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(영문) 서울고등법원 2015.05.14 2014나2033855
보험금
Text

1. Of the judgment of the court of first instance, the part against the defendant in excess of the money ordered to be paid below shall be revoked.

Reasons

1. Basic facts

A. On May 2012, the Plaintiff entered into a comprehensive insurance contract with the Defendant (hereinafter “instant insurance contract”) with the following content.

Insurance Name: Insurance Name: The insurance policy holder from May 23, 2012 to May 23, 2080: the insured policyholder: the legal heir (Death) in the case of the Plaintiff: the insurance money of the Plaintiff (other) - the basic contract (200,000 won): the amount equivalent to the X payment rate of the injury - the payment of the subscription amount of the injury after the injury (Renewal) security (50,000,000 won): the payment rate of 3% or more in the case of the injury, the amount equivalent to the X payment rate of the injury - the payment rate of the subscription amount of the injury (50,000,000 won): the payment rate of the subscription amount for the corresponding disability by classification of the corresponding amount: the payment rate of the injury in the case of the injury, which shall be 3% or more in the case of the injury.

1. Obstruction of snow;

(a) classification 3) When the corrected eyesight of a single eye is less than 0.02 (3) when the corrected eyesight of a single eye is less than 0.06%) 5% when the corrected eyesight of a single eye is less than 0.06% (25%) when the corrected eyesight of a single eye is less than 0.1%) and 15% when the corrected eyesight of a single eye is less than 0.2%;

B. On September 25, 2012, the Plaintiff complained of an accident that was caused by an accident that had significant progress by around one month prior to the Plaintiff’s left-hand eye, and accordingly, complained of the lack of dynamic force. On the same day, the Plaintiff was diagnosed by the above hospital “in the outer white plane, left-side (in the face), and the negotiologicsis (in the face).” On November 27, 2012, the Plaintiff was subject to the diagnosis by the above hospital of “in the outer white plane, left-side (in the face), and was in the emultition of the emultition and the emultition of artificial insemination.

However, after the operation, the Plaintiff’s vision was not restored, and on April 4, 2013, the Plaintiff’s vision was measured by 0.025 (Standards for Correctional History) at the Gyeong University Hospital.

C. On April 22, 2013, the Plaintiff filed a claim for payment of KRW 175,00,000 insurance money, upon submitting a written diagnosis of the post-existence disability (only to the effect that the Defendant’s correction eyesight was less than 0.06 in light of the disability classification table) at the Gyeongbuk University Hospital. However, the Defendant rejected the claim and did not pay insurance money up to the date.

On the other hand, it was conducted at the first instance court.

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