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(영문) 서울중앙지방법원 2019.03.06 2014가단5332564
보험금
Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Basic facts

A. On April 2, 1998, C, the husband of the Plaintiff, concluded a D insurance contract with the Defendant and the insured C and the beneficiary as the Plaintiff (hereinafter “instant insurance contract”).

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

Article 2 (Definition and Confirmation of 12 Typine Diseases) (hereinafter referred to as “former 12 Typine Diseases”) In this Agreement, the term “typine diseases” means diseases referred to in the following provisions among cancer, heart diseases, high blood pressure, cerebrovascular diseases, inter-cerebrovascular diseases, diseases, urine diseases, chronic urine diseases, thalpopic diseases, thalpopical disorder, Athropical disorder, tuberculosis, pulmonary convergence, and a new dypopic disease:

(See Attached Table 2) In this Agreement, the term “inpatient” means, by a doctor, dentist, or a person qualified as an oriental medical doctor (hereinafter referred to as “doctor”) of a hospital, the term “inpatient” means, under the control of a doctor, a hospital member, or a foreign medical institution recognized by the company as equivalent to the hospital under Article 3(2) of the Medical Service Act or a person qualified as a dentist of a dentist or an oriental medical doctor, the term “inpatient” is deemed to require medical treatment due to a traffic accident as prescribed in attached Table 4 (Traffic Classification Table) and it is difficult for him to provide medical treatment at his own house, etc.

Article 10 (Grounds for Payment of Insurance Money) (1) When any of the following events occurs to an insured worker during the insurance period, the defendant shall pay the insurance money agreed upon to the beneficiary (see attached Table 1 “the Standard Table for Payment of Insurance Money”):

3. The first time after the date of commencing the responsibility of the insured is diagnosed as “the 12th disease of the present person” or “the 12th disease of the present person” or “the 12th disease of the present person” or “the 181th disease of the present person” or “the 12th cancer treatment of the present person” shall be continued to be hospitalized for more than 31 days, 121 days, and 181 days (in case of hospitalization by transferring the hospital or the clinic, it shall be continued

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