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(영문) 창원지방법원 2019.09.18 2017가단112426
보험금
Text

1. The Defendant’s KRW 4,635,00 for the Plaintiff and 6% per annum from June 2, 2018 to September 18, 2019.

Reasons

1. The fact of recognition (in the event that the insured was hospitalized for at least four days directly for the purpose of the treatment due to a disease or disaster that occurred during the insurance period, 20,000 won (per day exceeding three days, per day, per 120 days, per day) per day when the insured was diagnosed as an adult specific disease during the insurance period, and hospitalized for at least four days directly for the purpose of the treatment of such adult specific disease, constitutes “nickly and far away from the heart (I48)” in the Korean Standard Industrial Classification for E-Class I Adult Specific Diseases (KS).

: 100,000 won per day (per day exceeding three days, per day, and up to 120 days), - Of the Korean Standard Industrial Disease Disease Classification for Type 3 Adult Specific Diseases (KM17), Maneei kne (M17), 's high blood pressure (I10)' and 'K25' are applicable thereto.

- 40,000 won per day (per day exceeding 3 days, per day, and 30 days limit) / Where the insured has confirmed diagnosis as an adult specific disease during the insurance period and hospitalized for at least 31 days for a direct purpose of the treatment - Type 1 adult specific disease per day (by day exceeding 30 days, per day, and by day within 90 days)

A. On February 16, 2004, the Plaintiff and the Defendant concluded a DNA insurance contract from February 16, 2004, the insured C (the Plaintiff’s mother), the beneficiary, the Plaintiff’s insurance premium amounting to 242,200 won per month, and the insurance period from February 16, 2004 to the end of life (hereinafter “first insurance contract”), and the payment criteria for hospitalization benefits and nursing funds under the first insurance contract are as follows.

B. On January 25, 2005, the Plaintiff and the Defendant entered into an E insurance contract (hereinafter “Class 2 insurance contract”) with the insured C, the beneficiary, the Plaintiff, the insurance premium amounting to KRW 88,730 per month, and the insurance period from January 25, 2005 to the end of life, and the payment criteria for hospitalization benefits under the 2 insurance contract are as follows.

[In the event that an insured person was hospitalized for at least four days due to a disease during the insurance period, the insured person was diagnosed as an adult specific disease during the insurance period. 35,000 won per day (per day exceeding three days, per day, and per 120 days).

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