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(영문) 수원지방법원 2020.04.23 2017가합20275
보험에관한 소송
Text

1. The plaintiff's primary and conjunctive claims are all dismissed.

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

Reasons

1. Basic facts

A. 1) The Defendant entered into the instant insurance contract with C Co., Ltd. on February 28, 2008, and the details of the security relating to the instant case are as follows: (a) General injury or temporary living expenses: In the event the insured suffered bodily injury due to a sudden and unexpected accident, resulting in difficulty in his/her living function or business ability as a result of his/her hospitalization, and resulting in treatment, the Defendant shall pay the amount of KRW 30,000 insurance money per day of hospitalization only within 180 days from the date of the accident.

B) In case of injury and hospitalization medical expenses II: 100% of the amount to be borne by the insured and the expenses to be borne by the insured (in case of injury and injury compensation, an amount equivalent to 50% of the expenses to be borne by the insured) from among the medical care benefits prescribed in the National Health Insurance Act, which are borne by the insured (in case of injury and injury compensation, an amount equivalent to 40% of the expenses to be borne by the insured shall be paid within the limit of 30,000,000 won per accident; hereinafter, the amount equivalent to 30,000 won per day of hospitalization within the limit of 180 days when the insured was hospitalized in a hospital or a clinic due to disease: d) disease and hospitalization medical expenses II: 10,000 won per day of hospitalization within the limit of 180 days; 20% of the difference between the amount to be borne by the insured and the expenses to be borne by the insured (in case of injury and injury compensation expenses to the National Health Insurance Corporation, an amount equivalent to 300% of the relevant expenses per disease).

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