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(영문) 광주지방법원장흥지원 2017.11.07 2016가합743
보험에 관한 소송
Text

1. The plaintiff's claims against the defendants are all dismissed.

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

Reasons

1. Basic facts

A. On May 11, 2009, the Plaintiff entered into an insurance contract with Defendant B (hereinafter “instant insurance contract”) on the following grounds: (a) the insured of Defendant B (the policyholder was changed from Defendant B to Defendant A); and (b) the beneficiary of the Defendant A; and (c) the insured is subject to general injury or disease; (b) the insured is subject to hospital treatment for at least one day, and (c) the Plaintiff is obliged to pay insurance money of KRW 30,000 per day (180 days limit) to Defendant A.

B. From February 28, 2010 to April 25, 2016, Defendant B claimed that Defendant B was hospitalized in C Hospital, etc. over 16 times, as indicated in the following table, and claimed insurance proceeds from the Plaintiff. From March 30, 2010 to September 8, 2016, the Plaintiff paid insurance proceeds of KRW 9,830,000 in total to Defendant B as listed in the following table.

순번 사고일자 진단병명 치료병원 치료개시 치료종료 입원일수 지급일자 지급보험금(원) 1 2010-02-28 요부염좌 C병원 2010-02-28 2010-03-23 24 2010-03-30 720,000 2 2011-07-16 요부염좌 D의원 2011-07-16 2011-07-23 7 2011-08-31 1,460,000 3 E한방병원 2011-07-23 2011-08-16 24 4 2012-04-11 수부염좌 F한방병원 2012-04-12 2012-04-28 17 2012-05-07 510,000 5 2012-09-13 두드러기 G의료원 2012-09-13 2012-09-21 9 2012-10-16 780,000 6 F한방병원 2012-09-22 2012-10-08 17 7 2013-07-04 요추추간판 F한방병원 2013-07-04 2013-07-19 16 2013-07-24 5,520,000 8 H병원 2013-11-15 2013-12-18 34 9 F한방병원 2013-11-13 2013-11-14 2 10 G의료원 2013-12-19 2014-01-07 20 2014-01-09 11 H병원 2014-01-20 2014-02-11 23 12 F한방병원 2014-02-12 2014-02-26 15 2014-03-21 13 I병원 2014-02-28 2014-03-18 19 2014-04-23 14 H병원 2014-07-08 2014-07-28 21 2014-07-30 15 2014-08-05 당뇨병 H병원 2014-08-05 2014-08-25 21 2014-08-28 630,000 16 2016-04-19 관절통 J한방병원 2016-04-19 2016-04-25 7 2016-09-08 210,000 합계 276 9,830,000

C. Meanwhile, the defendants are the defendants of this case.

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