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(영문) 서울행정법원 2016.11.04 2014구단54854
진료계획 일부 불승인 처분 취소 및 추가상병 불승인 처분 취소 청구의 소
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1. All of the plaintiff's claims are dismissed.

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

Reasons

1. Details of the disposition;

A. On January 9, 1984, while working for Samsung Life Insurance Co., Ltd. (hereinafter “Nonindicted Company”) and working for the Plaintiff, the Plaintiff filed an application for medical care benefits with the Defendant on the ground that the “competence” occurred due to his work on May 12, 2003. On July 29, 2003, the Plaintiff received medical care approval (the period of medical care from July 25, 2003 to January 24, 2004).

B. On June 25, 2013, the Daegu Atol University Hospital treating the Plaintiff submitted a medical treatment plan (in case of hospitalization: between July 10, 2013 and August 9, 2013, between August 10, 2013 and August 10, 2014) to the Defendant on the ground that the Plaintiff should extend the period of medical treatment on the grounds that the Plaintiff’s “the need for isolation is due to stress factors, such as continuous apprehension, depression, influence, degradation, and degradation of concentration, and accompanying physical symptoms,” and that the period of medical treatment should be extended (in case of hospitalization: from August 10 to August 23, 2013 to August 23, 2013).

C. On July 15, 2014, the Defendant rendered the treatment period up to September 30, 2013, on the ground that “the Plaintiff treated the Plaintiff using multiple medical institutions for a considerable period of time, and the result of treatment by each medical institution is determined to be fixed to the symptoms due to heavy stress, i.e., internal stress factors derived from the Plaintiff’s vulnerability personality characteristics, i.e., the current mental symptoms are deemed to have a medically proximate causal relationship with the above symptoms, but it is determined that the symptoms have been fixed without a obvious preference to the symptoms.” The treatment period up to September 30, 2013, and the remaining treatment plan up to the treatment period (hereinafter “instant first disposition”). D.

On February 14, 2014, the Plaintiff filed an application with the Defendant for additional medical care on the application for the additional injury to “major depression disorder” and “malopical stress disorder” and “malopical stress disorder”. On April 21, 2014, the Defendant diagnosed the Plaintiff’s external stress disorder.

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