Document oeo7w0e1w2DNbRbY92vDg4v6r
FILE NAME Insurance Industry INS
DATE 1937 Jan DOC INS048
DOCUMENT DESCRIPTION Article from Insurance Counsel Journal - Dust
Diseases as a Legislative Problem
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Insurance 7 Journal 4
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VOL IV .
January 1937 ~ .
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No. 1
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WINTER ISSUE =
4
.
Committees ., Standing
Page = The President's
_
_~.
2
n
3 a -
Maezees
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Report to Winter Meeting of Executive
President's Committee _ _ Resolution Regarding Insurance Adjusters State Legislative Committees
_
State Membership Committees___
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.
nenbeecere
fo2.
-een-ne
6.
8: .
_____10
Injuriesby B. Coe >
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',
Committee______ Mason Michigan '
Lawyers Ill -
Discretionary Power of Courts Regarding Testimony of
.. Salmon Schenectady New York
,
:
Report of Health and Accident
Fair Construction of Surety Bonds by Stevens T.
Detroit
Insurance Companies and the
by John A. Appleman
Del
_..
2
__15 c38
Bloomington 3+ Le New Legislationby Russell M. Knepper Columbus Ohio 2+. -------- 20
Security L. Aiken Whatis This Thing Called Old Age
by Arthur
Fort
O:
ane
+21 +21 Wayne Indiana
vec
vy Resume of Executive Committee Meeting August 18 1936
seman 23.22
2 An Equitable Disclaimer by Benj Brooks Boston Massachusetts tet jee _24
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Safety by Ambrose Illinois . .'* - Unauthorized Practice of Law by Hervey J. Drake New York N.
:
Report of Committee
B. Kelly Chicago
.
.
_26
: _ RDousstterDoif sMeemabseaersssahLiepgiAslrartaivnegPerdAolbplhaebmetbiycaRlalyym----o-----ndCaverly N=e. w YYork ork. N. Y 231
Alabama - , Massey Building ::Birmingham
; Entered as Second Class Mail Matter at thePostOffice at BirminghamAlabama
January 1937
INSURANCE COUNSEL JOURNAL
Page 27
Commerce be
at all times not even the writer of this article munity welfare is more
less
on
We must pay the price of safety and the price
or
active includ
ing the Chamber of Commerce of
.se is high in money in loss of individual freedom States and the local Chambers of the United
ve
of action in self discipline
the American Legion the Teachers
nd
The International Association of Insurance Association and all of the service
ey
Counsel has a special interest in this problem
organiza-
tions such as Rotary Kiwanis and Lions
of
since its members are not only lawyers with a With them are the
real concern for the public interest but their
newspapers and magazines
Last of all the elected officials of city county
work on behalf of their insurance clients and state are preaching the need for action
brings them into daily touch with the victims
Recognizing that the Bar has a substantial
of auto accidents No one appreciates better interest a complete session of the Insurance
than they do the damage to the human body Section of the American Bar Association
that can result from the collision of two given to this subject at the Boston
was
speeding cars or the economic loss and human
meeting
At its conclusion the Automobile Insurance
suffering that are the inevitable consequences Law Committee was directed to devote its
of such a crash It was only natural therefore that we should see in this situation an
energies to the problem during the coming
year
opportunity to render a real public service by
on joining the forces which will attempt to apply the indicated remedies and give to them the benefit of our experience and training The campaign for highway safety will be
1 waged by many of the best known organizations in the United States Two groups set up primarily for this purpose are the Presidents Committee for Safety and the National Conference on Street and Highway Safety Others with a direct interest are the National
Safety Council the American Automobile As-
sociation and its affiliated local clubs and the National Automobile Chamber of Commerce Almost every group with an interest in com-
The Committee on Safety of our Associa-
tion appointed by President Chrestman consists of Ambrose B. Kelly Chairman C. Donald Swartz Douglas Hudson C. F. Merrill and William O. Reeder It is planned to
supplement this group with state committees
who will be expected to take an active part in safety work in their respective states Up to the present very little has been done except making contact with the other organizations in an effort to determine the manner in which
our efforts can be most effective It is hoped that the new Committee on Safety will have its work organized and well under way within
a few weeks
ates
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ube
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Dust Diseases as a Legislative Problem
RAYMOND N. CAVERLY Vice President
Fidelity & Casualty Company of New York New York City
MUCH inexisted this silicaMUCH has been written and said during asbestosis Silicosis and asbestosis are not
the last few years about the occupa- new diseases Silicosis probably existed in
tional diseases which from the in- the Stone Age of Civilization These dis-
halation of silica dust and asbestos dust eases however have been recognized
There has already been some legislation with country only in recent years as presenting a
respect to them mostly of an unsatisfactory major social and industrial problem
type and new legislation is imminent in a number of states It is important that it be a
These diseases are peculiar and distinguish- -
from all other situations in
conceived wisely and that it be just and fair
industry af-
to Labor Industry Insurance and the Public
feing the health and being of the worker
in
- for are parti^s in interest
at the worker becomes disabled only after
arolonged and continuous exposure to the
It isgenerally agreed that the inhalation du in concentrated form The best medical
of
dust or asbestos dust over a long opion is that the average exposure preced-
of time a period
will produce fibrotic condition ~ in disablement in most industries is upwards
silicosis of of the lungs known respectively as
or
en years Dr. R. R. Sayers and E.
x
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77
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Page 28
INSURANCE COUNSEL JOURNAL
January 1937
R. Jones of the United States Public Health Service in a bulletin entitled Silicosis and Similar Dust Diseases state that in the absence of infection silicosis is a slowly pro-
gressing disease and develops at such a late
date that the individual affected
lbiefceome disabled during his ordinarymwaoyrkinnogt
is a social problem with very definite public aspects rather than an industrial problem
and should be dealt with as such
We recently witnessed a most unfortunate experiment with an attempt to place the en-
tire load of accrued liability on industry
The State of New York in 1935 amended its
Most states are committed to the principle ccloumspievnesation law so as to make it in-
that industry should bear the
with respect to occupational diseases
cost of indus-
trial accidents through the workmen's com-
This meant that upon the effective date of the law every employer who employed men
pensation plan Some states have likewise accepted the principle that the
subject to breathing either silica or asbestos
well defined occupational diseases other than dust diseases
dust and the compensation insurer of
such
every
fall in the same category as industrial acci-
employer became responsible for the
dents and should be treated in the same way
disability or death of every such worker for
full and unlimited compensation benefits for
from a compensation point of view
few states the
In a
the full period of disability which of
compensation laws do not dis-
tinguish between accidental injuries and in-
course
meant to the end of the worker's life and
thereafter for death benefits to his
juries resulting from diseases of this type and
in these
other dependents if it could be
wife or
states disablement and death result-
ing from silicosis and asbestosis
of
established that death resulted from the disease The result
compensable
are course
In three states there are special
was disastrous to industry and to labor Industry found it impossible secure
provisions for compensation for dust diseases men's
work-
with certain limitations In many of the
compensation coverage where a silicosis
states however which do not now take
or asbestosis hazard existed or if it was pro-
and asbestosis into
silicosis curable the cost of insurance was so
account there is acute
necessity for providing some plan of relief for
that as a practical proposition it was imgproesa-t sible for the employer to buy it The law
the unfortunate victims of these diseases It
is important that
provided that the employer must either furnish
surate with the any such plan be commen- evidence of financial
and the
responsibility of the employer or carry workmen's responsibility himself
ability of industry to pay The pur-
of
Many employers
compensation insurance
pose this article is to outline in a brief way close
their
were therefore forced to
a plan by which justice can be done to the
up
shop with the resulting unem-
unfortunate victims and at the
ployment of thousands of workmen Some
same time
avoid crushing industry and harming all those
employers moved from that state to other
dependent upon
states with more favorable laws leaving the
industry The first
workmen without work and causing the com-
consideration in any such plan is munities to lose such basic
what to do with the called accrued liability There are thousands of workers in the
permanently
labor as well
industries possibly
It was soon recognized by
United States who have been
as by industry and also by the
or --silica
dust
asbestos dust
exposed over a
to
Industrial Commissioner who sponsored
of time in the service
long period the law that such a situation could not con-
ployers who
still of one or more em- tinue Within less than a year the in-
are
at work and still able -clusive occupational disease
to work Some these workmen will become amended insofar
it
provision was
disabled at some time in the future If the by a legislative aacst applied to diseases
last employer under some
which had been agreed
suddenly to be made
new legislation is upon by Labor Industry and the Industrial
Commissioner sins of the
responsible for all the
representing the public and a
that
past including exposures to dust new and more practical method substituted
were not only lawful but not even under
compensation laws obviously the burden on
This new plan which is being followed
in New
industry is going to be well
York is the plan which is recommended
nigh intolerable - If the employer is not so to be
for adoption in other states insofar as it
ap-
+
made respon-
sible what is to be done with the disabled
plies to accrued liability It provides for a graduated increasing maximum benefits
workers or those who have a presently
condition not
on the following basis The maximum total
disabling but likely to become so
this at any time I respectfully submit that
of compensation benefits if disablement
curs or if there
been
oc-
|
has
no claim dis-
January 19
ablement if
month in \
500 If d n prior cla
curs during
which the la is 550 T creased on t a limit is re the top limi death comb years after t
states having
laws for dea better to p benefits up limit provide
It is importa
of the combi death for ur the disablen from silicosis period of ma
ability and o
each with the the burden o
nigh twice a
The advar would seem : the honest cla
lowing the ef
some small :
after the law short as to be On the other
employer und fective date o
contributed in
importantly i
deterrent to a tial period of
enactment of
~ the instant the
has a legitima
der this law I able to get wo
Exposure fo
will be compe . is related to ti
law in a reas
is fair to assu in benefits me for increase of
Compensatio
all sorts and
bestosis preser
are not involv
ig
Sayer
8
Mae
ero
Mere
Whe
eet
ties fothnaypcamnda
Ju
rs
Masulja
vMaisuljja 1 cee ,
tees
4 6
January 1937
INSURANCE COUNSEL JOURNAL
Page 29
ablement if death occurs in the first calendar month in which the law became effective 500 If disablement or if there has been n prior claim for disablement and death oc-
curs during the second calendar month in which the law is effective the maximum total
is 550 The maximum total benefits are in-
creased on the basis of 50 each month until a limit is reached of 3,000 This is fixed as the top limit of benefits for disablement and
death combined and is reached about four
years after the effective date of the act In
states having an expressed maximum in their laws for death benefits it probably would be better to provide for monthly increase in benefits up to an amount equivalent to the limit provided for such disablement or death It is important that the top limit be the limit
for accidental injuries It is accordingly inconsistent and impractical to attempt to cover compensation for occupational diseases in a law set up primarily to cover compensation for accidental injuries An occupational disease compensation law should parallel the compensation law in many respects but there are likewise many situations which must be
treated separately and differently For instance most workmen's compensation laws which provide compensation for accidental
injuries grant certain presumptions in favor of claimants These presumptions cannot properly be applied to occupational disease and particularly to the dust diseases Accidents are generally definite and specific as to time place and manner of happening occupational diseases are not In the case of
of the combined benefits for disablement and
death for unlike accidental injury situations the disablement preceding death resulting
from silicosis or asbestosis may extend over a
period of many years In such a case if dis-
ability and death be paid for separately and each with the maximum expressed in the law
the burden of accrued liabilities will be well
nigh twice as great The advantages of
this
graduated
plan
death from sation laws determined death cases
accidental injuries most compenprovide that dependency is to be as of the date of death while in resulting from dust diseases such
provisions are unfair to the employer inasmuch as disablement is usually prolonged and the claimant's domestic situation may change during disablement There are many ad-
vantages likewise in permitting insurance
coverage separate and distinct from the in-
would seem to be obvious It will result in surance coverage required under the compen-
the honest claimant who becomes disabled fol-
lowing the effective date of the law receiving
sation law applying to accidental injuries For example An employer may wish to be a
some small sum even though his exposure
after the law became effective has been so
insurer with respect to one and carry insurance with respect to the other
remained short as to be negligible as a causative factor
In dust disease situations there should
On the other hand it will not penalize the last employer unduly for exposure prior to the ef-
likewise be some provision made for respon-
sibility on the part of the employer at the time
fective date of the law to which he may have of the last injurious exposure for all of the
contributed in but small measure But more
compensation due Any other plan leads to
importantly it has in New York proven a confusion inasmuch as it is impractical to
deterrent to a person who has had a substan- establish any method of rating respon-
tial period of exposure to dust prior to the sibility between successive employers The
: enactment the law from presenting claim insurance company carrying the risk at the ._ - -
the instant the law became effective unless he time of the last injurious exposure should also
has a legitimate and proper disability Un- be solely responsible It can well be imagined
this law men who could work have been what vexations and insolvable problems would ~~
able to get work and have
at work arise if the attempt were made to apportion
Exposure following the passage of the law liability against insurers according to the ex-
will be compensated for in a manner which tent of their policy coverage
is related to the period of exposure under the
Silicosis and asbestosis should be carefully
law in a reasonably fair and just way It and accurately defied in the following man-
is fair to assume that the graduated increase ner Whenever
in this law silicosis
in benefits measures the employer's liability
for increase of exposure under the new law
.
shall mean a charaer^>stic
of the lungs caused
charaer^>stic fibrotic condition
the inhalation of silical
Compensationparticularly for occupational diseases of
- all sorts and particularly silicosis and as-
bestosis present a proboflpe robmlesms which are not involved in providing compensation
dust and asbestos shall mean a character-
istic fibrotic condition of the lungs caused by _
the inhalation of a estos dust
Any law covericovering ng occupational diseases
t
a 4
1 ,
|
ot:e,
Sragie e
ag
has
wertemnarD 9
:
Page 30
INSURANCE COUNSEL
neremve JOURNAL
January 1937
Jani
should be as definite and specific as possible Act
The employer should be apprised of his liabil-
to which reference has been made a
misf
ity to compensate for diseases by language that is reasonably understandable For this
limitation is provided of medical benefits in cases of simple silicosis to ninety days with a
in it
caus
vague and all inclusive
reason permissive additional ninety days upon order
avoided
language should be The most satisfactory way of in-
of the board be made
This presumably would only
any indu
cluding diseases within the coverage of the law
upon some showing that such further
pose
is to set forth in a schedule those specific diseases that are deemed to be occupational
treatment will be beneficial In other dis-
eases however medical benefits should be the
and
ably
disability Some of the laws also set forth in parallel
same as are provided by law for following accidental injury
ratho the
columns the processes or exposures from
;
ene
which such diseases are presumed to arise
As an alternative to the graduated limited
It is
aes
Failure to fix reasonable limitations on the benefits referred to some provision might be
coop
number of diseases covered may result in the made for the continuance in industry of work-
istrat
Anat law becoming a general life and health in- men suffering from disabling uncom-
thm
surance law for workers at the expense of the plicated silicosis or asbestosis through waiver
employer Such was never the intent and of full compensation benefits in the event that
disability such a burden would be intolerable and unin-
ultimately results This plan does
surable
not eliminate entirely the payment of com-
A proper law should provide that an em- pensation in such cases where disability re-
ployer shall not be liable for any compen- sults but merely provides for the reduction
sation for any occupational disease unless of benefits Thus it may be possible for the
such disease shall be due to the nature of the employer to continue workmen in employ-
employment in which the hazards of such dis- ment who are working in trades involving the
ease are actually present and are characteristic silicosis or asbestosis hazard even though
thereof and peculiar to the trade occupation showing some physiological evidence of the
process or employment and is actually incur- disease but not necessarily disabled thereby
red in his employment and unless disable- Such of course is desirable in the case of
ment or death results in cases of silicosis or
asbestosis within three years after the last injurious exposure to such disease in such
skilled workers and it may prevent hardship to a worker who might otherwise be removed from employment
employment or within one year in the case
of
The waiver plan while embodying some
any other occupational disease
helpful principles does not
It should further provide in the case of
appear to offer a
completely satisfactory solution to the
death even where such death follows a peroid of continuous disability in which compensation
silicosis
and asbestosis burden of accrued liabilities
It is of doubtful value as a factor for
has been paid or awarded or a timely claim therefor made that no death benefits shall
reduction of costs and it has within its provisions possibilities of abuse that
may be hurtful Ex-
be allowed unless death shall have resulted perience under this plan is as yet insufficient
within seven years Manifestly some reason- to warrant conclusions
able limit must be made for asserting a liabil-
One of the big problems in
for condition due to disease alleged to asbestosis is
silicosis and
"
have been the direct result of the
proper diagnosis is respect-
There should be
employment fully submitted that lay compensation tribu-
tion of
some provision for reduc- nals are incapable of properly weighing such
compensation where disability
death is
medical evidence as is usually submitted in
or
due to silicosis or asbestosis com- connection with silicosis or asbestosis
plicated by tuberculosis of the lungs or with
It is desirable
therefore
that
a
claims
medical
any other disease
of a
board
Proper limitation of medical benefits is
essential in the cases of silicosis and
political nature consisting of specially qualified doctors be provided with full au-
asbestosis thority to determine all medical questions not
uncomplicated with tuberculosis The weight only in connection with silicosis and
medical opinion is that such treatment is claims but in connection with all asbestosis-
unavailing in such cases The likelihood of disease claims
occupational
possiblity long continuing disability in such cases
gests the
sug-
.,
of useless medical ex-
pense that may greatly exceed the total of
, compensation benefits In the New York
In conclusion it may be properly suggested that the real remedy is prevention The com-
.
pensation of disabled employees is at best only |
an attempt to make partial reparation for a
ADAMS
St.
Am
ADKINS
Mac Fisk
AGAR T
-357
-357
AGOR H
Van
Capi AIKEN
J.
Citiz
AIKINS Aikir Some
ALBERT
New 227 : ALEXANDE Alexa First
e
January 1937
INSURANCE COUNSEL JOURNAL
Page 31
misfortune which probably could be eliminated in its entirety through proper control of the
causes This can best be accomplished in any state by a properly manned bureau of
industrial hygiene established for the sole pur-
pose of studying ways and means of control and prevention Such a bureau should probably be set up in the state health department rather than in the department charged with the administration of the compensation law It is essential of course that there be close
cooperation in such a bureau and the administrative department Some plan for the
establishment of such an industrial hygiene bureau should be tied in with any plan providing for compensation
Footnote Mr. Caverly is a member of the Advisory Committee on Occupational Disease of the Association of Casualty and Surety Executives This Committee has been studying the dust disease prob-
lem for the past four years and as a result of this study has prepared for distribution a publication en-
titled Suggestions for Provisions for Workmen's Compensation Plan for Occupational Diseases This publication may be obtained by addressing the Association of Casualty and Surety Executives located at No. 1 Park Avenue New York City New York
Roster of Membership Arranged Alphabetically
A
ABERNATHY GEO Shawnee Okla
Abernathy Howell & Abernathy
Masonic Temple
Abney James Brownsville Tex Abney & Whitelaw .
State National Bank Building ABRAHAMS EDMUND Savannah Ga
Abrahams Bouhan Atkinson & Lawrence Commercial Building ADAMS A. Savannah Ga Adams Adams Douglas & Brennan
Drayton Street
ADAMS H. Beloit Wis Public Service Building
ADAMS J. Asheville N.
Adams & Adams
15 Church Street
ADAMS ROBERT A. Indianapolis Ind Denny Adams Baker & Orbison
Consolidated Building ADAMS ST CLAIR Orleans La
St. Clair Adams & Son
American Bank Building
ADAMS ST CLAIR New Orleans La
St. Clair Adams & Son
~~
American Building
ADKINS H. Amarillo Tex
a
Madden Adkins Pipkin & Keffer
,
Fisk Building Te.
AGAR THOMAS J. K. Toronto Canada _
357 Street--
ton
aa
AGOR Aberdeen S. D.
Van Slyke & Agor
>
Capital Building
AIKEN ARTHUR Fort Wayne J. H. & A. L. Aiken
Ind
Citizens Trust Building Winnipeg
AIKINS G. H. K. Winnipeg Canada _
Aikins Loftus Aikins Williams & MacAuley
Somerset Block
watt
-
ALBERT MILTON Baltimore Md ~ Cot
New Amsterdam Casualty Co. > =~.)
227 St. Paul Street
ALEXANDER E. Detroit Mich - Alexander McCaslin & Cholette
First National Bank Building .
ALEXANDER JEWELL Francisco Cal Redman Alexander & Bacon
333 Pine Street
ALLEBAUGH CARL Steubenville Ohio
Box 249
ALLEN ARTHUR Springfield Mo. Woodruff Building
ALLEN MURRAY N. C.
Citizens National Bank Building
ALLEN T. Lincoln Neb
Ambler Harry S. Philadelphia Pa
12 S. 12th Street
AMBLER MASON Parkersburg W. Pa Ambler McCluer & Ambler
306 Juliana Street
.
AMBRISTER C. Muskogee Okla Barnes Building
ANDERSON E. Owensboro Ky
P. O. Box 494
ANDERSON LYON Louis Mo.
Leahy Walther Hecker & Ely
National Bank of Commerce Building
ANDERSON R. LANIER Macon Ga Ryals Anderson & Anderson
First National Bank Building
ANDERSON ROSCOE Louis Mo. _ Anderson Gilbert & Wolfort
Federal Commerce Trust Building
ANDREWS HAROLD Providence R. I.
-Hinckley Allen Tillinghast& Wheeler Industrial Trust BuildingTilinghast
ANDREWS JOHN Hamilton Ohio Rentsbler Building
APPERSON HARVEY Roanoke Va Apperson Rush_ Gentry Boxley Building
ARMSTRONG W. Memphis Tenn
Armstrong McCadden Allen Braden &
man
Good-
Commerce Title Building ARNOLD D. H. Elkins W. Va
ARNOLD RICHard Texarkana Ark
"A-rnold & Arnold
~~.
'
"
_ 11 East Broad Street
.
ARNOLD WILLIAM Texarkana Ark
Arnold & Arnold . :
_
117 East Broad Street
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