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(영문) 서울행정법원 2019.09.20 2018구단59734
추가상병불승인처분 및 재요양불승인처분취소
Text

1. On January 19, 2018, the Defendant’s additional medical care disposition against the Plaintiff on January 19, 2018, is cut down to the right.

Reasons

1. Details of the disposition;

A. On June 20, 2016, the Plaintiff was at the construction site of the Do for the repair of defects and caused an accident at which the right platform is calculated (hereinafter “instant accident”). As a result, the Plaintiff was diagnosed by the Defendant on September 30, 2016, on the part of the Defendant’s medical care approval for each of the above injury and disease, and received medical care until May 3, 2017, with the approval of medical care for the above injury and injury on the part of the Do for the repair of defects (hereinafter “instant accident”).

(hereinafter referred to as "the above injury and disease of this case") each of the above injury and disease approved as medical care b.

On May 11, 2017, the Plaintiff claimed disability benefits to the Defendant.

In regard to this, the Defendant deemed that the Plaintiff’s disease of each of the instant recognition constitutes “a person who remains after the pathicism”, and determined the disability grade for the Plaintiff as class 10 No. 10, and paid a lump sum payment for disability benefits of KRW 10,930,631.

C. On December 7, 2017, the Plaintiff filed an application for additional medical care with the Defendant on the basis of the main opinion of the note that “the pelvisal of the pelvise caused by damage to the pelvise and the pelvise’s pelvise together with the pelvise change, and caused severe pains,” the Plaintiff filed an application for additional medical care for additional injury to the Defendant on the right pelvise pelvise, the right pelvise pelvise pelvise (hereinafter “each of the instant diseases”).

On January 19, 2018, the Defendant decided not to grant approval on the ground that “The causal relationship between the initial accident and the approved injury is not recognized in full view of the following factors: (a) the Plaintiff’s additional injury and injury, the right-to-hand pelvise’s active infection, the requirements for recognition of additional medical care, medical advice, related data, etc., shall be comprehensively taken into account; and (b) the Plaintiff’s additional injury and injury; and (c) the

(hereinafter “Disposition in this case”). [Grounds for recognition] The Disposition in this case is without dispute; Gap evidence 1 to 3; Eul evidence 4; and the purport of the whole pleadings

2. Whether the instant disposition is lawful

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