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(영문) 부산지방법원 2019.08.22 2019나42020
보험금
Text

1. The plaintiff's appeal is dismissed.

2. The costs of appeal shall be borne by the Plaintiff.

Purport of claim and appeal

The first instance court.

Reasons

1. Basic facts insured: The insurance period from January 25, 201 to January 25, 2081: Major security (general injury, temporary living expenses: 30,000 won per day; 200,000 won: the fixed amount of KRW 1 million: 3,000 won: 4,000 won: 5,000 won: 4,000 won. 5,000 won: 5,000 won: 5,000 won (the special terms and conditions of this case). 1) Article 3 (Guarantees of Actual Medical Expenses IV) (1) of the Special Terms and Conditions (hereinafter referred to as the “Special Terms and Conditions of this case”).

(3) Where the insured (person subject to insurance) is not subject to the National Health Insurance Act or the Medical Care Assistance Act (including where he/she has not undergone the procedures for the medical care benefits or the medical care benefits prescribed in the National Health Insurance Act), the amount equivalent to 40% of the amount actually borne by the principal out of the costs of hospitalization medical care under the National Health Insurance Act or the medical care benefits prescribed in the Medical Care Assistance Act shall be compensated for up to 90% of the total sum of the amount of the 10% of the 90% of the amount of the 10% of the 10% of the amount of the 50 million medical care benefits (excluding the difference of the 50 million won medical care benefits or the medical care benefits prescribed in the Medical Care Assistance Act) and the amount of the 90% of the 10% of the amount of the 5.0 million won medical care expenses

Article 4 (Matters Not Paid for) (1) Inpatientd companies (3) shall not be compensated for the following hospital medical expenses:

8. Medical expenses paid in relation to automobile insurance or industrial accident insurance: Provided, That medical expenses borne by a person himself/herself shall be covered by compensation in accordance with Article 3;

The plaintiff on January 2011.

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