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1. The part of the judgment of the court of first instance against the plaintiff corresponding to the amount ordered to be paid below shall be revoked.
The defendant.
Reasons
1. Basic facts
A. On October 25, 2010, the Plaintiff concluded an insurance contract with the Defendant as follows.
Items of Mutual Aid: Insured and beneficiary: Amount to be covered by the Plaintiff: The period of mutual Aid agreement for medical expenses of KRW 100,000,000 under the agreement for medical expenses for comprehensive loss: From October 26, 2010 to October 25, 2064: Items of security under Article 16 (1) of the Terms and Conditions for Medical Expenses for Hospital or Council Member(90% payment within the limit of KRW 50,000,000,000,000 for the medical expenses for the patient’s own loss) (3) 6- 6 of hospitalization of disease (3) - Medical expenses, artificial legs, artificial limbs, contact sirens, hearing aids, artificial limbs, arms, arms, auxiliary aids, etc. (excluding cases where the purpose of improvement is to be performed due to transplantation, such as artificial organs or parts during the period of mutual Aid).
(c) Escopic devices to substitute eyeglassess, contact lensess, etc.;
B. From February 27, 2015, the Plaintiff
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C. In relation to the above surgery, the Plaintiff paid KRW 6,00,000 to the medical expenses that the patient himself/herself should bear. On March 2, 2015, the Plaintiff claimed the Defendant to pay the deductible amount of KRW 5,400,000 equivalent to 90% of the medical expenses that he/she had borne. However, the Defendant paid KRW 392,720,640, excluding the medical expenses for disease-disease inserted, excluding the expenses incurred by the patient choice premised on the burden of additional expenses, not for the treatment in a white place, but for the reason that the Defendant was incurred by the patient choice premised on the burden of additional expenses. Therefore, the Plaintiff was entitled to the deductible amount of KRW 392,720,640, 292,720, total of KRW 100,000 for the surgery expenses and KRW 392,720,000.