Document r6kyX4v9oVB2V0pvm4gD6dLrq

FILE NAME: Insulators W orkers' Com p Claims (IWC) DATE: 1955 DOC#: IWC054 DOCUM ENT DESCRIPTION: Claim ant - Swartout, John E. [From J-M Archives] File Name Contract Unit Claim File: John Swartout Dec. 28/55 Scanned ? yes Source JMA: 1745 Start Year 1955 Stop Year 1955 Contents claim Notes WORKERS' COMPENSATION APPEALS BOARD - CALIFORNIA (INDUSTRIAL ACCIDENT COMMISSION, prior to 1966) .APPLICANT JOHN SWARTOUT(deceased) by spouse Bergit CASE # SF 169171 Asbestos Insulator DATE CLAIM FILED December 28, 1955 * . INJURY ALLEGED Asbestosis ALLEGED DATE OF INJURY "Exposure over long period of time'! companies cited 1940-1955 -- ------- --- EMPLOYER/INSURER Western Asbestos Co./Mundet Cork Corp. et. al. No apparent Canadian insurer OTHER NOTES "Medical evidence without conflict: asbestosis" No medical reports in file ' Widow reopened case upon applicant's death June 6, 1956 DATE OF RESOLUTION RESOLUTION June 10 * 1958___________(Previous; $2,355 disability) Decision after Reconsideration .. . DOCUMENTS COPIED $7,000 death benefit + costs for burial 1) Decision After Reconsideration 4T1T OF PAGI 4 2) Western Asbestos Co. & State Comp Ins Fund 5 Petition for Reconsideration CLAIMANT -------- n S ujav'fhnt______________________________ _ California Workers' Compensation Appeals Board CARRIERS INVOLVED: The AETNA Casualty & Surety Co. oAmerican Automobile Ins. Co. oAmerican Employers Ins. Co. oAmerican Motorists Ins. Co. oArgonaut Ins. Co. Associated Indemnity Corp. oCalifornia Casualty Indemnity Exchange _ California Compensation & Fire Co. oCasualty Ins. Co. of California oEmployers Liability Assurance Corp.Ltd. Employers Mutual Liability Ins. Co. of Wisconsin oFidelity & Casualty Co. of New York " oFireman's Fund Ins. Co. oGeneral Accident Fire & Life Assurance Corp. Ltd. oGlobe Indemnity Co. oGuarantee Insurance Co. oGreat American Ins. Co. oHardware Mutual Casualty Co. (Sentry Ins. Co.) Industrial Indemnity Co. Industrial 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. 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 oSecurity Ins. Co. of Hartford (U.S. Casualty Ins. Co.) 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. oZurich Ins. Co. o . - . _ o 1 1 o o ' o 5/81 WORKERS' COMPENSATION APPEALS BOARD STATE O F CALIFORNIA BIRGIT A.SVARIOUT, Case No. SF 169-1?1 Applicant vs. MUNDET CORE CORPORATION, et.al. ilSIIZiATIO N Defendant X hereby certify that the attached documents are true and correct copies of the original documents filed in the records of this office in the above-entitled matter. ATTEST my hand and the Seal of the Workers' Compensation Appeals Board of the State of California. 17 18 19 20 21 22 23 24 Dated at San Francisco, 2B California, this 3yd day 26 of April, 1981 27 MMATMIMT IMMMTWALftCLAYSOM* MVNtftN99MMMTWMLACCJKWT* --------t-A_-------- * ,lf /e/ in *953 hjL su 'S !<V3A^ 411^ ^ 4,%**'. Or w/Jw ;< r**'*w,iy- o .-yo-. UROIT A. SWAKTOUT, A.p.:nv;;T a o u .};JIcN v*i.If'C!iiJln A p p lican t ' : KU.NDET CORK COP.i5, , HARRY A . DUTTOtJ : : - ; H-, m i * " A w s oe . r w t S " ' o B iiiiO b 4 bUPPLY 00, '..'ETERh 3 8 3 "00 CO ., BAY CITY AGBoSr CO W 3 . , CORK INSULATION CO?. ' In aU Lm ION & 0LA'Jii RU3ER COMPANY, GENERAL CORPORATION p : f ^ r o c?HX co., Sohs I S v i Lls * ->aL w> wOHPORATIOM, C. C . MOORE i CO * J . T . THORP C i SON. IN cI v u ** ~J ; OARPR.-iTUR, AETNA INSURANCE COMPANY , : V^m~ -??M^ 'NJATI0N INSURANCE FUND, ' " I " 5 H : ^ AL INDEMNITY EXCHANGE, Iiiu y o T R IA L INDEMNITY COMPANY * IT N i.Rtv 1( ! ^{{^[',,I^UKANCE COi^ANY, TRAVELERS^ y . : i^ H l'h ^ STANDARD ACCIDENT ! r; ; lSnoe S S / " 3 **> *"** Li-o I.Sli AFTER HCC-iNJIDCKATICN l >l D e fe n d a n ts i/ : ' : 20 2 : : Reconsideration having been grnntud heroin ,---0 j l..I.:.o. matter having b.en carefully considered, including trin-.erio-.s f ! f thS tOStlnon^ as as *> record as a whole, thin C ^ p - - : Sion now aonclules that further proceedings are not ess^tial - 2 for the disposition of the clain and r.akos its Decision hecon.jideration as follows; GOOD CADGE APPEARING THEREFOR, IT la ORDERED that Findings and Award filed V m be' UK r'hts aa'7!e i9 vacated, annulled and set .aside,. ;) that the following Findings and Award,be substituted ir. :p- thereof and made the Decision after Reconsideration of this 0, r;iir,3 ion ( ( FLVSII.'OS OF FAST lo John E. "warccut, while employed a3 an asbestos worker iT ` r.s County of fan franeisco, p State of wC^ailii*'oo*--n>iiaa, onnn January 10, 1955, by Wes:rn Asbestos Company, sustained an injury arising ' " -cc-7riI;= c-- =8 "3 his employment, consisting of substantial and material exposure to asbestosis. At said time, 7 the employee's wages were maximum. 5 2. Thers nay have been like exposure in other employments 9 both within and without the State of California. 10 3. Applicant has elected to proceed against the Western 11 Asbestos Company and its insurance carrier, the State Compensation 12 Insurance Fund, pursuant to Labor Code Section 5500,5. 13 *+ Said injury' resulted in temporary total disability 14 bsir`nln3 on January 11, 1955, continuing to and including June 5, 15 195f, entitling the employee to temporary total disability indem la nity at the rate of <?35 a week in the total sum of <52,555. 17 5. The evidence establishes that said employee failed to IS give defendants notice of nis need for medical treatment to cure 19 or relieve him from the effects of said injury. 20 6 The employes died on June 6, 1955, and the evidence 21 establishes that said death was proximately caused by the injury 22 herein. 23 24 25 25 27 25 29 30 31 32 wartout 59-171 -sc aft i 7o The application for adjustment of claim was filed herein within one year from tho date of said injury. 8. The evidence fails to establish that defendants or any of them have been prejudiced by lack of notice of the clain asserted herein. 9. Said employes left surviving him his widow, rergit A. awarto'.'t, the applicant heroin. 10 Applicant is tmitled to tha Statutory burial expanse Of L j J o ' l l o The employee incurred expense in the sum of 335 for 2 X ( c ^ n a t i o n and report by Dr. Allan E. Ko, required. t0 3^ ^ la--F prove his ones. l-> Applicant's counsel, Smith &. , ~a-wn ^ - m s h , v, have pe.-foi-mr.;i services of the reasonable value cf $$D2. 6 7 r 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 ' 24 25 26 27 t ?'9 30 th. 5:atT 1 * " ;!AE in ?"Vr "f Berslt A> ana a5ai,,,, * accm.d tannorary disa. : y " nity C0B*" c1"* ',,ary U . 1955, to and iaelidl,,,, " * 5' 19S6> *' th* rat' r 5 a M * in th. total 52,555, payable forthwith. 0r ' is.su IS m m a ;.M E ta ftvor of A- against th. stat. C a s s a t i o n Insurant, fund or a a.ath b.,,.rit in th. anount or 7.000. payable at th. rat. of 5 a n..h beam. n ns Jan. 6, 19, lass .'too payable to Snith L Parrish as attorneys* fee. * D IS TM i E 5 O n i,, r.vor or S.rit A. Saartout .,,a agaanst th. stat. Conp.nsation Insurant. Fund Tor burial in the amount of $400. AV/AED is FURTHER IsADE in favor of Bergit A. Swartouc and against the State Compensation Insurance Fund of the sum of $35 for medical litigation costs, payable to Dr. Allan E. Hoe. . IT IS ORDERED that all payments herein shall bear inter: as p.ovided by Labor Code Section 5300 INDUSTRIAL ACCIDENT COMMISSTCV' OF THE STATE OF CALIFORNIA " (k jun 9 - ;<>:$ P.-l-'y ( c BERGIT A. SWARTO'J? KUNDET CORK CORP., HARRY A. D'JTTO" DUTTON ASBESTOS CO. DUTTON AS3EST0S & SUPPLY CO..WESTERN ASBESTOS CO., BAY CITY ASBESTOS n0 LTD., cork I'iSuuTio:: CO.; i ? * i.EE-e^ \[HRJ-r. i -- > 1/ ! .. -7 ^-f -!N^Wa I June 6, 1958 MOORE & CO., i ' l ' t h o r p e &. s o n ,'i n c ., m . r AETNA INSURANCE COMPANY STATE COMPENSATION INSURANCE FUND * INDUSTRIAL INDEMNITY EXCHANGE * INDUSTRIAL INDEMNITY COMPANY *LIBERTY MUTUAL INSURANCE COMPANY, TRAVELERS^ irSU RA N C F r r r In f i*v* STANDARD ACCIDENT EifKI ccSi Ptolno " " " s Case No. 169-171 REPORT OF PANEL ONE ON DECISION AFTER RECONSIDERATTnv i n t o arising S t of hlle amployaa asbeatos " other employnents both within and without the State of clllfornla? S S i t* ,Md by th* ^ s s f S ' i s s Js ? n , h S i i g \ Pnii=a^t S 's 1- x : s i i W i F i a s i ' s a a f i 1" to " " - iSSi'SpaiLTI^ 1,1 ,xpens' ana " >- a b l ^ v S ^ o f i J S S ?78 haVe rendered servic" herein of the reason- statutehof?imi?2^ f the ?.anel that the clain is Rot barred by the defendant Imitations and that the evidence fails to establish that J E S S 1 h e r t I L bSen preJudiced * k of notice of the clalf that Decision after Reconsideration should issue accordingly. INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA ` C. Uorwissionei\3 Vv_, i1 I 1 2 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 28 29 30 31 32 REfsiVHD V MAR 1 8 1958 Djimnni of ItAiitrU RIum EIVS.'ON O f :>0U3TRlAL ACCENT* E~ `'E THS IND,JSTaL^L ACCID2SW COMMISSION OF THE STATxi OP CALIF CLAIM ::o. 169-171 . Bir.OIT A. d'.V.ETOUT, Applicant, vs. JwaiiB 3 , "AriiS1258 H i S . S ' i i . f S g A S M 0' rL/.-,;7 * PIBER GlASS COM- **/ G^NiaRAL ..MSULATION &' Rn?ws*p oa-d , m i co^SJJ- 'r d x C0R?Ca\TI0N; C. C. MOORE J* T* TnORPj, & SON, INC m o Ir.-;-- :SU^*NC COMPANY; * * J-ION INSURANCE FUND; 17V?-yi^ j-NDEMNITY EMCHANCE; IIJDUS- liM. f*>D-^`NITY COMPANY; LI32RTV MUTUAL LSJHANCE COMPANY; TH.AVLL2-S E;sil4t---r s t a n d a r d a c c i d z n t In s u r a n c e "" NC3 'COMPANY PACIFIC S:?L0^2HS INSUR- Defendants.*12 P5TITI0N POR RSCONSIDERATTO'J C;'ie now defendants WESTERN ASBESTOS COMPANY and STATE CT3.-S.wim B r o s * , r0SD end petition the Induatrial leeiien; emission for a a.consideratlon m the above entitled ratter pon the following grounds: 1. That the Industrial Accident Cocraission acted witho id in excess of its powers. 2. That the evidence does not Justify the Findings of set. ihat ,,he Findings of Fact do not support the award. The evidence in the above entitled natter shows that th ceased employee, John 3 . Swartout, filed an application with r. .5U3triul Accident C o p i e d * 4?55 scbiilty clue to -ccboctocis which he had incurred during an e.-.pe " " p5*-0d r for varices employers, includ. ( 2"!!Cr' 'soo= t- c o ^ T "' InC'' D"`t" i`b" tos s r: *- ^ c: -- 6 ' " *' Tla*T>t * Son, Inc , ` s * Caprenter. Joiin 2 . Sv/artou? i*, sort * Co., he8^ *" * clai, fceiW tho " M8y 3th> >956 prior t0 a his v,-:dc,. - 4 h- Industrial Accident r " * r g i t A. Swartout f,led an Mission ,, indUStrial * * * Commission 0`,, j ^ "U h " ' 12 il the death o- * n June I5th, 1955 . ' es n * tne deceased was u. . ^ ^ aIle ^ that " j '* * * bove emp20y ers. 33 * . ! be.-o-. , . " T "!li " . or , s W* * ,, H U l m s ,, 2 2 `: Ulr0n,;a -- -. 16 n u eceaoer 6th, i956 17 I the spplicant . J . M t0 ^ * * *> ` l m l s " Au,,,.t j " ! - * * "!** 20 ; 1 ~ ^ warch 4th C8m ; "' iq - ^ : r - - ** * * ' S"ste " P o loeo,^ ** - -- -- -.'e..,:;;1: r : : . r ; -- 22 - . s , e n out .... .. ` rM " " tte 3-- 23 " I 2" - = h i . e3p :o - - " ^ I - _* 24 - '- 25 . : : : ; T lttins -- - --- .. >; a ::::" a" s w u ^ ^ i 26 27 r r -* - - - t i : : : : : ; 8 r ; i . - - * * ",'* uca c as=th b e n e fit 1- t>-= V ,5-'D'00 r><i a lso 28 v,^ th3 sraount o f 37 o-n M * ^ .0 0ta ,-eek b-o-l.n.n^ir-.6 T June 5 th, ' 3*00 PyatIs ir,55< at th 29 1-' h.s report or t.-.=> . 30 iVtu;r.;. to too ...... ~ w''"'-0n 1:: c.estlon, which is *""``o'1' c-nci .`.'.L 'd 21 ^ 0, Purvis states 32 1 i o 1 ( ( 'Applicant is the . n e n sfit. ?* te-*?crary d is a b i l it y rd S l# i| | | | | | p % , n&s ^ SIh. S .oloi-.. s lt. s f t & a - " t0Sla. 7 * ss That d ate must be t - 'Tne application '.as`S?*V.H8 t?? date lnjy-v M a rrOT the heath c a r . l r i t y ? 0 ^ to*aI d i w b S i t y defendants aTee th at the e o o l i - a - - iS ^ - t l e d to r e c e iv e the a c c - u - - *' ' "" A< S;''2 r t' ^ - w arded to hsr b, -- V However, u n m ^ fo r the death bo ee nneef.iit. ,^s b,arred by the statu tfe e f l'nt th s c l i la SUpPr t f t h is con tention t h - - a t h b e n e fit i . barred by the s ta tu te o i " " defendants c ite the La, of Lnplcyee la iu r Compensation by v/arr^n L k~ ' ^ ''orteen-s es follow s: `nlon reads " S S ht S ; * K t V ; r . i h C 1 1 "5 ** =.-,. occurs nor" th*n e"cePt that ir dath injury thi clal" one ya-l, lVoi, thc- 1'-!^ th s e.f1-* Within pencetion benefits ""V - i : 8.n-nS of con not furnished, ana -'e ^ ^ C2ris- ^ ^ are one year aft.,-. th7 .. curs more than ore not pei&i . ' - . - 7 ' u3htl- cer.efits 6op'?'liydiown-/sthseiairc;i.:;fir k ^ t 3 _si-o^!e.TcOt of b51. defendants si- =i-r 72' -- "`-i3~r-ci Accid-i-.-r e'-s^ or j. JJiJ Dechs. "he Stir- laid .vr.J I ( 1 2 3 _ . 4 Bianco m . 5 I. * v^ , l. 6 M to. . v . tell tte elate fo.- , im h b,,,.m 7 s a separate and independent "izht fn-n i-v,- n . -j.gnu i.om tns employee's claim 8 for compensation. 9 The evidence in this ease shows that no benefits were 10 furnished to either the deceased employee during his lifetime 11 or to the widow, Bergit A. Swartout by the employer, Western 12 m" ' sS,,0a Cc"`?any and the State Compensation Insurance Fund or any 13 Che evidence also shows that no benefits were ever p r o m ^ 14 Sy th* defeniaats t0 eithsr the deceased employee or the widow, 15 Bergit A, Swartout. 16 17 18 19 20 21 As the evidence shows that the death of the deceased employee occurred more than one year after the date of injury and tnat no benefits were furnished, the claim for the death benefit . clearly barred by the Statute of Limitations and the Petition for Reconsideration should be granted by your honorable Commissior and the Findings and Award corrected. 22 Respectfully submitted, 23 24 25 26 27 28 c - Bie0r0g0itKar2r.ywSowoadrtoDu-t^ve 29 Sacramento 2 1, California c - Smith S: Parrish 30 Attorneys at Law 301 Financial Center Eid~ 31 OaklE.nd, California *'* 32 - Claims Department MftR 1 S195S DenanoctofleJtfiinJ ffeiaocrj tiv; Oi trj'jjifcfm ::JC : ( (. 1 STAT2 OP CALIFORNIA 2 CITY h COUNTY 0? SAN FRANCISCO 3 4 5 6 7 h* " " o m o " > t0 ' - Oenerel ,,eger of state 8 Cop.oa.tlo,, lTOur.no. Fund; that 0. ho. rood the forgoing 9 Potltloo for Reconsideration end too... the oont.ots thereof 10 that the .... i, true of hi, o m knowledge enc.pt the nettere 11 which ere therein elated on infomatlon or belief, end ee to thot 12 matters be believes it to be true. 13 14 15 16 17 Subscribed and sworn to before 18 tnis 13th day of March, 1958. 19 20 -- f J h * 1 / ' ( j f l * . Notary Publik in and for the 21 sj;5? an2 SVnt:y of San Francisco, State of California 22 MyCoTBwfFyinrF^rpf TV>*. ?7, 23 RECEIVED 24 WAR 131953 25 btVi.TTtitd tsjuilnjn.ledco DIVISION OF INDUS fW A i, 26 ACCIDENTS 27 28 29 30 31 32