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(영문) 광주지방법원 2019.03.28 2018나53213
부당이득금
Text

1. Of the judgment of the court of first instance, the part against the Plaintiff, which orders the following payment to the Defendant.

Reasons

Basic Facts

On January 31, 2007, the Plaintiff entered into a contract with the Defendant, the insured, and the beneficiary of the non-life insurance proceeds as the Defendant, and entered into a contract with the C (hereinafter “instant insurance contract”) that guarantees expenses for hospitalization of diseases, etc. with the insurance period from January 31, 2007 to January 31, 2041.

[Guarantee] The medical expenses for hospitalization: The payment of the medical expenses for hospitalization (within the limit of 30,00,000 won) where a person is hospitalized in a hospital or a clinic due to an injury or disease that occurred during the insurance period: 30,000 won per day from the first day of hospitalization (within the limit of 180 days) for the direct purpose of treating a disease during the insurance period: 50,000 won per day from the first day of hospitalization for the direct purpose of treating a disease (within the limit of 180 days): the number of days of hospitalization (31 days), 500,000 won for the pertinent day (61 days), 50,000 won for the pertinent day of hospitalization for the consecutive period of 91 days or longer, and 121 days or more for the pertinent day (121 days) for the pertinent period of hospitalization for the medical expenses (120,000 days), and 100 days or more for each of the pertinent medical expenses (31 days or more for the pertinent medical expenses).

1. Hospitalization fees: Medical examination fees, fees for the use of a standard sick room, patient care unit, and food care unit;

2. Expenses for hospitalization: Testing fees, radiation fees, medication and prescription fees, the main feed, secondary feed, medical treatment fees, mental therapy fees, materials for treatment, glocks, and designated medical treatment fees;

3. Expenses for surgery: Expenses for surgery, anesthesia and materials for surgery;

4. The difference in the amount of difference in the amount of difference in the amount of difference in the actual user's disease room and the amount of difference in the amount of difference in the amount of difference in the amount of difference in the amount of difference.

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