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(영문) 서울중앙지방법원 2015.03.25 2012가합527834
보험금
Text

1. The Defendant’s KRW 81,649,830 among the Plaintiff and KRW 69,949,830 among the Plaintiff, shall be KRW 11,70,000 from September 22, 2012.

Reasons

1. Basic facts

A. 1) The Plaintiff entered into an insurance contract between the Plaintiff and the Defendant 1) on August 12, 2003 between the Defendant and its husband, designating the insured as its husband B and the beneficiary as its husband B, and the Defendant as the Plaintiff.

A) B, on February 19, 2004, the Roberber Health Insurance Contract (Certificate number: D; hereinafter “instant 2 insurance contract”).

(2) On January 26, 2005, the term "third insurance contract of this case" (certificate number: E; hereinafter referred to as "third insurance contract of this case")

(2) Each of the terms and conditions of the instant 1 insurance contract are as follows.

Article 12 (Types of and Grounds for Payment of Subsidy Insurance Money) (1) A communications agency shall pay the insurance money agreed upon to the beneficiary when any of the following events occurs to the insured during the insurance period:

(See attached Table 1’s “Standards for Payment of Insurance Money”).

4. Accident pension: When he/she becomes a disability of Grades I through II in the attached Table 3 due to a disaster (hereinafter referred to as "disaster") as prescribed in attached Table 2 (Disaster Classification Table), as prescribed in attached Table 3.

6. Installments of hospitalization from a disaster: Where he is hospitalized for the purpose of direct treatment due to a disaster.

7. Class 2 operation: In cases of receiving an operation prescribed in attached Table 5 (Operation Classification Table) for the direct purpose of treatment due to a disaster or disability pension, when he/she undergoes an operation for the direct purpose of treatment as prescribed in attached Table 5 (Operation Classification Table 1): Class 2 operation when he/she undergoes an operation for the direct purpose of treatment due to a disaster or injury of grade 1 through 2: 3 million won per day of hospitalization when he/she undergoes an operation for the purpose of treatment due to a disaster or injury of 20,000 won per day of hospitalization when he/she undergoes an operation for the direct purpose of treatment due to a disaster or injury of 10,000 won per time.

2. In cases of a disaster disability pension, if a beneficiary wants to receive a lump-sum payment, the lump-sum payment may be made in advance at the estimated interest rate under this insurance.

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