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(영문) 대전지방법원홍성지원 2016.02.24 2015가단5217
보험금
Text

1. The plaintiff is based on the insurance contract stated in the attached Table No. 1 concerning the insurance accident stated in the attached Table No. 2.

Reasons

1. Around June 14, 2011, the Plaintiff entered into an insurance contract with B and the insured as the Defendant listed in attached Table 1 (hereinafter “instant insurance contract”).

The main contents of the special terms and conditions for cancer hospitalization per day included in the instant insurance contract (hereinafter “instant terms and conditions”) are as follows.

Article 3 (Types and Grounds for Payment of Insurance Money) (1) The Company shall, after the date of commencement of guarantee set forth in the Insurance Policy (Insurance Policy), provide the following amounts to the beneficiary (or, if the beneficiary is not designated as the beneficiary), if the insured (person insured), has been diagnosed with cancer, other skin cancer, Athram, job cancer, or security pattern after the date of commencement of guarantee set forth in the Insurance Policy (Insurance Policy), and has continued to be hospitalized for at least four days (if the beneficiary is not designated as the beneficiary, it shall be paid to the insured) for the direct purpose of the treatment (if the hospital or the Council member has been hospitalized for the direct purpose of the treatment of the same cancer, other skin cancer, Athram, job cancer, or security pattern, the number of days of hospitalization shall be considered to have been continuously hospitalized).

4. 20% of the purchase amount of insurance under this special terms and conditions from the date of initial hospitalization to the fourth day of continuous hospitalization for more than 4 days from the date of separate cancer per day of initial hospitalization.

(5) In the case of paragraph (1), where an insured person (person insured) has been hospitalized not less than twice for the direct purpose of treatment of the same cancer, other skin cancer, Aprym cancer, job cancer, and boundary-oriented species, he/she shall be deemed hospitalized once, and the provisions of paragraph (4) shall be applied by adding the number of days of each hospitalization to

Article 6 (Definition and Confirmation of Warning Species) (1) The term "job cancer" in Article 3 (Types of and Grounds for Payment of Insurance Money) means the disease No. 5 attached Table 5, which is classified as job-based life in the Korean Standard Disease Classification in Article 6.

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