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(영문) 서울중앙지방법원 2015.06.10 2013가합59062
보험금
Text

1. The Defendant’s KRW 1,250,000 and annual interest thereon from August 25, 2013 to June 10, 2015 to the Plaintiff.

Reasons

The summary of this case is that the plaintiff, the insured of the injury insurance contract, seeks the payment of insurance money to the defendant, the insurance company, on the ground of the occurrence of the accident.

On the premise, the Plaintiff entered into an insurance contract with the Defendant on September 3, 199, with the term of the Plaintiff and the insurance period from September 3, 1999 to September 3, 2019.

Of the state insurance, the amount of the ordinary injury benefits paid when the insured suffers from a disability of Grades III through VI due to a disaster other than a traffic accident during the holidays is 2.5 million won, and the amount of the ordinary injury benefits (general injury benefits on a daily basis) is 50% of the amount of the holiday security.

The main terms and conditions applicable to the above insurance contract are as follows:

Article 10 [Grounds for Payment of Insurance Money] (1) The Company shall pay the insured money agreed upon to the beneficiary when any of the following events occurs to the insured:

14. When the insured becomes disabled in Grades III through VI due to a disaster other than a traffic accident in ordinary daily days: The term "disaster in the disaster classification table specified in attached Table 2)" means an accident which has occurred in the future, which is referred to in the following classification:

29. Matters excluded from a patient’s disaster during external and internal treatment - Of “the patient’s disaster during internal and internal treatment,” the occurrence of an accident that caused neither intentional nor negligent by the diagnosis institution’s intentional or gross negligence on November 2, 201 of the Disability Classification Table 6, No. 14th Do, the Plaintiff caused the symptoms of scarma immediately following the diagnosis of the escape certificate of disc-propin signboards at C Hospital located in Namyang-si, Namyang-si, on November 4, 2011.

In an emergency on the same day, the pelvise of the plaintiff was carried out with neutism and the pelvise of allebrate.

The plaintiff filed a lawsuit against the medical personnel of the above hospital to seek compensation for damages due to medical malpractice.

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