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(영문) 서울행정법원 2020.09.09 2019구단72567

재요양 및 추가상병 불승인처분취소

Text

1. The plaintiff's claim is dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

1. Details of the decision on additional medical care and non-approval of additional medical care benefits;

A. The Plaintiff’s status Plaintiff (Bir male) is a worker in charge of the improvement of the sales price at C Co., Ltd. (C) Seoul Improvement Business Office, the Ansan Service Center, and the king Service Center, etc. from January 3, 1991.

나. 2009. 11. 13.자 요양급여 신청의 경과 ① 원고는 43세이던 2009. 10. 13. E신경외과의원에 최초 내원하여 ‘요추부 염좌’, ‘요추 제3-4, 제4-5, 요추 제5-천추 제1번간 추간판 팽윤’, ‘요추 제1-2번 추간판 탈출증’을 진단받은 후, 2009. 11. 13. 피고에게 “2009. 9. 24. 10:00경 차량정비작업 시 차량사고 부위를 망치로 수정하던 중 허리를 삐끗하여 요통이 발생하였다.”고 주장하면서 요양급여를 신청하였다.

② On December 7, 2009, on the ground that “In medical science, each of the above wounded disease is observed by only the opinion of the evaculation disease due to the severe transformation of the body, and the opinion of acute evaculation is not observed, and it is reasonable to approve the evaculation base due to the disaster situation, and the advisory opinion related to the work force is a medical opinion that various detailed attitudes are performed, and that the escape symptoms are likely to occur, and that the evaculation base is likely to occur due to the self-sufficiency,” among each of the above wounded disease was approved for medical care, and the rest of the disease was not approved for medical care.

C. On March 15, 2013, when the Plaintiff was under 46 years of age, such as the process of filing the application for medical care benefits as of April 28, 2016, the Plaintiff was under the procedure of “the method of removing visible conical signboards for the escape from the right side of the 1-2st century” on March 15, 2013, and on February 26, 2016, when 49 years of age, the Plaintiff was under the procedure of “the method of removing the light-2nd right side of the 1-2nd Transboundary and the 1-2 second second second Tally-2 last recid.”

② The Plaintiff is a light of the following: (a) Maternal Maternal Maternosis (1-2) Maternal Maternal Maternal Maternosis; (b) Maternal Maternal Maternal Maternal Maternal Matern;