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(영문) 부산지방법원 2018.09.20 2017나51877
구상금
Text

1. The part of the judgment of the court of first instance against the plaintiff, which orders payment below, shall be revoked.

The defendant.

Reasons

1. Basic facts

A. On April 16, 2008, the Defendant entered into an insurance contract with the Plaintiff as the insured, the insurance period from April 16, 2008 to April 16, 2041 (hereinafter “instant insurance contract”).

The terms and conditions of the instant insurance contract pertaining to the instant lawsuit are as follows.

83. Article 1 (Damage to Compensation) (1) of the Special Terms and Conditions on the Guarantee of Medical Expenses for Diseases and Hospitalization (hereinafter referred to as the "company") provides that an insurance company (excluding the case where the insurance company has received diagnosis or treatment due to the disease within the past five years from the date of subscription for the insurance contract) shall compensate for the following expenses for hospitalization and medical expenses if the insured, as stated in the insurance policy (excluding the case where he has received diagnosis or treatment due to the disease within the past five years from the date of subscription for the insurance contract), is hospitalized in a hospital or a clinic (including a oriental medical hospital or

1. Hospitalization fees: Medical examination fees, standard sick room usage fees, patient care fees, and food expenses;

2. Expenses for hospitalization: Testing fees, radiation fees, medication and prescription fees, the main feed, secondary feed, medical treatment fees, mental therapy fees, materials for treatment, gners, and designated medical treatment fees;

3. Expenses for surgery: Expenses for surgery, anesthesia and materials for surgery;

4. Difference of the amount of difference between the actual amount of the sick: difference between the amount of the sick room and the standard sick room.

Article 2 (Compensation for Non-Compensation) (3) The Company shall not compensate for any loss incurred by hospitalization or medical expenses of a disease caused by any of the following causes:

3. The cost of stability treatment for treating skins, attitudes, mental and physical weakness, etc. 44. Article 1 (Damage to Compensation) of the General Terms and Conditions for Guaranteeing Expenses for Hospital Hospital Hospital (including herb medical hospitals or herb medical clinics) (1) of the Insurance Policy, if the insured, as stated in the Insurance Policy (Insurance Policy) is hospitalized in a hospital or clinic (including herb medical hospitals or herb clinics) due to a disease during the insurance period of this special bad class, the company shall be hospitalized from the first day to the first day.

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