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A defendant shall be punished by imprisonment for two years.
All applications filed by an applicant for compensation shall be dismissed.
Reasons
Punishment of the crime
[Resolution] In the case of a disease security insurance, the Defendant is guaranteed the hospitalization fee to a maximum of 120 days in the event of hospitalization with the same disease. In this case, by taking advantage of the fact that only the hospitalization can be easily received, the Defendant was willing to acquire nine insurance policies for a short period from August 2006 to October 206, and the fact that the Defendant purchased nine insurance policies for a short period from August 2006.
[criminal facts] Around October 28, 2008, the Defendant was hospitalized in the I Hospital located in Yeongdeungpo-gu Seoul Metropolitan Government for 17 days in total, as shown in the attached Table 1 through 10, and acquired KRW 295,065,109 from the victim company as insurance proceeds from the victim company as if it was necessary to be hospitalized for a long time due to brain blood cycle disorder, and received hospital treatment for 23 days, and received hospital treatment from the victim company for 20 days, and received hospital treatment for 1.6 million won as hospitalization expenses on November 20, 2008 from around that time to December 2, 2015.
Summary of Evidence
1. The statements made by the witness J in the second protocol of trial;
1. Each legal statement of witness K and L;
1. Written Statement;
1. A medical analysis and medical advice, delivery of information on suspicion of insurance fraud, results of information on suspicion of insurance fraud, current status of payment of A contracts and insurance proceeds, analysis and medical advice, and review of propriety of hospitalization and treatment;
1. Each written confirmation of admission and discharge, records of outcoming employment, subscription and documents related to claims for insurance proceeds, certificates of payment of insurance proceeds, and accompanying documents;
1. Each written confirmation of payment, a written confirmation of hospitalization, a claim for insurance money, a statement of claim for insurance money, a detailed statement of insurance money claims, medical records, medical records, certificates of medical records, certificates of copies of medical records, diagnosis and inspection results, consultation medical treatment, nursing agreement, statement of instruction of doctor, nursing record paper, nursing record paper, and a record book of medication;