logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 수원지방법원 안산지원 2020.02.14 2019고단4759
보험사기방지특별법위반
Text

A defendant shall be punished by imprisonment for two years.

Reasons

Punishment of the crime

No person shall acquire insurance proceeds or have a third party acquire insurance proceeds by deceiving an insurer with respect to the occurrence, cause, or content of an insurance accident.

Nevertheless, by using the fact that the defendant believed only the details of the medical expenses receipt and the confirmation document for admission and discharge issued by the hospital and received insurance money, he/she had the intention to receive insurance money by claiming insurance money under the name of the cost of hospitalization and daily hospitalization by being excessively or falsely hospitalized in the hospital, even if it was sufficient circumstances only with the outpatient treatment.

Accordingly, from November 27, 201 to January 4, 2011, the Defendant was hospitalized in the C Hospital located in Ansan-si Group B under the name of Scamina, etc., and received KRW 2,220,000 from the Victim D Co., Ltd. on January 20, 201 by submitting a medical certificate, etc., which was issued excessive or false hospitalization, upon claiming insurance money to the Victim D Co., Ltd. on or around January 4, 2011, and received insurance money of KRW 2,20,000 from the Victim D Co., Ltd. on or around January 20, 201.

In addition, between the above date and April 26, 2018, the Defendant received 336,410,467 won in total from the damaged insurance companies by filing a false or excessive hospitalization for 1,504 days in total, as shown in the attached list of crimes, and claiming insurance proceeds from six damaged insurance companies, such as the victim D Co., Ltd., by the aforementioned method.

Summary of Evidence

1. Defendant's legal statement;

1. Each police statement made to E, F, G, H, I, and J;

1. The current status of A insurance, hospitalization table, medical advisory statement, request for cooperation in investigation (request for a copy of a civil judgment), subscription form for each insurance contract, confirmation of insurance status, medical records, investigation report (change of beneficiary), respectively;

arrow