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(영문) 인천지방법원 2016.05.17 2015나14921
보험금지급
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 October 12, 2001, the Plaintiff entered into an insurance contract and its main contents (1) between the Defendant and the beneficiary, and the insured and the beneficiary (hereinafter “instant insurance contract”). On December 11, 2003, the Defendant and the beneficiary entered into a non-distribution fashion insurance contract (hereinafter “instant insurance contract”).

(2) The provisions pertaining to the grounds for payment of insurance money and the definition of hospitalization under the terms and conditions of the first and second insurance contracts of this case are as follows.

- Article 9 (Types of and Grounds for Payment of Insurance Money) of the Special Agreement for Life Insurance under Article 1 of the instant Special Agreement for Life Insurance (Types of and Grounds for Payment of Insurance Money) The Defendant would pay the amount of hospitalization allowances agreed upon to the beneficiary when the insured under this Special Agreement was hospitalized for not less than four consecutive days for direct purpose of treatment as a direct cause for the insurance period of the special agreement.

Article 10 (Types and Grounds for Payment of Insurance Money) The defendant shall pay the insured under this special agreement the insurance money agreed upon to the beneficiary when any of the following causes occurs to the insured under this special agreement:

4. Where the insured is diagnosed as a major sexual disease after the date of commencement of liability, and is hospitalized for at least four consecutive days for the purpose of directly treating a major sexual disease: The payment of hospitalization expenses shall be made according to Article 12 (Types and Grounds for Payment of Insurance Money) of the 2 insurance contract of this case, which provides that the defendant shall pay the insured the insurance money agreed upon to the beneficiary when any of the following events occurs:

2. Where the insured is diagnosed as a major sexual disease after the commencement date of liability for the insured period, and is hospitalized for at least four consecutive days for the direct purpose of the treatment of a major sexual disease:

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