Document g2vBBzYL7bjKrJE7xXNKyVNkL

FILE NAME: Metalclad (METC) DATE: 1965 DOC#: METC011 DOCUMENT DESCRIPTION: WC Claim - Hunt [From J-M Archives] File Name Contract Unit Claim File: Melvin Hunt Feb.11/65 Scanned ? yes Source JMA: NS-JM Start Year 1965 Stop Year 1965 Contents claim Notes WORKERS' COMPENSATIONAPPEALS BOARD - CALIFORNIA (INDUSTRIAL ACCIDENT COMMISSION, prior to 1966) APPLICANT MELVIN H UNT__________ Asbestos Insulator DATE CLAIM FILED Feb. 11, 1965 ' I N J U R Y ALLEGED Injury to respiratory system ALLEGED DATE OF INJURY 1940-Jan. 29 , 1965 CASE $ LB 29228 EMPLOYER/INSURER Western Asbestos Co. et. al. including J-M S.ales/Travelers OTHER NOTES ... . ^ No apparent Canadian insurer Pulmonary emphysema & fibrosis due to asbestos DATE OF RESOLUTION Aug. 25, 1966_________________ . RESOLUTION _________Compromise & Release__________ $15,135.08 settlement apportioned among 12 carriers * ^ DOCUMENTS COPIED __ 1) Order Approving C & R 2 ) Minutes of Hearing (showing defendants) # 0F 7 CLAIMANT California Workers1 Compensation Appeals Board CARRIERS INVOLVED: The AETNA Casualty & Surety Co. oAmerican Automobile Ins. Co. oAmerican Employers Ins. Co. American Motorists Ins. Co. Argonaut Ins. Co. Associated Indemnity Corp. a^ffornia Casualty Indemnity Exchange oCali.fornia Compensation & Fire Co ' oCasualty Ins. Co. of California * Employers Liability Assurance Corp.Ltd. Bnpioyers Mutual Liability Ins. Co. of Wisconsin oFidelity & Casualty Co. of New York " Fireman's Fund Ins. Co. S S t o o ! k e * Llie corp. Ltd. oGuarantee Insurance Co. oGreat American Ins. Co. Hardware Mutual Casualty Co. (Sentry Industrial Indemnity Co. olndustrial Indemnity Exchange olnsurance Co. of North America Liberty Mutual Ins. Co. Lumberman's Mutual Casualty Co. oMaryland Casualty Co. ' oMichigan Mutual Liability Co. oMission Insurance Co. Ins. Co.) oNational Automobile & Casualty Ins. Co. oNew Amsterdam Casualty Co. oOcean Accident & Guarantee Corp.Ltd. Pacific Employers Ins. Co. oPacific Indemnity Co. Reliance Ins. Co. (Standard Accident Ins. Co.) oRoyal Indemnity 1 osecurity Ins. Co. of Hartford (U.S. State Compensation Insurance Fund oTransport Indemnity Co. The Travelers Ins. Co. oThe United Pacific Ins. Co. oU.S. Fidelity & Guaranty Co. oZenith National Ins. Co. Zurich Ins. Co. o Casualty Ins. Co.) 1 . O O o O ' ~ ------------------------------------------------;-------------------------------------------------------------------------------------------. ---------------- -------------------- -------------- - ---------------- ------------- -- -------------------- ---------------------- 5/81 mmf WORKERS' COMPENSATION APPEALS BOARD melvut l . hoot, STATE OP CALIFORNIA C ase N o. 65 LB 29228 Applicant vs. WESTERN ASBESTOS COMPANY of- ,1 fam)E etMflNSAT'I0IT ^ S T O A N C E ' C E R T I p i c AT I ON _________ 10 Defendant 11 I hereby e r t i * t t ,, the . .e h e d ^ ^ ^ 12 c o rre c t copies o f the o rig in a l documents f il e d in th 13 14 " ^ * -- 1 - m atter. ' 15 TE SI M M m U th e Seal or the Korkere' Compera.t i e r Appeal. Board o i the s ta te or C alirorm ia. 16 17 18 19 20 21 22 23 24 Bated a t San Francisco, 25 C alifo rn ia , th is 5 th day 26 of A p ril, 1981 27 FdoiaamwIcIaS* INW <->! "T , n u , , , "r""""W. ACClMMTt ^ DEPARTMENT OF INDUSTRIAL RELATIONS----------------- . DIVISION O F INDUSTRIAL ACCIDENTS WORKMEN'S COMPENSATION APPEALS BOARD STATE O F CALIFORNIA MELVIN L. HUNT; vs. Applicant filsd E= 1 4 1SS5 ^ CaseNo. 05 L3 27?2S0 -'- ( " ' 'r."siaSl- ccnc CCAJh off IC E V/EST2RN ASBESTOS C0I4PANY, et al Defendants Order Approving Compromise and Release AND ORDER DENYING LIEN CLAIM T " CmS- OTE,R" Q TM 0R! 11 " ORDERS, th.t the li,,, ' f *he S , p 3 r t oe M f ^Ploy*nt, be end it hsreby ls ^ s , " ? % r * * ^ ^ s" * - m - h. 0 through August 29, 1966 ling thiscasefor $15,135.08 " iddid -" VITM 1 P .a prertomlr. d r< ,ed n g H, it ,pp,, ,, di end d * B e d ierin , e d e d d t i* card, mduding id Compronbt ,, j R d ee, ,, w in*d.i,,lldb,.pp,o,,d,.nd, pureoer.t to Notice of Intention -nd GOOD CAUSE APPEARING THEREFOR, IT ISORDERED 1 ,,idC e p t o ^ ',,d SILVERS& PMcWiIi?AMi, 11611 c^aimant--- $ 259.50 AseattoTMe1y s ^ er PenSeS- } g * MEL\t :n L. HUNT, a p p U ^ A t ! I!t T . l,6oi 86 xO 'iftLVXN HUNT SDDlicpn^ 72 Y s S iCr o - RISTS I M O T MNC'co t n Y*''* 1?' 348 Iv p*Au?oPEeNS.ATI0N INSURANCE FUND... ......... 3Y * *S FUND INSURANCE CQMpA'Y ..... . I INsilRANOT COMPANY.'::*.... SX PAC_rI^ iMPLOYEP.S INSURAMPF ffi'/psuv BY a R^ I R.?;;SP?ANCS COMPAQ. " * y.Y ARGONAUT INSURANCE*COMPANY^............... SER^r^Sfm a m ! ........... CK' THE OFFICIAL ADDRESS RECORD DiU: <?-!'*-c.y: (//^/cV $ 2 ,736.36 2,7111.93 871.^3 ^5 1 . 6 3 190.30 1,366.56 3,336.49 553.8 19^2$ ' - 25.00 7^5.50 40.A13 irfeiSiti : ; ^ - 3 rr 1966 '-D at LONG BEACH DIA WCAB Form 05 <r *foNMiRtvForm aaa> CALI?or-:t -, - ` * '" ' T. r',,.rd..TErc 0;; ?D'RD :\us .iIMR 3 UP, < 1 enj 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 CASS NO. 65 LB 29228 i.-jL vj.N L, HUNT, A p p lican t, vs ARRQI AND BAILED COMPANY; ARDlv'ARE m u t u a l c a s u a l t y c o m p a n y b s Se Sc? c o a i S 3 SBmC! M T l w a - FUND, T. THORPS, INC.; " H i ? .EMPLOYERS INSURANCE COMPANY- -- CAI; MOTORISTS INSURANCE COMPANY, 1AMT RUBEER AND ASBESTOS- OENOHN ' ) MINUTES OF FURTHER h r a r ; December 29, 1565 ) ) ) ) ) ) ) ) ilTSD CORK COMPANY; :EERTY MUTUAL INSURANCE COMPANY, corporation, ' HSTRONG CORK COMPANY; iPLOYERS MUTUAL LIABILITY INSURANCE IHPANY OF WISCONSIN, CE i p i C E INSURANCE COMPANY, a successori Lterest to STANDARD ACCIDENT SURANCE CMPANY; E TRAVELERS INSURANCE COMPANY; !TNA CASUALTY AND SURETY COMPAl'IY, ) H NORTHERN INSULATION; KNOWN ) TAL CLAD CORPORATION; ) DUSTRIAL INDEMNITY COMPAl'IY, ) ITED REFRACTORY COMPANY- KNOWN, ' 3H A. ELSDON COMPANY; iuiOWN, :aiS MANVILLE SALES CORPORATION E TRAVELERS INSURANCE COMPANY, ENS CORNING FIBERGLAS; LF-INSURED, MRPE INSULATION COMPANY: \~ V iliS FUND INSURANCE COMPANY, TESTIMONY NAS BEEN TAKEN ON THIS CASE . (10-29-65) (( 1 CORK COMPANY; !|Ai,iNA CASUALTY AND SURETY COMPANY, 2 INSULATION COMPANY, 3 -INDUSTRIAL INDEMNITY COMPANY, . iJ-EALDUIN-EHRET COMPANY; ' ^ iberty mutual insurance company, 5--|FIEERGLAS ENGINEERING COMPANY; (j-AETNA CASUALTY AND SURETY COMPANY, . P. BRAUN AND COMPANY, a corporation; ' 0 "ip'SRICAIi MOTORISTS INSURANCE COMPANY, JfTAE E. J. BARTELLS COMPANY; i'jrKAR3NARE MUTUAL CASUALTY COMPANY, in renaffled SENTRY NATIONAL xu |jINSURANCE COMPANY, 1 1 v-'f'MO'TROE POOD MACHINERY I N C . ; 12 INSURANCE COMPANY, *.!INDUSTRIAL FURNACES INC.; ^ u|PIEEMANS FUND INSURANCE COMPANY, 14 APAECO IliSULATION CORPORATION; 1 UNKNOWN, 15 i| -^INDUSTRIAL SERVICE AND 16 ENGINEERING COMPANY OP CALIFORNIA 1? 4^IBERTY MUTUAL INSURANCE COMPANY, FS ANGELES CORK COMPANY; RICH INSURANCE COMPANY, 19 -ARMSTRONG CONTRACTING AND jiSUFPLY CORPORATION; -iMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OP WISCONSIN- [RELIAIiCE INSURANCE COMPANY, a successo t0 H A N S A R D ACCIDENT INSURANCE COMPANY; .-THE TRAVELERS INSURANCE COMPANY; 'AETNA CASU/iLTY AND SURETY COMPANY, "MARINE ENGINEERING AND SUPPLY ' COMPANY; unknow, 26-- "RODERICK LYNCH, dba !!LYNCH ASBESTOS COMPANY; 27 ii UNKNOWN, 23 Defendan 23 zo ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ' > ( EXHIBIT: 1 O 5 ** 5 6 7 3 9 10 11 12 13 14 15 16 17 13 19 20 21 22 23 24 25 2S 27 23 35 30 to g e th er with x - S t,,,,C; obe? l3 ' ^ S S , studies report ana labora^cr-' THIS o.Tis- 'setter *ith his statements HxS CMS, csjnc on f o r hoorlns a t 9 a.m ., D e r b e r 5S, i< m Department 6 of the I n d u s tr ia l io e id e n t CoaMeefon, Lon* elch' C a lifo rn ia , before th e Honorable MBffiBD d e o t s, aef er . ` PRESENT: H. Sutton, Reporter Applicant Silver and McWilliams by Edwin Silver, attorneys for applicant JInsuD.ranHceendeCrosmopna,nyrepresentative for American Motorists Franklin M. Kaye, Fund attorney for State Compensation Insurar. Stephen Schweitzer, representative for Firemans Puna Insurance Company James Hummel, representative for Employers Mnf,,ai t **,. Insurance Company of Wisconsin ^ y 3 Mufcual L-bili J - R e a s o n for Weingand, Kendig and Stockweli froLiberty Mutal Insurance cSmpan?, self-insured ty CmPan7> and 0v;ens Fiberjlas, O CUJ1C Pacific n ;or Hoberts and Thomason, Employers Insurance Company attorneyis for Ior Alian Schummer for Clopton and Penny, attorneys for The and Relia *eSTranCe Company, Industrial Indemnity Company f?do?el^an'?e ,,InJsarance Company, a successor in in t e r e s t ^ to Standard Accident Insurance Company interest - dames j. Wood, attorney for Argonaut Insurance Company Jack Sisk for Herlihy and Herlihy, attorneys for The CoJJorationnSUranCe Cornpany' Johns Manville Salls ijiil -tih RECORD FURTHER SHOVf that Robert Maholchic representative for Zurich Insurance Company, telephoned tiiev,?efefev and advl sed his car broke down and he might not be able to make the hearing. " LET THE RECORD FURTHER SHOW that Kean St. Charles telepho the Referee anc advised that flood conditions prevented h I:e adv,ised that he represented Hardware Mutu Company, w m c h was soon to be renaned Sentry National Insurance Cornpany. * THE RECORD iURTMSR SHOW that Melvin L. Hunt, who cla~is to have been born on October 5, 199, claims tc have been employed by various employers in California, an 3 ( f K -a s ^ ffia s s . ^ ^ 1Bto, i SSUK: o ccu i'r I n s 10 " a s ^ s a , t f H l0y7!>ant' eept as ad-nitted 3 . Occupation Injury i 88 adMtted i I : S S f 81- ^ c i ; PTCUrM " " ' I treatm ent 10. NatureSSextentPt fs .admltted 11. Apportionment* ^ duratlon of disability S'* " * 8 * J L S t i S r " : S S K S ^ 1* * - t i POLLOtiljJC ADKISSIOHS ABE hade; 0i ^ o y m e n t 1' American Motorists Insurance . coverage for j. t . Thorpe Inc f j 1964. Said ,, f u r th ' . " * ^ insarar JUly 6' 1956 t t o "6h Ju ly , '** th. xuec,rezr ofr August 9, logeg"p i o w e "... " ,, * - Health, Education, and Welfare. ' P " taent " 2 . American H o to ria ts Insurance Company a i, l t s , coverage lor c. F, Braun and Company lor the w lgL admlta employment and earnlnga aa s e t lo r th - a th , 9- 1965, iron the Department of Health Edu ti " , ,f , ,, M e l l o n , and lieHare. State Compensation Insurance P,,,,d ertaite coverage lc Mes.ern Aehestos C o m p a q i,,r the hears l94i, lste m , ` i, . ' W d , 19A3, ano 1953 a m\_ <r- Firemans Fund in*-.*.,,,- ,,,,,, -" "nee Company admits cove^a-e fov Ttorpe Insulation Company, and employment e,,. Sa-d j lelloulng periods; March 4 io5- t. ,, 'W 1 cn ^ tnrough April 5, 1957 i w th ( January 23, 1958 through January 31, 19=3 11 Octcucr 25, 1962 through December 5, 2952 !' I*'`oh 5 l !'62 through March 29, 1963 Sai-d carrier further fi-ii. ^ . ' "* ... ^rninms: during the aforementioned I ( Pe.lods m the total amoint of $2,783 a5 ^ > xnc., i:or: trhe cyeea^r 1959.^ ~ ' Bnpl0::'ers ^^tual Liability Insurance c -to '" e0nSl" * * " * . coverage c,,. tost a r the perlod ^ w - 0=' - employment ana earnings J in the-August 9, 1965 r Vacation, and ,,,1^ . c ^ y ^ ^ a, ,, f 1964, as refle( "" "* 8. Liberty Mutual Insurance rnm, I a TM * , for Industrial Service and En.sin * a`!" 'tS 1" S'`ral'Ce California* during the firet ^ ' " " S C0"" ff 0f g e first quarter of the year lqfo -1 aa" lt e ana earnings as rs fle c te d in th latter. Ungasr 9, 1965 ltr. or ^ ^ ^ ^ -- -- * ana Surety ^ "overage for Munaet Cork Company for the last 1957, ana further admits , " " l u t "" "ter of the yea: the aforementioned letter.^ 028 30(1 eaPl0y3nent aS ref^cted in -t f .f .ijir i;: ^ , Inc., for the period September 30, 19ht th,,,, u September iocc ^ ^ through > "" 30, 1955, ekcept for the period January 1, ,050 th , annaty 1, 1 . Said carrier further a d * lleetttteerr oof A/ug"usTt 9,* 1965. - - aforementionT aanit- c!!' 165 IraVel'rS 1''SU`'an" <" * * * - . coverage for Armstrong Cork Compan- fo- ,, 109" through January 1 , ,05a oaid '*" * * " * fn-r- u. 30 ior ti.e quarter ending March 3 1, i05? - urtner admits emolov _ * *.roujh tue quarter ending 2 ( 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 March 31, 1953. as f l . c f a in the .formenttohea letter 0f August 9, 1965. Scia carrier further tait earnings as reflects aurins these periods in the aforementioned letter. I 12. The Travelers Insurance Company (through Allan Schurn admits coverage for insstrong Contracting and Supply for the perl January 1 , 1959* through January 1 , 1963, 13. Industrial Indemnity Company admits coverage for Metal Clad for the Period September 27, 1949 through March 31, 1954. Said carrier further admits employment and earnings i n ^ ; and 1953 as reflected in the aforementioned letter of August 9, i= 14. Industrial Indemnity Company admits coverage for Keece Insulation for the period October 1 , lS57 through October 1 , 1, 1958, and also admits employment and earnings as set forth in 1 aforementioned letter of August 9, 1965. 15. Argonaut Insurance Company admits coverage for Monroe Pood Machinery, Inc., for the period July 29, 1959, through August 4, 1959, and admits employment for the same period, and earnings as reflected in the aforementioned letter of August 9 1965. ' 20 16. The Travelers Insurance Company (through Jack Sisk) a 21 aaraits subject to withdrawal, coverage for Johns Kanville Sales 22 Corporation, for the period January 1 , 1957 to July 1, 1957, 23 and further admits employment and earnings for the quarter ending 24 March 31, 1957, as reflected in the aforementioned letter of Augus P 25 9, 1965. 26 jj 17. Zurich Insurance Company (through Mr. Maholchic in 27 jj a telephone conversation with the Referee) admits coverage for 28 I L'os Angeles Cork-Company, for the period October 27, 1962, to Ij 29 ;; Movenber 6, 1963, and further admits employment for the payroll 50 ;! period ending July 24, I9<?3, through the payroll period ending c . - ( ( 1 September 11, 1963. Said admits total ^ m, . 2 period of ,281.20 in addition to bonus paid or ov.ru*. paj-'i, 3 the amount of 0 6 .4 0 . Said carrier admits earnings a5 folio,,, ,t *A* *V5 payroll periods: 5 July 24, 1963 $160.32 6 July 3 1 , 1963 200.40 7 August 14, 1963 167.36 8 ' August 21, 1963 209.20 . 9 August 28, 1963 209.20 10 September 4 , 1963 146.44 11 September 11, 1963 188.28 12 18. Hardware Mutual Casualty Company, soon to be ren 13 Sentry national Insurance company, (through Kean 3t. Charles in 14 a telephone conversation with the Referee) admits coverage for 15 E.J. Bartells Company for the period October 1, 1953 to October 1 , 16 195^y and further admits earnings of $1,359-23 for the quarter 17 ending September 30, 1954. 18 1 9 - The above carrier also admits coverage only for 19 Warren and Eailey Company for the period September 1, 1952 to September 1, 1953. 20 21 22 23 D ISPO SITIO N : 24 Continued on notice for full cay hearing. 25 23 27 23 29 'O