Document k6e6Qkxdk9XrN9p1Xx1mppXRJ

FILE NAME: Abex (ABX) DATE: 1980 Oct 22 DOC#: ABX234 DOCUMENT DESCRIPTION: WC Claim Status Report T. J. EICHENSEER. MANAGER I A D M M W IR A TN E SERVICE q S O E R 'irst) - Status. Report fer' Compensation Insured ABEX Claim Digest ^afsliaury, N.C. Occupation Alleged asbestosis, fnwuutc* TELEPHONE: 0 9 M M n O IWage 1 $292. grade I. Claim No. 19-77958 Claimant ... J . Riley ITTD I 95- O NE W OOOHELD LAKE. SU TE *30 SCHAUMSURO. AJJNCNS B O I Date 10/22/82 D/A 8/11/82 Age 61 JDescri ption of Accident Nature of Iniurie? Gratae I asbestosis. Attending MD Latest Report `________ % Findings Same above. IME: Yes No Findings Open File Is Treatment Continuing? ________ X Yes______ No Temporary Disability _____________ _____ _-- ,, . Estimated Permanent Disability Board award 2 vrs. RTW Date Petition Filed? No 1 Yes NoX Second Injury Fund Involved Yes No X 1 ____ ___ ____ -- ----- ------ Contested? Grounds for Contesting Yes No 1 ,-- -- Subrogation Involved JDate bast Hearing Yes No X l ------- Paid to Date Current Reserve Reserve Revision nequir Compensation 0 Medical 0 Expense Q $2(1,000. 4,000. 0 Yes No Yes No Yes - No Attached file on asbestosis claim. We have denied for now however, wi] probably end up with, clincher agreement to- get out of case. T.J. Eichenseer Remarks cc : John Walsh Abex Medical Group. Chinago Diary Pater ' !/ - S E R V IN G T H.E..I.N.S.U..R.AN C E IN OUSTRT THROUGH MORE THAN 700 LO CATIO N S IN P R I N C I P A L..C.I.T.IE.S.........C..A.N..A E9 * S g