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(영문) 서울중앙지방법원 2017.05.15 2016나59548
보험금 등
Text

1. The plaintiff's appeal is dismissed.

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

The purport of the claim and appeal is the purport of the appeal.

Reasons

1. Basic facts

A. On September 9, 1998, the Plaintiff entered into a new wind health insurance contract (hereinafter “first insurance contract”) with the Defendant, which includes a special agreement for hospitalization with the following terms: (i) the insured and the beneficiary on September 9, 1998; (ii) the insured and the beneficiary on July 13, 2001; (iii) the insured and the beneficiary on July 13, 2001; (iv) the amount of KRW 80,000,000,000; and (v) the non-dividend New Daily Insurance contract (hereinafter “second insurance contract”); and (v) the non-dividend New Daily Insurance Contract (hereinafter “each insurance contract of this case”) including a special agreement for hospitalization and a special agreement for non-dividend diseases with the following content.

[1] Specific disease hospitalization allowance: 25,000 won per day of hospitalization for more than 3 days and 25,000 won per day of hospitalization for more than 4 days continuously for the purpose of direct treatment of disease other than the scars-related disease: 5,000 won per day of hospitalization for more than 3 days continuously for more than 4 days for the purpose of direct treatment of disease other than the scars-related disease (Article 2 insurance contract): A special agreement for non-paid hospitalization for more than 3 days per day (120 days per day) for more than 3 days when hospitalization for more than 4 days due to a disease (120 days) : A special agreement for ensuring a non-paid 7-free disease for more than 10,000 won per day of hospitalization for more than 3 days as stipulated in the terms and conditions of the contract for over-scars-related disease for more than 4 days.

B. On January 10, 2003, the Plaintiff was diagnosed by brain cryp, high blood pressure, etc. at the National University Hospital, and was judged as having a disability of the third degree of brain cryposis on September 30, 2003.

C. On December 19, 2005, the Plaintiff received two lecture in the Seoul National University Hospital of Diplomatic Complex from the right-hand fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral, and around February 2006, the Plaintiff was the real name of the unit, and was subject to the left-hand fluoral fluoral fluoral

On September 27, 2012, the Plaintiff was diagnosed by the Han National University Hospital with chronic brain divestyposis.

E. Thereafter, the Plaintiff from November 4, 2013 to December 23, 2013.

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