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(영문) 수원지방법원안양지원 2013.10.22 2013가단4904
보험금
Text

1. The defendant shall pay 40 million won to the plaintiff and 20% per annum from March 12, 2013 to the day of complete payment.

Reasons

1. Facts of recognition;

A. 1) On July 12, 2006, the Plaintiff entered into an insurance contract with the Defendant as the insured on July 12, 2006 (hereinafter “instant insurance contract”).

(2) The insurance contract of this case provides that the insurance contract of this case shall pay the relevant diagnosis cost (the subscription amount: 40 million won) in the case that the Plaintiff is diagnosed and confirmed due to cerebrovascular disease. (2) Of the insurance terms and conditions of the insurance contract of this case, the insurance contract of this case provides the following provisions:

2. The definition and diagnosis determination of the cerebrovascular disease (hereinafter “cerebrscular disease”) refers to the disease classified as the cerebrovascular disease in the fourth Korean Standard Classification of Patients (attached Table 5).

(2) The diagnosis and determination of a brain-related disease shall be conducted by a person with a physician's license (excluding dentists) of a medical institution prescribed in Article 3 of the Medical Service Act or an overseas medical institution recognized by the company equivalent thereto, and such diagnosis shall be conducted based on medical history, negonomic scopic scopic CT scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scop

[The diseases classified as brain cerebrovascular diseases in the attached Table 5 Regulations shall mean the following diseases, among the Korean Standard Classification for Brain (Enforcement Date of the Statistics Korea Notice No. 2002-1, January 1, 2003) as amended. The relevant diseases shall be omitted in the classification number of cerebrscular diseases in the attached Table 5:

6. Scrapping and fluoring of bovine spongiform encephalopathy which does not cause any bovine spongiform encephalopathy;

7. Waste color and fluoring of bovine spongiform encephalopathy which does not cause any cerebrovascular color;

8. Other cerebrovascular diseases (Omission) I65 I67 (Omission).

B. (1) The Plaintiff’s diagnosis and claim for insurance proceeds, etc.) between October 11, 201 and October 14, 201, 201, as the Plaintiff was admitted to the Namyang-ju Hospital, and the two MRI (nuclear) between October 12, 201 and October 14, 201.

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