Document pJLL2zBZ9e3pkX3nKMdpX4ow

4ns..<i r> CLAIM r i i'ok: ALL l i n ; s TO M Cc00"I"*8.- xnosocn o 0I!2IT?!S-Pcfrt 1 ____ __ r-n*~/cCOtOAM T -TW 4*p**>* <A(,(N! mI`*VNAv<` r<w // - < <.<KM ( */ J?-C 3172 ' 11(D) 33CC15C517 *Jnjwt coot ' CMI.COOT .TMMM M . NO. Fiberjlasts Engineering & Supply Co. 2C 004IS 1 Sll (PT) Claimant SAM( ASAIOVI William L. j.cnzics ins*cC*QaS j ^r'cA-t ! CIA { untn AmCvSTSjN CANOt j Ow-^AiON^t j,NCulR0 ! AfGMSGTtVIPMl(OACUTAf*T| 11,750 motMHivr 10,650! MCOICAC S 06 O MC 2 OAK Of ACC'DCNT o-3-ce IlffNlC "60 TOT At sy"'-iin|f iNAMf k 0">Ci Loo Angeles Don Sbalton,' IN? t>U at-^ah c^u.nm TO? (AC* IV'IMAU It^CKTO t 1 ----. j | #JNAi MPOM ! /%*><> ,:`5/i7/m 5/20/63 *lr CL on i,4 A/fr iC: ; - rciicfio cw//nj . .c.'T'O'J ltoaJ /- Yl.fi C Lfr ^ fA'sl . tNClOlOtfSl AiOA'E* ESTIMATE t Previous Aggregate Estimate 11,750 Indemnity 10,060. Nothing Paid to Date. Hod. 3000. Increased 2000. Kothing paid to date. Expense 500. unchanged. Paid to dato 356. lEEiASMS: Following our last status report of March 5, 1963 we received a copy of the Death Certificate which stato3 that the eiaimnan claimant died of carcinoma of tho lunch (immediate cause) duo to or as a eonsequcnco of asbestosis. Wo also now have a copy o2 thu duceh autopsy performed by tho County Coroner which cubstantiatcs tho cause of death listed in the Death Certificate. v:o have cont a copy of the coroners report and tho microspopic sr report to Dr. Handling for his review and comments. In view of theso latest developments wo have had to reevaluate all our our reserves. He have been unable to locate many of fe-rr tho previous employers or carriers listed in the application and it occsi3 as if Marine Engineering and Supply and our insured will bo tho only employers available when this matter is sot down for hearing. Pacific Indemnity wa3 the carrier for Marino Engineering and Supply and has been Joined in this matter. Datween tho two companies there is a total exposure of 27 years. h.-r.p-oycr.o^i li-.iployir.ent and coverage for our insured is 17 years or approximately CO;i. The claimant has only one dependant, hin wifo, and therefore the total amount of death benefits ho might become entitled to would be 13,100 dollars. This is tho total exposure in this ease of which approximately 6074 will ba ours and the other 404 attributable to the claimants employment with Marine Engineering & Supply Company whose carrier was Pacific Indemnity. We have established our indemnity reserve based on this evaluation of 60/4 exposure on 18,100 dollars. We know that the applicant's self procured medical expenses are somewhere in the neighborhood of $3000 and it is questionable as' to whether these medical expenses will be apportioned to the prior carrier also. He have established our medical reserve at the entire amount of 03000 pending a decision on this point. THINGS TO DO: 1. Send Dr. Handling a copy of the Death Certificate, Autopsy report and microscopic report and ask that he issue a . _ . . . . .. __ . --- . a.4 U AV. JtA 1* m4 AW AVe Inne* 1 . TJ-44 Printed In U.S 02 209 0589 CroJucad la Mlvla v. 1. 1. *>!<. t 1. purouaat to court or4t d*t4 Oetotoor 13. it- a HfxonriAL xvroMAfiot -wtwii co#r*. t^mooocn oc 9isTftjvrt& zxnxrr xa WIT* TW* kaom CoOtT OftOt* 2. t-'tj Vi 11 the either havo thia coco act: -.or hearing bo Coro tho /.ppea la Board or attempt to no<;otiato a coc.proui.ao and reletco agrccr-cnt vith tho applicant *a uttoraoyDZMSTa 8-53- 8--15--63- " -1 < . * iJ lit i. Li 02 208 0570