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(영문) 광주지방법원 2020.12.11 2020나51838

보험금

Text

The judgment of the first instance court is modified as follows. A.

The defendant shall pay to the plaintiff KRW 1,600,000 and KRW 1,00,000 among them.

Reasons

Basic Facts

(1) On March 3, 2011, the Plaintiff concluded an insurance contract between the Defendant and the insured, the insurance period from March 31, 2011 to March 31, 2065, including the content that the Plaintiff would be paid KRW 30,000,000 when the occurrence of a physical disability due to general injury, and KRW 50,000 when the occurrence of a physical disability due to a traffic accident, as insurance proceeds.

(C) According to the terms and conditions of the instant insurance contract, the Defendant is obliged to pay the insurance proceeds for physical damage within three business days from the date of receipt of the documents claiming the insurance proceeds.

(2) The terms and conditions applicable to the instant insurance contract are as follows.

(A) Article 17 (Types and Grounds for Payment of Insurance Money) of the General Terms and Conditions (Types and Grounds for Payment of Insurance Money) (3) If each disability payment rate set forth in the attached Table 1 (Disability Classification Table) is less than 80 per cent during the insurance period, the beneficiary shall be paid an amount calculated by multiplying the payment rate set forth in the attached Table 1 (Disability Classification Table 1) by the insurance coverage amount as the general ex post facto disability

(B) Article 1 (Types of and Grounds for Payment of Insurance Money) of the General Terms and Conditions for Guarantee of Traffic Injury, Death, and Ex Post Facto Disability (hereinafter “Special Terms and Conditions”) (3) If each disability payment rate set forth in the attached Table 1 (Classification of Disability) is less than 80% during the insurance period, the beneficiary shall be paid an amount calculated by multiplying the rate of payment set forth in the attached Table 1 (Classification of Disability) by the insurance amount set forth in the insurance amount of the Special Terms and Conditions.

(c)"Disability" in [Attachment I] General Disability 1] Definition 1 of the Disability Classification Table means the state of damage to a permanent mental or physical body remaining after recovery of the injury or disease, provided that the state of the injury or disease and the state of damage to the body is not included in the disability, provided that the symptoms temporarily appearing in the course of receiving treatment for the disease and the injury, and in the course of receiving treatment for it; provided that the symptoms permanently fixed.