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(영문) 대법원 2015.05.28 2014다222015
보험금
Text

The appeal is dismissed.

The costs of appeal are assessed against the Plaintiff.

Reasons

(4) On October 31, 2012, Jeju Hospital received an Abane injection from the Abane Free Hospital (hereinafter “each of the instant treatments”), and the Defendant paid to the Plaintiff KRW 2 million under the instant insurance contract only for the treatment of the Seoul Hospital during each of the instant treatment.

3.(a)

Examining the above facts in light of the aforementioned legal principles, considering the step-by-step classification system of the third Korean Standard Disease Death Classification and the details stated in attached Table 4 of the terms of the first insurance contract of this case, it is reasonable to interpret that “urine disease” in attached Table 4 includes a type of disease included in the subdivision unit of the third Standard Disease Disease Classification “E10-E14” in the third Standard Disease Disease Classification in terms of customer protection. It also conforms to the principle of disadvantage of the originator in the interpretation of the terms and conditions.

Therefore, since the urology white urology urology (H28.0*) and urology urology urology (H36.0*) are written in the fourth unit subdivision of the 'E10-E14' group of urology of the third standard urology urology (E10-E14), surgery conducted for the direct purpose of the treatment of urology urology urology and urology urology urology urology urology urology urology urology urology urology urology urology urology urology urology urology urology urology urology

B. However, according to the reasoning of the lower judgment as well as the results of the fact-finding and records on the Seoul Hospital Head, each of the instant treatment is merely an operation to prevent the real name due to the aggravation of the urine urine urine, and it is difficult to view it as an operation. ② The urine urine urine urine urine urine urine urine urine urine and the urine urine urine urine urine urine urine urine urine urine urine urine urine urine urine urine urine urine with an unknown urine urology (H26.

Ultimately, each of the treatment of this case is under way.

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