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(영문) 부산지방법원 2016.07.13 2015나46536
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. Facts of recognition;

A. On October 31, 2009, the Plaintiff entered into an insurance contract with the Defendant for hospitalization of disease (hereinafter “instant insurance”). The content of “the 7th hospitalization daily days” guaranteed by the instant insurance is as follows.

Article 1 (Reasons for Payment of Insurance Money) of the General Terms and Conditions for Security (3 days to 120 days) ① Where the insured has been hospitalized in a hospital or a clinic (including an oriental medical hospital or oriental medical clinic) for the direct purpose of treating a disease for seven or more days due to a disease for which the diagnosis has become final and conclusive during the insurance period of the General Terms and Conditions for Security (3 days to 120 days) during the 7-day period of the 7-day special terms and conditions of the 7-day special contract for hospitalization, the company is bound to pay the insurance amount per 3 days to the beneficiary (the insured if there is no designation of the beneficiary) in accordance with the 7-day special terms and conditions of the insurance policy.

However, the number of days of payment of hospitalization per three days or more shall be limited to 120 days per hospitalization.

(2) The term "seven diseases" referred to in paragraph (1) means the cardio-cerebrovascular diseases, cardio-cerebrovascular diseases, cardio-cerebrovascular diseases, high blood pressure, urine diseases, chronicly transmitted diseases, trajectalop and dualopic diseases in the 6th Korean Standard Disease Classification.

(3) The diagnosis and confirmation referred to in paragraph (1) shall be based on a written diagnosis by a hospital or clinic as provided for in Article 3 (2) of the Medical Service Act or by a person who holds a physician's license for a medical institution deemed equivalent thereto.

The name of a medical institution for the period of hospitalization from July 25, 2014 to August 13, 2014, the primary knee-free knee-free kne-free kne-free kne-free kne-free kne-free kne-free kne-free kne-free kne-free kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off, August 22, 2014 to September 26, 2014 to October 16, 2014, the establishment of a part of the hospital kne-free kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off kne-off.

B. The Plaintiff from July 25, 2014 to October 2014.

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