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(영문) 서울고등법원 2017.10.26 2015나19379
보험금
Text

1. The part against the defendant among the judgment of the court of first instance is revoked, and the plaintiff's claim corresponding to the revoked part is revoked.

Reasons

1. Basic facts

A. On September 3, 1999, the Plaintiff entered into an insurance contract with the Defendant for non-dividend accident insurance as between September 3, 1999 and September 3, 2019 with the Plaintiff and the insurance period.

(hereinafter “instant insurance contract”). Article 10 [Grounds for Payment of Insurance Money] (1) The Company shall pay the insurance money agreed upon to the beneficiary (see attached Table 1 “the Standard Table for Payment of Insurance Money”) to the insured when any of the following events occurs to the insured:

13. When the insured becomes a state of disability of Grades グ or ケ due to a disaster other than a traffic accident in ordinary days: 14. Payment of the ordinary injury compensation benefit for ordinary day: When the insured has become a state of disability of Grades ゲ through サ due to a disaster other than a traffic accident in ordinary days; the disaster in the disaster classification table (attached Table 2) refers to an accident which occurs in the future (Provided, That if a person who has a disease or physical handicap and has caused a minor external factor or the symptoms thereof are aggravated, the minor external factor shall not be deemed an contingent external accident) and which is referred to in the following classification:

The classification of items No. 29. Out of the external and internal therapy, there was no reference to disaster at the time of treatment 31. A patient's 31. Out of the internal and internal therapy, the classification of items is based on the Korean Standard Disease Classification (Enforcement of the Statistics Korea Notice No. 1993-3, January 1, 1995), "the person who was suffering from disease and died," and "the person who was not intentional or negligent by the diagnosis and treatment institution" in the accident [Attachment Table 3] without the intention or negligence of the diagnosis institution among "the patient's disaster during the external and internal therapy treatment."

1. Grade コ in a case where the eyesight of one eye has been permanently lost;

3. When he/she becomes subject to restrictions on basic daily activities throughout his/her life because he/she has left a obvious obstacle to heavy weather, alert, or telegraph.

4. Maternity and clothes;

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