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(영문) 광주지방법원 순천지원 2017.01.10 2015고단1192
사기
Text

A defendant shall be punished by imprisonment for not more than ten months.

However, the execution of the above punishment shall be suspended for a period of two years from the date this judgment becomes final and conclusive.

Reasons

Punishment of the crime

On August 3, 200, the Defendant subscribed to the “New Women’s Health Insurance Co., Ltd.’s New Life Insurance” and on September 27, 2000, the Victim Matz Fire Co., Ltd.’s “health care insurance products.” On August 3, 2000, the Defendant was able to receive high-amount medical care by using the fact that long-term hospitalization in a hospital can receive high-amount medical care, but was hospitalized for a long time at the hospital, and was willing to claim insurance

On March 4, 2008, the Defendant: (a) hospitalized in D convalescent Co., Ltd. (hereinafter “D convalescent”); (b) on March 4, 2008, the Defendant claimed the payment of insurance money to the Victim Intervalescent Life Co., Ltd. (hereinafter “C”) by submitting documents evidencing hospitalization on March 24, 2008.

However, even though the above disease of the defendant was appropriate for 14 days, the defendant was hospitalized for more than 21 days for the proper period of hospitalization for the purpose of receiving insurance money due to hospitalization.

As above, the Defendant, as well as by deceiving the victim, received insurance money of KRW 990,00 from the victim on March 28, 2008, and acquired it by fraud. From around that time to December 4, 2013, the Defendant hospitalized 55 times in total, such as the list of crimes, and requested the above victim insurance company to pay the insurance money, along with evidential documents for hospitalization, received insurance money of KRW 100,594,263 in total 12 times from March 28, 2008 to October 2, 2013.

Summary of Evidence

1. Partial statement of the defendant;

1. Legal recording of witness E's oral statement in the third public trial records;

1. A reply to a request for factual inquiry by the Health Insurance Review and Assessment Board;

1. Investigation report (referring to an inquiry about the details of cell phone calls owned by the suspect), and inquiry into data about communication confirmation;

1. A reply to a request for review, such as a report on internal investigation (including details of hospitalization of a person under internal investigation), details of purchase of insurance policies A, the current status of insurance accidents, medical records, etc.;

1. An analysis statement, such as a report on the results of survey A and a cycle of hospitalization;

1. Analysis and consultation on medical services;

1. Application of the laws and regulations governing claims and payment.

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