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(영문) 서울중앙지방법원 2015.10.14 2014가합52303
보험금 및 계약해지무효
Text

1. All of the plaintiff's claims are dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

1. Basic facts

A. (1) On October 15, 2012, the Plaintiff entered into an insurance contract with the Defendant listed in attached Table 2 (hereinafter “instant insurance contract”) (hereinafter “instant insurance contract”).

Article 17 (Types of and Grounds for Payment of Insurance Money) of the Insurance Terms and Conditions (Types of Insurance Money) The defendant shall pay the insured (beneficiary) the insurance money agreed upon to the beneficiary (beneficiary) as follows when any of the following events occurs: ① Injury during the insurance period (excluding physical assistance equipment, such as artificial organs or parts, but including artificial organs or parts, which is transplantd and substituted for its function; hereinafter referred to as "injury").

[] If the rate of disability payment prescribed in attached Table 1 (Disability Classification) becomes a disability equivalent to at least 80%, the beneficiary shall be paid the full amount of the amount of the insurance coverage as an insurance benefit for advanced disability. ② If the disability payment rate prescribed in attached Table 1 (Disability Classification Table 1) becomes a disability of less than 80% during the insurance period, the amount calculated by multiplying the insurance coverage rate prescribed in attached Table 1 (Disability Classification) by the insurance coverage rate shall be paid to the beneficiary as an insurance benefit for general aftermath disability. Notwithstanding Article 18 (Article 17 of Detailed Regulations on the Payment of Insurance Money), if the disability payment rate is not permanently fixed but the period is at least five years after the completion of treatment, Article 17 shall be applied with the rate of disability payment.

If the disability payment rate in Article 17 is not determined within 180 days from the date of occurrence of the injury, the disability payment rate shall be determined based on the diagnosis of intention on the date 180 days have passed from the date of occurrence of the injury.

However, the rate of disability payment.

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