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(영문) 부산지방법원 서부지원 2019.06.05 2019고정239
보험사기방지특별법위반
Text

Defendant shall be punished by a fine of KRW 7,000,000.

When the defendant does not pay the above fine, 100,000 won.

Reasons

Punishment of the crime

C The members of the D Council assist the issuance of a false fluoral diagnosis, E are insurance solicitors and F are the doctors of G Council members.

C There is a hospital (D) that provides E with a medical certificate even if there is no a peltofy, that is, a hospital (D) that provides E with a medical certificate. At the time of the payment of the fee, the medical certificate was provided to E, and E was provided with a number of insurance policies by suggesting that “I will help you escape insurance money, and if there is no money, you will be able to receive monthly insurance money after the lafying of payment on behalf of others.”

As above, E receives insurance allowances by collecting and introducing persons excluded from insurance money upon receiving a framework diagnosis form, and C receives insurance money, and C may smoothly obtain a framework diagnosis form by promising to obtain MIM photographs for persons introduced from E to F and entering the treatment room, etc., and received money in return.

The Defendant, with the knowledge and knowledge from E to H, took out seven insurance policies from around April 2017 to July of the same month, 200, following the phrase “in the event of being insured in the future, insurance premium may be paid on behalf of the patient, and if taken photographs to the hospital, insurance money may also be paid on behalf of the patient.”

On August 4, 2017, on the ground that the Defendant exceeded stairs, E, and C together conducted MRI shooting with the members of G Council located in the Seo-gu Busan Seo-gu, and received a diagnosis from the doctor F under the name of “acheon-gu E” and submitted the said document to KI, the damage insurer, through E, on August 8, 2017.

However, there was no fact that the substance was cut off from the stairs.

As such, the Defendant, in collusion with E, deceivings the damaged insurance company, and received KRW 2,100,00 from K company on August 8, 2017 as a structural expenses for a pelvis.

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