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(영문) 춘천지방법원원주지원 2016.09.28 2016가단2542
보험금
Text

1. All of the plaintiffs' claims are dismissed.

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

Reasons

1. Basic facts

A. On April 28, 2005, Plaintiff A entered into an insurance contract with the Defendant with the following content (hereinafter “instant insurance contract”).

◎ 상품명 : 무배당삼성리빙케어스페셜 종신형 보험 ◎ 피보험자 : E ◎ 보험기간 : 주계약 종신, 무재해사망 특약 30년 ◎ 보장내용 : 주계약(사망보험금 - 사망 또는 「동일한 재해 또는 재해 이외의 동일한 원인으로 여러 신체 부위의 합산 장해지급률이 80% 이상인 장해상태시」) 보장금액 35,002,909원 가산보험금, 무재해 사망Ⅱ 특약(재해로 사망 또는 「동일한 재해로 여러 신체부위의 합산장해 지급률이 80% 이상인 장해상태시」) 90,000,000원 ◎ 보험수익자 : 상해시 E, 사망시 상속인

B. Article 11 of the Clause of the Insurance Contract II of the instant non-accident (hereinafter “instant Clause”) provides that “The Company will pay 100% of the amount of the insurance coverage covered by the special agreement to the beneficiary (beneficiary) for a disaster death benefit in the event that the beneficiary (insured) is in a state of disability with the aggregate disability payment rate of at least 80% due to a disaster specified in the Disaster Classification Table (See attached Table 1) during the insurance coverage period set forth in the instant Special Agreement or with disability classification table (see attached Table 2).”

According to the disaster classification table of this case (attached Table 1), "disaster refers to an accident that occurs due to a contingent external factor (Provided, That where a person who has a disease or a liquid factor suffers from a minor external factor or has aggravated symptoms thereof, such minor external factor shall not be deemed an accident which has come after a contingent external factor)" and refers to an accident under the following classification table.

C. E on January 26, 2016, 09:54, 09:54, the National Sports Center’s swimming pool managed and operated by the Stop-gun Facilities Management Corporation, refers to the power during which he/she has received a swimming course.

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