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(영문) 인천지방법원 2018.12.21 2017가합59894
보험에관한 소송
Text

1. All of the plaintiff's claims are dismissed.

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

Reasons

1. The basic facts

C A Co., Ltd. (hereinafter referred to as “C”) as the insured on May 31, 201, including: (a) general hospitalization expenses (10,000 won per day within the limit of 180 days when the Defendant is hospitalized due to a disease or injury) with insurance money; (b) general injury long-term hospitalization expenses (200,000 through 2,00,000 in proportion to a certain period of hospitalization at the time of continuous hospitalization for 15 days or more as a general injury); (c) long-term hospitalization expenses (200,000 through 2,00,000 in proportion to a certain period of hospitalization at the time of continuous hospitalization for 14 days or more as a disease); (d) general hospitalization expenses (180,000 won per day per disease); and (b) general hospitalization insurance contract including the list of injury at 0,000 won per day per disease as an insurance contract as an insured person (hereinafter collectively including the list of injury at 00,000 won per disease).

나. 피고는 이 사건 보험계약을 체결하고서 2015. 7. 7.부터 2015. 7. 27.까지 21일 동안 D병원에서 허리뼈 및 골반염좌로 입원치료를 받은 것을 비롯하여 그 무렵부터 2017. 6. 24.까지 별지3 목록에서 보는 바와 같이 ‘요추염좌, 골반부 슬괵근 흔히 “햄스트링”이라고 지칭하는 부위이다. 파열, 대퇴타박상, 손 및 어깨염좌’ 등으로 17회에 걸쳐 총 320일간 입원치료를 받았고, 이를 보험사고로 하여 원고로부터 합계 22,686,149원의 보험금을 지급받았다.

C. Meanwhile, on May 3, 2013, the Plaintiff concluded various insurance contracts, including the instant insurance contracts, from C by means of a decision on contract transfer with the Financial Services Commission.

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