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(영문) 대전지방법원 2014.08.20 2013가합101207
보험금
Text

1. With respect to the insured events described in paragraph (1) of the attached list, the Plaintiff is an insurance contract listed in paragraph (2) of the attached list.

Reasons

1. Basic facts

A. On October 24, 2006, the Plaintiff entered into an insurance contract with the Defendant listed in the attached list No. 2 (hereinafter “instant insurance contract”). The main contents of the instant insurance contract are to pay each of the subscription amount per day per hospitalization (general injury expenses) within the limit of subscription amount of medical room expenses (general injury medical expenses) required within 180 days from the date of the accident when the insured undergoes medical treatment due to a general injury, and within the limit of 180 days from the date of the accident when he/she was hospitalized as a general injury, to the extent of hospitalization within the limit of 180 days from the date of the accident.

B. Article 1 of the General Clause of the Insurance Contract (hereinafter "the Special Clause of this case") provides that "if the insured, as stated in the Insurance Policy (Insurance Policy) of this Special Clause of this case, has suffered bodily injury (excluding physical assistance equipment, such as clothes, legs, bills, clothing, etc.; hereinafter the same shall apply) during the insurance period of this Special Clause, the insured shall be entitled to compensate for the damage caused by the injury in accordance with this Special Clause of this case." Article 2 (2) of the Special Clause of this case provides that "if the insured, as a result of the accident stipulated in Article 1, has suffered bodily injury and has lost part of the body within 2 years from the date of recovery of the injury, or has lost its function permanently (hereinafter "aftermath disability") or has lost its function permanently (hereinafter referred to as "aftermath 10% of the General Clause of this case") and then the rate of payment of disability in accordance with the General Clause of this case shall be less than 8% of the General Clause of this case."

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