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(영문) 서울중앙지방법원 2017.03.24 2016나61183
보험금
Text

1. The part of the judgment of the court of first instance against the plaintiff ordering payment is revoked.

The defendant shall make the plaintiff 4,860.

Reasons

Facts of recognition

On November 14, 2014, the Plaintiff subscribed to insurance products (non-dividendd Women's CI insurance) sold by the Defendant.

At the time of the purchase of the above insurance, the Plaintiff entered into a special agreement with the Defendant for actual medical expenses, including “payment of insurance money equivalent to 90% of the medical expenses incurred due to hospitalization, such as a disease-free white ground.”

On the other hand, the above special contract does not pay insurance for the following medical expenses:

(Article 4.7. Cost of Purchasing and replacing treatment materials, such as artificial organs or parts, etc. (Provided, That this does not apply where a body is transplanted and its function is replaced by artificial organs or parts, etc.)

8. Medical expenses incurred in treating mothers for the purpose of improving their appearance;

(a) Poppy surgery, cosacopic surgery, geneopic expansion surgery, local inhalement surgery, and sopic removal surgery, etc.;

(b) An operation for a visual gauge, such as correction of eyesights and an isolation certificate, which is not for improvement of eyesights, but for improvement of appearance;

C. On December 8, 2015, the Plaintiff received the diagnosis of “the scarcity scarcity scarcity scarcity scarcity scarcity scarcitys” for both eyes from the hospital and the hospital, and was hospitalized in the hospital and the hospital on December 8, 2015, and received the scarcity scarcity scarcity scarcitys and post-scarinary artificial inseminations inserted.

The Plaintiff spent KRW 6,500,000 in total, including the cost of multi-point artificial insemination 5,900,000 ( Lestostostostostostostostostostos tostostos tostostos tostostos tostostos tostos tostos tostos tostos tostos to be applied to health insurance or to be borne by the patient himself tos tos tos tostos tos tos tos tos tos tos to

【Based on Recognition, the Plaintiff paid KRW 6,50,000 to the Plaintiff’s assertion of the purport of the entire pleadings, as well as KRW 6,50,00,00 for the treatment of old-age booms, and the multi-point artificial insemination surgery does not pay insurance money.

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