logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 서울행정법원 2018.01.25 2017구합65166
장기요양급여비용 환수처분 취소
Text

The plaintiff's claim is dismissed.

Litigation costs shall be borne by the plaintiff.

Reasons

1. Details and details of the disposition;

A. The Plaintiff is a person who operates the C Week Protection Center designated as a long-term care institution (hereinafter “instant center”) as a commuting welfare facility for the aged at two weeks in both weeks.

B. From November 14, 2016 to November 19, 2016, the two weeks market conducted a field investigation on long-term care benefits, etc. of the instant center.

C. On April 24, 2017, the Defendant rendered a disposition to recover expenses for long-term care benefits of KRW 289,877,630 based on Article 43(1) of the Act on Long-Term Care Insurance for the Aged (hereinafter “instant disposition”) on the grounds of the same disposition as indicated in the table on the instant disposition grounds, based on the results of the on-site investigation.

Even if the Plaintiff did not provide the beneficiary with the night protection service from February 16, 2012 to August 31, 2012, the Plaintiff was unjustly paid KRW 5,157,450 by claiming expenses for long-term care benefits related to the above night protection service to the Defendant, even though it did not provide the beneficiary D with the night protection service.

The plaintiff filed a claim for increase in the number of service days, number of times, etc. to the beneficiary E, etc., claiming expenses for long-term care benefits in relation to the increase in the number of day night protection and mobile service days or the number of times provided to the beneficiary E, etc., and received unfair payment of KRW

The Plaintiff who subscribed to liability insurance (hereinafter “instant period”) from July 201 to September 2016, the Plaintiff did not subscribe to liability insurance to compensate for legal losses in preparation for the beneficiary’s injury that may arise in the course of providing long-term care benefits. However, the Plaintiff filed a claim with the Defendant for the amount of KRW 143,847,840, without calculating the cost of long-term care benefits, without calculating the cost of long-term care benefits.

Notwithstanding the fact that the Plaintiff was unable to receive additional placement charges for the period during which liability insurance was not subscribed as above, the Plaintiff violated the criteria for additional placement of human resources, such as the foregoing, from February 2, 2015 to June 2015, from August 2015 to June 6, 2016, and from August 2015 to June 6, 2016.

arrow