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(영문) 인천지방법원 2016.02.17 2015나16408
보험금
Text

1. The plaintiff's appeal is dismissed.

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

Purport of claim and appeal

The first instance court.

Reasons

1. Basic facts

A. On September 17, 2013, the Plaintiff entered into an agreement with the Defendant and the insured, and a special agreement for male health treatment (hereinafter “instant special agreement”), regardless of whether the Defendant and the beneficiary are the Plaintiff, an integrated distribution of dividends, an integrated CI insurance (dual guarantee type, Class B) agreement, and a special agreement for male health treatment (hereinafter “instant insurance agreement”). The main contents are as follows.

Article 13 (Definition and Place of Hospitalization) In this special agreement, the term "inpatient" means that the medical treatment is deemed necessary by a doctor, dentist or a person qualified as an oriental medical doctor (hereinafter referred to as "doctor") and it is difficult for him to provide medical treatment at his own home, etc., and it is difficult for him to do so and that he is committed to the care under the control of a doctor by entering a hospital in the Republic of Korea, a member of the National Assembly, or a medical institution as prescribed by the Medical Service Act related to foreign medical treatment (the criteria for issuing a certificate of admission and discharge).

Article 14 (Types and Grounds for Payment of Insurance Money) The Company shall pay the insurance money (referring to the Schedule of Insurance Money Payment in attached Table 1) agreed upon to the beneficiary (beneficiary) if any of the following events occurs to the insured (beneficiary) during the insurance period of this special agreement:

4. Where the insured (person subject to insurance) is diagnosed and confirmed to be a 8-specified disease after the date of commencement of coverage of this special agreement, and is hospitalized for at least four days directly for the purpose of treatment: The amount of 8-specific diseases paid for the admission of a 8-specific disease: The maximum of 120 days per admission per 120 days in the case of Article 14 (Types and Grounds for Payment of Insurance Money) (3) of this special agreement.

B. B, from October 13, 2014 to December 31, 2014, “80 days” in the inner and outer side tear, the tear, and the string and force of the detailed strings.

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