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(영문) 창원지방법원 2014.11.27 2012가합32492
보험금
Text

1. As to the details of hospitalization of the plaintiff in attached Form 2 against the defendant, the insurance contract is based on attached Form 1.

Reasons

1. Basic facts

A. On January 6, 2006, the Plaintiff concluded an insurance contract with the Defendant listed in attached Form 1 (hereinafter “instant insurance contract”).

1. (Compensation for Damages) If the insured described in the insurance policy (insurance policy) is diagnosed and finalized as a bruent disease during the insurance period of this Special Terms and Conditions (hereinafter “insurance period”) stated in the insurance policy (insurance Policy, and is hospitalized for more than four consecutive days for direct purposes of treatment, the company shall compensate for it in accordance with this Policy.

2. (Definition and Confirmation of Diagnosis of Hemovascular Diseases) (1) The term “Huscular heart diseases” means diseases classified as chronism, acute cardiopulmonary fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial fluorial

(2) The diagnosis and confirmation of a hovascular disease shall be conducted by a person who holds a doctor'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 this diagnosis shall be conducted based on the depth, heart, ultraspathy, ornamental scopic and photographing surgery, and heart test of blood, etc. along with medical history.

B. Of the instant insurance contract, the Special Terms and Conditions on the Daily Allowances for Hospital Diseases (hereinafter “Special Terms and Conditions”) stipulate the following:

C. From November 24, 2008 to January 5, 2009, the Defendant received the diagnosis as “culatory disease” and immediately received hospital treatment, and filed a claim against the Plaintiff for the insurance money for the daily amount for hospitalization of the Hudne heart disease based on the insurance contract of this case. Accordingly, around February 2009, the Plaintiff asserted that the above diagnosis does not meet the requirements for the payment of insurance money for the daily amount for hospitalization of the Hudne heart disease under the insurance contract of this case.

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