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(영문) 광주지방법원 2018.01.24 2016가단41079
보험금
Text

1. The Defendant’s KRW 6,706,858 as well as the Plaintiff’s KRW 6% per annum from November 23, 2016 to January 24, 2018.

Reasons

1. Basic facts

A. On December 18, 2008, the Plaintiff (1957) concluded an insurance contract with the Defendant, an insurance company, with the following content.

The insurance types: (The insurance period of the Family Love Insurance that takes place: the contractor, the insured, and the beneficiary of the Plaintiff from December 18, 2008 to December 18, 2056: The content of the Plaintiff’s security: 100 million won of the Special Clause for the Guarantee of Expenses for Inbound Hospital Hospital Hospital Hospital (hereinafter “the Special Clause for the Guarantee of Expenses for Inbound Hospital Hospital”) (10 million won of the Insurance Contract (hereinafter “company”) (the “company”) shall exclude the insured, as stated in the Insurance Policy (the Insurance Policy), from the insurance policy, the physical assistance, such as physical assistance, such as acceptance, doctor’s bill, and doctor’s bill; hereinafter the same shall apply) suffered bodily injury and received treatment by being hospitalized in a hospital or clinic (including oriental medical hospital or oriental medical clinic; hereinafter the same shall apply) during the insurance period of this Special Clause.

1. Hospitalization fees: Medical examination fees, standard sick room (referring to the standard sick room applied by the relevant hospital or clinic to patients insured by national health insurance), service fees for patients, and food expenses;

2. Expenses for hospitalization: Testing fees, radiation fees, medication and prescription fees, the main feed, secondary feed, medical treatment fees, mental therapy fees, materials for treatment, gners, and designated medical treatment fees;

3. Expenses for surgery: Expenses for surgery, anesthesia and materials for surgery;

4. Sick difference: The difference between the difference between the actual user's room (Provided, That if a special room or a single person room is used, it shall be based on the medical fees of two rooms), and the difference between the sick room and the standard sick room.

However, if the insured is not subject to national health insurance, it shall undergo the medical care benefits procedure prescribed in the national health insurance.

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