Document aE4dgr0vYv7gZOQERpe2K4py
FILE NAME Mundet Cork MCK
DATE 1955 DOC MCK140
DOCUMENT DESCRIPTION WC Claim of Swartout Pt 4
File Name
Contract Unit Claim File John Swartout Dec. 28/55
Scanned ?
yes
Source
JMA 1745
Start Year
1955
Stop Year
1955
Contents
claim
Notes
WORKERS COMPENSATION APPEALS BOARD - CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION prior to 1966
APPLICANT
JOHN SWARTOUT by spouse Bergit
Asbestos Insulator
CASE SF 169171
DATE CLAIM FILED
December 28 1955
INJURY ALLEGED
Asbestosis
ALLEGED DATE OF INJURY
Exposure over long period of time Companies cited 1940-1955
EMPLOYER _ Western Asbestos Co./Mundet Cork Corp. et al
No apparent Canadian insurer
c
OTHER NOTES Medical evidence without conflict asbestosis
No medical reports in file
Widow reopened case upon applicant's death June 6 1956
DATE OF RESOLUTION RESOLUTION
June 10 1958
Previous
Decision after Reconsideration
2,355 disability
7,000 death benefit + costs for burial
- DOCUMENTS COPIED
1 Decision After Reconsideration
# OF PAGI 4
2 Western Asbestos Co. & State Comp Ins Fund
50
Petition for Reconsideration
CLAIMANT
John Swartout
California Workers Compensation Appeals Board
CARRIERS INVOLVED
The AETNA Casualty & Surety Co.
oAmerican Automobile Ins Co.
oAmerican Employers Ins Co.
American Motorists Ins Co.
oArgonaut Ins Co.
oAssociated Indemnity Corp. oCalifornia Casualty Indemnity Exchange California Compensation & Fire Co.
oCasualty Ins Co. of California
oEmployers Liability Assurance Corp.Ltd oEmployers Mutual Liability Ins Co. of Wisconsin ae
oFidelity & Casualty Co. of New York
oFireman's Fund Ins Co.
oGeneral Accident Fire & oGlobe Indemnity Co.
oGuarantee Insurance Co.
Life AssuranCocrpe.
Ltd.
oGreat American Ins Co.
oHardware Mutual Casualty Co. Sentry Industrial Indemnity Co.
Exchange
Industrial Indemnity Exchange
oInsurance Co. of North America
Ins
Co.
Liberty Mutual Ins Co. oLumberman's Mutual Casualty oMaryland Casualty Co.
Co.
oMichigan Mutual Liability Co.
oMission Insurance Co.
oNational Automobile & Casualty Ins Co.
ONew Amsterdam Casualty Co.
oOcean Accident & Guarantee Corp. Pacific Employers Ins Co.
oPacific Indemnity
Reliance Ins Co.
Co.
Standard Accident
Ins
Co.
Co.
oRoyal Indemnity
oSecurity Ins Co. of Hartford U.S. Casualty Ins
State Compensation Insurance Fund
oTransport Indemnity Co.
The Travelers Ins Co.
Co.
oThe United Pacific Ins Co.
oU.S. Fidelity & Guaranty Co.
oZenith National Ins Co.
oZurich Ins Co.
eo08Nd
36
5/81
i
i
1
WORKERS COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
: BERGIT A.SWARTOUT
CASE No. SF 169-171
Applicant
@
} CORPORATION
7
MUNDET CORZ CORPORATION et.al.
CERTIFICATION
@
10
Defendant
22F6
22F6
I hereby certify that the attached documents are true
22F6 and correct copies of the original documents filed in the records
13 of this office in the entitled matter
14
ATTEST my hand and the Seal of the Workers Compensatior
15 Appeals Board of the State of California
16
17
18
19
Compensation 2
Workers Compensation
Compensation Judge
Workers
Appeals Board
2
22
22
24 Dated at San Francisco N California this 3rd day N of April 1981
27
DIA WEAS FORM 119 W %
v woOu OP
DEPARTMENT OF INDUSTRIAL RELATIONS OF
H
.
RVED
L.
RVED
BEFORE
| RVED BEFORE tot
and t
Yo,
4 ta
JUN JUN JUN
fo
EEA
101953
101953
101953
:
tise
BEFORE THE INDUSTRIAL THE
INDUSTRIAL
INDUSTRIAL
OP NIG STATE OF
ACCIDENT
ACCIDENT
ACCIDENT ACCIDENT
COLMIS~ON COLMISS~ ON COLMISS~ ON COLMISS~ ON
CALIFORNIA
SADE
: :
SADE RN ima th
| | nenk INSIANSA4 4 j
BERGIT A. SWARTOUT
oe
tent
Applicant
900
:
10
2
A
13
AA 3
A
A
Ve
TOS MUNDET CORK CORP HARRY A. DUTTON
INC DUTTON AGBESTOS CO DUTTON TOS& SUPPLY CO WESTERN ASBESTOS ASBESTOS CO BAY CITY ASBESTOS ASBESTOS CO LTD CORK INSULATION CO INC WESTERN PIBER GLASS COMPANY GENERAL
INSULATION & RUBBER CORPORATION
ee
age
DECISION DECISION
get AFTER RECONSIDERATION
Ree
:
tee
ree
eset
ee
ne
ee
MANVIL&LE ASRAMLSSTROCNOGRCPOORRK ACTORPOIRATIOON NJOHNSMOORE C.
CO
See
JO
CEPARTMENT_of_14-18151
2513
CARPENTER ARTRA INSURANCE COMPANY
DITISIGH_RF_IN_W415
SITNADTUESTRCIOAMLPENISNADTEIMONNITYINSEUXRCAHNACNEGEFUND ee
INDUSTRIAL INDEMNITY COMPANY, LIBERTY ee
KUTUAL INSURANCE COMPANY TRAVELING
See
INSURANCE COMPANY STANDARD ACCIDENT ACCIDENT PerPer
INSURANCE COMPANY and PACIFIC EMPLOYERS EMPLOYERS d
INSURANCE COMPANY
}
FILED FILED
JUN 11 558
THN Ph PCOe O Rerees es me eee (
}
Defendants
)
}
i
20
Reconsideration having been granted herein and
the
21 matter having been carefully considered including trimmerion.3 of the testimony as well as the record as a whole this Comsko-
sion now concludes that further proceedings are not essential
for the diaposition of the claim and makes its Decision illus
Reconsideration as follows
GOOD CAUSE APPEARING TH^ REFOR
24242
24242 : 24242 :
:
1958 that
be
the
IT IS and the
ORDERED that Findings and Award filed Kajo i, same is vacated annulled and set aside her
following Findings and Awardybe Awardybe substituted in 1120
thereof and made the Decision after Reconsideration of unig
C. mission
tore
ee
we
2 ae
te
1. John E. Swartout while employed as an asbestos worker
3
ar
ha
,
r
ae
6
es
in the County of San Francisco State of California on January 10 1955 by Western Asbestos Company sustained an injury arising
occurring occurring in tal course of his
employment consisting
of substantial and material exposure to asbestosis At said time
oe the employee's wages were maximum
oe
00
we
60
2. There may have been like
exposure in other employments
6 0& both within and without the State of California 06
+osO, 3 Applicant has elected to proceed against the Western :: Asbestos Company and its insurance carrier the State Compensation :: Insurance Fund pursuant to Labor Code Section 5500.5
:
4. Said injury resulted in
be
temporary total disability
::: :: beginning on January 11 1955 continuing to and including June 5
151956 oe
151956 entitling the employee to temporary total disability indem-
: be
nity at the rate of 35 a week in the total sum of 2,555
O:F 5. The evidence establishes that said employee failed to
,, ::," give defendants notice of his need for medical treatment to cure
: or relieve him from the effects of said injury
we
0000 5. The employes died on June 6 1956 and the evidence
: OF
establishes that said deat was proximately caused by the injury
Be herein
08
Oo
7. The application for adjustment of claim was filed
08
Ge herein within one year from the date of said injury
m8
:Be 8. The cvidence fails to establish that defendants or any
-b of them have been prejudiced by lack of notice of the claim asserted
: herein
6%
w:e 2. Said exployes left surviving him his widow Sergit A.
:
se
30
30 we
Ct
31
oe
32 :
08
Wartout
+
37-171
ae aft Rad
Swartout the applicant herein
10. Applicant is entitled to the statutory burial expens
s
a
11. The exployes incurred expense in the sum of 35 for
examination and
fully prove his
report
case
by Dr.
Allan E.
Moe requiretdo success-
12 Applicant's counsel Smith &
i Parrish have performed
=
services of the reasonable value of 500
: AWARD
7 AWARD IS MADE in favor of Bergit A. Swartout and against the State Compensation Insurance Fund of accrued temporary disa-
r bility indemnity commencing January 11 1955 to and including .
June 5 1956 at the rate of 35 a week in the total sum of 2,555 payable forthwith
AWARD IS FURTHER MADE in favor
of Bergit A. Swartout and
against the State Compensation Insurance Fund of a death benefit
in the amount of 7,000 payable at the
ning June 6 1956 less 600 payable to
rate of
Smith &
35 a week Parrish as
begin-
attorneys fee
AWARD IS FURTHER MADE in favor of Bergit A. Swartout and
against the State Compensation Compensation in the amount of 400
Insurance
Fund
for
burial
expense
AWARD IS FURTHER MADE in favor of
Bergit A. Swartout and
against the for medical
State Compensation Insurance litigation costs payable to
Fund of the sum of Dr. Allan E. Moe
35
IT IS ORDERED that all payments herein shall bear interest
as provided by Labor Code Section 5800
INDUSTRIAL ACCIDENT COMMISSIO
OF THE STATE OF CALIFORNIA
see
)
JUN 9-18 9-18
Ne :
for for
Dean
ConstrueCoenstrrueer
Vas
oe .. emomenee .
BERGIT A. SWARTOUT
EE EE
=
~ ERA " ERA"
SERVED
-ene
cow
t '
'
emrne
Am
STURT
INS INS INSi"
June 6 1958
ve MUNDET CORK CORP HARRY A. DUTTON
INC DUTTON ASBESTOS CO DUTTON
ASBESTOS & SUPPLY CO WE TERN
ASBESTOS CO BAY CITY ASBESTOS CO
LTD CORK INSULATION CO INC
WESTERN FIBER GLASS COMPANY GENERAL
INSULATION & RUBBER CORPORATION
ARMSTRONG CORK CO JOHNS MANVILLE
SALES CORPORATION C. C. MOORE &
J. THORPE & SON
CO
INC M. R.
CARPENTER AETNA INSURANCE COMPANY
STATE COMPENSATION INSURANCE FUND
INDUSTRIAL INDEMNITY EXCHANGE
INDUSTRIAL INDERNITY COMPANY LIBERTY
MUTUAL INSURANCE COMPANY TRAVELERS
INSURANCE COMPANY STAND^ RDACCIDENT
INSURANCE COMPANY and PACIFIC EMPLOYERS
INSURANCE COMPANY
Case No. 169-171
REPORT OF PANEL ONE ON
DECISION AFTER RECONSIDERATION
The record reflects that decedent while employed as an
worker on January 10 1955 by Western Asbestos
asbestos
injury
arising
out
of
and
occurring
in
the
Company sustained
course of his
an
consisting of substantial and material
employment
record
further
reflects
that
there
may
exposure to asbestosis have been like
The
other employments both within and without the State ofeCxpaolsiufroersniian
proxi- The injury caused total temporary disability from January 11 1955
through June 5 1956. Employee's death on June 6 1956 was bmaetneelfyitcsaused by the injury herein entitling applicant to death
It appears from the evidence that decedent failed to
defendants of his need for medical treatment
give
.
Applicant is entitled to the statutory burial expense and
legal expense of 35 payable to Dr. Moe
notice to to medico-
aAbplpelicvaanltu'esoaftt6o0rn0eys have rendered services herein of the reason-
It is the opinion of the Panel that the claim is not barred
statute of limitations and that the evidence fails
by the
defendants have been prejudiced by lack of notice oftotheestcalblaiismh that
asserted herein
Decision after Reconsideration should issue accordingly
INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA
RECEIVED RECEIVED
MAR 1 6 1958
(
-
1 BEFORE THE INDUSTRIAL ACCIDENT
COPETISSION OF THE STATE OF CALIF 2
CLAIN NO 159-171
3
BF
5 8
7
g
1010
12 12
13
1414
15
16
ZERGIT ZERGIT
A.
SUNATOUT
SUNATOUT
Applicant
HUNDET CORK CORP HARRY A. DUTTON INC
DUTTON ASBESTOS CO DUTTON ASBESTOS &
SUPPLY CO WESTERN ASBESTOS CO BAY
CITY ASBESTOS CO LTD CORK INSULA-
.; FION CO INC WESTERN FIBER GLASS COM-
PANY GENERAL INSULATION & RUBBER COR-
PORATION ARMSTRONG CORK CO JOHNS
MANVILLE SALES CORPORATION C. C. MOORE
00 J. T. THORPE & SON INC A.
CARPENTER
SIATE
AETNA
INSURANCE
COMPANY ;
COMPENSATION INSURANCE FUND
INDUSTRIAL INDEMNITY EXCHANGE INDUS-
TRIAL INDESITY COMPANY ; LIBERTY MUTUAL
INSURANCE COMPANY TRAVELERS INSURANCE
COMPANY STANDARD ACCIDENT INSURANCE
PACIFIC EMPLOYERS INSUR-
COMPANY COMPANY COMPANY ANCE COMPANY
DEPGIATREGTEMNEONOFTF
INIDNUDSUTSRTIRAILAL
SELATIGR
SELATIGR
-
FILED
|
, MAR 1958
|
{
i
f
PETITION FOR
RECONSIDERATION
RECONSIDERATION
282 Defendants Come now defendants WESTERN ASBESTOS COMPANY and STACE STACE
282 COMPENSATION INSURANCE FUND and petition the Industrial Accident Commission for a Reconsideration in the above entitled matter
upon the following grounds
22 1. That the Industrial Accident Commission acted witho
24 and in excess of its powers
25 26 Fact
2 That the evidence does not justify the Findings of
27
5. That the Pindings of Fact do not support the award
28 The evidence in the above entitled matter shows that th
29 uccessed employes John E. Swartout filed an application with t
30 Inqustall Accident Comission on December joch 1933 8lleging
31
dus to obectools which he had incurred
during an ang
32 Ove a long period of time working for various employers includ
tee Murset TolK
Corp. A. Dutton Inc.
Muriet Co.k Corp. &
Co. Western Asbestos
Asbestos Ltd. Cook Insulation
Asbestos
Asbestos General
Insulation Inc. Western Armstr Fi
Insulation Rubber Corporation
Armstr Arastr
v. Co. Thorpe Son Inc. M. R. Caprenter
my Moore Moore
sore& Co.,
Caprenter
John Swartout Swartout on May
hearing his his
30th 1956 prior Commission
claim before Industrial
to a
S
widow Bergit Swartout Swartout
Industrial with
an application
Industrial Accident
1956 alleging that
Commission June 13th
thtehe death of the deceased
employment as asbest that
due to to his
worker for the above
exployment 23 an asbest
employers ,
1956 and Herbert J.
Williamson on Referee Purvis on
At the hearing elected
1956 the
proceed against the Western
applicant elected carrier
Asbest Asbest J
the
Company and its insurance
Compensation Compensation Insuran
Insuran
Carrier, the State
Compensation Findings
On On above entitled
2 Award
matter and found that
in. the Swartout sustained
issued and
employee employee of employment
sustained injury arising arising and award
employment consisting consisting
2 in course applicant Bergit
Swartout
of disability indemnity indemnity and
: 2
temporary disability
June commencing January 11th 1955
1956 at
including
2,555.00 also the 55.00 55.00 week the total
sum 26 axcrded axcrded death
7,000.00 payable at the
benefit benefit in the amount
15.00 eet Se
atas
. 15.00
rate 15.00 rate
sux 1956 . ^'nd
week beganing beganing
aleog
June of
CANN of y'sl3p
question which is the
Huteod, decision his report De
In to Findinga
08 follows follows FP i ys
~ Tan
Findinga end
2
ens
decision
Refeyst
wood an
.
*
RsPege snsee
Gestion Which is
vee
Ag: 0.
Purvisee
Sltehtwesan
my
ew
yD
.
@
asbestosis Applicant the widow widow
Applicant
of employee employee
pneumoconicals
who died
pneumoconicals temporary temporary
claims accrued
compensation compensation
disability disability death
accrued
death death Seata
&
There no admitted admitted
we Lir mite ations admitted Limitations a defendants prejudiced Limitations
Limitations
Limitations
,
Limitations juviculation
OH NY
oO 00
10 il 12 13 14
/ 15
pulmonary The
The
record
disclosed
disclosed
50th 1956 the medical
the employee employeewithout without
conflict
that
death
medical was
evidence
asbestosis
on
asbestosis
Ae
due to asbestosis
The
asbestosis
employee filed original
adjustment claim claim December original 1955 fox
evidence the record record December first became
disabled as the
that asbestosis asbestosis January
The
result asbestosis
January
10th
he
1955 and that
first which
pulmonary disease
which
knew he had pulmonary
disease . on which
disease
temporary That date must taken
The application
filed well within within year
was therefore therefore
from
claim
the date of
barred
by
Statute
the
of
Limitations
.
claim Applicant not
Statute temporary
Applicant Applicant disability
may recover both benefit temporary disability
and from the death benefit tt
total disedility
indemnity Defendants agree that the applicant
.
16
temporary disability indemnity
|
|
17 18 19 20 21 22 23
claim which was
awarded to her by the 7
+
SRS
respectfully submit that that
\
However defendants
claim
for the
Statute of
death benefit is barred
contention contention that the
I4 n support of the
death
Statute Limitations Limitations the fon
benefit is barred of Employee
Employee Injuries
defendants cite
Workmen's Workmen's
the Lew or Hanna Volume
Compensation
149 which
Compensation Warren L. Henne, Volume 2
NN follows
PZ. 249 which recs
che
25 26 27 28 29 50 si 32
paja from the more than one
occurs occurs more claim
year after within within
injury year
must also filed within
from the last furnishing
com-
one pensation benefits benefits If such
benefits com- of
pensation pensation furnished furnished death
benefits than
not after
occurs benefits benefits
injung
not
injung death of
One
sven sven though
applying the limitation limitation statute
is ben
is
ore widow's widow's
.
widow's ths i:
& Defendants Defendants
v6.
Inwastrial Accident
;
InvagteLi1efa : AfeOoCatAaCns gete nn stat,
Co hilectos,
a
1
Californil Company Volume 2
1-
Californil
Compensation
Compensation
Compensation
Compensation
Inc. which is CCasaess es at pg 33
reported
in
Volume Volume
10 Defolidents cite the of Adelina Bianco Defolidents Defolidents
Defolidents Defolidents
also
also
also
cite
the case
Adelina Bianco
v3
PP
110
cud)
7
8 o 10 11 12 13 14
15
is a separate and for compensation
independent independent
right
from
the
employee's
claim
The evidence in this case shows that no benefits were
furnished to either the deceased employee during his lifetime
or to the widow Bergit A. Swartout by the employer Western
Asbestos Company and the
The evidence also
State shows
Compensation Insurance Fund or
any that no benefits were ever promise
defendants to either the deceased employee or the widow
16 As the evidence shows that the death of the deceased 17 employee occurred more than one
year after the date of injury and 18 that no benefits were
furnished the claim for the death benefit .
19 clearly barred by the Statute of Limitations and the Petition
20 for Reconsideration should be granted by your honorable Commissie
21 and the Findings and Award corrected
22
Respectfully submitted
23
24
25
28 Dated at San Francisco Californie
this 13th day of March 1955
RERECCEIVED EIVERDECEIVED
27
& - Bergit E. Swartout
28
3000 Marrywood Drive
29
Sacramento 21 California
o>
Smith & Parrish
MAR 18 18 1958
ledoarid
Relations
Department of Relations
pace 13
30
Attorneys at Law
501 Financial Center Eldg
31
Gaitland Califormis
32
oo o- Claims Department
JC JC
STATE OF CALIFORNIA
3 CITY & COUNTY OF SAN FRANCISCO
SS
Bh
5
6 R. A. YOUNG being first duly sworn deposes and says
7 That he is an officer towit Assistant General Manager of State
Compensation
8 Petition for
Insurance Fund Reconsideration
that he has read the foregoing
and knows the contents
thereof 1010 that the same is true of his own knowledge except the matters
11 which are therein stated on information
or belief and as to thos
12 matters be believes it to be true
15
14
Raying 15 Raying
16
17
Subscribed and sworn to before me 18 this 18th day of March 1958
RayinRayging
19
:
20
Fi Reet,
Notary Public
in and for the
21 City and County of San Francisco
State of California
22 My Commission Fantire Dos DT 2039
23
RECEIVED
24
MAR 13 13 1958
25
Deparnet of ledustrial Relatives
26
ACCIDENTS
27
28 29
30
31
we vr, 32
wT. TN
ote
tale
Le t