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(영문) 창원지방법원 마산지원 2017.01.25 2016고단1097
사기
Text

1. Defendant A shall be punished by imprisonment with prison labor for six months.

However, the above sentence shall be executed for a period of two years from the date this judgment became final and conclusive.

Reasons

Punishment of the crime

Defendant

A is a person who has worked as an insurance designer for a victim's interest country life insurance company (hereinafter referred to as "interest country life insurance company"), and Defendant B is a parent of Defendant A, and Defendant C is a child of Defendant A.

In the event of hospitalization due to disease, accident, etc., the Defendants subscribed to a large number of health and accident insurance for which hospitalization insurance money is paid, and continued to be as if they were serious disease or injury to the extent that they should receive long-term hospitalization even though they were sufficiently ill or injured due to hospital treatment. At the same time, the Defendants decided to receive insurance money by changing the type of disease and the details of the accident, and repeatedly hospitalized for the purpose of hospitalization rather than treating for a long time.

1. On December 16, 1997, Defendant A subscribed to 7 insurance policies that can receive KRW 60,000 from 197 to 2001 a daily hospitalization day when he/she was hospitalized due to a disease or a disaster from around 1997 to around 2001, Defendant A hospitalized 40 times in total from January 2, 2008 to May 3, 2014.

In the process, Defendant A complained of high blood pressure, etc. at the F convalescent Hospital located in the Gwanak-gu Seoul Special Metropolitan City on January 2, 2008, Defendant A voluntarily hospitalized and discharged Defendant A from the hospital on February 23, 2008 after the lapse of 53 days from that time.

However, the above hospitalization period of Defendant A does not have any special treatment as well as preservation, and the condition of Defendant A due to outing from time to time, even if there is no need for hospitalization, or even if considering the symptoms alleged by Defendant A, it was sufficient for Defendant A to be hospitalized for 14 days for evaluation and progress observation, so in fact, the insurance money is not for the purpose of treatment to meet the payment standard of insurance money stipulated in the insurance terms and conditions.

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