Document rBORjogVX85bKYn8Jye40rwga
FILE NAME Manville JMA
DATE 1978 DOC JMA399
DOCUMENT DESCRIPTION Workers Compensation Claims Contract Unit Part 1 of 2
.
_ PAUL BERTE
FIRST DISTRICT +
ROBIN WALLER
SECOND DISTRICT
HARRY KOLETSKY THIRD DISTRICT
JOHN ARCUDI CHAIRMAN
FOURTH DISTRICT
EDWARD BRADLEY FIFTH FIFTH DISTRICT
EDWARD D. O'BRIEN SR
SIXTH DISTRICT
THOMAS J. HAGUE SEVENTH DISTRICT
VINCENT TISI COMMISSIONER AT LARGE
~
af
State of Connecticut
WORKMEN'S COMPENSATION COMMISSION
OFFICE OF
PAUL BERTE
COMPENSATION COMMISSIO FIRST DISTRICT
HARTFORD STREET CONECTIUT CONNECTICUT
TELEPHONE 66 4154
:: NOT A M DOC.
August 21 1978
Mr. Barry I. Castleman Environmental Consultant 1738 Riggs Place North West Washington D.C.
20009
Request for copy of AWARD BY STIPULATION approved December 20 1955 in the Workmen's Compensation Claim
Eedtwaa rdl Campbell vs. Scoville Manufacturing
Company
Dear Mr. Castleman
In response to your letter dated August 2 1978 a copy of the settlement agreement in the above
requesting
requesting
matter enclosed with this letter is a certifiedro ef fet rh en eced
requested agreement
If you have any questions concerning office may be of further assistance to write or telephone
the above
please do
or if this not hesitate
Very
truly yours
A Bert
Compensation Commissioner First District
ghd
ENCLOSURE
~)
a
EDWARD L. CAMPBELL of Waterbury Connecticut
"3
CLAIMANT
3
VB.
:
$
SCOVILL MANUFACTURING CO 8
of Waterbury Connecticut
insured et al
-
EMPLOYER
F}
RESPONDENT :
CORAM
WORKMEN'S COMPENSATION
COMMISSIONER
HON A. PAUL BERTE
STATE OF CONNECTICUT FIRST DISTRICT
August 21 1978
.
THIS IS TO CERTIFY that the attached AWARD BY
STIPULATION approved December 20 1955 is a true copy
of the original on file in this office in this matter
er,
tte
A. PAUL BERTE
se
Workmen's Compensation Commissioner
First District
Barry 1. Cartleman ENVIv RoONMENTAL CONSULTANT / 1738 Riggs Place North WestWashington D.C. 20009/202 - 387 7695
om
lee a
os
age
a)
a
meek :
.
te
-
fe
rte
rte
vy
Lae aera
Workmen's Compensation Conscission Conscission ere
99 Pratt Street
-
Conscission
Hartford Connecticut : 06103
a,
a _
Workmens
FiWrosrtkmDeinsstrCoimpcetnsatCHioanmrptenfsoartidon d
1955 and case was number 24318 _
request Imake this
on behalf of the Asbestos Workers International
in Mr. Union particular for
Roy Steinfurth of the union's Washington office As
. plained to Mr. Filkoff records of these compensation cases
ex-
|
are powerful evidence
LW.
_
TO WHOM IT MAY CONCERN
The following is a report of events from 1949 to 1955 on Edward ,
Campbell Todd Road Wolcotts
Edward Campbell's first admission was on 10-20-49 to Waterbury
Hospital at which time he was admitted for coughing and congestion of the lungs The patient stated that for the last 5-7 years he
has had a chronic cough with expectoration of fairly large amounts
of thick gray sputum throughout the day
It amounted to perhaps
a quarter of a glassful
This has been progressively worse over
the past few years and for the past six weeks the patient has
complained of a tight and rather severe pressure feeling that the
patient states is congestion in the anterior chest During this
time he stated that his cough had diminished if anything and is
not as productive as it was before During the past five months the patient thinks he has had much more dyspnea until now he has trouble climbing flight of stairs His ankles do not swell and
he sometimes sleeps with one pillow with no noticeable orthopnea
He has had no paroxysmal nocturnal dyspnea
He has never had any
palpitation of pain down his left arm
He has had no loss of
weight no bleedy sputum sweats or elevation of temperature
About a month prior to this admission the patient was admitted
to St. Mary's Hospital for the same complaints The same studies
were made on him and patient was told that he had fibrosis of
the lun " tg hi s s admission rays were done and showed find-
ings most suggestive of fibrosis which could be on a sillocotic basis in view of the fact that the patient for about 20 years
has been laying asbestos pipe covers as his profession
He claims
there is insufficient dust to promote such a process
Although
it could be
fibrositis The patient did he have
not from the asbestos it could be a specific
It did not appear as though there was was given streptomycin and penicillin
At any
malignancy
no time
an elevation and his albumin was negative
Blood
count was essentially normal and his blood chemistry was normal
An EKG was done which showed a suggestioonf some coronary in-
sufficiency although by physical examination this was not beared
out The patient was discharged home after six days in the hospi-
tal quite improved He
of his chest showed that
was discharged on 10-26-49
there was both a streaky and
ray report
nodular in-
filtration throughout both lung fields which seems to be most
marked in the lower half of his lung fields
The hila are some-
what prominent but not especially so
The heart does not seem to
be enlarged The left diaphragm was slightly elevated The right
diaphragm was normal in position the costophrenic sinus on the
right is obliterated
The findings are most suggestive of fi-
brosis which could be on a millocotic basis
The patient's
previous occupation should be investigated This could also be
@ specific fibrositio This was the report of 10-20-49
2
The patient was again admitted April 2 1951 to Waterbury Hospi-
tal
At that time he
was done at which time
was impossible for him
highly had a bronchoscopy
the patient was to stop coughing
done A bronchogram uncooperative It
As a result most of
the lipiodol was coughed and swallowed Approximately 30 cc
of lipiodd ingested in this fashion As a result the
bronchogram was relatively unsatisfactory Certain portions
were visualized and they are as follows
the main branches of the
upper and left lower lobes and the right upper middle and
lower lobes are visualized
These do not show any evidence of any
spacetaking lesion There is only partial peripheral filling of
the bronchi going to the lower lobe posteriorly These do show
some questionable minimal dilitation terminally suggested possi-
ble minimal bronchiectasis The findings however are certainly
insufficient to be absolutely sure
3
An ray of his chest was done prior to the bronchogram and there
appears to be a very fine nodular pattern noted throughout both
lung fields extending from the apex down to the diaphragm
In
addition to that there is an increase streak density extending
out from both hilar areas
The costophrenic sinus is shallow on
the right side The diaphragm.is in normal position This lung
has the appearance of some interstitial fibrosis
This patient
apparently hasbeen hasbeen asbestos hanger for 30 years
It could
be possible that this represents an asbestosis The patient at
this admission had a G.I. Series which was negative he had a
G.B. Series which was also negative The patient had a aputa
done which showed no tuberculosis or acid fast bacilli
His
blood chemistry and serology were negative tive His count was relatively normal sed
elevated and he had a EKG done which showed
this time
His urine was nega-
rate was alightly normal tracings at
His third admission was 8-12-52 at which time the patient again
was admittetdo the hospital with a complaint of difficulty in
breathing He was very much improved from the last admission
until approximately two weeks ago when he went back to work He
had been relatively free of shortness of breath cough as men-
tioned previously The patient stated that since admissiohne
had been taking square purple tablets which dissolved on his
tongue He has had only occasional difficulty in breathing since
then This recent episode he describes and characterized by gasping for breath
as being quite severe
and a great deal of
difficulty in breathing He has had a productive cough and chest
pain on the right which comes on while moving in a certain posi-
tion not while coughing
His shortness of breath is so bad that
he could not walk upstairs at all without stopping and gasping
for breath
He has had some difficulty in night breathing of
late
He was advised by me to be admitted for further evaluation
- 3+
and treatment On this admission of 8-12-52 the
repeat chest ray done which showed a
patient had a
. fibrosis which was seen again
This
specific diffuse
bleb formation The hilar shadows
was associated with some
are some
were prominent and there
calcific
This patient has
densities
This could be due to
silicosis
years
apparently worked The diagnosis is
in an asbestos
plant for 30
flammatory or infiltrativeasbleesstioosnis - no new evidence of in-
The patient was discharged from the hospital after 8
talization Discharge date was 8-20-52
days hospi-
Previous time the
to this there was an admission
patient was admitted to the
on
11-20-51
at which
hospital for 7 days for
hospital and remained treatment of
in the
this admission he gave a
shortness of breath At
worker for the
history of having been an asbestos
past 30 years He developed cough during the
Winter and has shortness of breath on
sode he became
walking
With this epi-
tal
where
a
suddenly dyspneic
chest
and
was
brought
to
the
hospi-
plate was done which showed no
. of any pleural effusion
The lung fields were
gross evidence
but previous rays has an asbestosis
and from the history this
A picture of the abdomen
relatively clear patient definitely
but none could be determined He has had
was done for fluid
of his face and nails Heart rate
rales and some cyanosis
showed a normal EKG
He
was
given
was normal
EKG was done which
some bronchial relaxents and
w aa ns d given some ammonium chloride for weight loss and given demerol -
placed on sedation
able to
He progressed very satisfactorily was
was
walk for sent home on
a distance of the hallway some benylin expecotrant
in the hospital and
a form of antihista-
mine cough syrup some asbestosia
The patient is to be under observation for
Patient had another admission 12-10-51 and his
12-20-51 a total of 10 days in the hospital
discharge date was
His
that
time was
shortness
of breath
cough
and
complaint at feeling of
gestion in the
sion
On this
chest
This was the
admission further
patient's
con-
fourth WH admis-
blood work which were
ray checkups were done and
again
At this
normal Diagnosis of asbestosis was made
which gave him
trip to the hospital he was placed
some dramatic relief and the patient
on
some
ACTH
improved
However
this
is very much guarded
was very much since his
tion is permanent and he will of necessity take
or ACTH for his pulmonary fibrosis or sillicosis
condieither cortone
it is called
or asbestosis as
:
The patient was admitted to WH again 12-30-52
1-20-53
The usual complaint of shortness of
and
discharged
tightness about the cheat and
breath cough
inability to climb stairs was made
on c] aed t
4-
On this trip again G.I. Series was done which
negative An ray was done on
was essentially
ent
change
in the
appearance of
12-30-52
the
which showed
no
appar-
last examination of
chest at this time since the
nodular pattern
8-13-52 or 4-3-51 The films showed diffuse
out
both
associated with streaking which was lung fields This
seen
through-
stated previously
had the appearance of sillicosis as
EKG was again repeated which showed
-
heart The patient was given elixir
a normal
at this time was given
or turpin hydrate for cough
monary conditions He neopenil a form of penicillin for pul-
drug which was
got some relief given to him
especially from the
ACTH
much improved
The patient was discharged very
This patient's last admission was
cough shortness of breath He
12-3-54 with the complaint of
up on his ray of the chest
was brought in chiefly for check-
of the pneumoconiosis which
ray was done which a progression
shadow appears slightly largw erastphraenviously described The high
blood chemistry was
on previous examination His
urine was negative eSspsuenttuimally normal Blood count was normal
but none were found
He
was done again for asbestos bodies
sent
to
was placed
the Respiratory Clinic
on
20
units
ACTH daily and
started here in
daily
This was a new clinic
Waterbury Hospital
inhalation which
him
whereby he
was
given
drugs
by
home in 14 feelgiavne g conasgirdeeartabdleyalimopfrorveeldief He was sent
considerable Since his discharge from the hospital he has
office quite regularly regularly about one time a
been coming to
the
days and given 40 units of ACTH which
week or once every 10
well being plus greater distance of
gives him a feeling of
and cough
reverts to
However when the his shortness of
drug
walking without undue wears off the patient
dyspnea again
night
This
patient's
breath
condition is
cough inability to sleep at guarded from his history of
douvsetr f 3o 0r -35 years of exposure to asbestos and having inhaled the
so many years he has definite pathology in his chest
which is progressively worse and in view of the
with process
and
the
hardening of the arteries whipcahtiies nta'snat ag ue ral shortness of breath his heart
become affected and the patient is
will ultimately
suffocating situation
going to be in a somewhat
.
Diagnosis Asbestosis of Sillicosis of his Lungs
jig
/ Dr. Edward Lewicki
"
ARTHUR S. QKEEPE QKEEPE
-
DOUGLAS BOVE JOHNSON
ARTHURB. KEEFE
EDWARD T. FALSEY 7124318 MARSHALL N. DUDLEY
O'KEEFE O'KEEFE Johnson &
ATTORNEYS AND COUNSELORS
5 TEMPLE STREET
O'Keefe O'Keefe
LA LAW W
7124318 NEW HAVEN CONNECTICUT
7124318
SONE O
7124318
7124318
a October 5 1955
- TELEPHONE STAT1E 71
CABLE ADDRESS
"
DAR
Hon Leo J. Noonan
Workmen Compensation Commissioner
54 Church Street
Hartford Connecticut
_
OCT
6-1955
6-1956-51955
Dear Commissioner Noonan
been We have this day
advised by The Employers Group
Insurance Companies of 132 Temple Street New Haven
Connecticut that a Hearing is scheduled for November 7
1955
Kindly enter our Appearance for the following .
1. Rhode Island Covering Company
2. Universal Insulation Company
3. Johns Manville Inc. of Mass
Thank you
ABO
Very truly yours
O'KEEFE JOHNSON & O'KEEFE
Gamay
ARTHUR B. O'KEEFE
LAW OFFICE OF
NORMAN ZOLOT
2807 WHITNEY AVE
HAMDEN CONNECTICUT
TEL ATWATER 6-1820 6-1820
a;
AUG 1955
July 30 1955
Leo Noonan Esq
Workmen Compensation Commissioner
First Congressional District .
54 Church Street
ue
Hartford Connecticut
Re
Dear Commissioner Noonan
Edward L.
Campbell
Itiia with a great deal of again to request a further
Joe Murphy business agent
embarrassment that I write you
postponement in the above matter
for the Asbestos Workers , who
was present at the first informal hearing desires to be pre-
sent at our but he will be attending a convention on the
date of the hearing in Pittsburgh
;
Would you therefore please set this down for another date
The only period I have committed now in the week of September 12th at which time I will be at New London
Thank you
Very truly yours
Norman Zolot
EDWARD EDWARD EDWARD LEWICKI
1/26/55 1/26/55
EDWARD L. CAMPBELL
of Waterbury Conn
:
CLAIMANT
CLAIMANT
vs.
CORAM
SCOVILL
of
MANUFACTURING CO
Waterbury Conn insured
Employer
ROBERT A KEASBY
of New York New York
:
Employer HARTFORD ACCIDENT &
INDEMNITY CO of Hartford Conn
:
Insurer .
A ofSBBrEiSdTgOepSorDtISCToRnInBUTORS CORP
:
Employer UNITED STATES FIDELITY & GUARANTY CO
of Hartford Conn
Insurer
GENERAL ACCIDENT ACCIDENT FIRE & LIFE ASSURANCE CORP LTD
of Hartford Conn
COMPENSATION COMMISSIONER
A FN IRDSFTIFSTEHCOND THIRD FOURTH CONGRESSIONAL
DISTRICTS
Hon Leo J. Noonan 1st District
acting .
Insurer
HARTFORD ACCIDENT &
INDEMNITY CO of Hartford Conn
Insurer
INSULATION COMPANY
of West Hartford Conn
Employer
;
LIBERTY MUTUAL INSURANCE CO
of Manchester Conn
GLENS
Insurer
GLENS FALLS INSURANCE
of Hartford Conn
CO
Insurer NEW AMSTERDAM CASUALTY CO of Boston Mass
*
DECEMBER 20 , 1955
Insurer AETNA CASUALTY & SURETY CO
of Hartford Conn
Insurer
TRAVELERS INSURANCE CO
of Hartford Conn
Insurer
MANVILLE CORP
of New York New York
EMPLOYERS
ANCE CORP of New Haven
Employer LIABILITY ASSUR-
Conn
Insurer
ARMSTRONG CORK CO . of Lancaster Penna
Employer STANDARD ACCIDENT INSURANCE CO of Waterbury Conn
Insurer
RHODE ISLAND COVERING CO
: of Providence R. I. Employer
EMPLOYERS LIABILITY ASSURst
ANCE CORP of New Haven Conn
Insurer
A. W. BANCROFT
of Reading Mass Employer
ROYAL INDEMNITY CO
of New Haven Conn
,
Insurer
UTICA MUTUAL INSURANCE CO
of Hartford Conn
Insurer
HOMESTEAD INSULATION CO
of Hartford Conn Employer
AETNA CASUALTY & SURETY
CO
of Hartford Conn
a2.
. | Insurer
RICHMOND ASBESTOS CO ,
of Maspeth L. I. N. Y.
t
Employer
HARTFORD ACCIDENT &
INDEMNITY CO
INC
of Hartford Conn
Insurer
RESPONDENTS
APPEARANCES The
2607 Whitney Avenue
claimant Hamden
.; was represented by Norman Zolot Esq
Conn the respondents by their various
:
representatives
AWARD BY STIPULATION
within and foregoing Agreement being this day submitte
Upon the
examined by the Undersigned
I find the same is a just and reasonab to be ratified and
to and
claim and ought in all respects
settlement of a disputed
.
confirmed
ADJUDGED AND AWARDED th
WHEREUPON IT IS OsRhaDlEl RcoEnDstitute a full final and complete
compliance with this Agreement
and all claims of the claimant
accord and satisfaction of any
settlement
the respondents or any of them by virtue
of the premises
herein against
The
is hereby ratified
Nerven
AGREEMENT OF ADJUSTMENT AND
STIPULATION FOR AWARD
A contract of employment was in force between Edward L.
hereinafter referred to as the claimant and Insulation
Campbe
Company on or about
August 1953 and prior thereto the claimant had worked for the various
employera set out in the caption hereof
All of these parties were subject to the sation Act and the employers herein had complied
compensation liability with the insurers set out in
Scovill Manufacturing Company which was a duly
the time in question
provisions of the Compentherewith by insuring their the caption hereof except
qualified insured at
Pursuant to due and regular notice the above entitled case was assigned for a hearing before the Compensation Commissioner for the First
Congressional District acting also for the Commissioners for the Second
Third Fourth and Fifth Districts who were duly disqualified on November 1955 on which date a conference was held between the attorney for the claimant and the representatives of the respondents with Commissioner Noonan in order to compromise the entire case
At this conference it was the claimant's contention that he had
worked for many years for the various employers set out in the caption herec that as result of his employment he contracted an occupational disease to wit asbestosis that he became disabled therefrom on or about August 19 1953 and has remained disabled to the present date is still disabled and will ; continue to be disabled for an indefinite time in the future that he has incurre
considerable expense for medical and hospital treatment that he has been rendered totally and permanently incapacitated and that he will require furth medical treatment and hospital care in the future
Alleging that he had sustained an occupational disease that arose o of and in the course of his employment the claimant sought compensation for disability past present and future both total and partial compensation for permanent condition and payment of all the reasonable medical surgical hospital sanatorium and incidental bils incurred and to be incurred in conne
with the treatment of his condition
:
The respondents however denied that the claimant had sustained
any occupational disease that arose out of and in the course of his employmer
with the employers herein Each employer maintained that the claimant's
employment with it was not a substantial factor in causing or aggravating the
claimant's condition The respondents set forth that the claimant was unable
to establish any dates as to his employment with the various employers here
and that he could never maintain his burden of proof as to when and where he
worked and for whom The respondents further contended that the claimant
had filed no written claim for compensation within the period of one year fro the date of his first manifestations of symptoms of his occupational disease
and that therefore the claim was outlawed by reason of the statute of limit
ations Many of the employers further maintained that the claimant had nev '
filed a claim for compensation within a period of five years after leaving the
employment and that the claim was further outlawed for that additional reas
The respondents further denied the extent of the claimant's disability as
alleged
Each respondent denied that its employment had caused or produc
any permanent condition but if so denied the extent thereof
questions
However in view of the number of technical legal and medical that were involved and in view of the other doubts in the case as
. :
.
stood by 4 Of
ae hereto, outlined the claims
'2the
agreed parties outlined by claims
of
parties and
the claimant claimant
under- controversy
the Parties parties
hereto hereto
the employers
itt,
insurers hereby employers and
respreespecctitve ive respective claims
agreed
under- and under-
herein, ; all
fully
in in made fa prosecut
prosecut prosecu:
| accord satisfaction satisfaction satisfaction
otherwise
have
against
of
against
respondents
respondents
accordance
our our
accordance
with With the
| hereby Thousand
herein as
agreed and understood
hereby Dollars shall
understood apportioned
among
follows herein
Co.
insured Scovill Manufacturing g
Hartford AccidentInInddemenitmy nRiitcyhfmoorndRobert Robert Keasby Keasby
Asbestos Distributors
Distributors
United
Fidelity 4
Guaranty for Asbestos
Asbestos
responde responde Tesponde $600, o9 250. 00
Distributors Accident
General
General Accident
Fire & Life Accident
Assurance
Corp.
Ltd,
250, 00
for Mutual Insurance Co. for
Liberty Fall,
Insulation Company
Insurance Co. for
New
Insulation Company
Amsterdam Casualty Co. for
New
Insulation Company
Casualty Aetna
Casualty
Surety
Co.
Casualty
for Insulation
Insulation
Company and
Travelers Insurance Insurance Co.
Insulation
H Employers
Company
Employers
Liability Assurance
Employers
Corp.
Covering
Corp. and Island
Co.
Covering Co,
.
i
Standard
Standard
Cork Standard
Insurance Insurance Co.
Armstrong
250. 00 250. 00 250.00 00 250. 00
600.00 oo 600. 09
800. 00
Royal Royal Indemnity Co.
for A. Bancroft Utica Utica Mutual Insurance Co. 4, W.
Bancroft
800.00 00 250.00 00 6000.00 6000.00
| future, future future and
!! hospitat,
sanatorium and incidental incidental
hospital sanatorium incidental 'Xpenseexspeansn es daan lid medical, surgical,
COmpensation which
may
_
be due to anyone inc
due to anyone in case death
the claimant
ment due anyone in shall
of
claimant
the
pay-
-
constitute constitute a complete complete
|
satisfaction pay- pay become any time
satisfaction satisfaction
due
claims claims or to become
any
in favor anybody anybody
anybody account
claimed claimed
disease occupational condition
or account account any any condition condition in any account way resulting resulting out out
resulting account
of of
|
sum sum
disputed disputed |
any of any of
It is further
this It further stipulated stipulated stipulated and
this stipulation stipulation he read
language language that he understands
understands same knows knows
ment that
understands understands and with
conditions
conditions known which
is intended intended intended which exist as the
deal
with or
any changes changes
or un- unconditions conditions
account said occupational
occupational disease
which
i
t
Connecticut It is further
agreed and and between parties
|
parties this stipulation stipulation
|
shall have
I mistake mistake duress and and
of parties hereafter hereafter the
further further under the the
{
State Connecticut
also undersigned acting IN
in
IN requesting requesting
District District
VIEW OF THE
VIEW OF
FOREGOING the undersigned
Compensation Commissioner the
that acting Compensation the Second Third Fourth Fifth
pursuant
i
I
Congressional Congressional / First Congressional make Districts Districts make
19th
IN WITNESS WHEREOF
day IN December 1955
We have hereunto our our hands and seals
WITNESSES
Campall Campall
SCOVILL MANUFACTURING respondent self insured
Employer respondent insured
-_
;
ROBERT respondent respondent
HARTFORD
HARTFORD respondent ACCIDENT & INDEMNITY co
respondent n
Their
hereunto Their representative hereunto CORP authorizec
Employer respondent GUARANTY
;
STATES
respondent Insurer respondent respondent & GUARANTY lors
Their
Their
hereunto representative Their representative
hereunto
hereunto
representative hereunto duly authori:
JOHNS-MANViL1 5
MANVILLECORP,
MANVILLE
respondeAnStSURANCE CO . co
respondent .
:
K0K
K0K
K0K K0K
O) fer. f__
authoriz uly
representative
4uthorie
Employer
ARMSTRO. NGco,
respondent
STANDARD
INSURANCE
W. BANCROFT BANCROFT respondent
ROYAL
INDEMNITY co, Insurer respondent
By F.
Their
representati
HOMESTEAD respondent CO
Insurer
& SURETY co,
\
=
%
i on
ov *
ASBESTOS DISTRIBUTORS CORP, DISTRIBUTORS
A Em CpClIoDyE erNT ACCIDENT LIFE LIFE LIFE LTD LTD,
ASSURANCE respondent
By
duly representative representative
Apa autho autho:
AASSBBEESSTTOOSSreDsIpSoTnRdeInBtUTORS .
H HAARTRFT ORFD ORD ACCIDENT INDEMNITY INDEMNITY Cc:
respondent
Their representative duly author author
INSULATION COMPANY
respondent
LIBERTY MUTUAL respondent INSURANCE co,
A By
Their representative
hereunto
authori authori
INS^ LATION
/
COMPANY
respondent
GLENS FALLS INSURANCE Co,
respondent
voy
a
By
{
stem see,
Oem
representative
hereunto
duly
Their representative representative hereunto
authori
duly
1
authori;
INSULATION COMPANY
respondent
NEW AMSTERDAM CASUALTY
respondent
co.
representative By W ..
Their
representative hereunto duly authorit
INSULATION respondent
CASUALTY
AETNA respondent & SURETY Co,
respondent
B Thyeir representative representative
Wor
ereunto duly
Employer respondent
TRAVELERS
Insurer
|
lauthorie oy
Their representative ereunto duly authorize
1919-1922
(
1925
1931
1930
1931-1932 1933 1934 1939 1940 1941 1942 1943 1944 1945
WORKMEN'S
COMPENSATION COMMISSION OF
NOTICE OF HEARING
eee, CONNECTICUT
Edward Campbell / Norman Zolot Esq
2007 Whitney Ave. Hamden Conn
Claimant
;
we
VSe
lice
mal
fae mal
ot!
----
----
JI~\ S
Scovill Manufacturing Co.
P. O. box 1820 waterbury 1919-1922 - Insured
Conn
No appearance
1922 1927 1920 1932
Robert A. Keasby 139 -149 W. 19th St. New York N. Y.
- No kecord
No Record -
Accident
White
= Hartford Accident & Indemnity Co. -David White
- Hartford Accident & Indemnity Co. 15 Lewis St. Hartford Conn
E. S. Pomeranz Pomeranz
westchester Asbestos Co.
White 1931 - No
Plains
record
New
York
Office of Comisoner
Compensation Commissioner
First Congressional Distri
.
Armstrong Cork Co.
Liberty and Charlotte Lancaster
1931-1932 - Standard Accident Insurance Co. .
1934 -
"
"
"
"
1935 -
n
"
"
"
=
1941 -
n
"
1942
8
11
"
"
"
"
O'Brien
ft
"
E.D. E.D. O'Brien
"
"
-
*t
"
1
Erwin
'
C'Brien
1945 -
1946 ~
111
" "
West
" " Main
St.
"
"
"
11
Waterbury Conn
Asbestos Distributors Corp.
113 East washington Ave. Bridgeport
608'B
Portchester 1934
1935 =
1935
1936
-
Asbestos
Asbestos
Distributors
"
N.Y. Travelers Insurance Co.
:
anc.o
anc.o 29
-
"
"
w
"
vistributors 1930-1937 1930-1937 1937 - Asbestos
1937 - 1938
-
Asbestos
vistributors
Ct
Ct
1938 - 1939
"
"
"
"
"
f
163 Asylum St. Hartford
U.S.Fidelity & Guaranty |
Guaranty
Wallace Arnold
.
"
"
anc 3/3/39 fe
"
CE
1939 - 1940
CE 1940
1941
6
1941 - 1942
-
1942 - 1943 1943 - 1944 1944 - 1945
- Asbestos
Asbestos
-
~
t
"
"
It
M
"
242 Trumbull St. Hartfor
.
* * " Accident Fire & Lif
"
"
;
*
"
"
Spomerant Spomerant
*
"
"
Spomerant
560
566 Whalley NewHaven
vistributors
vistributors
d.Y
Accident
David White
"
"
" E5.Pomeran2 E5.Pomeran2
15 Lewis Hartford
Fundet Cork Company
Bergen
kiew
.
101 Tonnelle Ave. Ho Jersey
1939 - 1940 Aetna Casualty and Surety Co.
111 Pearl St. Hartforu Conn
Tom Russo
Insulation Company
674 Oakwood Ave. West Hartford
937 - 1934 - Liberty Mutual Insurance Co
1939
nc.6
a
"
1
-
"
"
63 East Center St. Manchester
Ct
940 - 1942
- Glens Falls Insurance Co.
141 Washington St. Hartford
Ct
Matthew
.
Downing Downing Adj
Conners Conners
941-1942 941-1942 941-1942
1942 943-1941 943-1941 943-1941 .944 - 194 .945-194 .945-194 .945-194 1946 - 1941 1947-1948 1947-1948 1947-1948 1948 - 1949 1949 - 1950
New - New
Om
-
n
-
*
* -
*
- =*
-
*
-
- _*
Amsterdam Amsterdam
fn
" *
" " "
St.
Casualty Casualty
"
"
"
11 r
*
,
"
Co. Co.
" " n " " "
Why
:
Butler
1946
1941
1947 - 194
Co. - Aetna Casualty and Surety
"
Casualty
=
111 Pearl St. Hartford Conn
TomTom
.
Russell
Travelers 1950 - 195
-
Insurance Co.
UN
fi
1951 - 195
-
Heo
"
wee.
1952 - 195
=
"
*
"
1953 - 195 =
163 Asylum St. Hartford
Edward D. O'Brien a
Ct
sa
1943 1944
Rhode Island Covering -
1945 - 1945
St. Covering South
Main
St.
Liability ~ Employers
Employers
we
-
Co. Providence R.R I..I.
Assurance Corp.
Liability
Assurance
"
.
:
132 Temple St New Haven Conn
O'Keefe O'Keefe Esa Hebert
A.
-
63
1944-1945 1944-1945 1944-1945
-
194 194-1945 5 1942 =
1946
-
1947 - 1948
=
1948-1949 1948-1949 1948-1949
-
canc.7
-
W. Bancroft - Deceased
West St.
Mass
Reading Indemnity
Co.
Royal Indemnity
*
"
n
*
fi
11
=
--fl
*
"n "
195 Church St. New Haven
Ct
1950 Hartford 1949 -
- Utica Mutual _
955 Asylum St.
Ct
Hebert Hebert O'OK'eeKfeeefe
Fred Haitt
1950
Homestead Insulation Co.
.
45 Granby St. Hartford Conn
- Aetna Casualty and Surety Co.
111 Pearl St. Hartford Conn
Thomas Russell Russell Esa
Universal Insulation Co.
614 Schuykil Ave. Philadelphia 1950 - 1951 - Employers Liability Assurance Corp.
132 Temple St. New Haven Conn
H. O'Keefe
r
Johns Manville Corp.
22 East 40th St. New
York
Y
1920 1922 -
1925 -
-
Standard
1920 e
"
ccide} nt
11
Insurance
"
"
Co.
"
1920 - 1927 -
111 West Main St. Waterbury Conn
1928
Johns Manville Inc. of Mass - Employers Liability Assurance Corp.
132 Temple St. New Haven Conn
ED ED
C.Brich
C.Brich
H. O'keefe
1931 1932 1933-1934
1933
1932 1933 1933-1934
Johns Manville Corp.
22 bast 40th St. New York
- Standard Accident Insurance Co.
--
"
"
-
.
"
11
11
"
.
111 West Main St.
Waterbury
Conn
E.D.6.1rien E.D.6.1rien
1934
Johns Manville Corp. Nashua New Hampshire
- Standard Accident Insurance Co.
111 west rain St. waterbury Conn
E.D.G.Brich
E.D.E.DG.G..BrBichrich
1934 1936 1937
1939 1937 1940 1941 1942 1943
*
1
1950
1 1951
XXX XXX XXX
220 15 19
19
1935
1938
-
Employers
Liability
Assurance
Corp.
Corp.
" H.
132 Temple St. New Haven Conn
6. Keefc
1940
1941
1942 1943 1944
Johns Manville Corp.
22 East 40th St. New York N.
- Employers Liability Assurance
:8 " " "e f
~
aR "
a
"" "
-
Y.
Corp.
" " " f
H.
O'Keefe
O'Keefe
O'Keefe O'KeefeO'Keefe
Richmond Asbestos Inc.
.
1952 Hartford Accident & Indemnity Co.
Respondents
PomeraPnomezranz Pomeranz
each of you are hereby notified that the above
You and
to the following questions
matter will
be heard with reference Hoom 608
No.
54 Church Street
the undersigned at his office
of November 1955 at 10:30
Hartford Conn on the 7th day
Re INFORMAL CONFERENCE - ASBESTOSIS
Notice Issued September 29 1955
.
Acknowledge
Acknowledge
-
receipt
of this
notice at
LEO J. NOONAN Commissio
Laforma M
WORKKEN'S COMPENSATION COMMISSION OF CONNECTICUT
POSTPONEMENT OF HEARING
Date when mailed
Waterbury Road Edward Campbell
Woodtick
Conn
/ Norman Zolot Esq
2607 Whitney Ave. Hamden
Claimant
Conn
August 1955
Vee
;
St.
Johns Manville Norkefdor six
NNeeww York New York
in Conn
years Robert A.
Keasby 139 West 19th , New
York York
York New Worked about four yearisn Conn
Cork Armstrong
Company
Lancaster Pennsylvanis
Pennsylvanis Worked on and
for
and off mostly inConn
three
years
WWoorrkked HomesteaGradnby
Insulation Co.
St. Hartford
Conn
about a year around Conn
Insulation Company 674 Oakwood Avenus West Hartford Connecticut
Worked about a year around
Conn
Scovill Manufacturing Co.
Office of
;
CompensFiarsttFiirston CompensationConCgormemsissisoinoanler District DiDistrsict trict
Worked a couple of years on
-
asbestos installation
Respondents
Kotice is hereby given that the hearing in the above entitled
matter notice whereof has been previously given in hereby
postponed until the 23rd day of September 1955 at Room 608
54 Church Street Hartford Connecticut at 10:00 A.N.
LEO J. HOOMAX
Commissioner
Acknowledge receipt of this notice at once
lw
EMMA Y. HAAKE :
. dependent widow of Harry
[( Haake deceased
|) of East Hartford Conn
:
CLAIMANT
}
i
1? New
km
Ot
CORAM
N34614
FIRST DISTRICT
ROBIN
VALLER
SECOND DISTRICT
*
HARRY KOLETSKY
THIRD DISTRICT
JOHN ARCUDI CHAIRMAN
FOURTH DISTRICT
.
EDWARD DISTRICT
D. SR EDWARD O'BRIEN SIXTH DISTRICT
THOMAS J.HAGUE
DISTRICT
COMMISSIONEART LARGE
~
Hie
_.
Se
State of Connecticut
WORKMEN'S COMPENSATION
COMMISSION
.N34614
.N34614
OFFICE OF
PAUL BERTE
COMPENSATION COMMISSIONE
FIRST DISTRICT
99 PRATT STRECT - ROOM 401
HARTFORD CONNECTICUT 061
ae
TELEPHONE 4154
April 6 1978
Paul T. Gillenwater Esq
fy Gillenwater Whelchel & Roberts
Bearden Commercial Park
6401 Baum Dr.
*
Knoxville Tenn 37919
RE
Request for Certification of
in the claim of Harry Haake materials
Keasby et al
vs. Robert A.
Dear Attorney Gillenwater
Wednesday As you requested on
were in my office enclosed the materials you requested above
April 5 1978 when you are certified copies copies of
from the file as referenced
If do
you not
have any
hesitate
questions to
concerning the
above
please
write or telephone this office office
Very truly yours
Berte
A. PAUL BERTE
'
Compensation Commissioner First District
ghd
Enclosures
.
|
-
_
re
July before the
regular notice
Compensation Commissioner
informal hearings were held
September 30 1957 and
for the First Congressional
the parties in
November 27 1957 when conferences
District
an attempt to compromise the entire
were held betw
20 1959 when a further
case thence postponed to
conference was held for this
li
purpose
asbestos insulating installing I: i;
At these
deceased
conferences
had worked
it was
the
claimant's
contention contention
that
for many years with the
the
employers herein
for occupational diseasmeattoerwiiatlsastbheasttoassisa trheastulhte thereof he contracted an
about June 6 1957 and
became disabled therefrom o
1957 remained so disabled until his death
on
1957
October 14
i}
together i
Alleging that the deceased's
in the course of his
disability and death arose out of and
employment with the employers herein the
dependent widow sought compensation for the
claimant as
with payment of all the
disability and death of the decea
that had been incurred and the brueraisaolnable medical surgical and hospital bil
expense as allowed by law
any The respondents employ occupational disease that however denied that the deceased had sustained
employers
with the employers herein
arose out of and in the course of his
The respondents further
employment
contended that the
claim was barred by reason of the statute of limitations The
entire
contended that the deceased's
respondents fur
pcclusion and other causes uncdoinsnabeicltietdy waintdhdheiasth was due to an acute coronar
herein
In
employment with . the
any event the respondents denied that the claimant's lung conditic
aplayed a material part in his disability and death
outlined medical to However in view of the number of
questions that were involved and in
technical legal and
outlined by the claims of the
view of the other doubts in the case as
and between the
parties hereto it is hereby agreed and understoo
claimant . the employers and insurers herein all
the controversy that while their
parties
claim is a
respective claims are made in good faith
tdhoeubtful disputed one and that its results if fully prosecuted would be
WHEREFORE it is agreed by and between the parties hereto that t
respondents shall pay to the claimant the sum of Three Thousand Three Hundre
ctomhplreteee Dollars and Sixty Cents 3363.60 the same to be in full
an
final settlement adjustment accord and satisfaction of all claims which
the aforesaid claimant
might otherwise have against the respondents or
of them and to be made and accepted in lieu of all other
any
in accordance with the language of our act
compensation paymen
1]
i Thousand t
t
be
It is hereby agreed and understood that said settlement of Three Three Hundred three Dollars and Sixty Cents 3363.60 shall
divided and apportioned among the respondents herein as follows to wit ,
Lotz Asbestos Company .-
Aetna Life Insurance Co.
Century Indemnity Co. 1 United States Casualty Co.
New Amsterdam Casualty Co. Standard Accident Insurance Co.
Insulation Company -
Glens Falls Insurance Co. |; New Amsterdam Casualty Co.
Aetna Casualty & Surety Co.
~
| Travelers Insurance Co.
Armstrong Cork Company -
| Travelers Insurance Co.
18.5 11.1
3.7 7.4 11.1
3.7 18.5
3.7 18.6
3.7
$ 622.27 $ 373.37 $ 124.45 $ 248.90 $ 373.37
-
$ 124.45 $ 622.26 $ 124.45 $ 625.63
$ 124.45
100
3363.60
| that It is specifically understood and agreed that said
Three Thousand Three Hundred
settlement of
represents a settlement of
three Dollars and Sixty Cents 3363.60
1500.00 to the claimant plus payment of the
following bills to wit St. Francis Hospital - 983.60 Dr.
Dr. Bowen - 110.00 Dr. Danyliw - 55.00 and Dr.
Hennessy - 410
all of the aforesaid bills shall be
DeRoche - 305.00 and
y of this total settlement
paid by the claimant out of the proceeds
fthree
. The payment of said sum of Three Thousand
Dollars and Sixty Cents 3363.60 shall be made
Three Hundred Sixty
and final settlement for all
and accepted as a full
' deceased and for all
compensation for the disability and death of the
claims for medical surgical hospital and funeral
to the end that the payment of such sum shall
expen
|of all claims due or to become due
constitute a complete satisfactio
at any time in favor of anybody on account
f of the disability and death of the deceased
lk
.
understood and '
It is expressly
agreed that the
of Three Thousand Three
payment of said un
full
Hundred three Dollars and Sixty Cents is in
|
accord and satisfaction of a disputed claim and is not an admission of
| liability by the respondents or any of them
any
It is further stipulated and agreed that before the claimant
| this stipulation she read it or the same
signec
was read and interpreted to her in
language that she understands and she knows that it is a full and final settleme
and that it is intended to deal with any and all conditions known or unknown
which exist as of the date hereof or any changes of conditions which
arit
in the future on account of the disability and death of the deceased
may
It is further agreed by and between the parties that this stipulation was not induced or entered into by fraud accident mistake or duress and tha
Connecticut none of the parties hereafter shall have any further claims under the Workmer
| Compensation Act of the State of
IN VIEW OF THE FOREGOING We the undersigned hereby
j
in requesting that the Compensation Commissioner for the First
unit
Congressiona
District approve this stipulation
IN WITNESS WHEREOF We have hereunto set our hands and seal : this 17th day of September 1959
WITNESSES WITNESSES
anda .
Emma Claimant
Hacke
|
{! |
|
Constance
Jean
Higgens
IsabelM McCrone McCrone
) *
. .
y
'
aC de
o
See
:
WIZ ASBESTOS
Co. respondent |
AETNA LIFE INS CO Ins respondent
-- -- N--e,e,
--,
Their representative hereunto duly authorize
LOTZ ASBESTOS CO , Emp -respondent CENTURY INDEMNITY CO Ins responden
By Their
'
representative
hereunto
duly authorize
LOTZ ASBESTOS CO Emp -respondent UNITED STATES CAS CO , Ins responden
By
Their representative hereunto duly authorize
LOTZ ASBESTOS CO ,
Emp respondent
respond
NEW AMSTERDAM
CAS CO respond
By
4
Their representative
/
MT
hereunto duly authorizet
LOTZ
ASBESTOS ASBESTOS CO
STANDARD
STANDARDSTANDARD ACC
Emp -respondent
INSULATION CO Emp respondent
GLENS
i
I ig
hea weg. hog Cc 2): PI, + Coles.
|
Markie
Z
Their representative hereunto duly authorizec
INSULATION CO Emp respondent
NEW AMSTERDA
Comial
AMSTERDA
i
CAS
CO
we .
I-nr s espo-ren sponde de
/
-responde
BySilver 7
Their representative hereunto duly authorize~
INSULATION CO
Emp respondent
AETN~
AETN~ CASUALTY & SURETY CO Ins
BY
Their
representative hereunto duly authorize~
CO
CO Emp respondent
|
to
:; :;
By 22
100 100
100
representative hereunto duly authorized
,; ARMSTRONG CORK CO Emp
spon
res
TRAVELERS Inc. ,
ndent
Inc. i
| CO i _
Their repr^'sentativehereunto dul autho
The within and foregoing stipulation having been submitted
examined by the undersigned the same is found
to and
I settlement of a disputed claim and is
to be a just and reasonable
1959
hereby approved this 19th day of '.tem
tem
IT IS ADJUDGED DECREED AND ORDERED ACCORDINGLY
ACCORDINGLY
COMPEN TION_COMMISSIONER
FIRST CONGRESSIONAL DISTRICT
ARTHUR B. O'KEEFE
:
DOUGLAS B. JOHNSON ARTHUR B. OKEEFEJR HUBERT G. OKEEPK JAMES M. DONNELLEY ROBERT J. GILLOOLY
O'KEEFE O'KEEFE JOHNSON & O'KEEFE O'KEEFE
ATTORNEYS AND COUNSELORS AT LAW 183 TEMPLE TREET
NEW HAVEN CONNECTICUT
SONG
;
July 22 1958
TELEPHONE STATE 7.8171
N 346 14
Commissioner Leo J. Noonan
54 Church Street
Hartford Connecticut
Re Harry Haake vs. Robert Keasby et al
Dear Commissioner
am in receipt of a notice of hearing in this matter for September 22 1958. We represent the Employers Liability Assurance Corp. in this
matter
Hubert O'Keefe was formerly handling this matter and from our file it would appear that at the last hearing on November 29 1957 we were to
be let out of this case as any exposure we had would have been in the
State of West Virginia
Will you kindly advise me whether or nowte are to attend this hearing
which is now scheduled
Very truly yours
O'KEEFE JOHNSON & O'KEEFE
DBJ
DOUGLAS B. JOHNSON
WORKMEN'S OCUPIENSATION COMMISSION OF OUNNECTICUTOUNNECTICUT
NOTICE OF HEARING
Karvy Haake
33 Bunny Ridge Drive
,
East Hartford
Conn
TS
1923 1938
1923 to 1928
1928 to 1931
1932 to 1933
1933 to 1935
Robert A. Keasby
1H 3e 9
149West 19th St. New
record of coverage
York
Lots Asbestos Company Hartford
New York Conn
Actua Life Insurance Company
111 Pearl St. Hartford Conn
Century
Indemnity Company
670 Main
St. Hartford Genn
United States Casualty Company
279 Main Bt Middletown
.
New Amsterdam Casualty Company
1935 to 1938
Standard Accident Insurance Company
95 State St. Springfield Mass
19 to4 190 40 : 1940 to 1912
:
1940 to 1941
1941 to 1942
I. Collina Company Hartford , Conn .
No resord of coverage -
Oakwood Insulation
674
Company
Ave. Vest Hartford Conn
Glens Falls Insurance Company 141 Washington St. Hartford Conn New Amsterdam Casualty Company 276 Main 8 Middletown Conn
19to6195 65
| 1942 to 1945
19t5 o 18 958
Johns Manville Company Morgantown West Virginia
Employers 2313
Liability Assurance Corporation
Whitney Ave. Hamden Conn
Insulation Company 674 Oakwood Ave. West Hartford Conn
1945 to 1950 1946 to 1948 1950 to 1955
1955
New Amsterdam Casualty Company 276 Main St. Middletown Conn
Acte Casualty & Surety ~ ompany~ ompany
111 Pearl St. Hartford Conn
The Travelers Insurance Company.
750 Main St. Hartford Conn
eArmstrong Cory Company Lancaster Panna