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(영문) 광주지방법원 2016.08.10 2016가단513451
보험금
Text

1. All of the plaintiffs' claims are dismissed.

2. The costs of lawsuit are assessed against the plaintiffs.

Reasons

1. Facts of premise;

A. On July 25, 2007, the Plaintiff entered into an insurance contract with the Defendant, with the insured as the Plaintiff A, and entered into an insurance contract without dividends, including a special agreement on cancer treatment expenses, and a non-dividend Samsung T&T contract on August 28, 2003, including a special agreement on admission into a specific disease, and a special agreement on hospitalization. The Plaintiff B entered into a new life cancer insurance contract with the Plaintiff A and the beneficiary as the Plaintiff B.

The terms and conditions of each insurance contract and special agreement mentioned above are as follows:

Article 10 (Definition and Place of Hospitalization) In this contract, the term "Hospitalization" means that it is acknowledged that the treatment of cancer is necessary by a person qualified as a doctor or dentist (hereinafter referred to as "doctor"), and it is difficult to treat at his own house, etc. and it is therefore difficult to treat and concentrate on the treatment under the control of a doctor under Article 3 (2) of the Medical Service Act.

1) According to the new life cancer insurance terms and conditions (the insurance amount of KRW 200,00,000 per day) Article 16 (Definition and Place of Hospitalization) of the Clause for the Special Agreement on the Admission into a Specific Disease (the 20,000,000) (the 20,000 won), the term "hospitalize" means that a doctor, dentist or oriental medical doctor's license holder (the 20,000,000) deems it necessary for the purpose of direct treatment due to the insured's disease or disaster, and it is difficult for him to provide treatment at his own home, and that he is transferred to a domestic hospital under Article 3 (Medical Institution) of the Medical Service Act, a member of the domestic medical institution under Article 3 (Medical Institution) or a medical institution

3) Article 10(Definition and Place of Hospitalization) of the Terms and Conditions of the Special Agreement on Unpaid Hospitalization (Amount of 50,000,000) (Definition and Place of Hospitalization) is the same as Article 16(d) of the Special Agreement on Unpaid Cancer Treatment Expenses (the insurance amount of 20,000,000 won) (1) of the Special Agreement (Definition and Place of Hospitalization) 16(Definition and Place of Hospitalization in this Special Agreement)

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