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(영문) 대전지방법원 2019.01.18 2015가단229249
보험금
Text

1. The insurance contract in relation to the accident described in attached Form 1 shall be based on the insurance contract stated in attached Form 1.

Reasons

1. Basic facts

A. On June 2, 2014, the Defendant concluded an insurance contract between the Plaintiff and the Plaintiff listed in the separate sheet No. 1 (hereinafter “instant contract”) (hereinafter “instant contract”), and the gist of the instant security related thereto is as follows.

(1) Basic contract: The subscription amount; from 100 million won to 30% to 80% of the injury; from the time of disability after the payment rate of the disability in X; from the time of disability in excess of 80%, the subscription amount shall be paid. (2) When the injury after the injury occurs, the subscription amount shall be 10 million won; from the time of disability in excess of 3% to 80%; from the time of the injury, the subscription amount shall be paid; from the time of the injury, the subscription amount shall be at least 10 million to the time of the injury; from the time of the injury, the subscription amount shall be at least 80% to the time of the injury.

On July 20, 2014, the Defendant fell from trees while putting the bed in Gangwon-do C Campsan, and was involved in an accident described in attached Form 1 where left hand trees are cut on the electric saw.

(hereinafter referred to as “instant accident.” The Defendant was hospitalized in the Da Hospital’s surgery and brain damage to be preserved for the instant accident, and subsequently was subject to pharmacologic treatment in the E hospital’s mental health department and nephal department, and received physical therapy and rehabilitation treatment from the F/C medical clinic from September 3, 2014.

C. The Plaintiff’s disability status as the Defendant’s disability is attached Table 1 of the Clause of the Contract of this case (hereinafter “instant disability classification table”).

8. Of the arms’s obstacles, “if one loses more than one arms (60% of payment rate)” was deemed to fall under “if one arms was lost (60% of payment rate),” and insurance money was paid to the Defendant KRW 120 million (20 million under the above basic contract above, 20 million, and KRW 60 million based on the security for the injury, injury, or damage caused by an injury).

Article 3(1) of the Terms and Conditions of the Contract of this case provides that the company shall pay insurance proceeds to the beneficiary in the event that the insured is in a state of disability equivalent to each disability payment rate set forth in the Disability Classification Table 1 as a direct result of injury during the insurance period.

‘The disability classification table of this case' is defined as ‘the disability classification table of this case.

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