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(영문) 광주지방법원 2015.06.18 2014구단253
장기요양급여비용 환수 결정취소청구
Text

1. All of the plaintiff's claims are dismissed.

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

Reasons

Details of the disposition

The Plaintiff is a person running each of the “Cmedical care center” (hereinafter “instant medical care center”) and “C Elderly Welfare Center” (hereinafter “instant center”), a long-term care institution for long-term care (hereinafter “the instant medical care center”) under the Act on Long-Term Care Insurance for the Aged in Jeonnam-do (hereinafter “the Act”), and the instant medical care center.

As a result, the Defendant conducted an on-site investigation of the instant facilities (the period subject to investigation: total of five months from July 14, 2014 to November 11 of the same year with respect to the instant medical care center; total of six months from July 2013 to December 201 of the same year with respect to the instant center; hereinafter “on-site investigation”) jointly with the former Military, and discovered that the Plaintiff unfairly claimed medical care benefit costs for the instant facilities as follows.

[The instant medical care center] A total of KRW 5,521,640 (1) did not fall under the requirements for the additional placement of human resources for physical care workers at KRW 5,317,780, but did not fall under the requirements for the additional placement of human resources for physical care workers at KRW 5,317,780, and KRW 7% of the expenses for long-term care benefits during three months from September 2013 to November 2013; and (2) If a person working for a long-term care institution did not purchase a compensation liability insurance for any injury, etc. that may arise in the course of providing benefits, he/she provided benefits without any legal compensation liability insurance for any injury, etc., he/she shall file a report as if he/she subscribed to the liability insurance at the time of filing a claim, and file a claim with the Service at KRW 100,000,000,000,0000,000,000,000.

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