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(영문) 서울행정법원 2020.07.02 2018구단70069
상병일부불승인 처분 취소
Text

1. On January 18, 2018, the Defendant’s disposition of rejection of part of the injury and disease against the Plaintiff is revoked.

2. The costs of the lawsuit are assessed against the defendant.

Reasons

1. Details of the disposition;

A. From November 22, 1995, the Plaintiff (B) was affiliated with C Co., Ltd. and applied for medical care benefits to the Defendant on Nov. 8, 2017, after receiving the diagnosis of “porizontal escape from the end of the year No. 5-6, protruding escape from the end of the year No. 4-5, and protruding escape from the end of the year No. 5-335, Nov. 8, 2017.”

B. On January 18, 2018, the Defendant: (a) recognized the Plaintiff as an occupational accident and approved medical care; and (b) rendered a disposition of non-approval of medical care based on the result of the Determination Committee on Medical Care Benefits (hereinafter “instant disposition”) based on the following: (a) considered that there was a little burden of care due to the instant injury and disease, but the recent duty is not an essential burden, considering the Plaintiff’s age, rain, work, occupation, degree of handling heavy objects, accident history, current and similar work period, career history of the same side, and MRI’s inspection result, etc., based on the result of the Determination Committee on Medical Care Benefits (hereinafter “the instant case”).

C. The Plaintiff appealed and filed a request for reexamination. However, on June 22, 2018, the Industrial Accident Compensation Insurance Reexamination Committee dismissed the Plaintiff’s request for reexamination on the following grounds.

According to medical image data, it is confirmed from No. 4-5 to 5 to 4-5 to 5,000 to 5-1 to 1 to fluoral fluoral fluoral fluoral fluoral fluoral fluoral fluoral.

In the case of the plaintiff, 9 years of entertainment work performed in the past and 5 years of worship work were partly accompanied, but it is difficult to recognize the change of departure as a work force to the degree that the change of departure is worse than the age.

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