Document MoJEyEN4rpgo5Y10ywV4OM8O9
aALT;"Q3t Si* -rest CL>3CS3^3G tul&a
ST LOU(S
'.wjOGO
OS ASG2LE5
ATLANTA
Pittsburgh San c*anCSC:
05l>n$
MtArti
Pw'LACClPWiA
^ ^i^rv.xrvixcui i#C0:!0!ir;3
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, SALTImORE IS, ho.
November 16 th, 19 59
TtLtP^ONj
TUXECO 9.,jC*
sell
7J.N
TELETYPE ia 5*2
cable *c;aess
"ALEXBLuC*
Mr. R. C. Schiedt, Jr.
Insurance Dspircusnc
Armstrong Cork Company Lancaster, Pennsylvania
Dear Mr. Schiedt:
Vincent P. Coll, 1/15/57 - "Uew "'or' Claim 3 3234919
Referring to your letter of November 3rd, 1959 on the above case, the matter was further discussed with the Travelers Insurance Company and we attach hereto copy of their letter of November 10th, which will be found self explanatory.
' " We trust this is the desired information, however,
if any additional data is needed, please let us know and we shall
endeavor to secure it for you.
,
Sincerely
ALEXANDER & ALEXANDER, INC.
LOSS department: R
OJLU1 0T7 Ai Tt'SVT
L N. k"OUM, CWt*......
*t \
t/
/ 's'
NoTafcer 10, '.959
Alexander k Alexander, Ir\c 2225 liorth Charles Street Balticare IS, Maryland ,
B-d2di.Ci9 Armstrong Cork Co. Re: Vincent P. Coll Adtident; 1-15-57
Gentleman
In reoly to yours of Novenber 5, 1959, on the above captioned file, nay we advise that the condensation awards were cade under Section 15-d-EZ of the eonpenaa* tion Law, with reicbursensr.t Troa tne Special funis to ' be secured after paycaent of 2oC weeks of disability. The el'afcant died fron cetaatatic" careinojoa of..the , " lung after'crtly 20 A/j ""weeks cTf1" lli'sability. _____ . r
' Under Section 15-Subdiyisicn 3, the' liability for cocpen"sation and cedical expense Is that of the last eccloyer,
' and there is no apportionment against the prior employer.
Very truly yours,'
CFO'H/cet
C,F, O'Haarn Supvg. Adjuster
hom( cxhcIi ;oo main srtttT, mmtioio is. coninicticut
ffoveubar I959
Mr. 0. 0- Finlay Alexander & Alexander, Lae. 2225 H. Charles Street Baltimore 13, Xd.
i_
1/15/J7 -"HeV'for* ' CL ala' #3-8 234919
Thanks far your October 30 latter shoving final payasata on the shore vorkaen's coapensation cl ala.
If va add the coapensation payments froa Joly 18, 1957, to July 31, 1957, vhlch vere not included in the Notice of Decision issued by the Voriaaen* s Coapensation Board, v tie in with taa taporary total coapensation of 743.30 shown ,1a your letter. Apparently the $1,441.57 aedical oxpenses vere incurred'froa July 1, 1957, the date of his operation, to July 31, 1957, the date of his death.
Records Indicate Coll van about alrty-tvo years of age at the tine of his
death, and his lifetime employment vith Armstrong covered a three-year
period, daring valch he worked a total of flfty-olne veeka for Armstrong
Cork Coapany.
.
Are apportionaent proceedings baing initiated by Travelers in connection vith this ubestoale cl alaT
Yery truly yours,
R. C. Schiedt, Jr. Insurance Departaaut J22
a ft-/
**
T51LS*
ST LCUiS
CW'OCO
-C5 anJLE3
ATLANTA &ITTS3:. :sn SAN *3anC3CO Ntl C5Lt*NS *IA*! SnilaCCL^wu
ALi:XA^j)^H ^ Aj.ETCA^-^l.n^ iiCS`<>Ch:;3
INSURANCE
AVEPAGE ACJL157EPS
COwsuL'inG ACTUARIES
2225 NOflTH CWA3l.ES S7PEET, 3AL7IMC3G 13, MO.
October 30th, 1959
r . 13-C * t 'uxEGO 3 .;o
iCl.EP':; y .,,j
OASUt 4CC3ES5 ALEiaLUt"
Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Dear Mr. Schiedt: .
_ '
re: Vincent P. Coll
January 15, 1957 - New York. Workmen's Compensation Claim Mo. B 8284919
Thanks very much for your letter of October 27th, 1959 submitting copies of correspondence pertinent to the above case.
It so happens that we have today received closing report from the Travelers, which indicates final payments as follows:-
Temporary total Medical Expense
$ 743.80 1,441.57
828.00
We trust this information will enable you to close your file on this old case.
Sincerely
ALEXANDER A ALEXANDER, INC.
IENERAL ADJUSTER R
October 27, 1959
Hr- 0. 3. Jialey Aloxsnder & Alexander, Inc* 2225 H. Charles Street Baltimore 13, Md.
'
Dear Mr. Finlayl
Subject* /^Inccmt ?. Coll
7 1/15/57 - Sew lark Voriaea's Coaoeasatioa
. Clala 3-3234919
'
'
la reply to your October 23 letter, this is an asbestoala daia which had been listed oa your Tarioua lose experience exnibit* lor the year 1557.
The first retrospective rating adj^ataent for the suae year lists ths
following reserves!
Medical - $1, jOO Compensation - $11,005
Ve do not hare a copy of the original report. Ve are, howaTer, endoaiag copies of sane oorraaoandaace wsich sight be of soae help. Traralers Buffalo office handed this dais.
Sery truly yours,
A2MSTH3SO COES COM?JUT
in
Enclosure!
8. C, Schledt, Jr. Insurance Department
e*i' -Cfls 'C it
UlS* ST lCUS CH iGAGC LOS anG.Lc3 Atlanta Tr*aUBGH San zsanC-SZZ NnfEAM* f OSUanS *wimCt,PWiA
i* sSi .AlLEr* ,, \.rY 73>!tu'[*
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUATES
1225 NOBTA CaaBLES S T S E T, SALT!.CSS 15, * 0
OCT 2 6 1953 tfUt
October 22rd, 1959
THCO SELL VS'E 1
't^Tr? 3a
091 l kZ 2 J l SS
tX81.l*i, `
Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork. Company
Lancaster, Pennsylvania
Dear Mr. Schiedt:
'
'
Vincent P. Coll. 1/15/57 - Hew York Workmen's Compensation Claim B 323^919
We have your letter of October 21st pertinent to the above accident inquiring as to its status.
We cannot locate a record of this case and would appreciate .it very much if you would let us have a copy of the original report and information as to whether we have previously written you on the matter.
Upon receipt of your reply, we will contact the Travelers
Sincerely
ALEXANDER & ALEXANDER, INC.
7
tERAL ADJUSTER R
/* if .
October 22, 1959
Mr. 0. H, ?inlay Alexander & Alexander, Inc. 2225 Charles Street Baltlx or* 13, Md,
'
Dear Mr. Pialay*
'
/
Subject* ^Vincent P. Coll
. 71/15/57 -
lark
Worden' Coaoensatioa
Clala ffB-S234919
''
Va are wandering about the atatus of the abore dala. Our records indicate his life tine spioyaent with Arastrong cot red a period of 59 we ex a during the years 1955, 1956, and 1957.
The last notice we receiTed was a copy of Pont C-7 filed by Travelers August 16, 1957, contesting this dala. A letter froa our district office indicated Mr. Coll died July 31, 1957.
Yery truly yours,
^StSTHiC CQFX COMP151
& C. Schledt, Jr. Insursnce Departs ant JZ3
'w s.
Ui
ATI OF MW YORK
hOTlCE OF CONTROVERSY
1/ th* employer controverts thi* cl-aim ind the carrier is not oaving compensation directly ^nd w,ihoirt wut. ing for an award, this prescribed Pnrm C-7 must b* ^Ofneltud nti riled wun cfie Chairman* Workmen') Com pensation Board at the office of the district in which the aileeed accident occurred, on or before the loth dav after disability began or within 10 days after employer hrst had knowledge at Lne alleged accident, wmcnever period it greater.
Copy of this notice shall be sent to the claimant and to hLa representative, if any.
l 'sV C-3 ZiM S'nfliSrf
2~ CixticP Cam Xu rroar 1*4
dad<
J. Oilr 31 Al'rfed Ac 4**1 1 1
.V 'e-pH (J .,iulJ
357C25LO
! S-8231919
Sim
J. injured
Psrion
,
Vinbsnt ?. CoU
6. Emslafer j
~
' ` ^rtstreru: Cork Co.
1
1 69 1 1/15/57
]
!
RfJd'XH !
'41i(| iflusU^ 'M vrst
iCire -Vycaarr ind
wtf. Ian*, dlatd)
719 Cl-veLond CrdTS. O.-cktovr-
1671 l. r-ore , TTcj-l.'-lldla, c;,..
..................
1 1 r
S*,aV
X*.
*L*\vtf U.I. X*{. N*. ^
\
t
]
f
7. Ci/ner . ^KI TFATH1ZR5
UZL Mein St*, 3aTr^Xa 2, Few Tark
j
8. Nature of alleged accident_____________ ________ _______ _
9. This claim tj contested by ;ne employer and co.roemaii.
beiow: fCieck eacn item of contcoversy and exoiam c
(a) Q Noutc of undent was not given U
required.
(b) Q Cairn
nor timely hJetd.
therefore ;s not being paid by the c*tnc, fee *Ae reasons stated
grounas far position fJcerv) (e) Q Jurisdiction*
Ciirrjm is not diubled.
(C) Accident Jsd not occur,
(g) Q Disability J not ciuulljr reined.
(d) Accidental injury did not arise out of
00 Other reason for contesting claim
and in the course of employment.
Actadi supporting medical reports. If already died ' uh Chairman, identify.
Ixpliio reason roc controversy separately for each box checked io Item 9 above,
(h) Uo proof death on 7/31/57 causally related to occupational diaeaaa.
10. Hjj notice been sent !a Disability Bentiits cirrier.1 (See See. 206 subd. 2). 1/ "Ys", 31V, name nd address of DiijjjiiitT Ser.eiiu carrier (or errsploYer) to wnom notice *3 sent:
Yes
I No
Ku ffledicil report also been sent?_
Yen
11. Date "3-Ttolover's Report of Injury" Snt received: (Self insured employe, enter d.cc of first tnawiedge of alleged accident}_________________________________________________________________________________________
12. COPT OF THIS FORM C-7 HAS SEEN MAILED TO Q CLAIMANT Q] CLAIMANTS REPRESENTATIVE
Dated: August 16, 1957
2-4782 tv.i-S5 '.let., 1- O.s,*.
C-7 C-7
*v
OScui Title___ ____ r-JJCO-csijliaten-------
C-7 c-7
iearsu
C-7
vJ\
inter-U:dee Communication
Armstrong Cork Cr.mnany
To C. Schisdt, Jr., Insurance used, Lancaster
From M. A. Dickson, Insulation Dion, Buffalo
Sc uLbject /
3 WV -
August 7, 19 .
In connection with Mr Pendleton's previous c cn.~ur.icat ior.3 to you on July 31, here are the hospital operative record and the Compensation Board's Bet ice of Decision concerning thi3 person, to complete your file.
Md .
.
Form 1301 10-46
/
tflTSR/ jQff/Ct C 0 .`tf(/t CA r/<j#
Armstrong
To It. 0. bchi^dt Jr. C.-rur.-rcc Cccartr.cr. t I2r.c2.szsr
From
Z. ."ar.dletcr., Insula' :r. livisicr., Buffalo
Subject ir.cer.t ?. Ceil - ~cov.naticr.sI disease
runt-errer tin ~ cur r.srto cf 3---1 - or- :cay cr. ire sar.e succeed, r.sre are scree
additiensi ccnssnt
unat 107 ray e 0 verth.
F:r a nur.ber cf years, Cell vas er.pleyed 'ey r. J. -ady 1c. stresses contractors
of Buffalo, frecvior.slv as s
erp"icyee. .Ifter the death cf the head
cf Chat c cn ar.
cal reascr.s, We niched hit. re as a r.echanic
eecause c: his jir.nur. aciiity arc vice experience.
rx o
Shortly after Cell's illness her=n, car sunerin.tenb.er.t 2. J. belly visited
at his hers. A representative cf traveler's Insurance ccrpsrry vas there ar.
told belly that Cell had veried fer a trier cf ccntraetrrs ever the yo^rs it
Buffalo ar.d that ar.y clairt vrctld he rro-rated cn
in
each shoo. he assured this tc he established pr
M2P/rk CC: 1. J, Solly - Buffalo
rot* 1S01 3*5)
tf B
INTfJt/______________________________ jQffiCE CG.'.IMUMCATiQfi
Armstrong
r 1*1 rs i (T, (? ,
roftu 1 SOI 1.35
/
H. 2. Pendleton, Insulation Division, Duffelo
R. C. Schiedt, fr. Insurance Department, Lancaster
Vincent ?. Coll Occupational oosease
July 25, 1957
According to a notice received frcn our insurance broker, Travelers has established a $27,800 rasarra on sn asbastoeia claim filed by 7inesnt P. Coll. Although tie data of tha accident is sho-un &s January 15, .1957*, payroll records bora la Lancaster Indisata tha last day '-orued by thifl am was March 29, 1957, at vhich tiaa ha was laid off dua to no work.
#^
Ia reviewing hia Mployaent record, va find he worked a total of 59 weeks
for Armstrong, end only half of this tlaa, approxLaataly 1,100 hours, van spent on jobs which called for tha u3e of products containing asbestos,
air call end usgaoaia insulation.
-
A review of tha payrolls indicates Coll usually vorkad vith a email gang, flTa sen or lass. Va ara wondering if thar* was any particular reason for this, and because of tha mall gang, could va safely say that a power eav vos not used on any of hia jobs or any praliainary work he sight hava per formed in. the vamhouse.
Could you give us his date of birth and whether or not he has say childro under 13 years of age7 lour replies vtll be used in as effort to hare Travelers reduce tha 27,300 reserve.
According to tha teras of our insurance policy, $25,000 is tha naxiaisi eaount TraTelers say charge for one claim. Severer, when tha first retro spective rating is usds, Arnatrong will be recpiired to deposit vith Travelers this aaxiana charge of $25,000 plus 14.032? or s total of $23,503. Tha first retrospective rating will be aide shortly after July 1, 1953, end subsequent retrospective ratings will be aada at twelve south intervals. In these sub sequent ratingo, tha mount of the deposit on this claim could vary considerably. Adjustments are nada to reflect the actual loss incurred if tha data has bees settled, or tha sstlaatad casta if tha ol&iJI is still open.
J2Z
J V. Liddell, Jr., Insolation Division
i1? c
*CP-
C-
t'l-'-'V w-a | 5-'
nij
1 -r-"--<!i3 a. oti r -t* iG
- * - c-r
'.V0.\K,v-cN'S COMPENSATION SOaPD
STATE Of NEW VCRK
NOTICE OF DECISION
Z
Casc ss .-- C ce ^0
3 3*rt Act-Cti'
i D*re or tsc*vCQ OcniQi |
6-i $ 3* rc 3r '-is Not
57
1
17 TO J2_________
UVine' a.- r. co 71? r.
6-
TO THE Ct-AtMANT.
1. An* compensation due *ii1 be sent to voy bv cheek bv the emuiover or hij insurance earner.
E 2. Keep a careful record of the oavmentt received
Arr.scroo-r -or*
in order that *r>u mav >>* r-'idence of mvineit
1571
#
ar noa-ptvment tn. case of dieouie.
- I............................
3. No compensation snail be allowed for the Tim even davs of disability. However, if the mjgrv
_P*cloI T'jsrf* Coni. vos=i*
resuIts in disability of more Lfian thvrtv-five tjv. COmDeniatinn h*W be iilo^cO from Lhe first dav
9CJ .i.ViS'.'t .1UiO
.
of disability 4. Do not p*v monev to anvone represenijnf vou.
The fee, tf anv. for suen reoresen tatjon u oeter*
uwr.;;i .yrott, Flruit^o .fficar iiCtaia1 3 -ss^-crisitiss Uv-rd
mined by the Board or Referee and will be de ducted from vof award and oaid bv the em
ployer or his insurance earner to vour represen
55 -- i
.'ty l4J /
LriW 2 --TA- * X
*" ....
tative or attorney. COPY TO:
After hearing on date slated above a Decision and Award was made and duiv filed this day as follow*:
ATARD: THE EMPLOYER AND'OR THE INSURANCE CARREER ARE DIRECTED TO PAY AT ONCE
for eivtntiii
a ltj,o oi ' >*n
At rate p<r ek
the tuni a1
TO:
2 C./5 1 15 57 2 k 57 * ;*>*: * 1U.53 CLAIMANT
1/5 3 1a 57 J 15 57
7.23
/) >* S % |ae ^
2/5 3 CO 57 3 22 57
12,,0 leas payments made covering thit penud.
15 3/5 i* 1 57 7 13 57 >6,10 r/ T.6)
aa 1lien on ***rd :iijim* -`~irir- ?u
jI - * w
=*TI** to CLU\U>r5 REPHESENTATIVE OR ATTORNEY |
l --UC in-' is t-wo
t W.AJ taam
-- zC T..-n -r!-- "r.'s
!V*.di Tn
Lie^*4 X3 rircu
Wi ` r.ia ttia ourrid* r -rcVioo 15 -;.i ti'.t t>i iT^rrl'r 1 r **^* ior a l cyesr:e.ia.ci*m
L- acaiiAX rr^a;:3 p-iilj /iuoac .ucn- to lOU
5-1 rxii..^ rurtrap
j
1 v-ia oorrDH
1. h-T..n, ,, . b
1 a "7t11 vf Ljr.c.il7
r-->blo:1 J
decision-. Cur 'a* -ti=.=<i. <T7^ rs. s vo Mutisms At :J6*CO until C--3 12 II: ry\ da.-xrftizj;
c-T-Aii-'O la c>r. itian or ii.vi-r: z zr* ot..orioo L^n*, ,reu--it1-rsal
............. . .evta_2t -Tii'* to .'.jwimuj, ixn.ic* anu csa;>*l rt-iatlin eASii.aiic4
t-lTCT. -a.'-a ui
xa i/15/57*
If ctsc
"coiHinutiV inH cnmmuiiri
,,, dirprt^d. ii ,h*ll li# made 31 tHe ibos. m. Tor ih# pn*d n.icd
nd sHalt \r+ ronimutfj ih*r-*iirr until ate rmptnv^r r carrier has medical ut jiavroil r\i<lrnre uf a rhajiife "< rnnduum
and tn** noiu^ thi-r^ut n u# Chairman, 'infimm * (.umncosjimn rt`jrd, unless oib<'rwne firm uJeiJ m the Jevmun.
\ lunnr-r h^irifi* ,ii(
n.-i.t a ".
lh^ .,f further flioalnlits . if jns ______________
JI --1 cr
C-23
C-23
C-2 3
18 P
C-23
C-23
1 oriiAtivf
O ? S R A T I v E RECORD 7 ID Clevel-ur.-i ir., u.-.e.:o^'-3-a, I!.Y
Nam. coll, Hr. Vincent - A.^o 62
Cate No.
C-!;27 Da>* of Operation
surgeon cr. ?. w, gccn:;ell
n
Anesthetist
Assistant Dr. C, Jonnson
Instrument Nurse i1:--S3 EltlStSiSr
7-1
7
Anesthetic
Local
Sponge Nurse
Ix,.s3 Doi .CTl
Began
A.H.
Closed
15*25 A,*W
Pre-operative diagnosis complete
Pulmonary insufficiency fron probable asfcostooia with a cocierat^ly rapid down-itiii coucce tfae last nine montiAs and recent (-avelOL-fPcnt of rjoue, left neck.
Operation
EJ-CXilQ:* 0? !;OCE, LETT ?CC ElOh 7ILAKGLE OP KZCS.
what -was done Under procaine Infiltration anc-stiiesia m the s uplna
position the need turned tov^roa tiu:
a straight 3cc. incinion v.as
icaJe in the leit rv^terior trianrie of tuus neck, carried down tnru t:ua
skin, fat, piatv^-3* end tnea by blunt ciaoccticn the node was dissected
out, srdicii lay cn tde bracnlai piexaua. Bleeding lias aininal, notalnG
had to be clairy-ed. Ilia wound taa closed in tr Layers, uains interrupted
and tr-^n 3 continuaoua eubcufcicuLar of triple plain catgut.
P.0, Kata static neoplasa to node, left Deck.
Technique
Pl.DG^ Clean FUCDjncc
cot* Dr, Carl Conrad
Recorded by
i s
0^< H t/VVs
<- /
W'tJ 'T1
J-*~-A
Vi cT \i
n- - y
V (/
12 A
f
\1 -*r-5V
4 . ) 5 * $ L /vw? vcyvi ^
* *z S (2
0 -itf'bl ^>cr A-t^L 5"^A:X ->"Z
n O,_,I I
vV
11^
1 90 T)l-I % . ^ 0 6 2?9-i /
Sy
"'"
-m-i
,^i'>
^ ,'`74`I-
S*
' 3 3 ; i. v ''`7,
. """>''/
^.
* A
\JU'H- UlUm) vA ^
MoC^V \ \
not 5*3
"2-1
o
0 1 4-li.
IT il 1 A
m
\ o0
1 3 .=>
4 3^
~^ b"b
~dl
t tf$.
Tf
Tvp-^ <aUJ'
/i'-t-'*- /,^
*] ftj
-V-Vt-W Z ^c_i^<,l_
-VJ-I l &isyu^ *
?! _
/l %<\
v tmifSfys't
^. n 7
'>;/*.____ ^*3
AV^J <J //~twL
<<
11 o 5 2-; . <f
'' J"v i> 't/Ji}
C,
Ml -
$ 2. /" 6 3 'J
'}2.
V'
/