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(영문) 수원지방법원 2015.06.03 2014나45307
보험금
Text

1. Revocation of a judgment of the first instance;

2. The plaintiff's claim is dismissed.

3. All costs of the lawsuit shall be borne by the Plaintiff.

Reasons

1. Basic facts

A. The conclusion of an insurance contract and its terms and conditions 1) The Plaintiff, the policyholder, is the Defendant, the insurer, the insured, and the Plaintiff as the Plaintiff on April 24, 201, and the General Health Insurance Contract with the maturity as of April 24, 204 (hereinafter “instant insurance contract”).

A) Around that time, the insurance policy of the insurance contract of this case provides that “when an insured person under insurance has undergone an operation for a direct purpose of treatment due to a disease or disaster” shall be paid “the operating installment”.

However, the terms and conditions of the above insurance contract provide that "the insured shall pay an operating benefit when he/she undergoes an operation prescribed in attached Table 6 (Operation Classification Table) for the direct purpose of treatment due to a disease or disaster during the insurance period."

B. (1) On April 13, 2012, the Plaintiff received cataculse surgery from the catacy department located in the cata in the cata in the cataology due to urine urology urine urology and urology urology on the left-hand side. (2) On January 16, 2014, the Plaintiff received cataculal surgery at the Seocho Medical Love Hospital located in Ansan-gu, the medical corporation located in the area where the urine urine urine urine urine urine urology was not classified differently. (3) On January 16, 2014.

3) On March 28, 2014, the Plaintiff: (a) received each of the surgery on the urine therapy and the savine therapy at an E Hospital located in Nam-gu Incheon Metropolitan City (hereinafter referred to as “each of the instant surgery”); (b) there is no dispute over the instant surgery; (c) evidence Nos. 1, 2, 1 and 2 evidence Nos. 1, 2 (including the number of pages; hereinafter the same shall apply); and (d) the entire purport of the pleadings, as a whole, due to the human urine therapy accompanied by the urine saculium saculium, which was accompanied by other mergers; and (c) the entire purport of the pleadings.

2. The parties' assertion

A. The plaintiff's assertion is during the insurance period as stated in the insurance policy of the insurance contract of this case.

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