수원지방법원 | 2017-01-19 | 2016구합65245
법원 판례 기준으로 판결요지와 원문 출처를 내부에서 확인하세요.
원문이 아닌 정리본이며, 저장된 요약의 끝부분이 잘려 있을 수 있습니다.
산업재해 휴업급여 지급 기간 판단 기준
결론
직장 내 폭행으로 인한 스트레스 장애로 요양 승인을 받은 근로자의 휴업급여 청구에서, 법원은 실제 통원치료를 받은 20일에 대해서만 휴업급여 지급이 타당하다고 판단했습니다.
사건의 배경
- 피해: 근로자가 2015년 2월 직장 내 폭행·폭언으로 스트레스 장애 진단
- 청구: 2015년 3월 18일~7월 28일(133일간) 휴업급여 청구
- 회사 처분: 실제 통원일 20일만 지급, 나머지 기간은 거부
핵심 쟁점: "요양으로 취업하지 못한 기간"의 의미
법원의 판단 기준
- 휴업급여는 요양이 필요해서 취업할 수 없는 기간에만 지급
- 단순히 근로자가 일하지 않은 것만으로는 부족
- 의학적 증거를 통해 당해 기간에 취업이 객관적으로 불가능했음을 입증해야 함
이 사건에서의 문제점
- 증상: 불안, 우울, 수면장애 등이었으나 망상 등 심한 증상은 없음
- 의료진 평가: 주치의와 자문의는 "제한된 환경에서의 부분 취업 가능" 판단
- 실제 요양: 정신건강의학과 통원만 20회, 다른 치료나 입원 내역 없음
- 결론: 일반적으로 취업이 가능한 상태였으므로 전체 기간 휴업급여 지급 불가
실무적 시사점
- 휴업급여 청구 시 통원 기록, 의료진 의견, 객관적 요양 필요성을 충분히 입증할 것
- 의료진이 "부분 취업 가능"이라 판단하면 해당 기간 휴업급여 거부될 수 있음
- 스트레스성 질환은 신체 부상보다 취업 불가능성 입증이 어려우므로 더욱 신중한 입증 필요
확보한 수집 내용입니다. 전문 여부와 앞뒤 누락, 문단·표·공백의 원형 보존은 확인되지 않았습니다.
공식 원문 미확인
수원지방법원 제1행정부 판결
사건: 2016구합65245 휴업급여 일부 부지급 처분 취소 청구의 소 원고: A 피고: 근로복지공단 변론종결: 2016. 12. 15. 판결선고: 2017. 1. 19.
1. 원고의 청구를 기각한다. 2. 소송비용은 원고가 부담한다.
1. 처분의 경위 가. 원고는 주식회사 협동기획 소속 근로자로서 2015. 2. 10. 및 2015. 2. 13. 두 차례 인사팀 직원으로부터 폭행과 폭언을 당하여(이하 '이 사건 사고'라 한다), '기타 심한 스트레스에 대한 반응'의 상병으로 피고로부터 요양승인을 받았고, 이후 경추부 염좌, 요추부 염좌, 좌측 견관절 염좌, 안면부 타박상'의 상병을 추가로 신청하여 피고로부터 요양승인을 받아 요양하던 중, 피고에 대하여 '2015. 3. 18.부터 2015. 7. 28.까지'총 133일(이하 '이 사건 휴업급여 청구기간'이라 한다)간의 휴업급여를 청구하였다. 나. 피고는 자문의의 '급성기 치료는 통상 2~3개월 소요될
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