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(영문) 광주지방법원 2018.08.29 2017고정1813
보험사기방지특별법위반
Text

The sentence of sentence against the defendant shall be suspended.

Reasons

Punishment of the crime

No person shall acquire insurance proceeds, or have a third party acquire insurance proceeds, by fraudulent act requesting insurance proceeds by deceiving an insurer with respect to the occurrence, cause, or content of an insurance accident.

The Defendant, upon receiving insurance money, received documents necessary for the receipt of insurance money, such as a certificate of entrance and discharge from a hospital, a medical certificate, etc. stating as if he/she had received adequate hospitalized treatment, and submitted it to an insurance company for the purpose of receiving insurance money.

On October 18, 2016, the Defendant concluded an insurance contract between LIG Non-Life Insurance (former KB Non-Life Insurance) and LIG flusing Insurance (Free), the insurance contract between HDB life (former KRB life) and (F) Albab B’s health care insurance, on January 9, 1998, and the insurance contract between HIG life insurance company and (FIG flus (former flus) life insurance, respectively.

On November 7, 2016, the Defendant was hospitalized in the “D oriental medical hospital” located in Gwangju-gu, Seo-gu, Gwangju, and was hospitalized for 15 days under the name of sick person, such as the “galute and gal flasing disorder,” etc.

However, even though the symptoms of the defendant were possible by the hospital, the defendant was hospitalized with the intention of receiving insurance money such as hospital expenses and hospital allowances from the insurance company, and the treatment details during the period of hospitalization were substantially limited to hospital treatment.

Nevertheless, on November 24, 2016, the Defendant received hospital treatment for each of the above diseases on the life of the insurer around 25th of the same month in the KB non-life insurance of the insurer, the insurer school life life, and the insurer in the Handi Life, respectively, for 15 days.

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