beta
(영문) 서울중앙지방법원 2017.07.25 2016가단5132065

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 April 25, 2003, the Plaintiff entered into an insurance contract with the Defendant as the insured on April 25, 2003, with the content that “the insured shall be paid KRW 7 million when the insured becomes a disability of class 6 in the disability classification table due to a disaster during the period of insurance under a special agreement (from the contract date until April 25, 2055),” respectively, and “non-dividend Samsung IBcare insurance” and “special agreement for non-distribution disaster relief” (hereinafter “first insurance contract”).

(2) On April 25, 2003, the Plaintiff entered into an agreement with the Defendant on April 25, 2003, with the content that “the insured shall be the Plaintiff, and the insured shall receive KRW 15 million from the disability classification table during the period of the special agreement.”

(hereinafter referred to as "the second insurance contract"). (b)

1) On September 13, 2014, the Plaintiff filed a claim for the occurrence of an abortion accident and the insurance proceeds thereof (hereinafter referred to as “instant accident”) with a view to getting out of and getting out of a mountain trails, which was going forward in a mountain in a mountain in the place of residence (hereinafter referred to as “instant accident”).

(2) From September 13, 2014 to December 7, 2015, the Plaintiff was under rehabilitation treatment at a hospital with the pain and radiation, but the symptoms were not full, and on December 7, 2015, the Plaintiff received a written diagnosis of the disability from Korea University Ansan Hospital B.

3) On December 15, 2015, the Plaintiff filed a claim for insurance proceeds with the Defendant on the basis of the latter disability diagnosis certificate issued by the Ansan Hospital Hospital B of the Korea National University. The said diagnosis statement states that “The occurrence of permanent obstacles is anticipated by the escape certificate of a drug, and the involvement in the accident is deemed to be 50%.” (c) Disaster classification table of the insurance terms and conditions applicable to the first and second insurance policies, which are covered by the first and second insurance policies, refers to a person who has an incidental external accident, but has a disease or physical damage.