Text
1. The part against the defendant in the judgment of the court of first instance is revoked, and the plaintiff's claim corresponding to that part is dismissed.
2...
Reasons
1. Facts of recognition;
A. On March 18, 2005, the Plaintiff entered into a non-life insurance contract with the Defendant and paid the premium to the Defendant. The main contents relating thereto are as follows.
(hereinafter referred to as the "insurance contract of this case". Insurance types: The insurance period of the Plaintiff: from March 18, 2005 to March 18, 2039: The amount of subscription to the cover insurance period of the B name on March 18, 2005, and the amount of subscription to the insurance contract on March 18, 2015 [the first clause of the cerebrovascular disease diagnosis expenses of KRW 60,20,000 on March 18, 2019, KRW 9,360 on March 18, 2005, the amount of subscription to the cover insurance period of KRW 60,20,000 on March 18, 2015]
1. (Compensation for Damages) ① A company (the defendant; hereinafter the same shall apply) shall compensate the insured (the plaintiff; hereinafter the same shall apply) listed in the insurance policy for the first brain-related disease during the insurance period of this Special Terms and Conditions (hereinafter referred to as the "insurance period") which is entered in the insurance policy, if the diagnosis becomes final and conclusive as the first brain-related disease.
2. (Definition and Determination of Diagnosis of Brain) ① The term “cerebrovascular disease” means a disease classified as a cerebrovascular disease (refer to attached Table 5) of the third Korean Standards Classification of Patients.
(2) The diagnosis and confirmation of a brain-related disease shall be conducted by a person with a physician's license (excluding dentists) of a domestic or foreign hospital prescribed in Article 3 of the Medical Service Act or a foreign medical institution outside the country recognized by the company as equivalent thereto, and such diagnosis shall be conducted based on medical history, negonomic shotning (MRI), nuclear self-climatic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic
4. (Medical Fees for Diagnosis of Brain Diseases) A company shall have a special agreement for at least one year from the date of the insurance contract under a special agreement for less than one year from the date of the insurance contract with the amount classified as the amount of compensation for brain cerebrovascular diseases.