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(영문) 광주지방법원 2014.11.11 2013가단49249

보험금

Text

1. The Defendant’s KRW 32,680,00 for the Plaintiff and KRW 5% per annum from August 27, 2013 to November 11, 2014.

Reasons

1. Basic facts

A. On August 6, 2009, the Plaintiff and the beneficiary of the insured and the beneficiary, and the Defendant’s life-long with the insurance period, entered into the “Undividend 30furcs Consolidated Guarantee Insurance” (hereinafter “instant special agreement”). The main contents of the said special terms and conditions are as listed below [Attachment 1].

In the event that a person is hospitalized on at least two occasions due to the same disease with the limit of 150,000 per day between three days and 150,000 per day when he/she has been diagnosed and confirmed as cancer after the date of commencing cancer guarantee and for the purpose of directly treating such cancer, common matters concerning the guarantee amount of the guarantee amount of the special agreement (non-distribution omitted), the number of days of hospitalization shall be added, and even if the person is hospitalized by the same disease, the number of days of hospitalization shall be added, and even if the person is hospitalized by the same disease, a hospitalization commenced after the lapse of 180 days from the date of discharge

2. 30,000 per day when he/she has been hospitalized for more than four consecutive days for the purpose of direct treatment due to a disease or disaster under a special agreement for hospitalization of more than three days and more than three days per day when he/she has continued to be hospitalized for more than four consecutive days for the purpose of direct treatment due to a disease or disaster under a special agreement for hospitalization of more than three days and a four-year adult disease;

B. Under the terms and conditions of the instant special agreement, the term “inpatient” refers to the case where a doctor deems it necessary for the direct purpose of medical treatment due to a disease or disaster, and it is difficult to provide medical treatment in his own house, etc., and thus, to concentrate on medical treatment under the control of the doctor.

C. On May 14, 2012, the Plaintiff was diagnosed with Magamamamam and received an operation to perform Magambomy, etc. at the Jeonnam Hospital on May 14, 2012, and received hospitalized treatment as indicated below (attached Table 2).

On May 3, 2012, the period of hospitalization of the date of the date of hospitalization of the hospital 1 Gwangju Stage Hospital was May 3, 2012. < Amended by Presidential Decree No. 23785, May 8, 2012>