Text
1. The Defendant’s insurance accident at the B convalescent hospital from December 7, 2012 to June 3, 2013 is related to the insurance accident at the B convalescent hospital.
Reasons
1. Basic facts
A. On March 29, 2007 and May 30, 2007, the Plaintiff concluded each insurance contract with the Defendant with the beneficiary and the insured as shown in the separate sheet with the beneficiary and the insured as the defendant (hereinafter “each insurance contract of this case”).
Article 14 [Definition and Place of Hospitalization] (1) In this special agreement, the term "hospitalize" means that the medical treatment is deemed necessary due to a disease or disaster (hereinafter referred to as "disease or disaster") as prescribed by the Medical Service Act (see attached Table 11) by a doctor, dentist, or a person holding a license as a herb doctor (hereinafter referred to as "doctor"), and that it is difficult for him to provide medical treatment at his own home, and that he is in charge of the treatment under the control of a doctor by entering a domestic hospital, a member of the National Assembly, or a medical institution as prescribed by the Medical Service Act related to overseas medical treatment (based on issuance of a written confirmation of admission discharge).
Article 15 (Types and Grounds for Payment of Insurance Money) The Company shall pay the insurance money agreed upon to the beneficiary of the insurance (beneficiary) when any of the following events occurs to the beneficiary of the insurance during the insurance period:
2. Where a person eligible for insurance has been hospitalized for at least four consecutive days for the direct purpose of treating a disease or disaster prescribed in the table of classification of a disease or a disaster during the insurance period (life): The amount of hospitalization benefits [Provided, That the maximum of 120 days per day exceeding three days, per day, and per time of hospitalization];
B. The major terms and conditions of each of the instant insurance contracts are as follows.
C. Around August 3, 2010, the Defendant, the insured of the instant insurance contract, was hospitalized in the C Hospital and continued to receive medical treatment by moving to the D Hospital on August 4, 2010 on the following day. Around December 7, 2012, the Defendant, who was the insured of the instant insurance contract, was hospitalized in the D Hospital, and was under treatment.