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(영문) 서울남부지방법원 2020.06.25 2019나60798
장해보험금
Text

1. Of the judgment of the court of first instance, the part against the Defendants exceeding the following amount ordered to be paid shall be revoked.

Reasons

1. Basic facts

A. On November 5, 1999, Defendant B Co., Ltd. (hereinafter “Defendant B”) and the insured entered into an insurance contract with the Plaintiff, the beneficiary of the injury by hospitalization (hereinafter “Defendant B”) on November 5, 2019, designating the Plaintiff, the Plaintiff, the beneficiary of the injury by hospitalization as the purchase price of the prime contract, the purchase price of KRW 20,000,000,000 for holiday accident compensation insurance, and KRW 10,000,000,000,000, etc. (hereinafter “instant first insurance contract”). The main terms and conditions are as follows.

Article 13 of the General Insurance Terms and Conditions [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 after the date of commencement of liability when any of the following causes occurs:

2. Where the insured has become a disability of Grades I through VI in the table of disability classification for a direct reason, or becomes a disability of Grades I through VI in the table of disability classification for a direct reason other than the "traffic disaster" prescribed in the disaster classification table: Payment of insurance money, etc., under Article 25 (Payment of Insurance Money, etc.) (1) When the company has received the documents prescribed in Article 24 (Documents Required at Time of Filing a Claim for Insurance Money, etc.), it shall issue the receipt, and it shall be set aside within three days from the date of receipt of the documents by dinging the insurance money or the refund money for cancellation or exempting the payment of insurance money.

Provided, That where it is necessary to investigate or confirm the grounds for payment of insurance money or premiums, the insurance money shall be covered or the insurance premium shall be exempted within 10 days after receipt.

[Attachment 1] If the insured becomes disabled in Grades 4 through 6 of the Disability Classification Table due to a disaster other than the "traffic disaster" in the attached Table 1 of the Standard for Payment of Insurance Money, the following amount shall be paid according to the disability grade: Grade 5: 7 million won; Grade 6: 3 million won shall be guaranteed.

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