1. With respect to an accident listed in the separate sheet No. 1, the plaintiff (Counterclaim defendant) based on the insurance contract listed in the annexed sheet No. 2.

A principal lawsuit and a counterclaim shall be deemed simultaneously.

Basic Facts

On January 7, 2005, the Plaintiff entered into an insurance contract between the Defendant and the insured as specified in the attached Table 2 (hereinafter “instant insurance contract”). The major coverage stipulated in the ordinary terms and conditions of the instant insurance contract and the special terms and conditions are as listed below, and the provisions related to the ordinary terms and conditions and the special terms and conditions are as listed in the attached Table 3.

In the event of death or post-harm by general injury (the payment shall be made by multiplying the general treatment rate by the disability payment rate), 50,000,000 / 100 of the living income compensation for 80-10% of the general injury (the payment shall be made every month, the total amount of 60 times) disability with 50-79% of the general injury (the payment shall be made every month, the total amount of 24 times), 20-49% of the latter disability (the payment shall be made by each month, the total amount of 12 times), 3,00,000, 1000, and 10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-10-day public disease.

B around February 4, 2014, the Plaintiff asserted the Defendant in this case as follows: (a) the Plaintiff exceeded B on April 16, 2013, and knee on the left-hand knee.