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(영문) 서울중앙지방법원 2019.10.30 2018나52305
보험금
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 August 2, 2011, the Plaintiff concluded a “C” mutual aid agreement with the Defendant, the beneficiaries, and the beneficiaries as the Plaintiff; and on August 17, 2011, the “D” mutual aid agreement (hereinafter the “instant mutual aid agreement”) respectively.

B. According to the instant mutual aid agreement, a special agreement for hospitalization of more than 30,000 won per day shall be paid for the purpose of treatment due to disease (120 days limit) and more than 30,000 won per day for more than 4 days. According to the D’s mutual aid agreement, 500,000 won shall be paid for hospitalization of more than 31 days due to disease stipulated in the terms and conditions, and 50,000 won shall be paid for each disease every 61 day, and 300,000 won shall be paid for an operation specified in the terms and conditions.

C. The Plaintiff was hospitalized at the E Hospital for 17 days from September 19, 2016 to October 5, 2016, and was hospitalized at the E Hospital as “the psychotropic species and farite farite farite farite farite farite farite farite farite farite farite farite farite farite farite,” and was charged KRW 1,669,920 for the treatment.

After the surgery, the Plaintiff received hospitalized treatment (hereinafter referred to as “patient hospitalized treatment”) at the Fvalescent Hospital for 47 days from October 6, 2016 to November 21, 2016, for the purpose of treating “other specified conditions after the surgery and the illness, etc. of the floor concerned” and borne 2,644,400 won for the treatment.

E. The Plaintiff was hospitalized in an E hospital for 17 days from November 26, 2016 to December 12, 2016 (hereinafter “III hospital”) for the purpose of treating “the conditions after the operation of sacrine ties and sacrine sacrine masium” and “the conditions after the operation of sacratium and sacratium sacratium” and borne KRW 539,380 for the purpose of the treatment.

F. The Plaintiff received hospitalized treatment at G oriental medical hospital from January 6, 2017 to January 12, 2017 (hereinafter referred to as “No.D. hospital”) for the purpose of treating “over-to-door and ear-to-face care” and borne KRW 700,000 for that purpose.

G. On February 23, 2017, the Plaintiff pertaining to the above hospitalized treatment to the Defendant.

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