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(영문) 서울행정법원 2015.10.08 2013구합20608
재요양불승인처분취소
Text

1. The plaintiff's claim is dismissed.

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

Reasons

1. Details of the disposition;

A. On July 5, 2010, while serving as a seafarer of B, the Plaintiff received disability benefits corresponding to Class 9 (Class 14 of Grade 10, Grade 10, Grade 14 of the right-hand part of the disability grade on September 21, 201, due to the diagnosis of “an accident that happens within approximately 2 meters in height (hereinafter “instant accident”) from the player of the fishing vessel at anchor (hereinafter “instant accident”), and due to the healing on May 31, 201, the Plaintiff received disability benefits corresponding to the disability grade 10, Grade 14 of the disability grade on the right-hand part of the right-hand part of the right-hand part of the disability grade on September 21, 2011.

B. After that, on February 24, 2012, the Plaintiff filed an application for additional medical care to the Defendant on the following grounds: “The Plaintiff filed an application for additional medical care with respect to the type 1 (R/O, saininin, joint and several (s) and other pipes after the injury to the Plaintiff (hereinafter “instant injury”). However, on April 13, 2012, the Defendant took the procedures such as “medical advice (two places) and medical opinion answers (one place)” on the following grounds: (a) there was a proximate causal link between the two branches of the instant injury and the injury at the time of cure; (b) there was consistent opinion that the injury at the time of diagnosis was included in the remaining scope of disability; and (c) it was medically recognized that the Plaintiff’s medical care was necessary to treat the fishers and fishing vessel crew members under the Medical Care Act (hereinafter “the Medical Care Act”) on the ground that the medical care conditions at the time of the instant injury and the medical care was medically acknowledged.

(hereinafter “instant disposition”). C.

On July 6, 2012, the Plaintiff dissatisfied with the instant disposition filed a request for review with the Defendant on July 6, 2012, and the Defendant decided on September 26, 2012 that “the Plaintiff shall make a decision as to whether to receive additional medical care after having conducted a special diagnosis with the Plaintiff,” and according to the said decision, a special medical examination shall be conducted with the Samsung Seoul Hospital C.

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