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(영문) 서울중앙지방법원 2017.06.16 2015가단5375261
보험금
Text

1. The Plaintiff:

A. As to Defendant Alannts Life Insurance Co., Ltd., the amount of KRW 20,500,000 and KRW 16,500,000.

Reasons

1. Facts of recognition;

A. Insurance contract between the Plaintiff and Defendant Alger’s Life Insurance Co., Ltd. (hereinafter “Defendant Alger’s Life Insurance Co., Ltd.”) on September 29, 2001

)와 사이에 ‘무배당 톡톡튀는 여성건강’이라는 명칭의 보험계약을 체결하면서 여성 3대암을 제외한 일반적인 ‘암’으로 진단이 확정되었을 때 치료비 1,000만 원, 생활비 월 100만 원씩 12회, 수술급여금 500만 원의 보험금을 지급한다는 내용이 포함된 특약(이하, ‘이 사건 제1보험계약’이라고 한다

Article 9. The definition and diagnosis determination of the E.S. 1. The term “C. am.” in this Special Agreement means the diseases classified as malicious life in the basic classification of the Korean Standard Disease Death Classification (attached Table).

(2) The diagnosis and determination of cancer shall be made by a person who holds a professional doctor's license of autopsy pathology or clinical pathology, and this diagnosis shall be based on the present opinion on the organization (fixedti value) or blood test. However, if it is not possible to conduct the above pathological diagnosis, the clinical diagnosis of cancer is recognized as evidence of cancer. In this case, there shall be a document or evidence proving that the insured is being diagnosed or treated with cancer. In this case, "Cr." as stipulated in the terms and conditions of the Maternal Classification in Appendix 2 shall be the third revised Korean Standard Disease Classification (C. 1993-3, January 1, 1995 of the Statistics Korea Notice No. 1993-2, the following diseases shall be included in the terms and conditions of the insurance contract of this case.

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