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(영문) 부산고등법원(창원) 2016.05.19 2015나21984
보험에관한 소송
Text

1. Revocation of a judgment of the first instance;

2. On October 18, 201, the Defendant is located in Seo-gu, Seo-gu, Busan.

Reasons

1. Basic facts

A. On November 25, 2009, the Plaintiff and the Defendant concluded an insurance contract listed in attached Form 1 (hereinafter “first insurance contract”) and the insurance contract listed in attached Form 2 (2) on July 16, 2010 (hereinafter “second insurance contract”) respectively.

The first insurance contract includes the payment of agreed insurance money if the defendant suffers from a disease, and the second insurance contract includes the payment of diagnosis expenses, hospitalization expenses, and medical expenses if the defendant is to receive treatment for a disease.

(b) Article 35 (Documents Required at Time of Filing Claims, such as Insurance Money) (1) of the General Terms and Conditions of the first insurance contract shall submit the following documents and claim insurance money or refund:

1. A request form;

2. Article 1 (Damage) of the Special Terms and Conditions II (at least 50%) for Income Compensation Fund (such as a death certificate, disability diagnosis certificate, certificate of hospitalized treatment, etc.) (1) of the insured shall compensate for any damage caused by such injury or disease, if the insured suffers from a physical injury or disease due to a sudden and unexpected accident during the insurance period;

Article 4 (Income Compensation Fund for Diseases) (1) In the event that the insured has lost part of his body as a direct result after recovering from the disease, or the function thereof has been permanently lost, and the remaining disability remains due to not less than 50% of the payment rate prescribed in the Disability Classification Table, the insurer shall pay the amount of income compensation fund for diseases to beneficiaries as follows:

50% of the purchase amount of insurance at the time of a disability with at least 50% of the amount of gold disease of the Gu shall be 50% of the purchase amount of insurance at the time of occurrence within one year from the date of the contract to the date immediately before the expiration date of this Special Terms and Conditions (10th guarantee payment) each year from the date of the final and conclusive payment (10th guarantee payment) on the date immediately before the expiration date of this Special Terms and Conditions.

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