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(영문) 서울중앙지방법원 2015.02.06 2013가단32985
보험금
Text

1. The Plaintiff, Defendant Samsung Life Insurance Co., Ltd., 20 million won for Defendant Samsung Life Insurance Co., Ltd., and Defendant Eastern Fire Insurance Co., Ltd., 1.

Reasons

1. Basic facts

A. On February 5, 1998 and October 14, 1999, the Plaintiff entered into each of the instant insurance contracts with Defendant Samsung Life Insurance Co., Ltd. (hereinafter “Defendant Samsung Life Insurance”), the insured, and the beneficiary, respectively.

Each of the above insurance contracts includes the fact that payment of KRW 10 million is made when the plaintiff is diagnosed as brain stroke.

On October 1, 2008, the Plaintiff entered into a non-dividendf insurance contract with Defendant Eastern Fire Marine Insurance Co., Ltd. (hereinafter “Defendant Eastern Fire Marine Insurance”) and the insured and beneficiary as the Plaintiff.

The above insurance contract includes the fact that payment of KRW 10 million is made at the stroke examination cost.

B. The content of each of the insurance clauses of this case, among the insurance contracts with Defendant Samsung Life Insurance, is as follows, and the content of the insurance contracts with Defendant Samsung Life Insurance are also stated in the same purport as the terms and conditions of the insurance contracts.

Article 12 (Definition and Confirmation of Diagnosis of Brains) (1) A stroke in this contract refers to a disease (a classification number 160-I63, 165-I66) classified into brain strokes (a classification number 160-I63, 165-I6) from among the cerebrovasculars diseases specified in attached Table 6 (Classification of Brain Diseases).

(2) The diagnosis and confirmation of brain shall be conducted by a person with a physician's license (excluding dentists) of a domestic hospital prescribed in Article 3 of the Medical Service Act or a foreign medical institution abroad recognized by a company equivalent thereto, and such diagnosis shall be conducted based on the negoology computerizing single-story, nuclear self-scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic scopic, p

[Attachment 6] The third revision is to classify a cardio-cerebrovascular disease as a cardio-cerebrovascular disease prescribed in the terms and conditions of the classification table of cardio-cerebrscular diseases.

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