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(영문) 광주지방법원 2020.04.22 2018나55387
보험금
Text

1. The part against the defendant among the judgment of the court of first instance is revoked, and the plaintiff's claim corresponding to the revoked part is dismissed.

Reasons

(b)It is deemed necessary to provide medical treatment due to diseases or disasters as determined by the Disaster Classification Table, and it is difficult to provide medical treatment at home, etc. and it is deemed that he/she is admitted to a domestic hospital or clinic as determined by Article 3(2) of the Medical Service Act or a foreign medical institution recognized by the company as equivalent thereto and concentrates on medical treatment under

"The grounds for the payment of insurance proceeds" are defined as follows:

1. The first insurance contract of this case* The company under Article 13 (Grounds for Payment of Insurance Money) of the General Contract Terms and Conditions of this case shall pay to the insured the insurance money agreed upon to the beneficiary per one unit of contract when any of the following events occurs:

9. In the case of an individual type during the first insurance period, when a “ disease or accident” has occurred to the principal insured in the case of a couple type, and when the principal insured has been hospitalized for not less than 31 days for the direct purpose of the treatment: the payment of income security benefits * The company subject to the payment of insurance money under Article 4 of the Clause of the Special Agreement for Hospitalization has been hospitalized for not less than four consecutive days for the direct purpose of the treatment as a result of the direct cause of the “ disease or accident” in the insurance period of the special agreement

When the "disease or disaster" other than cancer or traffic disaster is directly caused, and is hospitalized for the direct purpose of the treatment: 0.1% of the amount of insurance covered by the special agreement per day exceeding three days;

2. The second insurance contract of this case* If any of the following events occurs to the insured under Article 18 (Types and Grounds for Payment of Insurance Money) of the Terms and Conditions of the prime contract (Types and Grounds for Payment of Insurance Money) the insurance money agreed upon to the beneficiary.

3. Where the insured has been hospitalized for at least four consecutive days for the direct purpose of treating a specific disease after the commencing date of liability: The payment of hospitalization benefits.

6. The insured person.

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