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(영문) 의정부지방법원 2015.09.24 2013가단162383
보험금
Text

1. Insurance contracts in relation to insurance accidents described in paragraph 1 of the attached list shall be governed by an insurance contract described in paragraph 2 of the attached list.

Reasons

A principal lawsuit and a counterclaim shall be deemed simultaneously.

1. Basic facts

A. The plaintiff who is an insurance business operator and the defendant around April 1, 2009 set forth in attached Table 2-A.

A contract of insurance (hereinafter referred to as “instant insurance contract”) as described in subsection 2-b, around August 9, 2010, and around August 9, 2010

The insurance contracts mentioned in the subsection (hereinafter “instant insurance contracts”) were concluded respectively.

In the case that the remaining disability remains in less than 80% of the payment rate prescribed in the Disability Classification Table due to an injury that occurred in the basic contract (this case 1 insurance contract) 50 million won, the amount of insurance coverage for the ten-year period shall be calculated as "admission amount 】 payment rate" and the relevant amount shall be calculated as "amount of general injury income compensation fund (this case 1 insurance contract) 20 million won and the payment rate prescribed in the Disability Classification Table remains in excess of 50% of the payment rate prescribed in the Disability Classification Table due to an injury that occurred in the relevant ordinary injury income compensation fund (this case 1 insurance contract) 20 million won, if the remaining disability remains in excess of 80% of the payment rate prescribed in the Disability Classification Table as of the date of the accident (this case 2 insurance contract) every year, if the remaining disability remains in excess of the payment rate of less than 10 million won

B. The major coverage of each of the instant insurance contracts is as follows.

C. The main contents of the instant insurance contract are as follows.

Article 16 (Insurance Money for Climate Disability) (2) of the General Terms and Conditions of the Insurance Contract in this case: If the insured was injured by an accident as provided for in Article 13 (Compensation for Damages) and the insured was cured, and then, as a direct result, lost part of the body within two years from the date of the accident, or his function was permanently lost (hereinafter referred to as "ex post facto disability") and the rate of payment specified in the Disability Classification Table remains for less than 80% (hereinafter referred to as "general ex post facto disability"), the company will pay the beneficiary as general ex post facto disability insurance money.

(8) If the residual disability has occurred at least twice due to other injury, I shall determine the rate of the payment of residual disability every time it is determined.

(b) however,

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