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(영문) 울산지방법원 2019.01.09 2018나21883
보험금
Text

1. The plaintiff's appeal is dismissed.

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

Purport of claim and appeal

1..

Reasons

1. Basic facts

A. On December 30, 200, the Plaintiff’s mother C concluded an insurance contract with the Defendant with the Plaintiff as the beneficiary of the insurance policy (hereinafter “instant insurance contract”).

The name of insurance: C Insurance policyholder: The date of the insurance contract: the date of maturity on December 30, 200: The beneficiary of the insurance on December 30, 2020: The Defendant’s coverage was diagnosed as a major nature of the health cost of living, and the beneficiary of the insurance on December 30, 2020: The Defendant’s coverage continued to exist after being hospitalized for at least 31 days, and the discharge was conducted after being hospitalized for at least 31 days, from 31 days to 120 days from 121 days to 181 days from 181 days from 180,000 won from 1,00 won from 181 days to 1,000 won from 1,000 won from 1,00 won from 180 days from 180 days to 3 million won from 1,000 won from 30 days from her hospitalization for the purpose of the treatment.

B. Main contents of the terms and conditions of the instant insurance contract (hereinafter “instant terms and conditions”) are as follows.

Article 13 (Definition and Confirmation of Diagnosis of Major Escopic Diseases) ① The term scopic diseases in this contract refers to diseases falling under the following subparagraphs among modern 12 primary diseases (popic diseases, heart diseases, high blood pressure, cerebrovascular diseases, inter-cerebrovascular diseases, urcopic diseases, chronic urcopic diseases, tracopic diseases, tracopic urcopic urcopicopic urcopicopic urcopicopics, Athropic disorder, tuberculosis, pulmonaf

Article 15 (Definition and Place of Hospitalization) The term "Hospitalization" in this contract means that a person qualified as a doctor, dentist or herb doctor is admitted to require medical treatment due to a major personality disease or injury cancer, etc. and it is difficult to provide medical treatment at his own home, etc. and who is in charge of the treatment under the control of a doctor, by attending a hospital or clinic as provided in Article 3(2) of the Medical Service Act or an overseas medical institution recognized as equivalent thereto.

Article 16 (Types and Grounds for Payment of Insurance Money) When a cause falling under any of the following subparagraphs occurs to the insured:

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