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(영문) 서울행정법원 2019.05.03 2018구단69397
요양승인처분 및 연장승인처분 취소
Text

1. The plaintiff's claim is dismissed.

2. The costs of the lawsuit, including costs incurred by participation, are all assessed against the Plaintiff.

Reasons

1. Details of the disposition;

A. On April 20, 201, the Intervenor joining the Defendant (hereinafter “ Intervenor”) is a worker employed by the Plaintiff Company engaging in urban bus transportation business and served as a bus driver.

B. On December 29, 2017, the Intervenor filed an application for medical care benefits with the Defendant on the ground that “the Intervenor caused a traffic accident while performing bus operation duties,” on the ground that “the Intervenor was subject to disciplinary action against the Plaintiff, dismissal, and claim for reimbursement from the Plaintiff, resulting in serious stress, and “mix-type uneasiness and depression disorder,” was caused.”

C. On May 21, 2018, the Defendant changed the period of medical care approval (hereinafter “instant medical care approval disposition”) from December 2, 2017 to March 9, 2018 by changing the period of medical care to “mix uneasiness and depression disorder” (hereinafter “mix uneasiness”) as an applicant’s disease on the ground that it is recognized that there is a proximate causal relationship between the symptoms of the Intervenor and his/her duties, but the said symptoms are more consistent with the symptoms of “mix uneas and depression disorder” rather than “mix-type disorder” (hereinafter “mix uneasiness disorder”).

On June 5, 2018, an intervenor submitted a medical treatment plan that extends the period of the medical treatment from March 10, 2018 to August 10, 2018 (154 days). On June 5, 2018, the Defendant rendered a decision to approve the above medical treatment plan (hereinafter “instant first medical treatment plan approval disposition”).

On July 21, 2018, an intervenor submitted a medical treatment plan that extends the period of the medical treatment from August 11, 2018 to November 11, 2018 (93 days in the hospital). On August 1, 2018, the Defendant rendered a decision to approve the above medical treatment plan (hereinafter “instant 2 medical treatment plan approval disposition”).

[Reasons for Recognition] Facts without dispute, Gap evidence Nos. 12, 26, Eul evidence Nos. 1, 2, 5, 6, 11 (including branch numbers; hereinafter the same shall apply) and the purport of the whole pleadings

2. Determination on the defense prior to the merits

A. The Plaintiff’s summary of the Defendant’s assertion is interest.

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