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(영문) 광주지방법원 순천지원 2014.06.27 2014고단516
사기
Text

A defendant shall be punished by imprisonment for six months.

Reasons

Punishment of the crime

The Defendant may be paid high-amount insurance money when a specific disease insurance that he sells in the insurance company is paid for 16th illness expenses, hospitalization expenses, nursing expenses, etc., and some medical institutions appeal to the Health Insurance Corporation for knenee, etc. even if a patient does not need an operation due to normal or minor chronic diseases for the purpose of receiving insurance benefit expenses from the Health Insurance Corporation, they have been aware that the Defendant conducted a diagnosis of 16th disease according to the Korean Standard Disease Disease Classification, such as anti-monthly Mane-sule, etc., and carried out a surgery for a long-term hospitalization on the ground of this, and then intended to receive insurance money after conducting an operation or hospitalization.

From July 9, 2009 to August 13, 2009, the Defendant joined 17 insurance products with monthly insurance premium of 1,020,060 to KRW 1,060, and was hospitalized for 33 days on the same day after receiving treatment from a doctor of D Hospital in Maecheon-si on December 11, 2009, even though the fact is not much than knee and it is unnecessary to be hospitalized or operated.

Since January 15, 2010, from March 8, 2010 to March 1, 2010, the Defendant claimed insurance proceeds from 16 insurance companies, such as the Victim Green Damage Insurance Co., Ltd., as stated in the [Attachment Table No. 1] between the Defendant and the Defendant, as if he were duly hospitalized, and received KRW 26,716,951 from the damaged insurance companies as insurance proceeds for surgery expenses, etc.

The Defendant, including this, from around that time to December 8, 2010, repeats false knee surgery and hospitalization on a total of five occasions, as shown in the attached list of crimes, and insurance proceeds, such as operating expenses and hospitalization, from insurance companies that are victims.

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