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(영문) 의정부지방법원 2018.02.23 2015가단125968
보험금
Text

1. The insurance contract is based on the insurance contract described in the attached Table No. 2 with respect to the insurance accident described in the attached Table No. 1.

Reasons

A principal lawsuit and a counterclaim shall be deemed simultaneously.

1. Basic facts

A. On April 18, 2014, the Defendant concluded an insurance contract with the Plaintiff, the Defendant, the beneficiary of the death insurance money, the beneficiary’s statutory heir, and other beneficiaries of the death insurance amount, the Defendant from April 18, 2014 to April 18, 2067, the insurance amount of the insurance amount to be KRW 20,000,000, 20,000 for diagnosis expenses for brain stroke-strokes, and the following matters are the following:

[Special Terms and Conditions for the Examination Expenses for Brain Diseases] Article 1 (Definition and Determination of the "cerebrovascular Diseases") of this Special Terms and Conditions refers to the diseases specified in the Classification Table of Brain Diseases (See attached Table 15), and the Criteria for the Classification of Brain Diseases are at the risk of complying with the 6th revised Korean Standard Classification for the Examination of Brain Diseases.

The term "the determination of diagnosis" of "cerebrovascular disease" shall be made by a hospital prescribed in Article 3 (2) of the Medical Service Act or by a person (other than dentists) with a professional doctor's license of a medical institution recognized as equivalent thereto, and this diagnosis shall be based on the brain computer-computerization floor photography (Brain CTRI), self-official image (MRI), cerebrovascular surgery (PET), double-electronic emission layer (PET), computerized single optical emission e-mail (SPEC), and brain e-mail inspection, etc. along with a medical examination.

However, only if the insured dies and cannot be based on the above method of inspection, it can be based on the documentized records or evidence verifying that the insured was under diagnosis or treatment due to cerebrovascular disease.

Article 2 (Grounds for Payment of Insurance Money) If the insured is diagnosed and confirmed as "cerebrovascular disease" during the insurance period, the following amount shall be paid to the beneficiary only once for the first time:

If a diagnosis is conducted due to cerebrovascular disease for at least one year after joining the period of less than one year after the subscription, it shall be 0.1 times the amount of insurance under this special contract.

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