logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 서울중앙지방법원 2014.10.24 2012나32712
보험금
Text

1. Revocation of a judgment of the first instance;

2. The plaintiff's claims against the defendants are all dismissed.

3. The total cost of the lawsuit.

Reasons

1. The insurer's name guarantee guarantee on June 1, 1999 of the date of the conclusion of the contract, the insurance name guarantee on June 1, 1999, including the 20 million won diagnosis benefit from the brain death insurance, Defendant Samsung Life Insurance Co., Ltd., Ltd. on June 1, 2030, Nov. 15, 2004; and

A. The Plaintiff entered into each of the following insurance contracts with the Defendants with the insured and beneficiaries as the Plaintiff:

(hereinafter “each of the instant insurance contracts”). (b)

From May 23, 2011 to June 20, 2011, the Plaintiff was hospitalized in B Hospital under the diagnosis of the pulmonary treatment, brain resistant tymosis, tymosis, alley malmosis, waste competition disorder, batitis, batitis, engine salt, chatitis, chatitis, and chatitis.

C. The Plaintiff filed a claim with the Defendants for the payment of insurance money based on each of the insurance contracts of this case based on diagnosis, but the Defendants refused the payment, which does not constitute an insurance accident under the terms and conditions.

Of the terms and conditions of Defendant Samsung Life Insurance Co., Ltd. (hereinafter “Defendant Samsung Life”), the coverage of the warranty of diagnosis costs is as follows.

Article 12 [Definition and Confirmation of Diagnosis of Brains] (1) The term "stroke" in this contract means a disease (a classification number 160-63, 165-I66) classified as brain stroke (a classification number 160-63, 165-I6) from among the large cerebrovascular diseases specified in attached Table 6 (Classification of Mental Diseases and Brain Diseases).

(2) The diagnosis and confirmation of brain shall be conducted by a person with a physician's license (excluding dentists) of a domestic hospital prescribed in Article 3 of the Medical Service Act or a foreign medical institution abroad recognized by the company as equivalent thereto, and such diagnosis shall be conducted based on the brain computerization, crymological examination, nuclear-related crymological examination, nuclear-related crymological image method, brain blood transfusion and e-mail emitting e-mail, e-mail emission e-mail, e-mail-emitting e-mail, e-mail e-mail

(e) the defendant.

arrow