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1. With respect to the Defendant’s diagnosis of brain death on August 18, 2014, the attached Form against the Plaintiff’s Defendant.
Reasons
1. Presumed factual basis
A. On April 16, 2013, the Plaintiff entered into an insurance contract with the Defendant listed in the separate sheet (hereinafter “instant insurance contract”).
B. Among the instant insurance contracts, the main contents of the special terms and conditions are as follows.
51. The term "cerebrovascular disease" in this Special Terms and Conditions of Article 1 (Definition and Confirmation of Madovascular Disease) of the General Terms and Conditions for the Examination Expenses for Brain Diseases (Renewal) refers to the disease specified in [Attachment 12] (Classification Table of Brain Diseases) in the 6th Korean Standard Medical Disease Classification.
The diagnosis and confirmation of cerebrovascular diseases shall be conducted by a person with a medical license (other than dentists) of a hospital prescribed in Article 3 (2) of the Medical Service Act or of a medical institution recognized as equivalent thereto, and this diagnosis shall be conducted based on the brain computerization strain CTR, self-official image (MRI), cerebrovascular surgery, double-electronic emission e-mail e-mail e-mail e-mail e-mail e-mail (PEC), SSEC, and e-mail e-mail e-mail e-mail e-mail.
However, only if the insured (person insured) dies and cannot be based on the above method of inspection, the documented records or evidence verifying that the insured (person insured) was diagnosed or treated due to cerebrovascular disease can be based on the diagnosis confirmation.
Article 2 (Types of Insurance Money and Reasons for Payment) The amount of insurance coverage under this Special Terms and Conditions 0.5 times the amount of insurance coverage under this Special Terms and Conditions is 0.5 times the amount of insurance coverage under this Special Terms and Conditions when the diagnosis is conducted for not less than one year after the lapse of less than one year after subscription to the initial contract for the expenses for diagnosis of brain-cerebrovascular diseases under the classification of Article 2 (Types of Insurance Money and Reasons for Payment) if the insured (person insured) is diagnosed as "cerebrscular diseases" during the insurance period, the following amount shall be the beneficiary (person receiving the insurance money) at the expense of diagnosis of brain-