Document GKjpn7nY5QwnBVERm564a7Dpr

FILE NAME: Contract Unit Workers Comp Claims (WCC) DATE: 1990 DOC#: WCC010 DOCUMENT DESCRIPTION: Workers Comp File - McCarrell, Ervey 0 Contains all documents found in the Claimant's file, with one blank page between each separate document i V U O s .imu----^w3 Jor.-es , formerly a wholly owned subsidiary of - ;-,*urci m--pur Products Corporation, under I t 3 then name of the --.ne '-mmupuny, I n c ., which wa3 pom isshbly ceIP-insured; the __ gnrunsrarirg and Supply Company whose compensation carrier ,s >-v>ifiu Employers Insurance Company; larry Carr, d/b/a Los . . V3r u 5 : KefriS2-2-tlon and Engineering Company, whose compen- , ,,, c a m n * is unknown; J. T. Thorpe Incorporated, whose ccnpen-j +.4,,,, carrier vras Pacific Employers Insurance Company; Johns- KaavJ' dales Corporation, whose compensation carrier wa3 The 10 /^ave^ra Insurance Company; Plant Insulation Company whose compen11 Bat1 o^ carrier was the Pacific Employers Insurance Company and 12 Pirene**3 runs. Insurance Company; and the Cwem-Cornlng Glass Company whose compensation carrier was The Aetna Casualty & Surety 13 Comp'ni> a corporation; all of which above alleged employments 14 being various locations throughout the State of California, sus 15 tained an injury arising out of and occurring in the course of his 16 e m o l c ^ nt* allegedly consisting of occupational exposure to asbes 17 tos, ri3ultln^ ln the clairr-Qd injuries and disabilities to the che3t| 13 19 claimed n ----*** , , 20 2. The actual weekly wages of the employee at the time 21 of cla`^ d injury were maximum. 22 3 . The nature of the employees present disability is in 23 discut-- ana the employee has returned to work irregularly since . 24 the cessation of payments of temporary disability. - 25 Disability indemnity has been paid to the applicant 26 herein in ^he sun of $4,160.00 at $^0 .0 0 per week for the period of 27 5- 1956 through December 4, 1958. The amount due and unpaid to the employee is in dispute. 23 29 3 . The parties hereby agree to settle any and all claims 30 on acc-^-nt oi said in*Jury the Payment of the sum of $1 3 ^500.00 31 OV02? 3.\*'*'\ above all monies paid heretofore, which sun is to be con- tribute as follows: -2- o i 1. Flbreboard Paper Products Corporation, 2 formerly Known as The Paraffine Company, Inc., sued 3 herein as Paraffine Company, Inc., and. by Plant 4 Rubbsr & Asbestos Kories, formerly a wholly owned 5 subsidiary of Flbreboard Paper Products Corporation 6 under it3 then name of the Paraffine Company, Inc. $ 3,295.00 7 2. StandardjAccident Insurance Company, 8 a corporation cJ'7^.( ~Z . *_ 5 ,70 0 .0 0 v-- y __ U2JTAS 9 3. Travelers Insurance Company, a corporation -- 2,94Q.CO 10 4. Fireman's Blind Insurance Company, a 3.1- corporation . 5.00 12 5. Liberty Mutual Insurance Company, a 13 corporation 14 6 . Pacific Employers Insurance Company, a 185.CO 15 corporation 16 7. TOTAL 1,350.00 $13,5O0.c|) 17 From said cum shall be deducted the sum of ?'/, i~cr~ 18 for attorneys' fees payable to William T. Hays, attorney for appli 19 cant, as .well a3 the deduction of any and all valid liens of record 20 from said sum. 21 6 . It is agreed by and between the parties hereto that 22 any and all medical treatment not already furnished by the defen 23 dants herein Is to be borne by the applicant only, and not by any 24 of the defendants herein. 25 7. That applicant's attorney, William T. Kays, requests 26 an attorney's fee oz'>// `' , and has received the previous 27 attorney's fee in the amount of v- d.- , if any. 28 8 . The name and address of applicant's attorney 13: 29 William T. Kay3 , 6331 Hollyviocd Boulevard, Los Angeles, California. 30 9. REASONS FOR COMPROMISE: 31 A bona fide dispute exists between the parties as to whether or not the applicant in fact sustained an industrial injury -3i { 1 r I 1 a3 alleged, It la further contended that the disability payments 2 to date in fact should be acreditcd to any claim for permanent dis 3 ability, assuming an Industrial injury to have occurred, rather than 4 as temporary disability inasmuch as the condition fas permanent ah 5 initio. It is further denied that the applicant is in need of or 6 entitled to further medical treatment, assuming that he sustained 7 an industrial injury. 8 It is further agreed by and between the parties hereto 9 that in the event said Compromise and Release is approved, a dis 10 missal with prejudice may Issue in favor of Larry Carr, d/b/a Loz 11 Angeles Karicet Refrigeration & Engineering Company, Owens1-Coralnm 12 Glass Company, and the Aetna Casualty & Surety Company, a corpora 13 tion. Further, the parties desire to avoid the hazards, delays and 14 costs of further litigation, and buy their peace. All medical re 15 ports now of record are, by reference, made a part of this agreemen 16 as though written, herein. 17 10. The undersigned respectfully request that thi3 IS Compromise and Release agreement be approved. 19 11. Upon approval of this Compromise and Release agreement 20 by the Industrial Accident Commission, and payment in accordance 21 with the provisions hereof, said applicant releases and forever dis 22 charges said employers and insurance carriers, and each of them, and 23 their officers, agents, servants, employees and assigns of them, and! i 24 each of them, and the nurses, physicians and surgeons of then, and j 25 each of them, whether acting individually or on behalf of them, tor 26 any of them, from all claims and causes of action, whether new known 27 or ascertained, or which may hereafter arise or develop as a result 28 of said injury and/or employments, including any and all liability of said employers and said insurance carriers, and each of them, to 29 the dependents, heirs, executors, representatives, administrators 30 cr assigns of said applicant, and in further consideration of pay 31 32 ment in accordance herewith, applicant agrees that this release will. -4- r i j of FIbreboard Paper Products Corporation ; under its then name of The Paraffine 2 Company, Inc. i 3 By: BROBECK, PHLEGER & HARRISON 4 t" * Per > O - 5 Renaldo Sciaroni, Jr., Attorneys* for above defendants - ' 6 UNITED CORK COMPANY, a corporation; 7 LIBERTY MUTUAL INSURANCE COMPANY, a corporation, 8 9 George R. Haswell, Attorney for above . 10 Refendants :_v -/ 11 By B. Lou Lamoreaux, Attorney / 12 JOHNS-MANVILL SALES CORPORATION, a corporation; .THE TRAVELERS INSURANCE 13 COMPANY, a corporation, 14 (v 15 By YulJoseph Bilchak, Attorney for above defendants 16 PLANT INSULATION COMPANY, a corporation; 17 FIREMAN'S FUND INSURANCE COMPANY, a corporation, . 18 19 /X Harold Shoop, Representative 20 MARINE ENGINEERING & SUPPLY COMPANY; 21 J. T. THORPE, INCORPORATED; PLANT INSULATION COMPANY; PACIFIC EMPLOYERS 22 INSURANCE COMPANY, a corporation,. 23 By: CLOPTQtf/S: PENNY 24 / fi * ` Per _____ _____ ________ _______ 25 Robert C. Runs, Attorney'for ab<gye defendants 26 27 STATE OF CALIFORNIA ) COUNTY OF -33QS=ANGEIES ) 28 On this V'-i/T day of . '' , 19 , before me, the undersigned, a Notary Public in and for the said County and State, j 29 residing therein, duly commissioned and sworn, personally appeared | 30 ERV33Y 0. McCARRELL, known to me to be the person whose name is sub- scribed to the -within Instrument, and acknowledged to me that he 31 executed the same. IN WITNESS 'WHEREOF, I have hereunto set my hand and affixes 32 my official seal the day and year in this Certificate first above written. v. 7 "N /, Notary Public in and for said County and State of California ^^ -->r--- 7->.tJt0 r -6- l r baLtim ore NEW YORK CLa r k s b u r g tULSA Sr uouis CHICAGO LOS ANGELES [U N T A phTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHIUDELPHIA A L E X A X I D E a S & AILIEXAIV3DIEIR INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N O R T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. November 2, 1960 TELEPHONE TUXEDO 9-430A BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEX8LUE" Mr. William L. Hughes,.Manager Insurance Department Armstrong, Cork Company Lancaster, Pennsylvania. Travelers Policy No. 4991518 Dear Sir:- Please note disposition made of the following claim: Date of Accident: Claimant Location: Claim No Disposition: Remarks : November 14, 1956 E. 0. McCarrell Sun Valley, California B-8289902 $6,855.00 (L464.00 ' 333.27 Compensation Medical Expense REVISION Indicate Whether: Workmen's Comp. X Auto Liability B.I.________ P.D.________ General Liability B.I. P.D. s jm Very truly yours, ALEXANDER & ALEXANDER INC. LOSS DEPARTMENT BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA A l J E X A X B D I E I R Ss. A J L E X A X U D I E R INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N O R T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. TELEPHONE TUXEDO 9-430A BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEXBLUE" July 27, 1960 Mr, William L. Hughes, Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Travelers Policy No. 4991518 Dear Sir: Please note disposition made of the following claim: Date of Accident: November 14, 1956 Claimant: E. 0. McCarrell Location Sun Valley, California Claim No. B 8289902 Disposition: Remarks: $6,505.00 6,461.58 333.27 Compensation Medical Expense REVISION Very truly yours, ALEXANDER & ALEXANDER, INC. Indicate Whether: Workmen's Comp._________ X Auto Liability B.I.______ P.D.______ General Liability B.I.___ P.D. LOSS DEPARTMENT V BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA A I.E X A N D E R AUEXAKUDIEfl* INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N O R T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. july 13, 1960 TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 532 CABLE ADDRESS "ALEXBLUE" Hr. William L. Hughes, Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Travelers Policy No. RUB 4991518 Dear Sir: Please note disposition made of the following claim: Date of Accident: November 14, 1956 Claimant: E. 0. McCarrsll Location: Sun Valley, California Claim No. : B-8289902 Disposition: Remarks: $6,855.00 - Claim 6,461.58 - Medical 333.27 - Expense REVISION Indicate Whether: Workmen's Comp.____ X Auto Liability B.I.___ P.D.___ General Liability B.I. P.D. Very truly yours, ALEXANDER & ALEXANDER, INC. /ft l{. LOSS DEPARTMENT s jm / BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA AffJKXAKTBDKIR & INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N OR T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. March 22, 1960 TELEPHONE TUXEDO 9-430A BELL SYSTEM TELETYPE BA 582 CABLE AODRESS " ALEXBLUE" Mr. William L. Hughes, Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Sirs Travelers Policy No. RUB 4991518 Please note disposition made of the following claims Date of Accidents November 14, 1956 Claimants Location: E. 0. McCarrell Sun Valley, California Claim No.: B-8289902 Disposition Remarks: $4,160.00 2,265.00 6,548.55 337.27 - Temp. Total - Perm. Partial - Medical - Expense Very truly yours * ALEXANDER & ALEXANDER, INC. Indicate Whether: Workmen's Comp._________ X Auto. Liability B.I._______ P.D._______ General Liability B.I._____ P.D._____ s jm BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA A X A K B E R A.IXArain>]EIR INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N OR T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. November 18th, 1959 TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEX8LUE" Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Schiedt: R e : Ervey 0. McCarrell Sun Valley, California File B 8289902 - Comp. P/A November 14. 1956 Recent inquiry of the Travelers Insurance Company indicates that a Hearing was held, wherein other defend ants were joined. A tentative agreement for a settlement was reached, however, further details as to various contributions are still being worked out. The Travelers have promised to advise us when this has been finalized. The tentative settlement agreement is for $13,500. The above is for your information and file. Sincerely R August 28, 1959 Ths T ravelers Insurance Company 310 V. S ix th S tr e e t Los Angeles^ 1 4 , C alif* G antleaani A ttention Hr, Joseph B ilchak Subject* ' Mr. Brvey 0 . McCs^gydJL. jfB-8289902 ~ C a l i f . #56-L A -176-684 In reply to your August 24 le t t e r , ve l i s t what ve b e ll e re to be th e Standard A ccident Insurance Company p o lic y numbers oovering Mr* McCarrell*a employment p rio r to 1932 1944 19-45 1946 1947 1943 1949 1930 1951 AZ-561247 A 2-574904 AZ-590450 A 2-609225 12-639900 AZ-663400 A2-638800 A 2-713480 The en closed Thermo-Tax o f ou r August 18 l e t t e r to Mr. McDonald o f Standard w ill giT e you th e n o te s o f th e men you m ight w ish to c o n ta c t. Ve sen t Mr. Boss a sim ila r s e t o f P h o to sta ts, a n ticip a tin g your fu tu re req u est. I f you have n ot as y e t r ec e iv ed them, v e su g g est you con tact Mr. B oss, meaager o f th e Los A ngeles o f f lo e o f AC&S, im m ediately. Ve agree S o c ia l S e c u r ity record s do n o t n e c e s s a r ily g iv e th e whole s to r y . However, due to th e f a c t th a t th e p ip e coverin g m echanics o fte n work fo r a cumber o f em ployers during th e course o f a y ea r, one m ight con ceivab ly accum ulate h is e n tir e earn in gs fo r a p a r tic u la r year as each em ployer i s required to rep ort th e f i r s t $3,000 p a id up to and In clu d in g the y ea r 1950, $3,600 up to and In clu d in g 1954* and $4,200 up to and in c lu d in g 1958. Ve tr u s t t h is in form ation w ill h elp in apportionm ent p ro ceed in g s. M J ary tr u ly y o u rs, ARMSTRONG GOBS COMPAlii JEZ E n clo su re JL. B . B oss, AC&S, L os A ngeles J . B. S e lle r , AC&S, L an caster R. 0 . S oh led t, J r . Insurance Department CLAIM DEPARTMENT FRANK O. MENNEN, Golm Manager August 24, 1959 BRANCH OFFICE 510 We*t Sixth Street LOS ANGELES 14, CALIFORNIA Telephone MAdison 8*0311 B 8289902 Armstrong Cork Company Re: Ervey 0. McCarrell 56 LA 176-684 - Armstrong Cork Company Lancaster, Pennsylvania Attention: R. C. Schiedt Insurance Department Gentlemen: At a recent Hearing on the above captioned matter a question of coverage for workmen's compensation insurance by Standard Accident Insurance Company was raised. Our California Inspection Rating Bureau does not have any records with regard to coverage by Standard Accident for Armstrong Cork Company; therefore, we have been asked to determine if you could supply us with the policy numbers for the periods during which Standard Accident carried your workmen's compensation insurance in California. In addition to t h e above an attempt was made to determine apportionment between the various defendants based upon Social Security Records. However, this was not possible due to the fact that the amounts from any given employer in one year are only recorded up to a maximum of $3,600.00. We have been asked therefore, to ascertain if possible, relative to the periods of employment of Mr. McCarrell, in terms of days laSSet- gross earnings during those periods of employment. Thank you for your anticipated cooperation. Very truly yours - \ n JB:mr JpSEPH BILCHAK .Hearing Representative H O M E O F F I C E : 700 M A I N S T R E E T , H A R T F O R D 15, C O N N E C T I C U T August 18, 1959 Mr* V. C. McDonald Manager, C laim s Department Standard A ecidant Insurance Company 548 S* K in g sley D rire Los A ngeles 5# C alif Dear Hr* McDonalds At th e phone req u est o f Mr* C* B. L it sin g e r o f th e Standard A ccident Insurance Company, P ittsb u rg h o f f ic e , ve e n c lo se P h o to sta ts o f th e earn in g s record o f B. 0 M eOerroll V h ile in th e employ o f Armstrong Cork Company from 1944 to 1956 in c lu s iv e . He va* s o t in Armstrong* s p lo y daring th e y e a r s 1947 and 1948. Standard A ccident vas th e in su ran ce c a r r ie r up to and in c lu d in g th e yea r 1951 a fte r vhioh T ravelers took over* P r io r to May 1 0 , 1949# th e m ajority o f M cC arroll*s employsant m s w ith o th e r em ployers a s th e records m ill ind icate* I f you have any q u estio n s regarding working co n d itio n a , v e su ggest you co n ta c t Mr. R* B . B oas, D is tr io t Manager o f th e Los A ngeles o f f ic e o f Armstrong C ontractin g and Supply C orporation, a v b o U y -o w ed su b sid ia ry o f Armstrong Cork Company* 7ery tru ly yours, ABKSTHDBO COBS C0MPAH7 JKZ E nclosures R. B. R oss, AC&S, Los Angeles J , E. Z e lle r , AC&S, Lancaster R. C. S ch ied t, Jr* Insurance Department August 18, 1959 Mr* R* B. R oss Armstrong Contr 4400 S. Bandinl Loe A ngelos 23, and Supply C orporation rard Dear Mr* R ossi Subject 5* O. M cCarroll B -S 239902 Vo a clo se a sim ila r Bet o f p h o to sta ts which vaa requested by Standard A ccident Insurance Company l a s t veek . Mr. Joseph B llch ek o f T ravelers Los A ngeles o f f io e req u ested in January o f t h is yea r some gen eral in form ation about M cCarroll' s employment record w ith Armstrong, b u t vs b e lie v e h e should have th e en closed p h otostats* In th e second retro sp ectiv e ra tin g o f our 1956 p o llcy , T ravelers esta b lish ed a $20,000 r ese rv e on th is claim , which r e s u lte d in Armstrong d e p o sitin g about $23,354 w ith T ravelers. S in ce .T ravelers Armstrong coverage o n ly In clu d ed th e y ea rs 1952 to 1956 in c lu s iv e , p r io r in su ran ce com panies should b e in v o lv ed when apportionm ent proceed in gs are in it ia t e d by T ra v elers i f I t v&s th e l a s t in su ran ce c a r r ie r In v o lv e d . Ve suggest you p ass th is id e a along to T ravelers Los A ngeles o f f ic e a t th e tim e you turn ov er McCarroU* s 'employment reco rd s. Very tr u ly yours, ARMSTRONG CORK C0MPAHI JE2 E nclosures J . I . Z e lle r , AC&S, L ancaster R. C. S ch led t, J r . Insurance Department < TlT" tr i \> . s** m s sm sm m m ... Hi*? ara9BnsaBEaEasas@i i i l i l i l l l l l i l ^ . r3^^^E3iS3^^EI3S323fc20iO 01 h .t i '! H r a r a E f f i a O i a B B O I S S E a M* 1 ? 3 ru hp--ar.* o S S ^ S lilaa&Ea R ?* .j* ' . tf - - --* F-v ik rs !> illiliSll ';-'Jt-O'V-. nrr'' ifU.'-. '/k^. K S {i *i r **- ' ,.,^&~jfa?i&Ji^dtf. T _ _ _ `HJ*:`t'7h^yfJm*"!) jfL1***+: /..',,-,*., r.' -t iIrKl^<*.^^W.J<MlL..!AEa3Hlt^Al -------------------------__ . ,..(.*-?V";*}hr:\?<jif,W ^ p ? '-l^4Fr*1JT'*;>T2f*!P9T ' ';''!fiik^i^Mi^^Qixkiidl'-TTWr^ialiJfcjr:- ^ S S m B B S a sS B T .......... pw-ryyt,Tp' r -vV'TfitffJ ! 1 :.l- a J |E>..flhnJ*LWhitayfeiLkj lltsj? `ialiti? 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' " >Ti;'.I ,/:X-'..-'Uv;;,l\j , "M.-;jrr'i.l/<,t>-n;~-v.Jfe$a*d'A?A'*>jh&arv,.f.,>-Vii:/a...w,^a.<:..-;.-'i<"/-,tJ.`":-'r:;.r,'j-'.J-dij....i':wt;*U<'*>Tii*?ki^--s-'-u I ' '^j Jf'|Ti'JL JL TJ'"^ 11 L.,:5IL,-j.",L\.-J*?.''''T*pr^in' 'i' --,-- -4 fa-rr^s! -jb.- r - if I---I Mi -ii V ' ta,__ ; -:r"anr., ',\\ j'/,M i?Ii lf;rn^-- k r f V i .1M idhijutraltot', ..ff .,n..,<;C l . r -. .!t.-J.j-.. * . \t-1[^r.'iV-Li- '> :'l? ^"r " FU 'ir*R7t 4ITfbi,PTCJ:ri r "* ^ r^r***--f^-^r^;t-Tr?.v:yjrrrrtf;tr>"r"r^r'r Riva 51fc*i Lv ir-ri: ' H , f \ >. ` ' ` `" " r " <' ^ r a-wM-*"y-T **Tj**1!*^ *>y*W -J i- (y 1 \-% .F*r.-"^".*-ip*.."'1," ; ,. y V -,. **':*ryr^r*?*y"w***iFV- 1 ! - 'h r AS ^ ri ' $ ' i ' i . \ C XM |.*51 (fa/w -v . 13 2.1,3 I X . g j/ ^ m i'n y , 2 ^ % w $ / ^ / rw u i t P i 0o n4V tf'^*/ 1wa Otfi s l'3.2 ' iC 2 1) 0 54*, ' BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA A l e x a n d e r <&A l e x a n d e r INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N OR T H C H A R L E S S T R E E T , B A L T I M O R E l, MD. June 17th, 1959 iZC b TELEPHONE TUXEDO <M304 BELL SYSTEM TELETYPE BA 5B2 CABLE ADDRESS 'ALEXELUE" Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Schiedt: B 8289902 re: E. 0. McCarrell Sun Valley, California P/A November 14, 1956 Supplementing our letter to you of June 26, 1958 pertinent to the above case, we inquired of the Travelers recently in respect to the status thereof and are now in receipt of their reply, which reads = "Please be advised that other defendants have been joined, social security records and coverage information as well as copies of our medical file are currently being served upon the other defendants. We anticipate a Hearing on this matter in the next few months." The above is for your information and file. Sincerely 14SI.1 Si \ 4 J .J 3 Tf'S 2 o ALEXANDER & ALEXANDER, INC. T@PT. OSS DEPARTMENT f January 27# 1959 Nr* Joseph B ilch ak The T ravelers In su ran ce Coapany 510 V ast S ix th S tr e e t Xios A ngeles Li# C a lif* Baer Sir* j ^tdtcJL S u b ject! /Claim 5-3239902 \J B* 0 * M cC arrell 56 U 176.634 a//*/>/<& In rep ly to your l e t t e r o f January 20, t h is nan vas employed a s a b u ild in g m echanic by Armstrong Cork Company fo r th e f i r s t tim e In 1944* P r io r to 1952, Standard A ooident Insurance Company was Armstrong Cork Company's in su ran ce ca rrier* However, th e se b u ild in g m echanics o fte n worked fo r more than one employer daring th e cou rse o f a y e a r. In fa c t# our records in d ic a te M cCarrell had no employment w ith Armstrong during 1947 and 1913. Very tr u ly you rs, ARMSTRONG CORK COMPAHI R< 0# S o b isd ti Jr Insurance Department JZ2 CLAIM DEPARTMENT FRANK O . MENNEN, Claim M anager BRANCH OFFICE 510 Weit Sixth Street LOS ANGELES 14, CALIFORNIA Telephone! MAditon 8*0311 January 20, 1959 B 8289902 Armstrong Cork Comp 1 Re: E. 0. McCarrall 56 LA 176-684 Armstrong Cork Company Lancaster, Pennsylvania Gentlemen We are currently processing a Workmen's Compensation claim on a former employee before the Industrial Accident Commission here in California, It is necessary for us to know the name and periods of coverage of your Wo r k m e n 's Compensation carrier for the period January 1, 1944 to January 1, 1952, It is our understanding that one of your prior insurance carriers was Standard Accident Insurance Company written through an agent in Pittsburgh, Pennsylvania, This information has been requested by our attorneys handling this claim. Therefore, any preferred attention you can devote thereto will be greatly appreciated. Very truly yours, JB:kb i/neiix'xng ftcpx-Bentative H O M E O F F I C E . 700 M A I N S T R E E T , H A R T F O R D 15, C O N N E C T I C U T V BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA Alexander & Amexaisidieir INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N OR T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. Jane 26th, 1958 II! TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 552 CABLE ADDRESS "ALEXBLU" Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Schiedt: | re: E. 0. McCarrell \ Workmen's Compensation We requested a status report from the Travelers on the above case and ve quote from their letter of June 20th, 1958 as follows: "Shis case is becoming very complicated and costly, due to the advance state of asbestosis. "The latest reserves set up on this case is temporary total disability $k,000; permanent partial disability $7500; medical $8500.00 and expense $100. "The man is disabled and we believe will be so indefinitely, with constant medical treat ment. We are endeavoring to join numerous other de fendant employers, in order to show that there was other exposure to asbestosis besides the exposure at the Armstrong Cork Company. "We have filed an application for hearing, but have not as yet received a setting date." The above is for your information and file. Sincerely ALEXANDER & ALEXANDER, INC. R BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO ^5 A lJ K X A IS lIM S IR INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N OR T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. May 20th, 1957 TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 5S2 CABLE ADDRESS "ALEXBLUE" Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania ^ 211357 HU Dear Mr. Schiedt: Workmen's Compensation - 1956 re: E.O. McCarrell Sun Valley, California n/a n w i e B 8289902 This case is now before the California In dustrial Accident Commission for a hearing. are: The reserves being carried by Travelers Temporary Total Permanent partial Medical Expense $ 1,000 3,500 2,000 100 The above is for your information and file. Sincerely Mr* James E. Tannon Alexander & A lexander, Inc* 2225 Borth C harles S tr e e t B altim ore I S , Md. Dear Jims l March 1 , 1957 In rep ly to your February 25 l e t t e r , we are l i s t i n g th re e lo c a tio n s in or near Los A ngeles where T ravelers can in sp e c t our in s u la tin g job s: B* f* Qoodrioh Company 5400 E ast Olympic B oulevard Lob A n g eles, C a lifo r n ia (Southern C a lifo r n ia E dison Company Redondo Steam S ta tio n P lan t 2 , U nit 6 Redondo B each, C a lifo r n ia D ouglas A ir c r a ft Company DC-S B u ild in g Long Beaoh, C a lifo r n ia Our records in d ic a te Mr* M cCarrel s ta r te d working fo r Armstrong in 1941* However, between 1944 and 1949 a p eriod o f s ix y e a r s, he o n ly worked a t o t a l o f 7 w eeks, in d ic a tin g th a t h e had o th e r em ployers. From 1950 on, he worked q u ite r eg u la rly fo r Armstrong. These a s b e sto s !s cla im s are on th e in c r e a s e , and we are wondering i f to e m anufacturers o f t h is high tem perature in s u la tio n which ve u se could be o f some a s s is ta n c e in to e d efen se o f th e se claim s* Very tr u ly yours, R* G. S ch ied t, Jr* Insurance Department JEZ BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N OR T H C H A R L E S S T R E E T , B A L T I M O R E 18, MD. n TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 502 CABLE ADDRESS "ALEX8LUE" February 25> 1957 B SS 557 m il Mr. W i l liam L. Hughes, Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania WORKMEN'S COMPENSATION INSURANCE Policy No. RUB-U991518___________ Dear Bill: W e are enclosing herewith copy of the Travelers letter of February 19th concerning Occupational Disease claim of E. 0. McCarrel who has acquired a lung condition which has been attributed to his handling various asbestos material while an employee of Armstrong Cork Company. We particularly want to call your attention to the last paragraph of the attached letter concerning a proposed survey of an insulating job currently in the vicinity of Los Angeles, California. We shall appreciate it very much if you will notify your Contract Department to afford the Travelers every opportunity to complete their inspection of these operations. JEFrmw Enclosure U//J ( J. ve /niw MAHCH O fflO ACW I l T U llO tl DMARTMCNT W. A CAJTVW, 0#lc. MMar February 19, 1957 MAHCH O m CI 1003 M*rcanHU Trvit fcuft4Wf 301 East laHimor* Str*t ot Cotv^rt V t m ( lALTlMOtt 2, MARYLAND UhfkBui UWGTOW 0030 Alexander & Alexander, Inc 2221 N. Charles Street Baltimore 18, Maryland ATTN: Mr. Fannen HE: Armstrong Cork Company Policy: RUB-4991516 Policy Period: 1/1/56-57 Claim #: B-8289902 Date of Accident: 11/14/56 I rE5 I j * * ' / " -.n nr 7 ; A Dear Sir: The above claim involves an employee by the name of E 0. McCarrell. * understand that he has acquired & lung condition which has been attributed to his handling of various asbestos materials while in the employs of the Armstrong Cork Company. This man has been with our assured since approximately lr$4 although we understand he does estimate that possibly for a total of one year he was employed by other insulating companies. We understand that recently Mr. McCarrell had coughing seizures and of late the coughing became so severe that it caused it him to be sick to his stomach. On or about November 14, 1956, we understand that he was examined by a doctor and a claim was reported to our claim department because of the occupational disease factor. At the present time he i3 unable to work and has to conserve his strength as much as possible. Our claim department has set up an estimate of $6600.00 on this claim* This is to advise you that our engineering department is planning to make a survy of an insulating job currently in operation in the vicinity of Los Angeles, California. This way it is felt that ws will then be able develops recommendations or provide you with sufficient information so that reccaanendations might be developed vich will prevent or minimize this exposure. HOME OFflCE 700 MAIN STKEET, HA RT F O tD IS, C O N N E C T I C U T - Page 2 - As soon as we have anything future for you in this matter v will our findings to you. submit T F B / slg Very truly yours, r 4 rv -f < T. F . Bryant, Asst. Office Manager L ru jL-O-*'C,->v''-- '"<" \/f 4-4- \SL 4 > '1 4 2_ 33 ^ $ So r1 # * 5* f 0 A V t o r ? D a t \ \ A-S 1 Jf^79 \ ' 'EMPLOYER'S report of industrial injury STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF LABOR STATISTICS AND RESEARCH * Claim Department THE TRAVELERS INSURANCE COMPANY 510 West Sixth Street, Los Angeles 14, Calif. Every question must be answered fully to avoid further correspond ence. FAILURE TO FILE IS A MISDEMEANOR SU BJEC T TO MAXIMUM FINE OF $100. (Labor Code. Section 6407-6413) DC 10 1956 Please make this report in DUPLICATE so that we can file copies with Division of Labor Statistics and Research in your behalf. Every work injury to an employee which causes disability lasting longer than the day of the injury or which requires medical services other than first aid treatment must be,reported within five days after the injury. If the injury results in death, a report must be made by telephone or telegraph directly to the Division of Labor Statistics and Research not later than 24 hours after death.____________________________________ EM PLOYER t N , m. (? ivL " a^ unKd?Lw^ h A r m s t r o n g C o r k C o m p a n y .......................................... - officeaddr--! ~ ; i nd1 2 0 6 H a p l e A v e n u e ............................ ^ (Manufacturing shoes, retailing men s T n S l l l f i 1 :1 f f f l 7 L os A n g a le s , C a lif o r n ia DO NOT WRITE IN THIS COLUMN Case No. IN JU R ED E M P L ^ E q ^ ^ C a r y e l l n (^ ? d 12255 H a r t S t r e e t _ __ ,,...so=. Sec. N o . 5 5 l - 0 1 - 6 3 . l 6 ................i 2 & " d N o r t h H o l l y w o o d Employer No. Industry m 3# 9 5 ner hour, or t 3 . Q ^ .oer dav. or $ X J |> 1 { ._ $ 0 0 ^ weclL (If earninffs at Irregular rate, such as piece work or on commission basis, enter actual average weekly earnings for convenient period not to exceed one year.) 11 If board, lodging, or other advantages furnished in addition to wages, give estimated value $ per day, or $ .i per week A C C ID E N T u P1irTrfn,, M _ . 8iS i,T dV a l l e y (Ye, o r fjn S te a m iS S M ? .S u n . V a l l e y , r nimtv> L o s A n g e l e s .... i< n , t . X I XU 5 6 16- Hour of day. (Yes or ` accident? No) __ *` r . *\ 18. If yes, give date last worked,, , it 3C 35./P .M . 17. Did Infurv result tn disability beyond day of ........................... ..... ..... ............ 19. Was injured paid in full for Aga Sex and Marital Statue Weekly Wage County CAUSE O F ACCIDENT 21. Occupation (job title). . 3 f c . 6 . 5 . i t . Q 3 ., Vf Q r i f f l B F Q V ( i l S f l l l ------------------------------ ------------- 22. How long employed by you at this 6 2 occupation? Check (vO Less than m o n t h ,..___<Sm onth, to yean . (Describe briefly, such as: loading truck, operating a -- 2 ; over y o n _______ X . 23. What wa* employee doing when accident - - a --. Accident Date Occupation (Describe fully, stating whether the injured person fell, was struck, etc.; give all V . . . " g Q j j g p -W 5 a g la s s s la g b lo c k in g , so m e o f th e f i n e was^nBrawn'lnto the lungs ana cause"coughing ^ p a r tic le s (Name the speafle machine, tool, appliance. (State if gears, pulley. (Yes or (Yes or 29. What do you recommend for preventing this type of accident? (State the specific preventive measures that can be taken by employer and workers. Do not say, " By being more careful." Specify what should or should not be done) Aspirators should be worn Accident Type A (,n cy Agency Part Mech. Defect Unsafe Act NATURE OF INJURY AND PART OF BODY AFFECTED (Dwcribe in detail the nature of the injury and the part of the body affected. For example: a m p u t a t i o n - , , , . -- J c s . n n n J s J , soreness in lumts and short breathing............. ,, N?m.?,, a D r KSennocott, 1136 W 6 th street, Los Anrjoles Personal Defect S Nature of Injury (Y e, or W y,* Location Extent of Injury Insurance Carrier 71), C-4587 Rev. 7-S3 printeoin u .s .a . Signature ...offiH,!potion District Manager F ilin g o f t h is r ep o rt i s n o t a n a d m is s io n o f lia b ility . ".. . No report of injury required to be filed by an employer or an insurer by this chapter shall be admissible as evidence in any adversary pro- ceeding before th e Industrial Accident Commission." Labor Code, Section 6 4 1 3 . Report Lag Coded by 8- ! 6 - O C C U P A T IO N a - f j 9 M 4 u 1 01 (jjZ V 1 </>U. m a DU K - tl- O A T E O F , A C C ID EN T ~ *-) 9 - IN JU R Y S U S T A IN E D Pt T 'RFT)i 10-PART O F 6 O 0 Y IN JU R E D Z_-Vi?.r 1 2-A O EN C Y T IM E O F A C C ID EN T A S 1 4 - U N SA F E M E C H A N IC A L C O N D IT IO N A.M . P.M . YRS LO ST T IM E MOS '-- ' P R IO R A C C ID E N T S DATE C A SE CLO SED EXT EN T O F IN JU R Y 13-AGENCY PART 15-TYPE O F A C C ID E N T 3 fi I 7-UN SAFE ACT 18-UN SAPE PE R S O N A L FACTOR jt? f r i i-, b i -+ r > n o z< UOML Z-7 SC'RT 5 Y r r M S ' U . S . P AT S. 2. \ S b. I ? 7? , ` 39. t 9 OT H E RS P E N r 1N 3 A A. R E M & O L D A CO 1N TUS T <11M C *<(3! H l Z R 2 S YST E M 3- S AN F R A N C I S C O , CAL p. 1; AON39V-Z1 A N nrN i dO 3 LV O - II i^ V d AOOQ-OI 03NAlVtmlsrnNsi-G iNJ3WHVJ *fl_\)_* n 1 ** *1 ^ p 1 ^ p ; n p p n p n P n P n 1 Z * L h \ O i Z V l A I Z * L A OS 09 oc 1 Z V L A o t l Z t> i A O l Z Z t Z tr . T O 1 Z A I I p " ^ 1 1 ?w n ^ hF ^ n^ x 1' o P, n p n p P n I ^ n X m '.'V- - -- ---------- - - -- - ____.____=--m r-s-n rn r itaai*Mfcfc>j>MteHlif^ e a 5 o B o B c R c pe r5 G o 8 0 s f 8 e 8 a fie 8 0 e o 8 s e s fi3 s 8 R s 0 e MCCAKRELL. E. 0. a EMPLOYES DATE M ED CAL PLA N T O U T S ID E H O S P IT A L l/5 X-RAY EXPENSE DISTRIBUTION O TH ER EXPEN SE E X P L A N A T IO N r TOTAL E X G R A T IA PAYM EN TS 20G-3344 CO M PEN SA T IO N TOTAL CO STS R ESER V E 5 f000 mm pm u C z K tl' 1$ .W P <' -- BC3 XL 9L4 ; J ' * TM > m /%?<, fn (O j 7/ l ri ! TO to TO to r> n J ________ i IU O IA n1 ^ n n r-^ n nT. n n n p nn n n nn n n n nn n nn n nnn n n -, ' to flB R E B O A ftO P R O Q U C U FORM 37S-R n