logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 인천지방법원부천지원 2020.08.21 2020가합100399
보험금
Text

1. In relation to the claim for insurance proceeds from the diagnosis of brain stroke and cerebrovascular diseases that occurred on October 5, 2019 by the Defendant.

Reasons

Basic Facts

around August 26, 2015, the Defendant and the Plaintiff concluded a D insurance contract (securities number E, insurance period from August 26, 2015 to August 26, 205; hereinafter “instant insurance contract”) with the Defendant as the insured and the beneficiary (in the case of insurance proceeds other than death, etc.), and concluded the D insurance contract with the Defendant to receive compensation in accordance with the terms and conditions of the insurance.

Of the collateral contents of the insurance contract of this case, the subscription amount of 2,000,000 won and 8,000,000 won for the medical examination fees for brain strokes.

In the insurance contract of this case, the contents of the special terms and conditions of brain-cerebrovascular disease diagnosis expenses are as follows:

In this Special Terms and Conditions, the term "cerebrovascular disease" means a disease set forth in the Regulations for the Classification of Brain Diseases (referring to attached Table 18) and the standards for the classification of diseases are at the risk of complying with the 6th revised Korean Standard Korean Classification of Diseases and Deaths.

(1) Article 1(1) of the Medical Service Act (excluding dentists) provides that the diagnosis and confirmation of a brain-related disease shall be conducted by a person with a medical license (other than dentists) of a hospital prescribed in Article 3(2) of the Medical Service Act or of a medical institution recognized as equivalent thereto, and this diagnosis shall be based on the effication of brain-related layer, efficienciencienciation, nuclear self-ciencienciation, brain-related efficiencienciation, double-electronic efficiencition, eff

(Article 1(2). The Company shall pay to the beneficiary the following amount only once for the first time if the insured has been diagnosed as “cerebrovascular disease” during the insurance period:

(Article 2) Around October 5, 2019, the Defendant was diagnosed by a doctor G to which the F Hospital belongs, such as the closure and beering (Korean Disease Classification Number I65.2).

On October 10, 2019, the Defendant claimed insurance proceeds from the instant insurance contract against the Plaintiff.

[Reasons for Recognition] There is no dispute, each entry of Gap evidence 1 to 3, 6, and 9, and arguments.

arrow