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(영문) 의정부지방법원 2015.11.05 2015나51839
보험금채무부존재확인
Text

1. Revocation of a judgment of the first instance;

2. The plaintiff (Counterclaim defendant) related to the insurance accident described in attached Form 1.

Reasons

1. Basic facts

A. (1) On January 12, 2010, the Defendant concluded an insurance contract (hereinafter “instant insurance contract”) with the Plaintiff and the insured as the Defendant as the Defendant in attached Form 2 (hereinafter “instant insurance contract”).

(2) Of the terms and conditions of the instant insurance contract, the parts relating to the instant case are as follows.

Article 3 (Matters to be Covered by Types of Security) (4) In case the insured (person insured) has received medical treatment or prescription preparation from a hospital due to disease, the company shall compensate for outpatients expenses, outpatients surgery expenses and prescription preparation expenses every year from the date on which the contract is concluded, as follows:

(5) In the event that the insured (person insured) is hospitalized in a hospital due to an injury or disease, the company is bound to compensate for the amount of the insurance coverage (the amount determined by the contractor at a maximum of 50 million won per injury or disease) as follows:

The matters to be compensated or deducted by the Company for each type of security during the insurance period of this contract shall be as follows:

In the case where the doctor of the definition of the terms mentioned above recognized that the treatment is necessary due to the disease or injury of the insured, and the doctor's care is administered by him/her at his/her own home, etc. because it is difficult to treat him/her, and the care is performed by him/her due to the disease or injury of the insured person, and the doctor's care is performed by him/her due to the difficulty in treatment at his/her own home, etc. of hospital, medical treatment costs, hospital treatment costs, hospital treatment costs, hospital treatment costs, hospital treatment costs, hospital treatment costs, hospital operation costs, higher-class hospital treatment costs, prescription costs, and prescription fees, the main feed, and natural feed, etc. incurred during hospital treatment, during hospital treatment costs, and the doctor's care is performed by him/her.

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