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(영문) 서울행정법원 2019.07.24 2017구단8616
추가상병불승인처분취소
Text

1. The Defendant’s disposition of granting medical care benefits to the Plaintiff on September 26, 2016 is revoked.

2. The costs of the lawsuit are assessed against the defendant.

Reasons

1. Details of the disposition;

A. On July 1, 2004, while the Plaintiff was employed and worked as a street cleaners belonging to the Ansan-si, on February 29, 2016, the Plaintiff was diagnosed of the injury and disease of the "Weatum base, the ice scambling base, the ice scambling base, the ice scambling base, the ice scambling base, the scambling ground, the scambling ground, the scambling ground, the scambling ground, the scambling ground, and the scambling ground escape certificate (No. 2-3). On April 8, 2016, the Plaintiff applied for medical care benefits for each of the above injury and disease to the Defendant.

B. On May 19, 2016, the Defendant approved the Plaintiff’s application for medical care benefits with respect to the injury and disease of “beatum base, fluoral base, base salt, scale, scale, scale, scale, and scale inscale,” among the injury and disease of each of the above injury and disease for which the Plaintiff applied for medical care benefits. However, the Defendant rendered a decision not to accept the Plaintiff’s application for medical care benefits on the ground that it is deemed that the injury and disease of the “beatum scale (2-3)” was an existing disease due

C. After that, on June 19, 2016, the Plaintiff applied for medical care benefits for the instant injury and disease to the Defendant on the ground that the injury and disease in the instant case was occupational disease. On September 26, 2016, the Defendant determined on September 26, 2016 that “The overall cumulative physical burden of the injury and disease is not high, such as the frequency of work and strength of heavy substance handling,” and it is difficult to recognize a proximate causal relation with the Plaintiff’s work on the basis of the results of deliberation by the Defendant Minority Disease Determination Committee.”

The Plaintiff dissatisfied with the instant disposition and filed a request for reexamination. However, on December 23, 2016, the Plaintiff filed a request for reexamination.

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