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1. The Defendant’s KRW 59,320,804 as well as the Plaintiff’s annual rate from February 3, 2018 to May 14, 2019.
Reasons
1. Basic facts
A. A. Around January 8, 2009, the Defendant entered into a DNA contract (hereinafter “D contract”) with the Plaintiff, which guarantees that the insured and beneficiaries of the insurance proceeds out of death will cover the insurance period from January 8, 2009 to January 8, 2073, KRW 10,000 for female chronic disease admission expenses, KRW 100,00 for renewed type hospitalization medical treatment expenses, KRW 100,000 for renewed type hospitalization medical treatment expenses, and KRW 100,000 for renewed type of disease (hereinafter “instant insurance contract”).
The insurance contract of this case provides that the payment of insurance money shall be made to women's chronic disease, hospitalization expenses, and hospital-patient's medical treatment expenses for the necessity of hospital treatment.
B. As indicated in attached Tables 1 through 74, the Defendant received hospital treatment for 21 days from July 24, 2012 to August 13, 2012, including those subject to the diagnosis of the following Huurie Certificate - Henee knee kne e kne e e e e e e e e e e e e e e e e e e e e e e e e e g e e e e g e e e g e e e g e e e e e
C. The Defendant filed a claim against the Plaintiff for insurance money in accordance with the instant insurance contract, and the sum of the insurance money paid by the Plaintiff to the Defendant as the insurance money of female chronic diseases, hospitalization expenses, and hospitalization medical expenses for disease (hereinafter referred to as “inpatient for convenience”) using the hospital as an insured event is KRW 93,624,080, as seen in the sum of the insurance money paid in attached Form 2.
[Ground of recognition] Facts without dispute, entry of Gap4 and 7 evidence (including each number), the whole purport of the pleading
2. The summary of the cause of the Plaintiff’s claim is that the Defendant received hospital treatment for 1,229 days, and the Plaintiff paid the amount of insurance proceeds for hospital treatment accordingly. However, in fact, 695 days (attached Form 1 “the number of days of additional hospitalization” as stated in the corresponding column of “number of days of additional hospitalization”) during the above period of hospitalization was unfairly hospitalized in the absence of a practical need for hospitalization.
Therefore, the defendant's insurance money of 59,320,804 won for hospitalization and medical expenses corresponding to the above 695 days is unfair.