Document b5jKyykRyqKrdpabmRaXBpZEg

FILE NAME: Insulators W orkers' Com p Claims (IWC) DATE: 1956 DOC#: IWC025 DOCUMENT DESCRIPTION: Claim ant - Hartwig, Henry Contains all documents found in the claimant's file, with 1 blank page between each separate document.  I BALTIMORE NEW YORK CLARKSBURG TULSA ' . ST$ LOUIS CHICAGO LOS ANGELES ATLAIUA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI t A ij e x a n id b s r & A L E X A N E ])IE M INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE IB, MD. January 22, 1958 z 7ix. -fy * TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEX8LUE" Mr. W illiam 1 . Hughes, Manager Insurance Department A rm strong Cork Company L ancaster, Pennsylvania Dear S irs T ra v e le rs P o lic y No. RUB 3386209 P le a s e n o te d i s p o s it io n made o f th e fo llo w in g claim s Date of A ccidents C laim ants L o c a tio n s Claim No. s D ispositions Eeb ru a ry 19 , 195bHenry H artw ig__ Milwaukee, W isconsin B -8l65lla Closed w ithout payment Remarks y In d ic a te W hethers Workmen's Compensation____x A utom obile L i a b i l i t y B.1 . __ P J> ._ G eneral L i a b i l i t y B . I _____ P .D . Very tr u ly y o u rs, ALEXANDER & ALEXANDER, INC. COM M ISSIONERS R. 6 . K N U T SO N , CHAIRMAN X. W . ENRIGHT JOHN H. ROUSE H EL EN E. G IL L , SECRETARY fe j i t a i t td W ista m x x ti INDUSTRIAL COMMISSION STATE O FFIC E BUILDING 1 W EST W ILSON ST., MADISON 2 FU N C T IO N S A p p r e n t ic e sh ip E m plo ym ent S e r v ic e F a ir E m plo ym en t Pr a c t ic es In d u st r ia l S a fe t y an d B u ild in o s S ta tistic s U n em plo ym en t C o m pen satio n W ao e C o llectio n W oman and C h ild La bo r W o r k m en 's C o m pen satio n M llw,, W1, j$*|S W S* *" s t . Paul, Minnesota (C ert.) January 7 , 1958 E2227-237 Toebaaa lionliVfciWfiSissctcoonni Kslrnaae0 * Jaofa*n* S 5 r 5 i^ S n L la - fS ^ S g } l " M &S5S ? W <gS> rk Co. Chicago, n iin H S ~(grSfied) T ra v elera^ Inauranee Company 735 H. Viator S t . , Milwaukee, Wia, SvSao3r S t. Paul, Minnesota C e n tra l S urety Coap&ny 22J E , Wisconsin Ave/ Milwaukee, Wisconsin 2S n2ar< Acident Insurance Co. 759 R. Broadway, Milwaukee, Wisconsin S ta te C apitol, Madison, Wisconsin ieri1lTheeraftr*e JBSldfvgi.a n t,f Att^ys, e, Wisconsin a a l ^ 'B ^ S ' S k0gstad * P o w ell> * t v s , Milwaukee, Wisconsin BEFORE IBS INIXJSTRIAL COMMISSION OF WISCONSIN Henry Hartw ig A pplicant, vs. Sprinkmaoe Son* C orporation Employers M utual l i a b i l i t y Insurance Company U n iv ersal Hoofing A In su la tio n Company E nployars M utual L ia b ility In surance Company C ulberg A sbestos A Cork Company Standard A ccident Insurance Company Armstrong Cork Company T rav elers Insurance Company ' ' A sbestos P roducts, Inc* Anchor C asualty Company A. H. B ennett Company C e n tra l Surety Company Respondents & Insurance C arriers* ---- 0O0-- H earing was h e ld a t Milwaukee, V isconsin , on August 13, 1957 . APPEARANCES A pplicant In person and by Padway, Goldberg A P re v ia n t, A ttorneys, by Hugh H afer & A lb ert J . G oldberg, A ttorneys| respondents and insurance c a r r ie r s as follow s t Sprinkmam Sans C arp, and Employers M itual L iab. Ins* . Co* by J . A. Bloom quist, A ttorney) U n iv ersal Hoofing & In su la tio n Co. and Employers H xtual lia b . In s . Co. by V. F . F ountain, A ttorney) Culberg A sbestos A Cork Co. and S tandard' A ccident In s . Co. by E lecska A F risc h , A tto rn ey s, by John B. F risc h ) Armstrong Cork Co. and T rav elers In s . Co. by J . S . Coleman, A ttorney) Asbestos P ro d u cts, In c. and Anchor C asually Co. by Q uarles, Spence A Q xarles, A ttorneys, by S . V. Pow ell) A. H. B ennett Co. and C e n tra l Surety Co. by Toeba&s, H a rt, * Kraege A Jackman, A tto rn ey s, by V. L. Jackman. Follow ing th e b e arin g , a compromise and req u e st fo r award under d a te of November 1 9 , 1957, was f ile d w ith th e In d u s tria l Commission on December 3 , 1957. T his compromise i s signed by th e a p p lic a n t and by b is a tto rn e y , Hugh H afarj "by Sprinkmann Sons C orporation and Employers M rtual L ia b ility Insurance Company by J . A. Bloom quiat, A ttorney} and by Culberg A sbestos & Cork Company and Standard A ccident In su ran ce Company by John B* Frisch Attorney* Based upon th e reco rd herein th e examiner makes th e follow ing Z IfiJ2 IfiJS .S J22 2 A & 2 That a t v ario u s tim es th e a p p lic a n t worked f a r each of th e above employers} th a t he s u ffe rs from th e d ise a se o f a sb esto sis} th a t th e re i s a v a lid issu e en th e q u estio n of th e e ff e c t of p o ssib le exposure w hile working f a r each of th e above employer* w ith re la tio n s h ip to th e o nset o r development of the disease) th a t th ere is also a question under th e S tatu te of lim ita tio n s w ith re s p e c t to some of th e employers h e re in ) th a t however th e S ta tu te of lim ita tio n s does n o t r e s t r i c t th e claim w ith reg a rd to Sprinkmann Sena C orporation and Culberg A sbestos & Cork Company) th a t under th e com prom ise th e a p p lic a n t has agreed to accep t and th e Employers M utual L ia b ility Insurance Company f o r Sprinkmann Sons C orporation and Standard A ccident Insurance Company f o r Culberg A sbestos & Cork Company to make payment upon th e b a sis of l i a b i l i t y represented by 70 p e r cen t of permanent to ta l d is a b ility in a d d itio n to tem porary t o ta l d is a b ility from March 21 1956 to October 12 1956 w ith such l i a b i l i t y d iv id ed between th e Employers Mutual L ia b ility Insurance Company on a b a s is of 87 l / 2 p e r cen t and Standard A 4 A ccident Insurance Company cn a b a sis of 12 l / 2 p e r cent* The!.examiner fin d s th a t th e claim i s p ro p erly su b je c t to compromise and th a t th e compromise above sta te d i s hereby approved) th a t th e tem porary d is a b ility between March 21 1956 end October 12, 1956, covered 29 weeks and 1 day w ith re s u ltin g l ia b i li t y fo r tem porary to ta l d is a b ility in th e sum o f $1,327.08) th a t th e a p p lic a n t Henry Hart-wig was barn January 8, 1890 and th a t a t tim e of in ju ry he was 66 y ears of age, th e d a te of in ju ry being th e l a s t day o f work on or about March 20, 1956) th a t f o r 70 p e r cen t of permanent t o t a l d is a b ility be becomes e n title d to compensation in th e sum of $15,540.00) -3 - That th e l i a b i l i t y o f th e Employers H itu al L ia b ility Insurance Company i s a s follow s* Tor tem porary t o t a l d is a b ility th e sum o f $1,161.20 and f o r accrued permanent p a r t i a l d is a b ility th e sum o f $2,072*00 or t o ta l accrued l i a b i l i t y of $3*233.20) th a t th e Employers Mutual L ia b ility Insurance Company h as p aid compensation in th e sum o f $1,350*00 lead in g an accrued balance payable in th e sum of $1,833*20 from which th e re s h a ll be deducted a u th o rised a tto rn e y fe e of $282*48 w ith an accrued balance payable to th e a p p lic a n t in th e sum of $1 , 600.72) th a t th e re rem ains an unaccrued balance o f $11,525*50 payable by th e Employers M utual L ia b ility Insurance Company a t a monthly r a te of $140.29 beginning February 3* 1958, and from such monthly payment, th e re h u ll be deducted th e sum of $21*04 payable d ire c tly to A ttorneys S a fe r and Goldberg w ith th e monthly b alance payable d ir e c tly to th e employe In th e sum o f $119*25) That th e l i a b i l i t y of th e Standard A ccident Insurance Company i s as follow s i Accrued tem porary t o ta l di s abi l i ty in th e sum of $165.88 and accrued permanent p a r tia l d is a b ility in th e sum of $296*00 or a t o ta l of $461.88 from which th e re s h a ll be p aid a tto rn e y fe e in th e sum of $69*28 w ith an accrued balance payable d ir e c tly to th e a p p lic a n t in th e sum of $392.60 The unaccrued balance of $1,646*50 s h a ll be p aid by Standard Occi d en t Insurance Company a t a monthly r a te of $20.04 beginning February 3* 1958, 4 from such payment, th e re s h a ll be deducted au thorised a tto rn e y fe e of $3*09L w ith a monthly balance payable to th e a p p lic a n t in th e sub of $17.03* The above d is trib u tio n s e ts f o r th th e l i a b i l i t y under th e compro m ise pursuant to which Sprinkmann Sons C orporation and Employers Mutual L ia b ility Insurance Company, have accepted l i a b i l i t y in th e t o ta l sum of $14,758*70 and th e Culberg A sbestos & Cork Company and Standard Accident Insurance Company in 'Uie t o ta l sum of $2,108.38 The examiner fin d s th a t th e a p p lic a tio n and claim of th e applic a n t aVin be dism issed w ith reg ard to U n iv ersal Roofing A In su la tio n Company and i t s in s u re r, Employers Mutual L ia b ility Insurance Company) Armstrong Cork Company and T rav elers Insurance Company} Asbestos P roducts, In c . and Anchor C asualty Company} and A. H. B ennett Company and C en tral Surety Company, NOW, THEREFORE, based upon th e compromise dated November 19, 1957 f ile d v ith th e In d u s tria l Commission December 3 , 1957, and a lso upon th e above fin d in g s and th e reco rd h e re in , th e examiner makes th e follow ing OR 1 U That w ith in te n days of th is d a te Sprinkmann Sans C orporation and Enployers M utual l i a b i l i t y Insurance Company s h a ll pay d ir e c tly to A ttorneys H afer and Goldberg th e sum o f Two Hundred Eighty-Two and T arty -E ig h t OneHundredths D ollars ($282,48) end s h a ll pay d ire c tly to th e a p p lic a n t, Henry Eartw ig, th e sum of One Thousand Six Hundred and Seventy-Two One-Hundredths D o llars ($1,600.72) and beginning February 3 , 1958, s h a ll make monthly pay- menta in th e sum o f Qua Hundred F o rty and Twenty-Nine One-Hundredths D o llars $140.29) u n t il th e fu rth e r sum of Eleven Thousand Five Hundred Twenty-Five and F ifty One-Hundredths D o llars ($11,525.50) s h a ll have been p aid and from such monthly payment of One Hundred F o rty and Twenty-Nine One-Hundredths D o llars ($140,29) th e re be p aid th e sum of Twenty-Che and Four Qae- Hundredths D o llars ($21,04) d ir e c tly to A ttorneys H afer and Goldberg. I t i s f u r th e r ordered th a t Culberg Asbestos & Cork Company and Standard A ccident Insurance Company s h a ll w ithin ten days of th is d a ta pay to A ttorneys H afer and Goldberg th e sum o f Sixty-N ine and Twenty-Eight One- Hundredths D o llars ($69.28) and s h a ll pay d ir e c tly to th e a p p lic a n t, Henry H artv ig , th e sum o f Three Hundred Ninety-Two and S ix ty One-Hundredths D o llars ($392,60) w ith fu rth e r payment beginning February 3 , 1958, a t a monthly r a te of Twenty and Four One-Hundredths D o llars ($20.04) u n til th e fu rth e r sum o f '-die Thousand Six Hundred F o rty -S ix and F if ty Che-Hundredtha D ollars ($1,646.50) s h a ll have been p aid and i t i s fu rth e r ordered th a t a tto rn ey fe e in th e sum of Three and One Che-Hundredths D o llars ($30l) s h a ll be p aid d ire c tly to A ttorneys H afer and Goldberg from each monthly payment of Twenty and Four Che-Hundredths D o llars ($20.04) -y- The a p p lic a tio n s f ile d August 16 , 1956, March 1 , 1957, and March 8, 1957, s h a ll be dism issed v ith reg ard to th e a g a in st U n iversal Hoofing & In su la tio n Company and i t s in s u re r, Employers Mutual L ia b ility Insurance Company; Armstrong Cork Company and T rav elers Insurance Coupany; A sbestos P ro d u c ts, In c . and Anchor C asualty Company and A. H. B ennett Company and C e n tra l S urety Company. Given under my hand a t th e C ity of Madison, W isconsin, th is . day of January, A, B, 1 9 5 8. 0 . W. O tto Examiner. O ctober 31, I 937 Mr* Chri sto p h er H off Alexander & A lexander, Ino. 2225 H. C harles S tre e t B a ltin o re 18, Kd. > Dear C hrist S ubject) 0ricaen1s Compensation d a l a Ve enclose two ooples o f a n o tic e , postponing th e hearin g o rig in allyscheduled in Milwaukee fo r Hoveaber 15, 1957. Vejy tr u ly yours, ARMSTRONG CORA OOMPANI HZ Thc lo su res It* 0 . S ohiedt, i r . Insurance Department V 16 / L. ^ N O T IC E OF P O S T P O N E M E N T OF H E A R IN G s ~ A~ftm INDUSTRIAL COMMISSION OF WISCONSIN V-oVtrf Tks* - P a d u ty .C r ^ ld ^ . C 4k F r a r lr - n S .A tty s 1 --------------------- 5l t v*niv* *ho*y / P r o ^ . f e f s f7 l0 ^ y '> n * gy< saer * --------------------------------- .........- .......... ftfjf* A .`Site* Applicant va. S^rlflEMMm *a#i* -roof iitft "tir-Jirsd&Elix w r v<5; ftfggftoiSEni obe&to* A Corte Co.^rnatron^:tiers Co. Pboato* Pro*-* 1!, Bonnott Co, *r.-lIU ____________ 's^ptoyirrsi iw fcm i io * fee* *S*urer " r^ v * ic ra f e s . c * . , ^n<5hor Co r .Co . Central, fluroty Co. To the parties above named and to each of them: o sH ia iM ' w "'O* 5*h& v;* * * * * * n*. A*8*?-ftn5rtrt TO KlCft# C u tte r# A aborto A C e ri 9 o - 1<H>3 . r t MChl<3ft9,XllL S w w lr fee* C e*f3$ M id a ir C c tm lty C o ..^ c M s r tf i S u r e ty C o .2 2 3 fsAiW* talAoo* f e e . Co# 759 f*.!5P&&%my*lUliw. V i* . i* jp ! y o ra & M i*?* S3M$&!t h F ?i< rb# A tty #frn iv .K l# Notice is hereby given th at the hearing scheduled a t -------------------- on the----postponed. .day of. ., 195-7--, a t _ _ - i --o'clock in the --9 T ------------ noon is When the case has been reassigned for hearing interested parties will be duly advised of date. Dated at Madison, Wis., this-----? ---- day of------------- 5 ! ^ --------- ......... 195_7_. c s H oor& tary o f nt a t * A ttn : M r*^> bitrta in d u s t r ia l c o m m issio n o f Wis c o n s in . Note: Non. of th* parties should posar at the time for which hearing was originally scheduled. All parties should appear when time and place of hearing la again fixed and notice given. O ctober 22, 1957 Mr* C hristopher H off Alexander & A lexander, In c . 2225 I . C harles S tre e t B altim ore I t , Margrlasd Saar Chrlsi Subject* Vbxkaao** Cospens&tion C la ia Henry H artvig t/k 9-29-56 B 8L65U1 - VIsconsin Va enclose tvo oopia o f th e N otice o f Hearing ieauad in connection v ith th e above captioned claia* Vary tru ly youra, E n clo su re * R, C .S chiedt, Jr* Insurance D epartaent Korin AH* t -iU , ; .* *r ' -A: i* ' NOTICE V*` c <? -V* V--'' * /ti-' vs\ - OF L*--. i: 1.--1 J i>;. .- *> . '"^r:-V ' HEARING ' ' t- ^ ---.-i-'>:;Vr-V<-.v'- '%V*r7^, `;>*d*i* *- /* * i .,,, TNPUSTRIAt COMMISSION O F.^ C 0 N S 1 N ^ .;> . WORKMEN'S C O M P E N S A T O R ^ Saot . S ssaa*tt ,3 p w r,iA`A*";'5"*; ... .~L." ' ...... , , , 1. . , ^ 1, ^ , , , - .....KliVftttfc -- - :.w * . ; v : , C ^ o t ..-- .. S a jo ty aspaar A t a n i m r a >% *;* f V a a s a * ;* jtttiM riM * ' -- ~~ ~"~-- . _ l >.' 4 ^ ^ - *5->; ' - . . '- i | l 8!ivfc*Sf V is* Notice is jfiveiithat^on o'cl'tK* .h , i n f i r m i t F l i o i 7*4 No,; Win he held by Ihe t o d i ^ c ^ ^ t f o n . ^ tion on file. X " i S W * 'f I :!\ ; ' . :-f ./> 'O i^r wis.. th i* __i f t i i . <Jay of ----- --- V T E m a "" 'T-, -.. . '' Ci -n -- ........,*> ------------------------- O ctober 9 , 1957 y; c 16 NOTICE OF POSTPONEM ENT OF HEARING INDUSTRIAL COMMISSION E. S227- m ? "* 3'*U` i t t i Acteatoa Prod. Inc* 71.0 g|ytt^ndv 'Applicant ^ O i4so^ oa-3^ a4^ r?^ 13^ fo^ 8l---- /jretroog Cork Co# Fe& S p rin b a a n a d o n s C o r?* 4 1 4 8* **t Enlvars&l ftoofin la n d Xns*,.C o**t 54Q2 U S t a t e * , -- A# 8 . Seaostt 03. 113--115 8* 1 ItorsapoXia, 8&aa* C u lb o rs A b e n to s a d Qj&& C o . . 1402 Xw 5 Bflilst&d ^ ti| vhiCfej^Of* Trov. Inn* C * 735 8 feater ,1111 ?f a iC2ors3e.8PArlotroajS /jachor CA & 27CA, Uaiy. A*e. Cork CSo*, AfiSfciessat* PFrreodd* lrxx* 8 S o a n o tfc <*> . cCeennttrral Surety <&fc** 223 E* &is*J. S ta n d a rd Ace* In s* C o .759 8 * $ 1 s ro a d w a y , k W-- e , t ; l 3 . standard ACC* 1 * n g e slo jo r H o* In c # B o . * r* iv elers X a n t c o . , Anchor Coo. &* C e n tra l S u rety To the p.arties above named and to each of them: W lkks. S u r s o it , S k ogsted end 8 2 0 7 m edw ay, M l .r ^ e ,tls * W* a c t o n , Atty 111 5* HsniXt ^ lo y e r a JftitaalfVcs*fttt & gii *"' Klecska end F r i s c h ,A t t y . JUiw* Notice ishereby given that the hearing scheduled at -- JSU&AilR-XL,-tJL2CfUSlii------- S on the.^l___ day of-- OG?OB|ti__ ,195.7 .., atd1 3 _.o'clock in the. ------- noon is postponed- . _ ,, ,, . ... . , When the case has been reassigned for hearing interested parties will be duly advised of date. Dated at Madison, Wis., this-- jB*_-- day of....... ............ 195.7... a ` . 'INDUSTRIAL COMMISSION OF WISCONSIN CC-r>ecrotsry of *tt Att-. t &? aoborta N ote: Non. of tho p.rtl hould appear at tho tlraa for which hearing wi originally scheduled. All partioo should appear whan tlms and plaea of hearing la again died and notlee given. September 18, 1957 Mr. C hristopher H off Alexander & A lexander, In c . 3935 H. C harles S tre e t B altim ore 18, Maryland Bear C hrist Subj s e tt O ccupational D isease Claim /B eaty H artv if ' / 5/29/56 - W isconsin 8-8165141 Vs enclose a copy o f a H otice o f Hearing issu ed by th e In d u s tria l Commission o f Wisconsin* Yery tr u ly yours, E n clo su re MSB R* C. S ch ied t, Jr* In su ran ce Department ta' "IXrm A* flliiii# N :\?p ,*} us'* -.';, it i i-ii&aws, ^1' r r; -3^*, i**l**' ` 0 flS E ;0 F; HEARINGrt .: x -,- v .,'V/ S i Vs, ^ K^f l ^ K < V4-y$;'*'p*^r -<. ' ^ r f r,^ > --. ' iB S W J ii m n T T S T R T A T : o o m m is s t o n o f w t s o o n s in ; ^W ORKMEN'S COMPENSATI 6 iXF r j v j a n -njA'tfH rralttw d iv isi n - ,. <*-> . * `' %* H i l ^ s ^ W j W lKr & stx7 S a rte # t* ; ......." " * " ** "' ' ' ' *; am w h a w * n i* w 8iflk*C| ** r ' .-;/?; . - - *v: -_--. gprylltiagya* C arp * * J W_ r n ^ C : ^ ' ttfw fln f A B s* lfttiG a e f C oX baff A iJu M ^ ^ l-C ^ JS e ^ -im a tra ^ .C iS G P iL COa* A&to&fftttl fSPO ft,X W l#f\A #t0# ' "'' M M ' o e e * t i s s m e B i N a S M 8sa^s^^T^.a?*?.*' M ataal 14*f Q f &6M ito i9 & * C ttr ' ^>**i '* * "- Mr f S ^ W is a r ;* " ...... If wiJ Lwa a W | * - .- ` i*-" ` U <r. ' feW A & K lffc.W u,l &.*`+V--,'*? ^ . V"*.*"J^*/.*' -A -` *^ ' . ref 4 H ilW & XA ..... &WM* Vise .. , .._ VATTraf ^ ^ t ^ r ^ r r r* ** <vt* .Vy J,5rifcf.re.'^U.A> m r ig j <kfiniU KrraniB)oot .i^p">if' ttAr itMiiftiMiV. '-x~.m lCv ContimiiJK wi|( nct D s n u it^ imcrrijr zor^u* eQDvenwnoa of jwrty, aor. mcsom par:t.ie->~*j n-** \t so agred Mtwoen' -th-o>m.,,a.e4iAv.e.-cZ. '-?U<nile.titVth a omnrisaioa`1 eonaent to oontiimimt ee -is atiebrtd, , fc-esri*n-f.V''*0J1$-b?-e>liad as',s>adVwVbe-n4 's:c.-h..eXd-uled. _ t'r ."'A ` certain fhaf 3ron^caa. fulljr' proceed aotlfp as. iraraedlstely; otherwise hemHnf' *.?/ -r-f .iX X ,. _t* .^'vi r.-*rr-^>.-*?i-. ^ ; ' .-'T~ f ' J NOTICE OE HMBINO ;-y\- - :` .. " .--V :- y - W V .', - - ~'- y^ r---- - /* r-Pfr;i&X&M&v ji- - ............................. ' ' I N D U S T R I A L COM M IS ' *-` -*` ': - : --VA . . --- =. _ j-~ i "-`y ; - .-', .---S1-i .-- - = p, -, .. .-- - ' \ . W O R K M E N 'S COM PE s^leafeaa Sae* crpo. * * * A IfefU fctm S ? * p >5* taolr 0# I s a . IkspXcsr^-^ '* * * * 1 U | B * * .C 0, i t f a w t o i 2fe o * , h ^ r C ^ o C * .i .c im t ij,:? u . W T t l i 9i S.? */ Gm ps&y ' * ` jV ; i ^ ^ : ) w ^ ^ r W t i ^ f ^ .r 5 dy*> r.turn t0 ?IAL COMMISSION, ( OHie* Building, ON 2, WISCONSIN A rm s tro n g C ork Company L a n c a ste r, P ennsylvania / Mr. C hristopher H off Alexander & A lexander, 2nd. 2225 H. C harles S tre e t B a ltla o re IS , Md. Bear Christ 8ubjeots O ccupational D isease d a le Haary H artvig He are enclosing a copy o f a H otioo o f H earing issu ed by th e In d u s tria l Commission o f W isconsin Ju ly IS , 1957* A pparently a simi l a r n o tic e va* se n t to T rav elers Milwaukee o f f ic e . Tery tru ly yours, JSZ Enclosure B. C. S chiedt, Jr* Znsuranoe Department a . NOTICE OEfHE jfc* /? > '..;r & g& 4& gu rf,* ^ ^ 5 " *"***** ' *:o INDUSTRIAL". COMMISSIONSOiagKISC O N S IS ro E >^--7/Ji-V WORKMEN'S COMPENSATJ 0>.i . . ` sraarS^^Lt ?'->T.*irS&.tv7i>..^r*tMafiBSEPS^V**^t - -f> '' -To the parties nam *; - J.,--^V`:* 'N* oTfij*'c-eu'air*sv*g*9imvV'e'&>n, . ....... . _4. : ~*\ *>i -/:a $****? mxa* " o flock in the --noon '*t`:\i jf-i'-.>: ^f.V? {'?: . Dated at Madiaon, Wls,, this" 5^ .2,-1; dayJjT^ VV>!v. -J*^V&*3t..#v :* ' V- ,v, ;-. :. s * ^ e $ r s * * ^ o f '" V' *'V>A ' *r*- & m * v m . , ..... NOTE lmndi*iely upon, receipt of thU notie* neiMuuinQ*Ui mad1e for their attendance, I f arrangement* jeannot be madtelMW _,- ,, .... - -- - - '-ysEgm % JV **** 5 diy, return to TRIAL COMMISSION, at* Offict Building, SON 2, WISCONSIN J r ChRTlFiED \ ^ R . S 0 t1 .A Z A rm s tro n g C ork Co. Lancaster, Pennsylvania / v ' , CLAIM DEPARTMENT STEPHEN C HARHOLDT, Claim M a n a g .r Armstrong Cork Co. Lancaster, Penna. WW7 &rtr.ve0& .tod&MnficvnfaMi' March 15, 1957 BRANCH OFFICE Firat Wisconsin National Bank Building 7 3 5 North W ater Street at East Mason Street MILWAUKEE 2, WISCONSIN Tlphont BROADW AY 6-0820 Re: B-8I 6514I Armstrong Cork Co. Henry Hartwig 2/22/52- . G entlem en: You have un d o u b ted ly re c e iv e d y o u r copy o f th e A p p lic a tio n f o r Ad justm ent o f Claim f i l e d by th e above-captioned employee w ith th e W isconsin I n d u s tr ia l Commission. P ro p e r answ er t o t h i s A p p lic a tio n h a s been f i l e d by u s a s y o u r Work m en's Compensation in s u r e r . . Yours very tr u ly , JEC: grm cc: Alexander & Alexander In c. 2225 N. C h a rle s S t . B altim o re 1 8 , Md. HOME OFFICE: 700 MAIN STREET, HARTFORD IS, C O N N E C T I C U T March 1 1 , I 957 Mr. m e s E. Taaaoa Alexander & A lexander, In c . 2225 H orth C harles S tre e t B altim ore 1$, Md. Beer Jia* / Subj e c tt /Henry H artvig / A sbestos! b --Vlgconsin ' ^ 5/29/56 Be enclose A p p licatio n fo r Adjustment o f Claim f ile d by Henry H artvig. Xou r e c a ll ve had some p rev io u s correspondence ju s t re c e n tly on th is In d iv id u a l. As th e enclosed envelope in d ic a te s , th e a p p lic a tio n vas a le s e n t to L ancaster, W isconsin, so th a t th e tea~day p erio d re fe rre d to i s already h a lf gone. We t r u s t T rav elers v i l l do th e n ecessary . Yery tr u ly yours, JSS E n clo su res R. C. S chiedt, jr* . In su ran ce Department - 'Gentlemen; ' INDUSTRIAL COMMISSION OF WISCONSIN S ta te O ffice B u ild in g , Madison 2 " .- March 6, I 957 We are enclosing herein oopr of an application for adjustm ent of claim which has been hied in this office. Under the rule o f practice o f the commission you will be given ten days within which to admit service and make your answer to the application. One copy should be mailed to us; one copy to the ' applicant, and one should be retained for j*>ur record. Unless you deny liability you should proceed , to pay compensation im m ediately, in accordance w ith the provisions of the law, and not require the v applicant, as well s a y ourself, to incur the expense, incidental to a hearing before the commission. In - the meantime all compensation which ia coneededly doe and; which has accrued should be paid and 1 the commission notified. Paym ents dearly due should not be withheld because application has been The respondent ; i ; ^ ' ^ 1 denied . v;r admitted 1 th at fe e parta were subject to the workmen's compensation act a t fee, time 8. It is { denied > ,o f the alleged in ju ry .* ? " i J?~:' 3 -s y i TM - : A ,.. 4. It is j denied in g oat o f and incidental to his e n q p to y m e irt.^ ^ ^ ^ ~ -*1 ^ * ......, ...... A.. accident or disease caodng Injury aroee out o f the alleged employment. i*' PSS4'1si'i^jyk <y weekly wage admitted .5 V" t* V I ?/; 9 3 * * * '' r '> r i ' & - r ' r->. - v'" ^ * a d iitS d f t h a t th ealleged em p oyer was insured under fe e workmen's compensation ad, J 10. It la -J- denied ' a t the tim e of alleged injury; ^ry ? 11 State Exactly what m atter are In dispute between you and the applicant, and your reason for deny ' l, ing liability aa 'i*** (I f any tatamente are found to be incorrect an amended answer may be - -V 1>Lr.-J -v . ? ` t t s T- .. i 9 cftkM Kdf? (U s other side if necessary) ) I> OUSTRIAL COMMISSION--WORKMEN'S COMPENSA110 N APPLICATION FOR ADJUSTMENT OF CLAIM : -.- _:-V ..-U- '.C- -v.../* / v - ^ i-.` , . i t j .V r i -j t - , . . j . . , . i . . . . - i. - _ ' . Arv*'-;7 **-^ */ * --Aa.-jg'A^/v-L- 'iy? 9*li. p LL I 5. 0: Iasi day of work injured waa earning1$_J .P J , fW ---- per day ____ ___ 1___ per week . ..j l D feabffil^;^ - i ^ V ^ J j n i y ' e^Jbigiftk .... ____ ,,_______ _ W V l nrwiiMMrin1in lfinMra I l l T T t f - _ ^ ^ .-r. jk I 17. Expense in cu rred fo r doctor $ 26,00 _For h o s p ita l and m edicines $ 30.00 1 Dinjured has been confined in a hospital or sanatorium five name and period: - a.7 ' ? >2!v5>; " - -- -2: ' ' ` ' ,y .. ' ./ r $ 20/ Name .'of -, ' }. deceased "`V; -> itSS"" ' ` '* - - - - * - - - ------- ~ (Answer 20 *nd 21 only if death claim) ' --- Relation of deceased to Vv * : vi ` C- ' . -04.. Other material factsy y /^ e% '?^ 'rt'v Wherefore the applicant prays that the respondents be required to answer the charges herein and ' tliat an order or award be made by the Industrial Commission granting such relief as the applicant may /; ; ; be entitled to in the premises. T *" - - ' - - ''*" '* -ry ' : - y H ' ^ Vv " '" ' miwfrMhitu ,* tttn -- ,. _ D ated a t ^ ^ , ^ - - _ ^ _ _ . _ ^ . ^ _ _ TM . t h i s r ___L ;'.-.._-day "tryv y v .y " ,'i- 'r>>' *': ' V ' `N- - ' y .' sf ' 19_'_ :i__' -' =v ^ . - t s;,;. Iseay Bated* y y :.. * (A pplicant iuu?t signs here),.,.?/.. ;'V. Note: Either party to the dispute may apply to the commission for an adjustment of any matter : y y t n ^ d i s p u t i k - , A '-`"i " *--"i'`* 7 - t - The original-application and. two. copies fear the respondent must be mailed to the Industrial b c a 0 ^ i g ,; ' ' mission. Madison, Wiscoiiiun. y y y ' '* .' 't:-' - ' , / . '; . *' -''r' j i . March 1 , 1957 Mr. Q. H. ttn lu y Alexander & Alexander} Zne. 2225 North C harles S tr e e t Baltimore 18* Md. Bear Mr. Finlay* In rep ly to your l e t t e r o f February 26 regarding Henry Hartwig, F i r s t S p o r t has been file d by stro n g as stated in our 22. H artvig did n o t re p o rt any in ju ry to us and h is attorney* s l e t t e r was th e f i r s t knowledge we had o f th e in c id e n t. Very tru ly yours, AEMSTBOBG COBS COMPAS! i , C. S ohiedt, J r . Insurance Departaant J2Z BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO In c o r p o r a t ed INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE IB, MD. February 26th, 1957 TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEXBLUE" Mr. R .C .S ch ied t, J r . Insurance Department A rm strong Cork Company L ancaster, Pennsylvania ltXB27 gst i'L H Dear M r.Schiedt: We acknowledge r e c e i p t o f y o u r l e t t e r o f F e b ru a ry 22nd a d d re sse d t o o u r Mr. Fannon in c o n n e c tio n w ith claim o f Henry H artw ig, employee. The a t t o r n e y 's l e t t e r o f February 19th has been f i l e d w ith th e T rav elers In su ran ce Companyfor n ecessary handling. In th e meantime, w ill you p lease l e t u s know i f an E m p lo y er's F i r s t R eport h a s b een f i l e d and i f so , th e d a te o f th e r e p o r t so t h a t we may i d e n t i f y same on o u r records here. S in c e re ly ALEXANDER & ALEXANDER, INC. R February 22, 1957 H r. oa L Fannon Alexander & Alexander, Inc, 2225 F orth Charles S tr e e t B altim ore 18, MdU Dear Jin Ve aaaloM th e o r ig in a l and m e oopy o f a l a t t e r from th e la v o ffle e a o f Padway, Goldberg aud P re v ia a t regarding th e employment record o f Hanzy H artvig. Ve also enclose a copy o f th e l e t t e r acknowledging re c e ip t o f th is letter In a ll probability, the occupational disease they re fe r to i s aabestosls which eonld r e s u l t i n a siz e a b le award. The vagueness o f t h e i r l e t t e r n ig h t in d ic a te they are on a fish in g expedition. Therefore, since our knowledge o f th e ViconadLn la v i s e x tra s s ly U n ite d , we thought I t b e s t to tom the requested information over to you fo r forwarding to Travelera Milwaukee claim s o ffic e end l e t t i n g th a t o f f ic e do th e n ecessary. At th e p resen t w ritin g , no d a l * has been f i l e d a g ain st Anastro n g , According to our reco rd s, Henry H artvig was employed by Armstrong fo r a p erio d o f ten weeks fro December 14 1953, to February 19, 1954 During t h is period, he was paid a t o ta l o f 11,156*32 Tory tru ly yours, . JEZ Enclosures 8 C* 8 c h le d t, J r . Insurance Department T JOI * 40WAV !#* IN** I C OOlORCRR A L f R C O 0. 901.09**9 O A V iO M C V IA N f lA V k COORCN A L R C R T V. O O L O O C * JO S C R M J . SM U TK IM . OA V IO l.U C V M C N H U O H N A fC M 12 C Y v . : * : ' caw ornccs or ' . Pa d way, G o l d b e r g & P r cv ia n t 11 WARNCff THCATC OILOIHO ' MILWAUKCC 3, WISCONSIN i . M O N K M OAOVM T l* 4 C M - ' - ^-0 ' ^ . F ebruary 19, 1957 o c m c r a l e o v N t t t tom W IM O N K lN STAY FED ER A TIO N O* LABOR AMO A fn w iA fC O W N lO N t N a tM U A U FED ERA TED TRA O C1 C O U N C IL M IL W A U K E E O U IL O 'M O f RA O CO C O U N C IL I K O N I I N TCAMDTCRO JO IN T CO U N CIL A * 0 CAARCM TCRO D IST R IC T C O U N CIL . _f *O-,C.<NSUr*,W**A-U H-*K K "CHOTU-NTY+J4SV*$ICIN ITY " in t e r n a t io n a l u n io n A U IC O INOW RYW IAL W OM a C N O O t A M C R IC A '< v ; h - - - - We r e p r e s e n t Mr.' H en ry H a rtw ig , '* form er e m p lo y ee , ^ o f i y o u r c o m p a n y r Mr;- H a rtw ig h s f i l e d a c la im w i t h t h e W isconsin I n d u s t r i a l Com m ission f o r workmen* com pensation '`b e n e f its b ased upon an o c c u p a tio n a l d is e a s e s u s ta in e d in th e co u rse o f h is em ploym ent. Since, th e W isconsin S ta tu te s * re q u ire th a t a com plete employment h is to r y f o r th e p a s t s ix y e a r s b e p r o v id e d i n c a s e s o f o c c u p a t i o n a l d i s e a s e , we a s k ; "ycu t c check your employment re c o rd s and forw ard to u s ; s ta te m e n t o f th e p e rio d o f tim e Mr. H artw ig was em ployed \ b y y o u ."* ,V,A?wmua Kvp't+jsifz 'V' tc irh ~ L We h a v e c o m p ile d a t e n t a t i v e em ploym ent s c h e d u le based upon p a y r o ll d e d u c tio n s l i p s w hich Mr. H artw ig had r e t a in e d . The re a s o n f o r w r itin g t h i s l e t t e r i s t o o b ta in : a c o n f ir m a tio n , o f t h e s c h e d u le w h ic h y e h a v e p r e p a r e d / - p p .. " As we iin d e r s t a n d t h e law o f w orkm en' s c o m p e n ia - .. t io n . in th e s t a t e o f^.W isconsin, th e : l a s t re s p o n s ib le em ployer must, pay th e e n t i r e amount o f ; th e claim .in c a s e s o f o c c u - ; 'p a tio n a l d is e a s e . The in s u r e r o f th e l a s t re s p o n s ib le ' em ployer in Mr. H artw ig*s case h as r a is e d a q u e s tio n as to th e c o rre c tn e ss o f our p o s itio n in th is re g a rd , and i t has th e re fo re become n e c e ssa ry f o r us to p re s e n t a d e ta ile d v em ploym ent'p ic tu re : _ .. . , . _ ' * - - . v v; T o u r p ro m p t a t t e n t i o n t o t h i s m a t t e r w i l l b e. / g rea tly appreciated. , . .- ^ . ' Very tru ly * y o u rs , . PADWAY, GOlDBERG St PREVIANT HH:dam Byy_.2 ^ * *z.-* * y HUGH HAFER A * ' i * r t February 22, 1957 Padway, Qoldberg & P r e r ia a t 511 Varner T heatre B uilding Milwaukee 3 Wisconsin Qentleoeai A ttention* Mr. Hugh Hafer to u r l a t t e r o f February 19 regarding Mr. Henry H artidg has beea re fe rre d to T ravelers Insurance Company, our insuranoe c a r r ie r . - Very tr u ly yours, ARKSTB3HQ COBS COMPANY IU C. Schiedt, Jr Insuranoe Bepartaant JE2 Mr. Janes E. Fannon Alexander & Alexander, In c. 2225 North C harles S tr e e t Baltimore 18, Md.