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(영문) 인천지방법원 2014.09.04 2013가단58476
보험금
Text

1. The plaintiff's claim is dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

1. Basic facts

A. The Plaintiff entered into an insurance contract with the Defendant on January 9, 1998 (type 1). (The Plaintiff’s primary insured, the Plaintiff’s insurance period from January 09 to January 09, 2017). The main coverage is as follows. (A) The diagnosis has become final and conclusive for the first time after the starting date of the liability for health and living expenses, and “the 12 major disease of the present person,” and “the 12 major disease of the present person,” for the direct purpose of treating “the 12 major disease,” and “the 31 days, 121 days, 181, 31 to 120 days, 2,000, 121 to 120 days, 5,000 days, 180 days, 181 to 180,000 won, and 100,000 won shall be paid.

B) On September 5, 200, the Plaintiff entered into a contract with the Defendant on September 5, 200 for the first time after the date of the commencement of the responsibility for the cost of hospitalization (the period of the principal insured, the period of the contract from September 5, 200 to September 5, 2020), the first diagnosis is confirmed as “the 12th adult disease of the present person,” and the amount of KRW 50,000 shall be paid for more than four days after hospitalization for the direct purpose of treating “the 12th adult disease of the present person,” and the amount of KRW 31 days after hospitalization for the first time after being hospitalized for more than 31 days (the maximum amount of 120,000 per day of hospitalization for more than 30,000,000 won per day (the maximum amount of 120,000,0000 won per day of hospitalization), and the amount of KRW 10,000,010,000 per day of hospitalization for more than 30 days (10).

3) Under each of the above insurance clauses, the term “brain, urology,” “infection” refers to both modern 12-class diseases and major adult diseases. 4) In the case where a doctor, dentist, or oriental medical doctor deems it necessary to provide medical treatment due to the above 12-class diseases and major adult diseases, and it is difficult for him/her to provide medical treatment at his/her home, and thus, he/she is in the care of a hospital or medical institution under the control of the doctor.

B. The plaintiff's hospitalization.

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