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(영문) 수원지방법원 여주지원 2017.03.29 2016고단1455
사기등
Text

Defendant shall be punished by a fine of KRW 7,000,000.

When the defendant does not pay the above fine, 100,000 won.

Reasons

Punishment of the crime

The Defendant is a representative who is operating both the “C” and the “D Yangwon” in Gyeonggi-si B, and the above “C” is designated as a long-term medical care institution by the office of Yangyang-gun and is paid the cost of long-term medical care from the National Health Insurance Corporation.

According to the Act on Long-Term Care Insurance for Older Persons and relevant statutes, where a long-term care institution provides facility benefits to beneficiaries, it may receive long-term care benefits benefits from the National Health Insurance Corporation, but where it fails to meet the standards for placement of human resources prescribed by statutes or violates the standards for excess of the prescribed number of employees, it may only receive reduced long-term care benefits according

Nevertheless, around March 2014 and around April 2014, the Defendant claimed long-term care benefit costs by using computers at the above C Office, and received an additional amount of KRW 6,765,770 on medical care care care care assistance, in violation of the standards for placement of human resources by claiming E who does not actually work as the secretary general at the above C Office, including claiming the above C Office as if he/she had worked as the secretary general. From July 2013 to April 2016, the Defendant received a long-term care benefit of KRW 21 in total,38,456,381 by false or other unlawful means.

Summary of Evidence

1. Statement by the defendant in court;

1. Statement made by the police with regard to F;

1. Each fact-finding certificate, written confirmation, and written confirmation for admission of a beneficiary;

1. Investigative report (the claim for insurance premiums for July 2013 and the temporary confirmation of the date and time of receiving them);

1. Written opinion on reporting and examination, information on long-term medical care institutions, the current status of long-term medical care institutions, E-health insurance coverage, the current status of inmates C, and the current status of employees admitted to D;

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