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(영문) 서울중앙지방법원 2015.06.16 2014나68418
보험금
Text

1. Of the judgment of the court of first instance, the part against the plaintiff ordering payment shall be revoked.

The defendant shall be 13.6 million won to the plaintiff.

Reasons

Basic Facts

On October 12, 2012, the Plaintiff agreed to enter into a comprehensive insurance contract with the Defendant, an insurance company, and the Korea-China Scambus (hereinafter “instant insurance contract”) for cancer-related purchase amount as follows.

Expenses for cancer diagnosis: 10 million won (less than one year and less than 50 percent of the transitional period): Expenses for cancer diagnosis (less than one year and less than one year): 20 million won (per one surgery, and less than one year, 50 percent in the case of less than one year): The main contents of the relevant special terms and conditions are as follows in the insurance contract of this case:

Article 2 (Definition and Confirmation of "Canceance", "Other skin cancer" and "Amance cancer" of the General Terms and Conditions for Cancer Examination (Renewal) (Common Terms and Conditions), 1) The term "Canceance" in this Agreement refers to diseases (see attached Table 2) classified into malicious Organisms (Ams) in the 6th Korean Standard Disease Death Classification.

However, it does not include the disease of malicious life falling under No. C44 (Other Maternal Organisms of the skin, the disease of malicious life falling under No. C73 (Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternal Maternant) or the "Maternal Maternant Maternal Maternal Maternant Maternal Maternal Maternal Maternant Maternal Ma

Article 3 (Definition and Diagnosis Confirmation of "Site cancer") (1) In this contract, the term "place cancer" means a disease (see attached Table 3) classified as a job-based new life in the 6th Korean Standard Disease Death Classification.

Article 7 (Types and Grounds for Payment of Insurance Money) Where an insured person (person subject to insurance) is diagnosed from the date of commencement of guarantee for cancer prescribed in Article 5 (Commencement of Guarantee) after the date of commencement of guarantee for cancer or from the date of commencement of guarantee to "other skin cancer", "Aboard cancer", "Site cancer", or "bratory species" during the insurance period, the following amount shall be determined only once for the first time for cancer diagnosis costs by the beneficiary (person who receives insurance money).

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