Workbear재주넘는곰
대법원 2023다247405

Damages (Industrial Accident) Case손해배상(산)

Decided2023. 10. 12. Court대법원Case reversed and remanded (파기환송) — the Supreme Court sent the case back to the lower court for reconsideration, favoring a more expansive interpretation that allows non-beneficiary heirs to claim damages.
AI-generated English translation (summary, key points, decision summary and full text) for reference only — not an official translation and without legal effect. The Korean original below is authoritative.
AI Easy read — AI summary of this decision
AI-generated summary for reference only — the Korean original below is authoritative.

This case involved a claim for damages filed against an employer by the surviving family of a worker who died from a work-related accident. The Supreme Court ruled that under Korea's Industrial Accident Compensation Insurance Act (산재보험법), the surviving spouse has top priority as the beneficiary of the survivor's pension (유족보상연금), but other heirs who are not designated beneficiaries can still separately pursue their own damages claims against the employer based on their respective inheritance shares.

Key takeaways
  • CaseA worker died in a work-related accident, and the family sought damages from the employer, but a dispute arose over how insurance benefits should be split among the surviving spouse and other heirs.
  • OutcomeThe Supreme Court held that only the top-priority beneficiary (usually the spouse) receives the survivor's pension, but other heirs can still separately claim damages from the employer based on their inheritance shares.
  • LessonForeign workers' families should know that receiving industrial accident insurance does not automatically cancel other heirs' rights to pursue additional compensation from the employer for their own inherited share.
Issues
  • Who qualifies as the beneficiary of the survivor's pension (유족보상연금) under the Industrial Accident Compensation Insurance Act, and what is the priority order among family members?
  • Can co-heirs who are not designated pension beneficiaries still exercise their own damages claims against the employer?
  • Under what conditions do industrial accident insurance benefits offset a damages claim, and how does this affect the relationship between different heirs' claims?
Key reasoning

Under the Industrial Accident Compensation Insurance Act, only one person—the individual with the highest priority ranking (typically the surviving spouse)—qualifies as the beneficiary of the survivor's pension (유족보상연금). Other co-heirs who do not hold beneficiary status are not restricted by Article 80, Paragraph 2 of the Act, meaning they retain the right to claim damages from the employer in proportion to their own inheritance shares. Importantly, industrial accident insurance benefits already paid can only be deducted from the damages claim inherited by the actual beneficiary, not from the claims of other non-beneficiary heirs. This distinction ensures that non-beneficiary family members are not unfairly denied compensation simply because insurance benefits were paid to the primary beneficiary.

Full text (English, AI translation) 9,799 chars

[Plaintiffs, Appellants] Plaintiff 1 and 1 other (Attorneys Kim Jeong-han and 1 other, Counsel for the Plaintiffs)
[Defendant, Appellee] Defendant (Law Firm IM, Attorney Oh Seung-hwan and 3 others, Counsel for the Defendant)
[Judgment Below] Uijeongbu District Court Judgment 2022Na201557, decided June 1, 2023

[Order]

The part of the judgment below against the Plaintiffs is reversed, and this part of the case is remanded to the Uijeongbu District Court.

[Reasoning]

The grounds of appeal (to the extent supplemented by the preparatory briefs submitted after the deadline) are examined.

1. As to the First Ground of Appeal

A. Where a worker dies due to occupational causes, among the bereaved family members of the deceased—namely, the spouse (including a person in a de facto marital relationship; the same applies hereinafter), children, parents, grandchildren, grandparents, or siblings—the person entitled to benefits receives survivors' benefits from the Korea Workers' Compensation and Welfare Service (hereinafter the "Service") pursuant to Articles 5(3), 10, and 62 of the Industrial Accident Compensation Insurance Act (산업재해보상보험법, hereinafter the "Industrial Accident Compensation Insurance Act"). Article 63(1), items 1 through 4, of the Industrial Accident Compensation Insurance Act provides that, among the survivors' benefits, those eligible to receive a survivors' compensation pension (hereinafter "persons eligible for a survivors' compensation pension") shall be, among the bereaved family members who were dependent on the deceased worker for their livelihood at the time of the worker's death: a spouse or a parent or grandparent who is 60 years of age or older; a child who is under 25 years of age; a grandchild who is under 19 years of age; and a sibling who is under 19 years of age or 60 years of age or older, etc. Article 63(3) provides that, among persons eligible for a survivors' compensation pension, the order of priority for the right to receive the survivors' compensation pension shall be: spouse, children, parents, grandchildren, grandparents, and siblings, in that order. Where a person eligible for a survivors' compensation pension who holds the right to receive it (hereinafter a "recipient of a survivors' compensation pension") loses such eligibility, pursuant to Article 64(2) of the Industrial Accident Compensation Insurance Act, the right to receive the survivors' compensation pension transfers to another person of the same rank if one exists, or, if not, to the person of the next rank. In this manner, among the persons eligible for a survivors' compensation pension, only the person with the highest order of priority for the right to receive the survivors' compensation pension becomes the recipient of the survivors' compensation pension and receives the survivors' compensation pension from the Service.

B. In this case, in which the bereaved family members of the deceased, who died due to occupational causes, sought damages against the Defendant, who is the business owner, the court below determined that the non-party, who is the spouse of the deceased, and the Plaintiffs, who are the children of the deceased, were recipients of the survivors' compensation pension of the same rank.

However, in light of the provisions of the Industrial Accident Compensation Insurance Act discussed above regarding persons eligible for a survivors' compensation pension, the order of priority for the right to receive the survivors' compensation pension, and the transfer of the right to receive benefits upon loss of eligibility by a recipient of the survivors' compensation pension, it is reasonable to view that only the non-party, who is the spouse of the deceased, among the persons eligible for a survivors' compensation pension, has the highest order of priority for the right to receive the survivors' compensation pension and thus is the recipient of the survivors' compensation pension, while the Plaintiffs, who are the children of the deceased, merely have the possibility of being persons eligible for a survivors' compensation pension depending on whether they meet the qualifications set forth in each item of Article 63(1) of the Industrial Accident Compensation Insurance Act, but do not fall under recipients of the survivors' compensation pension.

Therefore, the judgment below erred by misunderstanding the legal principles regarding the scope of recipients of a survivors' compensation pension under the Industrial Accident Compensation Insurance Act and by failing to conduct the necessary examination, which affected the judgment.

2. As to the Second Ground of Appeal

A. Article 80(2) of the Industrial Accident Compensation Insurance Act provides: "Where a person entitled to benefits receives insurance benefits under this Act for the same cause, the insured business owner shall be exempted from liability for damages under the Civil Act (민법) or other statutes to the extent of that amount. In this case, a person receiving a disability compensation pension or survivors' compensation pension shall be deemed to have received a lump-sum disability compensation or lump-sum survivors' compensation." Accordingly, in order for the business owner's liability for damages to be exempted to the extent of the amount of insurance benefits received by the person entitled to benefits, there must exist a mutually complementary relationship between the items of damage covered by the insurance benefits and the items of damage subject to civil damages, as well as between the subject holding the right to receive insurance benefits and the subject to whom the civil damages claim belongs. Accordingly, where a worker dies due to occupational causes and the Service pays survivors' benefits under the Industrial Accident Compensation Insurance Act to the person entitled to benefits, no mutually complementary relationship can be recognized between the right to receive such survivors' benefits and the damages claim inherited by the deceased's co-heirs who are not the person entitled to benefits, since the subjects to whom these rights belong are different from each other. Therefore, the deceased's co-heirs who are not the person entitled to benefits may exercise the damages claim they have inherited according to their respective shares of inheritance, regardless of the above provision. Accordingly, the damages claim corresponding to the deceased's lost income is co-inherited by the co-heirs according to their respective shares of inheritance, and the survivors' benefits paid by the Service to the person entitled to benefits under the Industrial Accident Compensation Insurance Act shall be deducted only from the damages claim corresponding to the lost income inherited by that person entitled to benefits, up to the limit of that damages claim (see Supreme Court en banc Decision 2008Da13104, decided May 21, 2009).

Meanwhile, pursuant to Article 62(2) and (4) of the Industrial Accident Compensation Insurance Act, where there is no person eligible to receive a survivors' compensation pension at the time of the worker's death, or where a person who was receiving a survivors' compensation pension loses eligibility to receive it and there is no other person eligible to receive it, etc., a lump-sum survivors' compensation, among the survivors' benefits, shall be paid. In this case, the order of priority for the right to receive benefits among the bereaved family members follows the order set forth in each item of Article 65(1) of the Industrial Accident Compensation Insurance Act, and among persons within each item, the order follows the sequence in which they are listed; if there are two or more persons entitled to benefits of the same rank, the lump-sum payment shall be divided equally among such bereaved family members.

B. Examining the reasoning of the judgment below in light of the legal principles set forth above, the damages claim corresponding to the deceased's lost income is co-inherited by the co-heirs, namely the non-party and the Plaintiffs, according to their respective shares of inheritance, and the converted amount of the lump-sum survivors' compensation received from the Service by the non-party, who is the recipient of the survivors' compensation pension, may be deducted only from the damages claim corresponding to the deceased's lost income inherited by the non-party, up to the limit of that damages claim; and the Plaintiffs, who are not the persons entitled to benefits, may each exercise the damages claim they have respectively inherited.

Contrary to this, the court below, premising that the converted amount of the lump-sum survivors' compensation should be paid equally to the non-party and the Plaintiffs, who are persons entitled to benefits of the same rank, pursuant to Article 65(1) of the Industrial Accident Compensation Insurance Act, deducted an amount equivalent to one-third of the lump-sum survivors' compensation from the amount of damages corresponding to the deceased's lost income inherited by the Plaintiffs. Such determination by the court below contains an error that affected the judgment by misunderstanding the legal principles regarding the scope of application of Article 65(1) of the Industrial Accident Compensation Insurance Act and the deduction of survivors' benefits under the Industrial Accident Compensation Insurance Act from civil damages.

3. Conclusion

The part of the judgment below against the Plaintiffs is reversed, and this part of the case is remanded to the court below for further examination and determination, and it is so decided by unanimous opinion of the participating Justices as set forth in the Order.

Justice Seo Kyung-hwan (Presiding Justice), Kim Seon-su, Noh Tae-ak (Justice in Charge), Oh Kyung-mi

【참조조문】

[1] 산업재해보상보험법 제5조 제3호, 제10조, 제62조, 제63조 제1항, 제3항, 제64조 제2항

[2] 산업재해보상보험법 제5조 제3호, 제62조 제1항, 제80조 제2항, 민법 제750조

[3] 산업재해보상보험법 제62조 제2항, 제4항, 제65조 제1항

【참조판례】

[2] 대법원 2009. 5. 21. 선고 2008다13104 전원합의체 판결(공2009상, 844)

【주문】·【이유】 전문 3,113자 · 펼쳐 보기

【원고, 상고인】 원고 1 외 1인 (소송대리인 변호사 김정한 외 1인)

【피고, 피상고인】 피고 (소송대리인 법무법인 아이엠 담당변호사 오승환 외 3인)

【원심판결】 의정부지법 2023. 6. 1. 선고 2022나201557 판결

【주 문】

원심판결 중 원고들 패소 부분을 파기하고, 이 부분 사건을 의정부지방법원에 환송한다.

【이 유】 상고이유(제출기간이 지난 준비서면은 이를 보충하는 범위 내에서)를 판단한다.

1. 제1 상고이유에 대하여

가. 근로자가 업무상의 사유로 사망한 경우에 사망한 사람의 배우자(사실상 혼인 관계에 있는 사람을 포함한다. 이하 같다)·자녀·부모·손자녀·조부모 또는 형제자매의 유족 중 수급권자는 산업재해보상보험법(이하 ‘산재보험법’이라 한다) 제5조 제3호, 제10조, 제62조에 따라 근로복지공단(이하 ‘공단’이라 한다)으로부터 유족급여를 지급받는다. 산재보험법은 제63조 제1항 각호에서 유족급여 중 유족보상연금을 받을 수 있는 자격이 있는 사람(이하 ‘유족보상연금 수급자격자’라 한다)을 근로자가 사망할 당시 그 근로자와 생계를 같이하고 있던 유족 중 배우자와 부모 또는 조부모로서 각각 60세 이상인 사람, 자녀로서 25세 미만인 사람, 손자녀로서 19세 미만인 사람, 형제자매로서 19세 미만이거나 60세 이상인 사람 등으로 규정하고, 제63조 제3항에서 유족보상연금 수급자격자 중 유족보상연금을 받을 권리의 순위를 배우자·자녀·부모·손자녀·조부모 및 형제자매의 순서로 정하고 있다. 유족보상연금을 받을 권리가 있는 유족보상연금 수급자격자(이하 ‘유족보상연금 수급권자’라 한다)가 그 자격을 잃은 경우 산재보험법 제64조 제2항에 따라 유족보상연금을 받을 권리는 같은 순위자가 있으면 같은 순위자에게, 같은 순위자가 없으면 다음 순위자에게 이전된다. 이와 같이 유족보상연금 수급자격자들 중 유족보상연금을 받을 권리의 순위가 가장 높은 사람만이 유족보상연금 수급권자로서 공단으로부터 유족보상연금을 지급받게 된다.

나. 원심은 업무상의 사유로 사망한 망인의 유족들이 사업주인 피고를 상대로 손해배상을 청구하는 이 사건에서, 망인의 배우자인 소외인과 자녀들인 원고들이 같은 순위의 유족보상연금 수급권자에 해당한다고 판단하였다.

그러나 앞서 본 산재보험법상 유족보상연금 수급자격자와 유족보상연금을 받을 권리의 순위 및 유족보상연금 수급권자의 자격상실 시 수급권의 이전에 관한 산재보험법 규정에 비추어 보면, 망인의 배우자인 소외인만이 유족보상연금 수급자격자들 중 유족보상연금 받을 권리의 순위가 가장 높은 사람으로서 유족보상연금 수급권자에 해당하고, 망인의 자녀들인 원고들은 산재보험법 제63조 제1항 각호에서 정한 자격을 구비하였는지에 따라 유족보상연금 수급자격자에 해당할 가능성이 있을 뿐 유족보상연금 수급권자에는 해당하지 아니한다고 봄이 타당하다.

그러므로 원심의 판단에는 산재보험법상의 유족보상연금 수급권자의 범위에 대한 법리를 오해하여 필요한 심리를 다하지 아니함으로써 판결에 영향을 미친 잘못이 있다.

2. 제2 상고이유에 대하여

가. 산재보험법 제80조 제2항은 "수급권자가 동일한 사유에 대하여 이 법에 따른 보험급여를 받으면 보험가입자는 그 금액의 한도 안에서 민법이나 그 밖의 법령에 따른 손해배상의 책임이 면제된다. 이 경우 장해보상연금 또는 유족보상연금을 받고 있는 사람은 장해보상일시금 또는 유족보상일시금을 받은 것으로 본다."라고 규정하고 있다. 이에 따라 수급권자가 지급받은 보험급여 금액의 한도 안에서 보험가입자의 손해배상책임이 면제되기 위해서는 보험급여의 대상이 된 손해와 민사상 손해배상의 대상이 된 손해의 항목 및 보험급여 수급권과 민사상 손해배상채권의 귀속주체 사이에 상호보완적 관계가 존재하여야 한다. 따라서 근로자가 업무상의 사유로 사망함에 따라 공단이 수급권자에게 산재보험법에 의한 유족급여를 지급한 경우에 그 유족급여의 수급권과 수급권자가 아닌 망인의 공동상속인들이 상속한 손해배상채권은 귀속주체가 서로 달라 상호보완적 관계를 인정할 수 없다. 그러므로 수급권자가 아닌 망인의 공동상속인들은 위 규정과 관계없이 각자의 상속분 비율에 따라 상속받은 손해배상채권을 행사할 수 있다. 따라서 망인의 일실수입 상당 손해배상채권은 그 공동상속인들에게 각자의 상속분 비율에 따라 공동상속되고, 공단이 산재보험법에 따라 수급권자에게 지급하는 유족급여는 해당 수급권자가 상속한 일실수입 상당 손해배상채권을 한도로 하여 그 손해배상채권에서만 공제된다(대법원 2009. 5. 21. 선고 2008다13104 전원합의체 판결 참조).

한편 산재보험법 제62조 제2항과 제4항에 따르면 근로자가 사망할 당시 유족보상연금을 받을 수 있는 자격이 있는 사람이 없거나 유족보상연금을 받던 사람이 그 수급자격을 잃고 다른 수급자격자가 없는 경우 등에는 유족급여 중 유족보상일시금이 지급된다. 이때 유족 간의 수급권의 순위는 산재보험법 제65조 제1항 각호의 순서로 하고 각호의 사람 사이에서는 각각 그 적힌 순서에 따르며 같은 순위의 수급권자가 2명 이상이면 그 유족에게 똑같이 나누어 지급된다.

나. 원심판결 이유를 앞서 본 법리에 비추어 살펴보면, 망인의 일실수입 상당 손해배상채권은 공동상속인들인 소외인과 원고들에게 각자의 상속분 비율에 따라 공동상속되고 유족보상연금 수급권자인 소외인이 공단으로부터 지급받은 유족보상일시금 환산액은 소외인이 상속한 망인의 일실수입 상당 손해배상채권을 한도로 하여 그 손해배상채권에서만 공제될 수 있으며, 수급권자가 아닌 원고들은 각자 상속받은 손해배상채권을 행사할 수 있다.

이와 달리 원심은 유족보상일시금 환산액이 산재보험법 제65조 제1항에 따라 같은 순위 수급권자인 소외인과 원고들에게 동등하게 지급되어야 한다고 전제한 다음 원고들이 상속한 망인의 일실수입 상당 손해액에서 각 유족보상일시금 중 1/3에 해당하는 금액을 공제하였다. 이러한 원심의 판단에는 산재보험법 제65조 제1항의 적용 범위와 민사상 손해배상에서 산재보험법상 유족급여의 공제에 관한 법리를 오해하여 판결에 영향을 미친 잘못이 있다.

3. 결론

원심판결 중 원고들 패소 부분을 파기하고 이 부분 사건을 다시 심리·판단하도록 원심법원에 환송하기로 하여, 관여 대법관의 일치된 의견으로 주문과 같이 판결한다.

대법관 서경환(재판장) 김선수 노태악(주심) 오경미

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손해배상등
#5
95다48483 · 대법원 1996-08-23
Damages Claim (Traffic Accident) (손해배상(자))

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Cross-check the original: 국가법령정보센터 (auxiliary link)