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(영문) 광주지방법원 2019.06.14 2018나61627
보험금
Text

1. Of the judgment of the court of first instance, the part against the defendant exceeding the following amount ordered to be paid shall be revoked.

Reasons

1. Facts of recognition;

A. On October 12, 2004, the Plaintiff made the Defendant and the Jeju Insured as C, the Plaintiff’s children, and the beneficiary as the Plaintiff. The insurance period was 15 years for life, payment period, and insurance premium was 209,050 won.

(hereinafter “instant insurance contract”). (b)

(1) Of the instant insurance contract, a special agreement on the guarantee of medical treatment for a disease, a special agreement on the guarantee of hospitalization, and a special agreement on the guarantee of hospitalization for a disease provides that “where the insured has received hospitalized treatment for the purpose of treating any adult specific disease or disease, the patient shall

(hereinafter referred to as “each of the instant special agreements”). The main contents of each of the instant special agreements are as listed below:

Article 12 of the Terms and Conditions of the Special Agreement on Medical Treatment for Diseases (hereinafter referred to as "sexually specific disease") provides for the definition and confirmation of diagnosis of "sexually specific disease" in Article 12 of the Terms and Conditions of the Special Agreement on Medical Care for Diseases (hereinafter referred to as "Special Agreement") refers to the type 1, 2, and 3 diseases specified in the Classification of the Korean Standard S

[Attachment 8] In the context of the definition and place of hospitalization of Article 13 of J45 to the chromatic J46-W45 to a chromatic disease classification number, which is subject to Type 3, the term “inpatient” means a doctor, dentist, or a person qualified as an oriental medical doctor (hereinafter referred to as “doctor”) who is deemed to require medical treatment due to the insured’s cancer, other skin cancer, thothum cancer, bothum cancer, borderal fry, or adult specific disease, and it is difficult to provide medical treatment at his own home and therefore it is difficult to provide medical treatment and concentrate on medical treatment under Article 3 of the Medical Service Act.

Article 15 (Types of Insurance Benefits and Special Agreement for the Payment of Insurance Benefits) If any of the following events occurs to the insured during the insurance period of this Special Agreement, the company shall be referred to as the "beneficiary":

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