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(영문) 의정부지방법원고양지원 2016.05.12 2015가단86639
보험금
Text

1. The Defendant: (a) KRW 5,000,000 and the Plaintiff’s 20% per annum from May 22, 2015 to September 30, 2015; and (b) thereafter, shall be the following.

Reasons

Facts of recognition

On February 25, 2008, the Plaintiff entered into a contract with the Defendant for the Military Service Insurance (F4) (hereinafter “instant insurance contract”) (hereinafter “instant insurance contract”), and the main contents are as follows.

From February 25, 2008 to February 25, 2023, the insurance period of the Plaintiff: (a) the Plaintiff had continuously recovered from the date of entering into the instant insurance contract to January 25, 2007, the Plaintiff was given medical examination or treatment, hospitalization, surgery, and close medical examination with the following medical doctor during the last five years; (b) the Plaintiff was given medical examination or treatment within the last five years from the date of entering into the instant insurance contract; and (c) the Plaintiff was given medical examination or treatment, treatment, treatment, surgery, and close medical examination with the following medical doctor during the last five years; and (d) the Plaintiff continued to obtain medical examination or treatment within the last five years from the date of entering into the instant contract.

On July 7, 2014, while the Plaintiff paid the agreed insurance premium under the instant insurance contract, the Plaintiff was diagnosed by blood-related dementia and cerebral typhism in the East National University Hospital.

The Plaintiff filed a claim with the Defendant for the payment of the insurance money for diagnosis expenses under the terms and conditions, but the Defendant rejected the payment of the insurance money on the ground that, on April 30, 2012, the medical record of the Plaintiff, “In 2005, if the Plaintiff appeared, the occurrence of the loss incurred in the future, and the commencement of taking medicine after being diagnosed as dementia as dementia,” written in the medical record book of the Dong National University Hospital, Busan National University Hospital, which was treated by the Plaintiff, was written in the name of the doctor in charge at the time.”

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