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(영문) 광주지방법원 2018.11.15 2018고정924
보험사기방지특별법위반
Text

Defendant shall be punished by a fine of KRW 3,000,000.

When the defendant does not pay the above fine, 100,000 won.

Reasons

Punishment of the crime

Using the fact that the Defendant purchased multiple insurances, such as the victim B’s “C”, etc., the Defendant believed only the content of the certificate of hospitalization and discharge issued by the hospital regarding the necessity of hospitalization for the insured and the adequacy of the hospitalization period, and used the business practices of the insurance company that pays the beneficiary insurance money to the beneficiary, for which the Defendant used the business practices of the insurance company that pays the beneficiary the insurance money, but did not have been sufficiently ill or properly hospitalized, but received the pertinent documents necessary for receiving the insurance money, such as

Therefore, from March 24, 2017 to December 29, 2017, the Defendant received six days’ hospitalized treatment from the E Hospital located in Gwangju Northern-gu under the name of “rogates, trees, and hairs,” etc. for six days. From April 5, 2017 to April 15 of the same month, the Defendant continued to receive hospitalized treatment from the above E hospital under the name of “rogates, trees, and outbreaks,” etc. for 11 days, and filed a claim for insurance proceeds with the victimized insurance company by submitting relevant documents, such as a written confirmation of admission and discharge issued by the above hospital.

However, during the above period of hospitalization, the defendant was frequently visited the above hospital several times to receive physical treatment, etc. while running day-to-day activities, such as cutting down the defendant's house located in the North Chang-gun, and houseing work, etc., and there was no fact that the defendant was hospitalized during the above period of hospitalization and received hospital treatment.

Nevertheless, the Defendant claimed insurance money as above and received KRW 850,000 from the G bank account in the name of the Defendant’s father F, and around May 2, 2017, the Defendant paid KRW 680,000 insurance money from the victim I Co., Ltd. around May 4, 2017, and received KRW 1,260,000 from the victim J Co., Ltd. on the same day, and received KRW 560,000 insurance money from K Co., Ltd. on the same day, and received KRW 560,000 from the victim J Co., Ltd. on May 25, 2017.

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