logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 서울중앙지방법원 2017.10.31 2017나33819
구상금
Text

1. The defendant's appeal is dismissed.

2. The costs of appeal shall be borne by the Defendant.

Purport of claim and appeal

1..

Reasons

1. Basic facts

A. A. Around October 30, 2008, the Defendant’s ASEAN concluded an insurance contract with the Plaintiff, the insured, the Defendant, and the term of the contract from October 30, 2008 to October 16:00, 206 to October 30, 2065, which guarantees general injury for hospitalized hospitalization (10,000 won/one day) and medical expenses for hospitalized hospitalization (the patient’s own hospitalization fees and hospitalization expenses).

B. On August 4, 2011, the Defendant filed a claim for the insurance proceeds under the insurance contract with the Plaintiff, asserting that “I went to the Chungcheong Docheon on July 3, 2011, and go beyond, and she was hospitalized for 24 days from July 6, 2011 to July 29, 2011 (hereinafter “the first hospitalization”).

At the time, the Defendant issued a certificate of entry and discharge (name: Mad's name: Mad's mick, shoulder macker's mick, shoulder macker's mick), opinion, copy of medical record, a statement of medical expenses for admission and discharge (patient's own charges of KRW 2,766,130) etc., and received payment from the Plaintiff on August 9, 201 (=240,000 won for injury hospitalization medical expenses of KRW 2,766,130).

C. On October 10, 2011, the Defendant asserted to the effect that “the Plaintiff received hospitalized treatment for 21 days from September 14, 2011 to October 4, 2011 (hereinafter “second hospitalized treatment”)” and filed a claim for insurance proceeds pursuant to the above insurance contract with the documents, such as a written confirmation of entry and discharge (the name of the sick: the name of the disease: the chrogate and the tension, the knee coordinate and the knee part of the other obscure and the knee part), and the medical expenses account statement for entry and discharge (the patient’s charges are 2,31,690 won), and the Plaintiff received KRW 2,971,690 from the Plaintiff on November 4, 2011 to KRW 30,00 medical expenses for injury and injury, KRW 30,000,300,000,000 medical expenses for injury and injury and injury, KRW 30,300,390).

1. Since then, an investigative agency is an insurance fraud of the above D's patients, including the defendant.

arrow