logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 서울중앙지방법원 2020.07.23 2018가단5089363
보험금
Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Basic facts

A. On September 17, 1996, the Plaintiff and the Defendant entered into a C insurance contract with the Plaintiff as the insured and the beneficiary (hereinafter “instant insurance contract”).

B. The insurance policy of the insurance contract of this case contains each of the contents of the coverage, which includes cancer hospitalization benefits (10,000 won per day more than 3 days but more than 100,000 won per day when continued to be hospitalized for the purpose of cancer treatment) and cancer medical care benefits amount (50,000 won per time when surviving after being hospitalized for more than 31 days for the direct purpose of cancer treatment).

C. The main contents of the terms and conditions applied to the instant insurance contract are as follows.

Article 11 (Grounds for Payment of Insurance Money) (1) The Company shall pay the insured money agreed upon to the beneficiary when any of the following events occurs to the insured:

9. Where the insured during the insurance period is diagnosed and confirmed after the starting date of the responsibility for cancer security of the relevant insured, and is hospitalized for at least four days consecutively: 11. When the insured during the insurance period is diagnosed and confirmed as cancer after the starting date of the liability for cancer security of the relevant insured; and when he/she is hospitalized for at least 31 days continuously for the purpose of treatment of such cancer, and he/she is hospitalized for at least 31 days after he/she is hospitalized: The term "hospitalize" in this contract under Article 12 (Definition and Place of Hospitalization) of the Medical Service Act is deemed to require cancer treatment by a doctor or a dentist because it is difficult to treat at his/her own home, and it is deemed that a domestic hospital as provided for in Article 3 (2) of the Medical Service Act or a company deemed equivalent thereto is admitted to a foreign medical institution and concentrate on such treatment under the control of a doctor;

On February 2, 2013, the Plaintiff received the first left-hand cancer diagnosis from D Hospital and repeated hospitalization and discharge until December 9, 2014. The Defendant insurance money based on the Plaintiff’s insurance contract of this case.

arrow