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(영문) 울산지방법원 2013.07.04 2011구합1973
재요양불승인처분취소
Text

1. The Defendant’s disposition of non-approval of additional medical care rendered to the Plaintiff on March 28, 2011 is revoked.

2. The costs of the lawsuit are assessed against the defendant.

Reasons

1. Details of the disposition;

A. On March 21, 1984, while becoming a member of the shipbuilding division, Hyundai Heavy Industries Co., Ltd. and serving as a seal, the Plaintiff applied for medical care benefits to the Defendant on February 2, 2004 on the grounds of extreme part-time salt on the left side, inner fluoral salt in both sides, and chronic salt in both sides, and obtained approval for medical care. Since then, the Plaintiff's injury to the Defendant's injury to the instant case's injury.

Along with the approval of additional medical care, A has continued to return to his original post after the medical care from February 2, 2004 to August 15, 2005.

B. In addition, the Plaintiff was diagnosed by B Hospital No. 5-6 of the Gyeong-si's symptoms and the low flagsing phenomenon, and applied for re-medical care benefits to the Defendant around May 2008, and the Defendant applied for re-approval for medical care benefits on the ground that, compared with the previous MRI, it cannot be seen that there was no aggravation of medical care for surgery treatment.

AB made it.

C. On March 11, 2011, the Plaintiff received a diagnosis that an operation between the Ulsan National University Hospital and C Hospital No. 5-6 of the Gyeongsan National University Hospital needs medical care, and the Plaintiff applied for medical care benefits to the Defendant.

However, the Defendant, on March 28, 201, rejected the instant application on the ground that there was no obvious aggravation of the degree of the escape of conical signboards between CRI, No. 5-6, and No. 6-7 after the completion of medical care taken twice in 2004 and 2010, and that there was no apparent aggravation of the degree of the escape of conical signboards, and that there was no observation of the degree of pressure to the extent that the instant application needs to be performed, hereinafter referred to as the “instant disposition”).

D. On June 7, 2011, the Plaintiff was hospitalized in the Gyeongbuk University Hospital and received disc removal and metal rink insertion operations at No. 5-6 of the Gyeongbuk University Hospital. [In the absence of any dispute over the grounds for recognition, each entry in Gap's evidence Nos. 1, 2, 3, 4, 6, 9, 10, and the purport of the entire pleadings, as a whole.

2. Whether the instant disposition is lawful

A. The plaintiff's assertion.

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