital, clinic, etc., or a person qualified as a dentist (hereinafter referred to as a "doctor").