A Study on Insurance Law Cases of the Year 2021 and their Analysis

Byeong-gyu Choi
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Abstract

Significant judgments were also made in relation to insurance in 2021. The Supreme Court suggested that if a medical opinion is submitted as evidence, it cannot be denied arbitrarily, and if the court wants to infer a causal relationship differently from such a medical opinion, it should make a careful judgment based on other medical and professional data. However, this position is difficult to accept. This is mainly because the attending physician makes the decision, because it is difficult to guarantee the objectivity of the attending physician’s opinion. Another thing that draws attention is whether the civil prescription of 10 years is applied as the prescription for the right to claim the refund of unfair profits when the insurance contract is invalid or whether the prescription of 5 years is applied by analogy with Article 64 of the Commercial Act. Insurance money is paid by the insurer through commercial activities. Therefore, it is correct to think that the five-year prescription applies to expeditious processing of commercial transactions to claim the return of the insurance contract because it is invalid. Claiming the refund of the insurance money paid when the insurance contract is invalid is seeking the return of the benefits themselves made on the basis of the contract, which is a commercial activity. This is because it should be regarded as a case in which there is a need to solve the problem as quickly as possible. The Supreme Court ruled that a 10-year civil prescription applies to the right to claim the return of unfair profits due to illegal dividends. It is difficult to see that there is a great need to quickly confirm the exercise of the right to request the return of unreasonable profits for the purpose of recovering the amount paid due to illegal dividends. Accordingly, it is reasonable as the attitude of the Supreme Court to consider that the right to claim the return of unfair profits due to illegal dividends is subject to Article 162 (1) of the Civil Act and is subject to the civil statute of limitations of 10 years. Another important issue is whether the insurer is allowed to preemptively file a non-obligation lawsuit in the event of a dispute with the insurer as to whether the policyholder has violated the obligation to notify. It can be affirmed that if the strong insurer indiscriminately files a debt non-existence suit, the weak consumer is inferior in intellectual or economic ability, so there is a problem. However, the people’s right to a trial is recognized as a basic right under the Constitution (Article 27 Paragraph 1 of the Korean Constitution). Therefore, it is not permissible to fundamentally prevent the insurer from taking a preemptive action for non-obligation. However, it should be considered permissible to stipulate that financial business operators, such as insurers, are not permitted to file lawsuits again by limiting certain amounts in the relevant special laws, such as the Financial Consumer Protection Act, by recognizing one-sided binding force on the results of dispute mediation. I think it is reasonable to set the standard of 10 million won as the standard. The role of precedents in the field of insurance law is very large. It is necessary to continuously monitor Supreme Court precedents in the future.
2021年度保险法律案件研究及分析
2021年,保险领域也做出了重大判断。最高法院建议,如果医学意见作为证据提交,就不能武断地予以否认,如果法院想要推断与这种医学意见不同的因果关系,则应根据其他医学和专业数据作出谨慎的判断。然而,这种立场很难被接受。这主要是因为主治医生做决定,因为很难保证主治医生意见的客观性。另一个值得关注的问题是,在保险合同无效时,是否适用10年民事时效作为不公平利润返还请求权的时效,还是类比商法第六十四条适用5年时效。保险金是保险人通过商业活动支付的。因此,可以正确地认为,五年时效适用于迅速处理因保险合同无效而要求返还的商业交易。在保险合同无效时要求退还已支付的保险金,是要求返还自己在合同基础上取得的利益,是一种商业活动。这是因为它应该被视为一个需要尽快解决问题的案例。大法院判决,因非法分红而产生的不公平利润的追索权适用10年民事时效。很难看出,为了收回非法分红而行使不合理利润返还请求权的必要性。因此,大法院认为,因非法分红而产生的不公平利润的返还请求权属于民法第162条第1项的规定,并受10年民事诉讼时效的限制,这是合理的。另一个重要的问题是,在投保人是否违反了通知义务与保险人发生纠纷时,是否允许保险人先发制人地提起非义务诉讼。可以肯定的是,如果强势保险人不加区分地提出债务不存在诉讼,那么弱势消费者在智力或经济能力上就会处于劣势,因此存在问题。但是,国民的审判权是宪法规定的基本权利(宪法第27条第1项)。因此,不允许从根本上阻止保险人对无义务采取先发制人的行动。但是,在《金融消费者保护法》等相关特别法中,承认纠纷调解结果的单方约束力,规定保险公司等金融经营者以限制一定金额为条件,不得再次提起诉讼,应该予以考虑。我认为把1000万韩元定为标准是合理的。”判例在保险法领域的作用是非常大的。今后有必要持续关注大法院的判例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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