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(영문) 수원지방법원 성남지원 2018.12.12 2016가단230033
보험금
Text

1. Attached Form among claims for the confirmation of existence of the obligation among the principal lawsuit filed by the Plaintiff (Counterclaim Defendant);

1. An insured incident described in paragraph 3 of the list.

Reasons

1. Basic facts [Contents of insurance coverage under an insurance policy] One-time insurance premium: 115,750 won: Payment of the purchase amount of insurance (180 million won per day of hospitalization) per disease (in cases of treatment for a disease, the limit of 100 million won): Medical expenses for hospitalization, medication, surgery, and the difference in the difference in the amount of medical expenses for a disease to be borne by the principal under the National Health Insurance Act within the limit of 100 million won: Where the person under treatment for a disease is provided with medical expenses due to a disease, the compensation expenses for a disease shall be limited to 300,000 won, within the limit of 50,000 won, which shall be deducted from the amount of the expenses to be borne by the principal under the National Health Insurance Act under the National Health Insurance Act (one day or more): 100,000 won per day of hospitalization when the person under treatment for a disease is provided (special insurance clause for 100,000 won per disease) / [the limit of KRW 1000,000 per disease per disease);

Notwithstanding the provisions of paragraphs (1) and (2), the limit of compensation for medical expenses for hospitalization of a disease due to the same disease or a single disease shall be limited to 365 days from the date of the outbreak.

However, hospitalization due to the same disease shall be considered as a new outbreak and compensation is rarely made after the lapse of 180 days from the date of discharge of the final hospitalization for which the medical expenses for hospitalization were paid.

In accordance with Article 1 (Definition and Place of Hospitalization) of the Special Terms and Conditions for the Admission of Diseases (1%), the term "hospitalization" shall be deemed necessary by a doctor, dentist, or a person qualified as an oriental medical doctor, and it shall be difficult to treat the disease at his/her home.

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