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(영문) 부산지방법원 2021.01.14 2020나44817
보험금
Text

1. The defendant's appeal is dismissed.

2. The costs of appeal shall be borne by the Defendant.

The purport of the claim and the purport of the appeal.

Reasons

1. Facts of recognition;

A. On December 27, 2011, the Plaintiff concluded a “C” insurance contract between December 27, 201 and the insured person as the Plaintiff, and the term of the contract from December 27, 201 to December 27, 2085 (hereinafter “instant insurance contract”);

The details of guarantee regarding the plaintiff's claim of this case are as follows.

- 30,000 cancer operation expenses (Ⅱ) first time for cancer operations after the commencement of cancer security after the commencement of cancer security, 80% payment of the first time for cancer operations after the commencement of cancer security - 2,000,000 won payment of the first time for cancer operations after the commencement of cancer security when the diagnosis becomes final and conclusive after the commencement of security - 30% payment of the first time for cancer operations after the commencement of cancer security.

B. Among the terms and conditions of the instant insurance contract, the main contents related to the instant claim are as indicated in the attached Form. The said special terms and conditions include the content that, in the case of the proteinal mal mal marity (i.e., the protein mar mar mar mar mar mar mar mar mar mar mar mar mar. (hereinafter “original mar mar mar marmar

(c)

Around May 4, 2018, the Plaintiff was diagnosed by D Council members as “Ath upper-tier malicious Organisms ( disease classification number C73), hair, face, and scambling scam (C77)” and “Athromatic scams (C77),” and received a scambling surgery on April 30, 2018, and a scambling surgery on May 17, 2018.

(d)

Accordingly, the Plaintiff claimed insurance money under the insurance contract of this case to the Defendant, and the Defendant paid only KRW 6,00,000 to the Plaintiff for the diagnosis of Gap's cancer (C73).

[Ground of recognition] Unsatisfy, Gap evidence Nos. 1 through 5 (including various numbers if there are several numbers) and the purport of the whole pleadings

2. Summary of the parties’ assertion

A. The Plaintiff’s assertion was diagnosed of the difference between head, face, and spons of item (C73), as well as his/her head, face, and spons (C77), and of the malicious scam (C77). This is stipulated in the terms and conditions of the instant insurance contract.

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