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(영문) 광주지방법원 2018.02.09 2017가합55492
보험금
Text

1. Attached 2 insurance contracts shall be indicated in relation to the insured events indicated in the attached Form 1.

Reasons

1. Basic facts

A. On February 25, 2010, the Defendant concluded the instant insurance contract and the content of the instant special agreement (1) between the Plaintiff and the Plaintiff, the insured, and the beneficiary entered into an insurance contract, such as the indication of the attached Form 2 insurance contract, as the Defendant stated in the attached Table 2 insurance contract (hereinafter “instant insurance contract”).

(2) The security of the instant insurance contract includes “the diagnostic expenses for cerebrovascular diseases,” and the insurance period from February 25, 2010 to February 25, 2035, and the insurance amount is KRW 5,000,000.

(3) Of the instant insurance contract’s terms and conditions of diagnosis expenses for cerebrovascular diseases (hereinafter “instant special terms and conditions”), the part related to the instant case (hereinafter “instant special terms and conditions”) are as follows.

Article 2 (Definition and Confirmation of "cerebrovascular Diseases") ① In this Special Terms and Conditions, the term "cerebrscular diseases" means the diseases specified in attached Table 12 in the 5th Korean Standard Classification of Patients.

(2) The diagnosis and confirmation of a cerebrovascular disease shall be conducted by a person with a medical license (excluding dentists) of a hospital specified in Article 3 (2) of the Medical Service Act or of a medical institution recognized as equivalent thereto, and the diagnosis shall be conducted based on the brain computerization strain CTR, self-official image, MFI, cerebrovascular surgery, double-electronic emission e-mail e-mail e-mail e-mail e-mail, SSPEC, e-mail e-mail e-mail e-mail e-mail e-mail, and e-mail e-mail e-mail.

However, only if the insured dies and cannot be based on the method of the above examination, it may be based on the documentized records or evidence to prove that the insured was under diagnosis or treatment due to cerebrovascular diseases.

Article 3 (Compensation for Loss) (1) The company is diagnosed and confirmed as "cerebrovascular disease" during the insurance period of this Special Terms and Conditions stated in the Insurance Policy (Insurance Policy).

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