The plaintiff's claim is dismissed.

Litigation costs shall be borne by the plaintiff.

Details of the disposition

A. The Plaintiff is establishing and operating the Center for Long-Term Care Insurance for the Aged-gun, Gyeonggi-do (amended by Act No. 14215, May 29, 2016; hereinafter the same) providing home care benefits under the former Long-Term Care Insurance for the Aged-gun (hereinafter “instant Center”).

B. The Gyeonggi-do head of Si/Gun conducted an on-site investigation on the current status, etc. of the instant center’s claim for expenses for long-term care benefits from February 20, 2018 to February 23, 2018, with the support of survey personnel from the Defendant.

(In September 2016 to December 2017, the period of investigation is 16 months (hereinafter “instant on-site investigation”). Claim for violation of the standard for excess of the fixed number of grounds for disposition: 8,530,530 won: 4, 6, 7, and 8 (4 months) of 2017, the recipient D and 13 other than the current members provided weekly on-site protection benefits without reporting it as follows.

[Attachment 1] Details of a beneficiary who was not reported

2. Claim for violation of additional placement guidelines: 18,155,120 won in the instant medical care institution, despite the occurrence of a reduction in the number of days due to excess of the prescribed number of days in April 2017, the instant medical care institution received the additional placement guidelines by adding a social worker on April 2017; 2.4.; 2.6.7. July 2017; 2017; 3.6.5 days in addition, the instant medical care institution received a request for additional placement costs on April 2017, 2017, under the name of the number of days of failure to report, the number of days of failure to report, the number of days of failure to report, and the number of days of failure to report, 1 E. 1.6 days in the instant medical care institution, 2017, 1.7 days in addition to the number of days of payment of the 3.0 days in G 32, 2017 J. 1, 2017.

3. Claim without reducing the period of subscription to liability insurance: 4,907,960 Won 4,60 Won 2017 for the number of persons in excess of the prescribed number in April, 6, 7, and August 2017; thus, it was claimed and paid expenses for benefits without reducing the amount of depreciation even though a cause for reduction arose.

C. On July 3, 2018, the Defendant violated the Act on Long-Term Care Insurance for the Aged, 31,593, on the basis of the results of the instant on-site investigation.