The defendant shall dismiss the application filed by the applicant for compensation.

1. On August 27, 1991, the Defendant subscribed to five insurance, including LIG non-life insurance and LIG flusing insurance.

The above insurance is a guaranteed insurance that pays a daily allowance for hospitalization when being hospitalized or hospitalized for a long time, or that provides insurance money when being hospitalized for a long time.

As above, Defendant 1 complained of false pains that need not be hospitalized for hospital treatment or that can be treated with outpatients for hospital treatment and light view, but was hospitalized or raised to receive daily allowances, etc. from the victim insurance companies by increasing the period of hospitalization.

Although the Defendant did not need to provide long-term hospitalized treatment with E-type surgery located in Bosa City from August 13, 2009 to April 22, 2009, the Defendant hospitalized in the name of Byung, such as “Saeum scarke and tension scarke in a scarke,” and received KRW 4,550,000,000 from the insurance company from October 7, 2009 to October 9, 2009, claiming insurance proceeds for the victims’ Korean-style life, etc.

(No. 1) The Defendant, including this, received insurance money of KRW 145,217,801 in total by deceiving the victim insurance companies over 13 occasions from that time to January 20, 2015 by means of the foregoing method, as shown in the list of offenses.

2. Determination:

A. As to the reply to the review of the propriety of hospitalization, the Health Insurance Review Review Institute’s reply to the review of the adequacy of hospitalization is to determine the part 2 of the list of crimes among the details of hospitalization prosecuted as a reasonable hospitalization period in light of brain coloring opinions, the content of treatment, and the patient status, and to the effect that it is impossible to additionally examine the remainder of the case (the 225 pages of the investigation record). This part of the reply cannot be deemed as evidence supporting the facts charged.

B. As to the necessity of hospitalized treatment, the definition of hospitalization and “hospitalize” in this special agreement refers to a doctor.