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(영문) 광주지방법원목포지원 2015.07.02 2014가합10774
보험계약 무효확인 등의 소
Text

1. The insurance contract entered in the separate sheet concluded between the Plaintiff and the Defendant A is invalid.

2. The plaintiff, .

Reasons

1. Basic facts

A. On February 19, 2002, Defendant A entered into an insurance contract on the attached list with the insured and the beneficiary as Defendant A (hereinafter “instant insurance contract”).

The policyholders and beneficiaries of the instant insurance contract were changed to Defendant B, which was the son of Defendant A, on December 22, 2003, and changed to Defendant A again on November 4, 2008.

B. Of the prime insurance terms and conditions of the instant insurance contract and the terms and conditions of the special agreement for hospitalization, the parts related to the instant case are as follows.

Article 19 of the General Terms and Conditions of the Insurance Contract of this case / [Types and Grounds for Payment of Insurance Money] The Company shall pay the beneficiary the insurance money agreed in the Schedule of Standard Payment of Insurance Money (Attached Table 1 omitted) when any of the following events occurs to the insured:

4. According to Article 16 and attached Table 5 of the Clause of the State Insurance Contract for the first 14th specific disease during the insurance period, the 14th specific disease includes urology.

for more than 4 days after the diagnosis is confirmed and the treatment is continued for a direct purpose: Hospitalization benefits;

5. Where the insured was diagnosed for the first 14th specific disease during the insurance period, and the insured was confirmed to have such diagnosis for the second 14th specific disease, and where he/she was alive and discharged after being hospitalized for at least 121 days: Article 20 of the Health Recovery Fund (Detailed Provisions for Payment of Insurance Money).

(7) In cases falling under subparagraph 4 of Article 19, the number of days of payment of hospitalization benefits shall be 120 days per time of hospitalization.

(8) In cases falling under subparagraph 4 of Article 19, where the insured has been hospitalized for at least four days due to the same disease at least twice, the number of days of hospitalization shall be deemed one time and the provisions of paragraph (7) shall be applied accordingly.

However, by the same disease.

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