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(영문) 광주지방법원목포지원 2016.03.23 2013가단50792
부당이득금반환등 청구의 소
Text

1. The Plaintiff:

A. Defendant A’s KRW 6,147,058 and for this, KRW 5% per annum from July 23, 2015 to March 23, 2016.

Reasons

1. Basic facts

A. On February 16, 2006, the Plaintiff entered into an insurance contract with Defendant B (hereinafter “instant insurance contract”). The content of the instant contract is as follows. On November 19, 2009, the policyholders and (other than death, death, and death) beneficiaries of the instant insurance contract were Defendant A; on March 19, 2012, the policyholders of the instant insurance contract and (the beneficiaries of the instant insurance contract) beneficiaries were changed to Defendant B; and on April 20, 2012, the instant insurance contract (other than death and death) beneficiaries were changed to Defendant B, respectively.

Guarantee of expenses for hospitalization of a disease: The time of hospitalized treatment (within the limit of 180 days per day and per time of hospitalization) for a hospital or clinic of a disease during the cover period of 50,000 won per day of admission - Article 2 (Damage to Compensation) of the Special Terms and Conditions (3) of the Special Terms and Conditions). If a disease is hospitalized twice or more for the purpose of treating the same disease, it shall be considered as

However, if hospitalization is made after the lapse of 180 days from the date of the final discharge, it shall be deemed a new hospitalization.

Guarantee of nursing expenses for diseases: Where a hospital or a member is hospitalized for at least 31 days due to a disease during the insurance period of KRW 1,000,000, the amount of which is covered by the disease, Article 2 (Damage to Compensation) of the Special Terms and Conditions (Article 2 (Damage to Compensation) of the Special Terms and Conditions).

However, if hospitalization is made after the lapse of 180 days from the date of the final discharge, it shall be deemed a new hospitalization.

Medical expenses for hospitalization of a disease: 30,000,00 won - Medical expenses for hospitalization, hospitalization, treatment expenses, surgery expenses, and compensation for difference in the difference in the amount of illness at the time of hospitalized treatment at a hospital or clinic, etc. due to infections or diseases during the insurance period (excluding the maximum of 365 days from the date of outbreak, the amount equivalent to 40% of the total medical expenses where national health insurance is not applicable, and the medical expenses, etc. paid from industrial accident insurance) - Article 2 (Compensation for Damages) of the Special Terms and Conditions, notwithstanding paragraphs (1) and (3).

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