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(영문) 의정부지방법원 2016.07.15 2015나8576

보험금

Text

1. The defendant's appeal is dismissed.

2. The costs of appeal shall be borne by the Defendant.

Purport of claim and appeal

1...

Reasons

1. Basic facts

A. On January 10, 2006, the Plaintiff entered into an insurance contract with the Defendant, an insurance company, the insured, such as the content indicated in the attached list that the Plaintiff is the insured (hereinafter “instant insurance contract”).

1. If the insured worker stated in the insurance policy (insurance policy) is diagnosed and confirmed as the first cerebrovascular disease during the insurance period, the damage company covered by the indemnity shall be bound in accordance with this special clause.

2. (Definition and Determination of Diagnosis of cerebrovascular Diseases) The term “cerebrscular diseases” means diseases classified as cerebrscular diseases (see attached Table 8 (Classification of cerebrscular Diseases) of the Fourth Korean Standards Classification of Patients.

The diagnosis and confirmation of cerebrovascular diseases shall be conducted by a person with a physician's license (excluding dentists) of a domestic hospital prescribed in Article 3 of the Medical Service Act or a foreign medical institution outside the country recognized by the company as equivalent thereto, and this diagnosis shall be based on medical history, negonomic shotning (MRI), nuclear self-defluoric scincincincincination (MRI), cerebrovascular refination (PET), pPE, electronic emulcination of single opic emeric emeric emeric emeric emeric emeric emeric emeric emerial

3. (Expenses for Diagnosis of cerebrovascular Diseases) If the insured is diagnosed and confirmed for the first time as “cerebrovascular disease,” the company will pay the purchase price of the insurance under this Special Agreement only once.

The following diseases are included in the Korean Standard Industrial Disease Classification (Enforcement Decree No. 2002-1, January 1, 2003, 2003) of 100% of the purchase amount of insurance for brain-related diseases (Provided, That 50% of the purchase amount of insurance when the diagnosis of brain-related diseases is less than one year after subscription) of the purchase amount of insurance for brain-related diseases of the Gu (only 50% of the purchase amount of insurance when the diagnosis of brain-related diseases is conducted for less than one year after subscription):

Product Disease Classification Number

1. Spande part thereof;

2. Brain;

3. Other blood transfusions from a noncommercial head.

4. Color;

5.Fluoral fluoral fluoral fluoral fluoral fluoral fluor.