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(영문) 서울서부지방법원 2016.07.12 2014가단232862
보험금
Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Basic facts

A. On May 2, 2012, the Defendant entered into an insurance contract consisting of 20,000 won of cancer diagnosis expenses (hereinafter “instant insurance contract”) with the Defendant and the amount of insurance coverage as indicated in the attached list, as indicated in the attached list, and the major content of the said insurance contract is as follows:

5-1. Cancer diagnosis expenses (three-one) special terms and conditions;

1. (Types and Grounds for Payment of Insurance Money) (1) A company (referring to the plaintiff; hereinafter the same shall apply) shall pay the following amount in accordance with this special terms and conditions if the insured (persons insured) listed in the insurance policy (referring to the plaintiff; hereinafter the same shall apply) is diagnosed and confirmed as Spot Cancer, border species, other skin cancer, Aboard Cancer, or cancer after the date of commencement of coverage (hereinafter referred to as the "insurance period") during the insurance period of this Special Terms and Conditions:

50% of the purchase amount of the insurance under this Special Terms and Conditions from the date of the insurance contract to the date of the expiration of 20% of the purchase amount of the insurance under this Special Terms and Conditions for the period less than 1 year from the date of the insurance contract, 100% of the purchase amount of the insurance under this Special Terms and Conditions for the period less than 1 year from the date of the insurance contract.

3. (Definition and Confirmation of "Cance", "Other skin cancer", and "Amam") (1) The term "Cance" in this Special Terms and Conditions refers to the diseases specified in the Classification Table of Emical Organisms (See Attached Table 8, hereinafter, the same shall apply) (referring to the Classification Table of Emical Organisms (Amam).

However, it excludes diseases falling under the conditions of pre-accination (pre-accination) and C44 and C73.

④ “암”, “기타피부암” 및 “갑상선암”의 진단확정은 해부병리 또는 임상병리의 전문의사 자격증을 가진 자에 의하여 내려져야 하며, 이 진단은 조직(fixed tissue)검사, 미세바늘흡인검사(fine needle aspiration) 또는 혈액(hemic system)검사에 대한 현미경 소견을...

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