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(영문) 서울행정법원 2018.11.09 2017구단66919
최초요양급여 일부불승인처분 취소
Text

1. On November 29, 2016, the Defendant’s warning signboards No. 4-5 in the light of the measure of non-approval of part of the medical care granted to the Plaintiff.

Reasons

1. Details of the disposition;

A. On September 22, 2016, the Plaintiff, who worked in Samsung Dplas Corporation, was moving from the upper upper part of the lower court to install cooling pipes while serving in the office on September 22, 2016.

The accident was caused by the crashing work workers (hereinafter referred to as “instant accident”).

B. In the instant accident, the Plaintiff applied for medical care benefits to the Defendant on November 29, 2016, while suffering from the external shock of the chest blue base and tension, the left-hand blue base and tension, the clue base and tension, the external shock of the light signboards No. 4-5, and the external shock of the light signboards No. 6-7 of the clue, the Defendant applied for medical care benefits to the Defendant. However, on November 29, 2016, the Defendant applied for medical care benefits only for the plelue base and tension, the left-hand blue base and tension, the left-hand blue base and tension, and the light blue base and tension.

(hereinafter referred to as the “instant disposition” for medical care non-approval for the external stress of the warning signboard No. 4-5 of the Gyeong-5 of the current year, and between the light signboard No. 6-7 of the Gyeong-7 of the current year. 【Ground for Recognition】 There is no dispute over the facts, the entries in the evidence No. 1, 2, and 3, and the purport of the whole pleadings.

2. Whether the instant disposition is lawful

A. In light of the following circumstances, it is reasonable to view that there is a proximate causal relationship between the occurrence of the external shockion of the Gyeongcheon University No. 4-5 in the part concerning the external shock of the Gyeongcheon University No. 3 and No. 5, and No. 2, and the entire purport of the argument as a result of the request for the examination of the medical records to the head of Seoul Hospital affiliated with the Macheon National University of the Republic of Korea, which can be seen as the result of the request for the examination of the medical records to the head of the Seoul Hospital affiliated with the Macheon National University of the Republic of Korea, and that there was a causal relationship between the occurrence of the external shock

On the sole basis of the fact that there was a hostile signboard obstacle accompanied by a nephical disease certificate, which received medical treatment at a medical institution, the recognition is insufficient to reverse the recognition, and there is no reflective proof otherwise.

The defendant's advice is also after the occurrence of the accident of this case.

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