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(영문) 울산지방법원 2017.07.20 2015가합23105
보험금
Text

1. Attached list;

2. Attached list concerning the details of hospitalization;

1. The term of the insurance contract;

Reasons

A principal lawsuit and a counterclaim shall be deemed simultaneously.

In fact, the plaintiff of the parties concerned is a company operating insurance business, etc. under the Insurance Business Act and the relevant Acts and subordinate statutes, and the defendant is a policyholder and the insured who entered into an insurance contract

The plaintiff, around February 2003, entered into an insurance contract in the separate sheet with the defendant around February 2003.

1. The insurance contract (hereinafter “instant insurance contract”) was concluded, and the following special terms and conditions of cancer security are included in the insurance contract:

(2) If the insured event falls under any of the following subparagraphs after the date of commencement of liability for cancer during the insurance period of this Special Terms and Conditions stated in the insurance policy, the company shall be deemed to be the defendant. Article 3 (Compensation for Loss) (1) of this Special Terms and Conditions:

2. Where the insured has been hospitalized for at least four consecutive days (in cases of hospitalization after moving to a hospital or clinic, if the company recognizes it, it shall be deemed hospitalized) with a view to directly treating cancer after the starting date of the responsibility for guaranteeing cancer (excluding internal cancer), and under Article 6 (Definition and Place of Hospitalization and Operation) (1) The term “inpatient” in this contract is deemed to require cancer treatment by a hospital or assemblyman’s doctor, dentist, or oriental medical doctor’s license holder (hereinafter “doctor”), and it is difficult to treat at his own home, and it is deemed that the hospital under Article 3 (2) of the Medical Service Act or the company recognized by the company as equivalent thereto has been admitted to a medical institution and has been committed under the control of a doctor.

2. "Hospitalization for the direct purpose of cancer treatment" in this Agreement means hospitalization for the purpose of treatment of a disease diagnosed by a doctor, and during the treatment of a cancer.

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