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(영문) 대구지방법원 2015.04.24 2014구단1340
요양급여불승인처분 취소
Text

1. The plaintiff's main claim is dismissed.

2. The part of the conjunctive claim in the instant lawsuit is dismissed.

3...

Reasons

1. Details of the disposition;

A. Around 15:30 on May 29, 2013, the Plaintiff, as an employee of the L&C Co., Ltd., was involved in an accident over concrete parts of the CF base located in Daegu-gu, Daegu-si, in order to operate the transferee in order to remercate it at the work site (hereinafter “the instant accident”).

B. On September 10, 2013, the Plaintiff asserted that, due to the instant disaster, he/she suffered from the injury of the upper part of the upper part, “the outer side and the upper part of the bones, the upper part of the upper part of the upper part, the breath of the power lines, the damage of the upper part, and other details of the unknown whereabouts, the tear of half of the upper part, the left part of the upper part, the erode and tension of the upper part, the erosium and tension of the right part, the eros of the upper part of the upper part, and the eros of the upper part of the upper part,” and filed a medical care benefit application with the Defendant.

C. On November 13, 2013, the Defendant rendered a non-approval of the application for medical care benefits (hereinafter “instant first disposition”) on the ground that “the margin of the side of the opposite side and the mouth of the bones of the right upper right, and the frame of the upper right upper end of the upper upper end of the upper end are not confirmed from radiation image, and the left upper end of the upper end of the upper end is not found from acute damage, and the chronic emulative change is observed without finding an opinion of acute damage, and the fact of the occurrence of the disaster was not reported to the business owner after the instant accident, since the circumstance of the accident is unclear, and the proximate causal relation between the instant disaster and the instant accident is not recognized” (hereinafter “instant first disposition”).

As a result of the review by the Industrial Accident Compensation Insurance Review Committee, the Plaintiff filed a request for review, and “the salt pans and tensions of the part of the loss of which detailed is unknown, and the right strokes and tensions of the above application” (hereinafter “the approved injury of this case”) can be found to have causation with the disaster of this case, but the remainder of the injury is not confirmed by the injury itself, or is a chronic strokes disease not related to the disaster of this case.

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