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(영문) 서울중앙지방법원 2019.10.22 2019가단5012223
보험금
Text

1. The plaintiff's claim is dismissed.

2. The costs of lawsuit shall be borne by each person;

Reasons

1. Facts of recognition;

A. The Defendant entered into an insurance contract with the network C with the following contents. The total amount of insurance proceeds following the death of a disease guaranteed under each of the above insurance contracts is KRW 195,00,000, and the beneficiary is the Plaintiff (the deceased-child relationship was not a relative relationship with the deceased and engaged in the same business).

D F JJ LE GI K M H

B. Around July 21, 2018, the Deceased was used on the street with a scarcity, and was rescued in the 119 rescue team, and was hospitalized in the Jeju-si Hospital at the Jeju-si Hospital, and died on July 26, 2018.

C. On September 27, 2018, the police officer assumed that the deceased died on July 26, 2018 after the outbreak of a state of heart suspension due to a cardio-cerebral disease, and completed internal investigation.

On December 5, 2018, the Plaintiff, a beneficiary, claimed insurance proceeds, but the Defendant rejected the payment of insurance proceeds on the ground that the documents related to death, such as the death diagnosis, are incomplete.

E. On June 20, 2019, after the filing of the instant lawsuit, the Defendant deposited as follows as Jeju District Court No. 1295 in 2019.

C [Ground for Recognition: Unsatisfy, Party A1 through 17, Party B’s each entry, the purport of the whole pleadings]

2. Whether the deposit for payment is legitimate;

A. (Payment of Insurance Money) Section 1 of H General Terms and Conditions of the Defendant’s Terms and Conditions (Payment of Insurance Money) (1) When the Company receives the claim documents set forth in Section 34. (Documents Required at the time of filing a claim, such as the Insurance Money), it shall pay the insurance money for physical damage within 3 business days from the date of receiving the documents, 10 business days from the date of receiving the documents, and insurance money for property damage within 20 business days from the date of receiving the documents.

(2) In order to investigate and confirm the causes for the payment of insurance proceeds, the company shall notify the insured or beneficiaries of the detailed reasons and the scheduled date for payment in writing.

3. If any further investigation is conducted by the company above.

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