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1. With respect to the accident described in paragraph 2 of the attached list, the plaintiff is based on the insurance contract described in the attached list.
Reasons
1. Basic facts
A. On April 29, 2011, the Plaintiff concluded an insurance contract on April 29, 201 (hereinafter “instant insurance contract”) with the Korea Branch of Lininina Scom Company (hereinafter “instant insurance contract”).
(The amount of insurance coverage for post-harm shall be KRW 400 million).
A due to the accident described in paragraph (2) of the Attached List on July 26, 2011 (hereinafter “instant accident”), A suffered from the injury of the escape symptoms of the conical signboards between the 4-5 and the 5th 1,000 (hereinafter “instant injury”) and the same year.
8. 30. The C Hospital located in Gangnam-gu Seoul Metropolitan Government was fluoralized with fluoralty and carried out hydronuclear removal.
C. On May 7, 2012, the Defendant filed a claim with the Plaintiff for the payment of the insurance proceeds under the instant insurance contract, along with a diagnosis report on the remaining disability.
The main contents relating to the terms of the instant insurance contract are as follows.
1) Article 19 (Types and Grounds for Payment of Insurance Money): A company shall pay the insured the insurance money agreed upon to the beneficiary if any of the following events occurs: 2. If disability falls under the rate of disability payment prescribed in the Disability Classification Table (See attached Table 1) during the insurance period, the insurance money for future disability shall be paid an amount calculated by multiplying the insurance amount listed in the insurance policy by the rate of payment prescribed in the Disability Classification Table (see attached Table 1): 2. 2) Article 20 (Detailed Provisions on Payment of Insurance Money): Article 19 (2): Notwithstanding Article 19 (2), for a temporarily fixed symptoms but for a temporary disability after the completion of treatment, if the period exceeds five years, the amount calculated by multiplying the rate of disability payment by the amount of insurance coverage.
Paragraph 8: In the event that a state of residual disability referred to in paragraph 7 has already occurred on the same part of the body of an insured worker who has already suffered a residual disability falling under one of the following, the following one shall apply: