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(영문) 서울행정법원 2015.04.02 2014구단53325

진폐보험급여부지급처분취소

Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Details of the disposition;

A. The plaintiff (1937) filed an application for medical care for pneumoconiosis with the defendant as a worker who was engaged in dusty work in the mine mine of Sungju Mining Corporation.

B. From June 11, 2013, the Defendant

6. Until December 13, 199, the Boan Hospital conducted a precise diagnosis of pneumoconiosis with the Plaintiff.

C. On January 7, 2014, the Defendant issued a disposition to pay pneumoconiosis insurance benefits installment (hereinafter “instant disposition”) against the Plaintiff on the ground that the Plaintiff’s pneumoconiosis type falls under normal conditions (0/0), pulmonary species, and non-activity-pulmonary tuberculosis.

【Unsatisfy-founded facts, Gap evidence 1 through 8, and Eul evidence 2】

2. Whether the instant disposition is lawful

A. Since the Yania Hospital which conducted a precise diagnosis of pneumoconiosis with the Plaintiff’s assertion, diagnosed the Plaintiff’s pneumoconiosis type 1, the Defendant should determine the Plaintiff’s pneumoconiosis type 1 and pay the Plaintiff the pneumoconiosis medical care benefits.

(b) as shown in the attached Form of the relevant statutes;

C. (1) As a result of the close diagnosis four times from November 18, 2009 to May 7, 2013, the Plaintiff’s pneumoconiosis type was determined as normal (0/0).

⑵ 보령아산병원의 2013. 6. 13.자 진폐 건강진단 소견서 - 진폐 모양/크기 : q/q, 밀도 : 1/0, 위치 : RU, RM, LU, LM ⑶ 진폐심사회의 심의소견 - 진폐병형 : 정상(0/0), 심폐기능 : 폐기종 및 비활동성 폐결핵 - 판정결과 : 정상 ⑷ 근로복지공단 본부 자문의사 소견 - 진폐병형 : 정상(0/0), 폐기종 동반되어 있음 ⑸ 이 법원의 고려대학교 안암병원장에 대한 진료기록감정결과 - 2013. 6. 11. 촬영된 단순 흉부방사선영상에 의하면 원고의 진폐모양은 p/s, 진폐병형은 제1형(1/0) 으로 보임 - 비활동성 폐결핵 및 폐기종이 관찰됨 ⑹ 이 법원의 서울대학교병원장에 대한 진료기록감정결과 - 2013. 6. 11. 촬영된 단순...