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1. With respect to the insured events listed in attached Form 1, the Plaintiff (Counterclaim Defendant) under the insurance contract listed in attached Form 2.
Reasons
1. Basic facts
A. 1) The Defendant (Counterclaim Plaintiff, hereinafter “Defendant”) is only the Defendant (hereinafter “Defendant”).
(1) On May 18, 2010, the Plaintiff (Counterclaim Defendant; hereinafter “Plaintiff”) is only the Plaintiff.
between the insured and the insurance contract in the attached Form 2 (hereinafter “instant insurance contract”) whereby the insured is the defendant
2) Of the instant special terms and conditions, the parts relating to the instant case are as follows.
(3) The issue of security (3) is to compensate for the amount of hospitalization medical expenses up to the insurance amount per disease as follows, if the insured (person insured) is hospitalized in a hospital due to a disease and received treatment.
The term definition of the term "the amount exceeding 90% out of the total amount of the patient's medical care benefits or medical care benefits prescribed by the National Health Insurance Act" and "non-benefit (excluding the difference of the patient's injury)" (Provided, That where the amount equivalent to 10% exceeds two million won a year from the date when the contract is concluded or the date when the contract is applicable each year, the amount in excess shall be compensated) of the amount equivalent to 90% of the total amount of the amount of the patient's medical care benefits prescribed by the National Health Insurance Act or the medical care expenses for hospitalization of the former amount of compensation, the doctor's care is difficult to provide medical treatment at his/her own home because it is difficult for the hospital, medical institution or medical institution recognized as equivalent thereto to receive the medical care fees, examination fees, radiation fees, medication and prescription fees, the medical care fees, the medical care fees, medical treatment fees, mental therapy, materials, materials, gymsium, and the designated medical treatment fees, etc. among the care expenses.
B. On June 15, 2015, the Defendant: (a) hospitalized in B on June 15, 2015, and discharged on June 16, 2015; (b) as a result of the WIG examination, the Defendant was diagnosed as a closed water-free sappha; and (c) both pressureers from doctors.