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(영문) 수원지방법원 안양지원 2018.11.14 2016가단121640

부당이득금

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 March 21, 2009, the Defendant entered into a C contract (hereinafter “instant insurance contract”) with the Defendant, the insured, the insurance period from March 21, 2009 to March 21, 2070, setting the amount of KRW 61 years from March 21, 2009, and KRW 54,913 once insurance premium as KRW 54,913.

The payment standard of expenses for hospitalization/insurance (the original payment standard) for the payment of expenses for hospitalization of a disease / the amount of insurance coverage (the maximum of 180 days) per day from the first day of hospitalization (the maximum of 180 days) in the case of hospitalization with a maturity of 25 years of age 80,000, the amount of insurance coverage per day from the first day of hospitalization (the maximum of 180 days) / the original payment standard for the payment of expenses for hospitalization/insurance for a disease / the original payment standard 5 years which has maturity of 100,000 shall be renewed / Where the insured (person subject to insurance) receives medical treatment due to a disease that has occurred during the insurance period, the expenses for hospitalization, the expenses for medication, and the expenses for surgery shall be limited to the amount of insurance coverage under the National Health Insurance Act (the "company") and (1) an insurance company (the "company") of this special insurance policy during the insurance period (excluding the case where the insured under the insurance policy has received diagnosis or treatment due to such disease within the past five years from the subscription date).

(i)in the event of hospitalization and treatment, the following costs of hospitalization and treatment shall be compensated for:

1. Hospitalization fees: Medical examination fees, standard sick room (referring to the standard sick room applied by the relevant hospital or clinic to patients with national health insurance at the relevant hospital or clinic), fees for patient management, and food expenses;

2. Expenses for hospitalization: Medical examination fees, radiation fees, medication and prescription fees, the main feed, Ethical therapy (physical therapy, rehabilitation treatment), mental therapy fees, treatment fees, materials costs, capitals, and designated medical treatment expenses. ③ The company shall not compensate for any damage incurred by hospitalization and treatment for a disease caused by the following:

1. Oriental medicine, etc.;