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(영문) 광주지방법원 2015.01.30 2014나53093
보험금
Text

1. The plaintiff's appeal is dismissed.

2. The costs of appeal shall be borne by the Plaintiff.

Purport of claim and appeal

The first instance court.

Reasons

1. Basic facts

A. On September 15, 2006, the Plaintiff entered into a non-payment-based CI insurance (a special agreement on medical treatment for diseases, special agreement on hospitalization, special agreement on hospitalization, special agreement on hospitalization, etc.; hereinafter the same shall apply) with the Defendant and the insured as the Plaintiff, and the beneficiary, and the content of the insurance clause in the instant case is as follows.

Article 12 of the Special Agreement on the Guarantee of Life and Medical Services for the Purpose of the Purpose of this Special Agreement refers to the type I, II, and III diseases specified in the Revised Korean Standard Disease Classification (See attached Table 8).

[Attachment 8] Types and grounds for the payment of insurance money under Article 15 of the 1-type Mad Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Mad-Ma

1. Where a person eligible for insurance is diagnosed as an adult specific disease after the commencement date of guarantee during the insurance period, and is hospitalized for at least four days directly for the treatment of such disease: 50,000 won per day (type 1) exceeding three days;

2. Where a person subject to insurance (insured) is confirmed to be diagnosed as an adult specific disease during the insurance period and is hospitalized for not less than 31 days directly for the purpose of the treatment: The definition of hospitalization under Article 9 of the Special Agreement on the Guarantee of the Admission of New-paid Diseases for not less than 30,000 won per day (type 1) and in this Special Agreement, the term "hospitalize" means that the person qualified as a doctor, herb doctor or dentist needs to receive treatment due to diseases prescribed in the disease classification table, and it is difficult to do so due to difficulties in medical treatment at a small-scale house, etc., and concentrate on the treatment under the control of a doctor.

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