Document wrNm0B0kzLZRd2jMG9v1nRE1V
FILE NAME Manville JMA
DATE 1965 DOC JMA127
DOCUMENT DESCRIPTION Contract Unit Claims File Carl Bailey
WORKERS' COMPENSATION APPEALS BOARD - CALIFORNIA
INDUSTRIAL ACCIDENT COMMISSION prior to 1966
APPLICANT
CARL BAILEY deceased
Asbestos Worker
by Nellie
-
CASE #LA #LA 288-822
DATE CLAIM FILED November 15 1965
INJURY ALLEGED
Inhalation of foreign matter resulting in death
ALLEGED DATE OF INJURY April 1935 to May 4 1965 dod
EMPLOYER INSURER
Fiberglass Corp./AETNA Casualty et.al.
including M Corp./Travelers
'
OTHER NOTES
No apparent Canadian carrier Doctors reports discuss asbestosis
DATE OF RESOLUTION August 9 1967
RESOLUTION
Compromise & Release
10,000 settlemer
Apportioned among 6 insurers & 2 employers
DOCUMENTS COPIED 1 July '66 Med Rpt of McDonald to AETNA
# OF PAGE
4
2 Sept. '66 Med Rpt of Schwartz to American
3
Motorists Ins Co.
3 Jan. '67 Med Rpt of Field to Applicant's Atty
2
4 Compromise & Release
5
5 Order Approving C & R
1
CLAIMANT
_
Carl Bailey
California Workers
;
Compensation Appeals Board
CARRIERS INVOLVED
The AETNA Casualty & Surety Co. oAmerican Automobile Ins Co.
oAmerican Employers American Motorists Argonaut Ins Co.
Ins Ins
Co. Co.
OAssociated Indemnity Corp.
oCalifornia Casualty Indemnity Exchange California Compensation & Fire Co. oCasualty Ins Co. of California
Employers Liability Assurance Corp.
Employers Mutual Liability Ins Co. of Wisconsin - _
oFidelity& Casualty Co. of New York
Fireman'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. oIndustrial Indemnity Co.
Exchange
Sentry Ins Co.
oIndustrial Indemnity Exchange
oInsurance Co. of North America
oLiberty Mutual Ins Co. .
OLumberman's Mutual Casualty Co.
oMaryland Casualty Co. oMichigan Mutual Liability Co.
Mission Insurance Co.
oNational Automobile & Casualty Ins Co. ONew Amsterdam Casualty Co.
oOcean Accident & Guarantee Corp.Ltd Pacific Employers Ins Co. oPacific Indemnity Co.
;
oReliance Ins Co. Standard Accident Ins Co.
oRoyal Indemnity
Casualty
oSecurity Ins Co. of Hartford U.S. Casualty Ins oState Compensation Insurance Fund
oTransport Indemnity Co.
oThe Travelers Ins Co.
Co.
oThe United Pacific Ins Co.
OU.S. Fidelity& Guaranty Co.
oZenith National Ins Co.
oZurich Ins Co.
00
5/81
mmf
I
WORKERS COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
| 3 NELLIE W. BAILEY
F&F CARL A. BAILEY DECEASED
oh
Applicant
4 09 VS.
FIBERGLASS CORPORATION et al
7
CASE NO LA 288-822 CERTIFICATION
9
Defendant
10
111 1
I hereby certify that the attached documents are true
12 and correct copies of the original documents filed in the records
of this office in the entitled matter
ATTEST my hand and the Seal of the Workers
Appeals Board of the State of California
Compensation
Compensation Workers Compensation Judge
.
Workers
Appeals Board
Dated at San Francisco California this 23 day of March 1981
DIA WEAD PORN 115 NEW 1.75
me Tos
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION
OF
JAN MACDONALD M.O.
1 WILSHIRE BOULEVARD LOS ANGELES CALIFORNIA 90087
July 11 1966 |
Eugene L. Stockwell Jr. Esq Weingand Kendig & Stockwell -
611 South Catalina
Los Angeles California ~~.
Dear Mr. Stockwell
r"C,,arl & Bailey dec B3CC49374
file
I have reviewed the massive medical
relating to the late Mr. Bailey as follows - 8 admissions to St. Mary's Hospital in Long Beach California from 1962 to the time of his death on 5.4.65
autopsy protocol
*
office records of Arthur Beland MD and W.R. Lochausen MD
films from numerous ray studies
various microscopic sections report of investigation by Professional Adjusters with written statements from eral of the deceased's foremen etc.
sev-
The issues in this case are such that the most
important evidence by far is that obtained from the findings at autopsy Any recital of illness unrelated
to the cause of death would be irrelevant to your
medicolegal problem in this case As I understand it
the issues are
1. Did the occupation of the deceased contribute to the causation of his lethal disease
2. Specifically did his period of employment with Corning Fiberglass Corporation
contribute to the cause of death
To answer these questions I shall review the
available evidence in the following fashion
A. Cause of death as determined by autopsy with incidental findings
-
B. Evidence specific to this case
,
C. General Evidence
A. Cause of Death The microscopic sections from the autopsy done on the year dec-
eased on 5.5.65 with serial 81-65 from St. Mary's Hospital together with a review of the gross
findings show the cause of death to have been a primary
undifferentiated carcinoma of the right lung WITH met-
astases to the opposite lung the adrenal glands and the liver The primary cancer had extended to involve almost
C
re Carl A. BAILEY
.
C
2
all of the right lung had grown through the pleural surface to involve the wall of the chest downwards to . the diaphragm and had spread to the left lung in the form of hundreds of small metastatic nodules There distant metastases of this cancer in the liver adrenal glands spleen and retroperitoneal nodes
Incidental Findings
lungs there 1. In both
was an early stage of
of of asbestosis This was apparent in the presence
asbestos particles the majority of which were in the
alveoli or air sacs with some chronic inflammation
but no scarring - the signs of an early asbestosis
2. There was chronic emphysema fibrosis
and secondary pneumonitis which were due to the cancer
and its obstructive effect and not due to asbestosis
B. Evidence Specific to this Case Here I shall review evidence related to the allegation that exposure to asbestos or some other material
encountered in his occupation provided a cause of his
lung cancer In particular such a claim will be exam-
ined in reference to his employment by Corning
.
1. Early Phase of Asbestosis As indicated in the autopsy report such asbestosis of the lungs as this subject had was early with most of the asbestos particles in the air sacs of the lungs If this fibrous mineral is
a causative factor in lung cancer an unverified assumption as described under C the material would have to be within the substance of the lung and especially next to the bronchial tubes in which area this lung cancer
bebgegaann
2. Short
Employment with Defendant Company
Between June
and
May
,
, when
the lung cancer
was first diagnosed the subject's total duration of
than employment with Corning Fiberglass Corporation was
less
2 years approx 23.25 months As will be
cited later the interval between the origin
cancer and the time it can be diagnosed when
amounts to a median time of 8 years
of a lung
still early
3. No Exposure to Asbestos with Defendant -
Although Mr. Bailey was classified as an asbestos wor-
his employment with Corning is said not to
have involved exposure ation of steam plants
to asbestos He worked on insul-
composed of a calcium silicate
mineral wools and cement Asbestos is a hydrated calcium-
magnesium silicate found in natural deposits in various
forms
such as chrysolite in U.S. and Canadian deposits
It should be stated that the calcium silicate ref-
erred to above is not the cause of the pulmonary disease called silicosis by definition only silicon dioxide can
produce silicosis
}
C
re Carl A. Bailey
C
3
4. Smoking of Cigarettes One form of expo-
sure now generally accepted as a cause of lung cancer is the use of tobacco in the form of cigarettes Stat-
istics indicate that the risk of the disease increases
with the amount smoked The history of this : subject
indicates that he regularly smoked 2 packages of cig-
arettes 40 per day until his lung cancer was diag-
nosed in May 1964
;
5. Duration of Life after Diagnosis of Lung
when incurable Cancer This patient was inoperable or
the
diagnosis of lung cancer was first made on 5.15.64
because of involvement of the pleura with an effusion in
which cancer cells were found He survived almost 12 .
months from the time of diagnosis In such inoperable cases average survival is 8 to 12 months It is thus apparent
that there was no unfavorable influence on the disease
i.e. any alteration in its expected course after the
the lung diagnosis was made This indicates that
cancer
was not subject to augmentation by any external factor <=
occupational or otherwise
cancer
C.General Evidence
Several items of general
evidence are pertinent to the allegation of an
occupational factor in the development of lung
in this subject
several years it has become possible Cancer estimate past
with
some
1. Natural accuracy the
History
of Lung
Cancer
duration of lung cancer
In the from its
earliest origin to the time at which it becomes diag-
nosable by ray appearance This has been done by serial
ray study of untreated cases which permitted a det-
ermination of the time required for such a tumor to
double in diameter doubling time or an increase
in volume of eight By semilogarithmic charts of
rate of growth it is possible to estimate the time
at which the tumor originated as a microscopic cluster of cells is not readily apparent by ray
a single cell Because a lung study until it
or as cancer
is
2 cm or more in average diameter the interval of
time from origin to such a size has been used most
often
For the type of lung cancer found in Mr. Bailey or an undifferentiated carcinoma the median duration
from its origin to an average diameter of 2 cm was in
the order of 8 years The range of time for this in-
terval was wide or from a minimum of 2.6 years to as
long as 36 years
:
In the present case the cancer was far greater in size than the 2 cm level used above from 2 cm to
the extent found at diagnosis in May 1964 had required a number of additional doublings Thus the minimum total life of this lung cancer was in the order of 5
years References Collins et al Am J. Roentgenol Rad Therapy & Nuclear Med 1956 988 Garland et
604 Cancer 1963 694 andA.J.R. R.T. & N.M. 1966
C
re Carl A. Bailey
(
4
I 2. Asbestosis and Lung Cancer Although some
authors have speculated on asbestosis as a cause of
carcinoma of the lung can find no valid evidence of
such an influence In one series the number of lung
cancer in asbestos workers had increased from 1933 to
1963 the increase was no greater than the over all
increase of
in
the
incidence
of
lung
cancer
In two groups
asbestos workers with20 to 25 years of exposure the
incidence of carcinoma of the lung was less than for the
general population of the United Kingdom as follows
Lung Cancer
No. Exposed Years Exposure Observed
Expected
16
20 - 25
re}
0.20
80 more than 20 0 0.30
Reference Proc Royal Soc Med 59-60
The only form of malignant tumor with a credible
relationship with asbestosis is mesothelioma of the
=
pleura a rare form of cancer even in asbestos workers
Tohfisthetypleunogf cancer is entirely unrelated to carcinoma
3. Asbestosis in General Population Population In a
recent report from
Miami asbestos bodies were found in
the sputum and smears from the lungs in 20 of males and
20 of females over 15 years of age coming to autopsy
This is associated with increased use of asbestos and its
presence in urban atmospheres and emphasizes the lack of _ relationship to carcinoma of the lung
4. With one exception similar diseases of
occupational origin involving
the lungs show no def-
inite relationship to lung cancer These include sili-
cosis fibrosis of the lungs from bauxite diatomites graphite mica talc beryllium and cotton dust The
one exception is the anthracosis of coal miners and
this may not be a valid effect relationship
SUMMARY An undifferentiated carcinoma of the lung
first diagnosed at an advanced incurable stage 5 years or more after the disease had its origin . There is no evidence that occupation factor or factors
contributed to the origin of this lung cancer Hor is there any suggestion that any external factor exerted an
. unfavorable effect on its course
Very truly yours
IM
Ian Macdonald MD
cc J.H. Morford
Aetna Casualty & Surety Company
GEORGE SCHWARTZ M.D.
6020 WILSHIRE BOULEVARD
BEVERLY
HILLS CALIFORNIA
Ce
90211
CARD OLOSY
C
American Motorists Insurance Company
3545 Wilshire Boulevard
Los Angeles California 90005
September 28-1966 28-1966 ek
Attention Mr. Ed Kairath
Re
Case 81 CM 7811ZC
WCAB No. : 65 LA 288-822
Carl A. Bailey Deceased }
J. T. Thorpe Inc.
Gentlemen
: 1 i
At your request I reviewed the rather voluminous file referable to the above
tioned case and herewith present my thinking as to causal relationship betweecnapt-he
occupational activities of the decedent and his demise on 5/4/65
In view of the specific problem presented me that of a possible association between exposure to asbestos and the finding of early asbestos at Autopsy reflected upon th causation of death ( the chief diagnosis being bronchogenic carcinoma of the right lung with metastases ) I shall merely attest to the causation of specific periods of hospita
ization
ST MARY'S LONG BEACH MEMORIAL HOSPITAL ( Diagnosis and dates only )
1 2 3
) 5 5 7 8
3/23 thru 3/28/62 a Peribronchial pneumonitis
10/13 thru 11/2/62 -- Acute and chronic cholecystitis and cholelithiasis ( surge
as Cholecystectomy )
5/27 thru 6/12/63 -- Atherosclerotic abdominal aortic aneurysm and anemia 5/20 thru 5/29/64 -- Right pleural effusion with tumor cells in pleural fluid
consistent with adenocarcinoma ( surgery as bronchoscopy )
6/8 thru 6/9/64 --Metastatic adenocarcinoma in right pleural space pleu
effusion pneumothorax secondary to previous thoracentesis
thru 1/12/65 and pleura
In tractable right chest due to carcinoma of the right lung
3/4 thru 4/2/65 -- Intractable right chest ( surgery as
and rhizotomy C3 and 5 ) due to carcinoma of lung
4/29 thru 5/4/65 -- Metastatic disease bronchogenic as bronchogenic carcinoma
cervical cordotomy C2
terminal of death
NECROPSY EXAMINATION SUMMARY
Necropsy examination in this 54 year old male shows widespread widespread undifferentiated bron
genic carcinoma with multiple distant metastases and metastases to opposite lung The is in addition a generalized asbestosis that is still in the early stages with the major of the asbestos particles being within the alevoli Additional significant findings are
chronic emphysema and fibrosis and pneumonitis secondary to the obstruction caused ?
the tumor
;
eae
(
tf
-
ASBESTOS EXPOSURE
GEORGE SCHWARTZ MD
esso WILSHIRE BOULEVARD BEVERLY HILLS CALIFORNIA 90211
CARDIOLOGY
C
BaileyBailey
Page
It is reasonable to
followiangssume more of the
that the decedent was exposed to such inhalation in one or employment periods
m
1
1937 thru 1942 -- Louis Fire Brick & Insulation
Company 2
1942 -- short period work with Firestone Tire & Rubber
3
1942 thru 1946 -- Plant Rubber & Asbestos Works
Company
4
1946 thru 1952 -- Marine Engineer & Supply
Company 5
1952 thru 1957 - Thorpe Insulation Company
6 1955 thru 1957 -- interspersed interspersed with # Coast Insulating Products
7
Thorpe Insulation --9 months in 1958--9 months in 1959--9 months in 1960--
6 months in 1961--6 months in 1963 --3 months in 1964
7
8 Corning Fiberglass 1961 thru periods interlocking with ;
periods with Thorpe Insulating interlocking when the work was slack at Owens
ing
a An asserted investigation indicates that there was no exposure to asbestos
inhalation Owens Corning and if this prove factual then such was the case However of import
( is the finding of asbestos particles in the alveoli air sacs of the lung ) and not within
the substance of the lung and " especially next to the bronchial tubes in which area th
lung cancer began " ( Dr. Macdonald ) In the presence of chronic emphysema fibros
and atelectasis it is reasonable to assume that such particles ( asbestos )
have t
both lodged and trapped within the alveolar sacs for short
may
a
or long period of time
to years even without their inclusion into the actual parenchyma of the lungs
Further of import is the microscopical study which again negates the presence of asbestos particles in the lung parenchyma especially in the area of the bronchial tube
altho as anticipated there were chronic inflammatory cells which may have been resultant of the foreign bodies within the alveoli or may as well have been resultant of t
same adversity which caused the extensive acute and chronic inflammatory changes th out the lung fields
Dr. Ian Macdonald's report leaves nothing wanting in negating the association of the
asbestos particles and the causation of death one in which these foreign bodies likewi played no role in accelerating the malignant disease
Dr. Macdonald's dissertation in paragraphs Al Bl Cl paragraph 3 which states a
suspicioned minimum of 5 years of total life of the lung cancer but the maximum re-
mained unstated C2 sentations negate the caused the demise
C3 and C4
association
is excellent and cannot be improved upon These pre of the asbestos particles and the disease entity which
Dr. Macdonald's summation is explanatory I believe his medical thinking is facti and authoritative and will in substance negate for you any occupational association wit
the causation of death
There is no advantage to be gained from reiterating all that which is included in Dr.
2.
ta
(
GEORGE SCHWARTZ MD
SEZO WILSHIRE SOULEVARD BEVERLY HILLS CALIFORNIA 9021
CARDIOLOGY
C
Baile
Baile
Page
Macdonald's as well
report since I am of a similar opinion
and my conclusions are similar
Pewee ewww enw ew wc weaw e en
Thank you for the privilege of reviewing this file
Very truly yours
E-F
George Schwartz M. D.
mt
.
DIPLOMATE
* o
JOHN B. FIELD M.D. PH.D.
DIPLOMATE AMERICAN BOARD OF INTERNAL MEDICINE
NOX SAN MEDICAL BUILDING 465 NORTH ROXBURY DRIVE BEVERLY HILLS CALIFORNIA
C C C
CRESTVIEW 8-0433
r Steven Roseman
1621 Test Ninth St. Los Angeles Calif 90015
Lear Mr. Roseman
January 7 1967 Re Carl A. Failey
I have had the opportunity to study and review the extensive
and eutopsy reports on the above In addition I have
records rays
a work record on Mr. Failey
requested and received
In brief this record documents the fact that for the lest 29
Failey worked in an atmosphere where he would be exposed to asbestos yeIarhsavMer.been
informed that a fellow worker and personal acquaintance of Mr.
described the latter's
Failey's hed
boxes under
handling and working working with asbestos by removing it from
dusty conditions cutting the asbestos and covering pipes and smoke
stacks etc. with this same material Under these conditions asbestos dust
was continually in the air on the outer garments and skin and
=
orifices In his last employment at the Owens
entering the body
Mr. Failey res also working with asbestos
Corning Fiberglass Corporation
After a prolonged illness Mr. Failey passed arey on May 4 1965 at which time
~ etailed autopsy revealed a bronchogenic carcinoma
,
a
lung with numerous metastases as well as chronic
originating in the right lower
emphysema and fibrosis of the
lungs as well as extensive acute and chronic inflammatory change with marke~
thickening of the pleura and -ithin the right lung - there is a
fibrous granulomatous response that in areas extends out into
peritronchial
within these granulomatous areas there
into the lung parenchyma
are -- cylindrical particles which are
inter to le astestos bodies
;
Discussion
I
I have undertalen the opportunity to investigate and evaluate
|
of
the extensive and growing literature on the subject of asbestos and
some
cancer and as
many outstanding authorities have stated see in this situation an analogy to the
exposure of the radium match dial workers and other industrial carcinogens The
supportive literature is growing rapidly and the evidence is almost
in favor of this association I can only quote a few of the
overwhelming overwhelming
erences
many pertinent ref-
Demy and Adlar in Somerset N. J. , the site of an askestos plant have accumulated
37 proven cases of asbestosis and lung carcinoma personal communication In
Thoracic Diseases by E. H. Rukin and 11. Rubin W.F. Saunders Fhila 1962
462
Exposure to astestos is known to carry increased hazards for the
p
lung cancer On p 708 -210 lung cancer has been found as
development of frequent complication
of asbestosis in as high as 20 of the cases and as compared to exposure to sili-
cosis where only 1.32 of the workers have been found to have lung cancer
K. Doll Mortality Prom Lung Cancer in Aslestos Workers Frit J. Indust
12 31 1955 reported that 15 out of 105 asbestos workers died with
Med
and D.X.A. Heretether in the
lung cancer Proceedings of the Third International Conference of
Experts on Pneumoconiosio Spiney Australia 1950 reported 31 of 160 deaths in
asbestos workers to be due to lung cancer J. R. Fignal's Fignall's Carcinoma of the
Long
LivingstonLievingstone
Livingstone
Livingstone ,
Edinburgh
,
1050 p 5050 , It is evident therefore that
lung cancer is a specific industrial hazard of asbestos forkers and in the two
Mr. Steven Rossman
-2-
January 7 1967
volume Chest Diseases by K. M. Perry and Sir Thomas H. Sellors Futterworths
London 1963 Vol 1 p 547 it is pointed out that in Germany carcinoma of the lung in asbestos workers is
now recognized as an industrial disease
pleura Perhaps one of the most authoritative sources of reference now available is
in the Annals of the New York Academy of Sciences 1965 , Tol 132 p 1-766
which is a Conference On The Piological Effects Of Asbestos and which devotes
the section from p 507 to p 655 on the relationship betreen asbestos
cancer In brief in an article by Euchanan p 517 it is
and
is
in
England a
high
and
increasing
relation
of
lung
cancer
pointed
in
out
that
there
both male and female and The conclusion of
asbestos workers
a study is that even then viewed
against the steadily rising incidence of lung cancer in the population as
whole there seems little doubt that there is
a
a special risk of an intrathoracic
tumor if asbestos is also present in the lung In the United States
Selikoff and Churg p 523 report that in a study of deaths of New Hammond
asbestos insulation workers 20 died of carcinomas Similar reports from other parts of the world
of the lung
or
York City
Dresden asbestos
are given including that of
morkers p 573 and other areas Finally the Working Group
.
-
on Asbestos and Cancer plotting a protocol for further study p
there is evidence of association between exposure to asbestos
710
states
neoplasia The types of tumors which have been shom to be asasndocimaatleidgnwaintth
exposure to asbestos dust are
of the
1. Carcinoma of the lung 2. Diffuse mesothelioma
pleurs and peritoneum
Another outstanding world authority on occupational cancers 7. C. Hueper Tho has objectively detailed much of the relevant information in a
Occupational and Environmental Cancers of the
new monographmonograph
Verlag New York 1966 p 47 concludes that ARletshpoiurgahtorcayncSeyrstofemtheSplruinngger-
does not seem to be the most frequent fatal complication of asbestosis it is
aenvdidtehnetrleyfosrueffiisciaentsleryiofurseqsueenqtuelfaorofeleexvpaotsiunrge thtoe alusnbgecsatnocesr rate as , group
In a discussion of the clinicopathologic relations Hueper indicates that it is
characteristic that the lung cancer tegin in the lower lobes is associated
with a thickening of the pleura has associated fibrosis and the
astestos bodies
presence of In all of these items there is a distinct correlation in the
autopsy findings on Mr. Failey
Thus it is my considered professional belief that the long and continued exposure to asbestos by Ifr Failey mas a direct and probable cause of his
probable
nent of cancer of the lung which brought about his demise
develop-
Trusting that this report is of assistance to you
Very truly
JTF JTF :
enc enc
Te mmwrmeen Oe ate ST tee
eee ce
+. ame Sa
re
oe. oem
ee
pe see,
TI
ee eee
ee
(
(
oo
r
WEINGAND
Attorneys 611 South
KENDIG & at Law Catalina
STOCKWELL
Los Angeles California 90005
Telephone 385-8087
Attorneys for Aetna Casualty & Surety Company
.
PROCESS
ACIDENTSTEDS
PROCESS
PROCESS
AC IDENTSTEDS
9 ACIDENTSTEDS
222222 222222 222222 222222 222222 222222 16 17 1 2 2 21 22 NNNNNNN NNNNNNN NNNNNNN NNNNNNN NNNNNNN NNNNNNN NNNNNNN W w 32
| | ADDRESS
-
INSERT "N
.
INSERT ANGELUS
BEFORE THE WORKMEN'S COMPENSATION APPEALS BOAR
ANGELUS
.
OF THE STATE OF CALIFORNIA
NELLIE W. BAILEY WIDOW
Rat
Sl
Applicant
a
a
VS.
Beal
Sarl
FIBERGLASS CORPORATION et al Saget
and
Saal
MANVILLE SALES CORPORATION Sd
Meet
Defendants
Net
et
CASE NO 65 LA 288 822
COMPROMISE AND RELEASE
AGREEMENT
The parties hereto for the purpose of compromise only
agree as follows
1. The named applicant claims that CARL A. BAILEY while
employed at various locations in California between 1935 and
May 30 1964 by various employers then insured as to Workmen's Compensation Liability by various insurance companies sustained injury arising out of and occurring in the course of such employ-
ment as follows By reason of inhalation of asbestos particles
and other materials and by reason of stress and strain and general exposure to conditions of employment he sustained
internal injuries including injuries to his lungs and other injuries symptoms conditions and complaints
2. The death of said employee occurred on May 4 1965 as a
result of claimed injury
-1-
.
OO TO eet e enere
3. The
1 dispute claimed
actual weekly wages
injury were in
of the employee at the time of the while average weekly wages were
3 in dispute
4
5 a
7
o
10 11 12 13
14
15 16
4 Payments of compensation to the employee in his lifetime on
account of the claimed injury were none
t
5. The applicant herein claims to have
employee at the time of said injury and
been dependent upon said
states the names ages
relationship to
employee to have
and the been as
extent of follows
dependency
upon
said
deceased
NAME NELLIE W. BAILEY
AGE Over 21
RELATIONSHIP
Wife
EXTENT OF DEPENDEN Total
Applicant represents there were no other dependents upon the
deceased employee
17 18 19 20 21 22 23 24 25 26 27 28 29 WN 31
6. The parties agree to settle any and all claims of said
dependent on account of the claimed injury and death of said
employee by payment of the sum of 10,000.00 payable as follows
To the applicant in one lump sum less Less 250.00 payable to Doctor John B.
liens if any of record said sum of
attorney's
Field
10,000.00
fees
to be
less contribute
to as follows
AETNA CASUALTY & SURETY COMPANY
~
AMERICAN MOTORISTS INSURANCE COMPANY -
ARGONAUT INSURANCE COMPANY
PACIFIC EMPLOYERS INSURANCE COMPANY _
CALIFORNIA COMPENSATION & FIRE COMPANY -
FIREMAN'S FUND INSURANCE COMPANY ~~
PLANT RUBBER & ASBESTOS WORKS -~
MANVILLE SALES CORPORATION os
'
1,476.00 2,365.00 742.00 1,796.00 805.00 1,753.00 1,038.00
25.00
32
TOTAL CONTRIBUTIONS
10,000.00
-2-
:(
.
I 7. The parties agree that medical hospital and burial
expense
2 required by reason of the alleged injury and death of the
3 employee shall all be borne by the applicant and none by the
q defendants
Paes
5
6
8. The name and address of the applicant's attorney is
7
Steven Roseman 1621 West 9th Street Los Angeles California
8
who requests a fee of $
1.250.00
9
having been previously
10
11 12 13 14 15 16 17 18 19 20 21 22 23 23 25 26 27 28 29
30 31
9 Reason for Compromise The defendants and each of them
deny that the deceased employee sustained injuries arising out of and occurring in the course of his employment and further deny that if injury was sustained that the same was the proximate
cause of the death of the employee as alleged Defendants and
each of them contend that the employee's disability and ultimate
death resulted from existing and industrial conditions
By this settlement the applicant hereby releases all employers of the deceased employee during the course of his lifetime from
any claims of industrial injury or by reason of the claim of
industrial injury herein This release extendtso said employers
whether the same have been previously ascertained and joined in
these proceedings or otherwise whether said employer was insured
uninsured or permissibly self insured and this release extends
further to any and all insurance carriers of any of said
employers whether or not ascertained and previously joined herein or whether or not contributing toward the settlement herein ---- resolve the many legal and factual issues involved in litigation of this matter and to avoid the hazards and delays of litigation
the parties make this settlement
32
10. The undersigned request that this compromise agreement
-3-
FM ye
nme
1
and release be approved
2
3
Fe 5 --
7
8
oo
10
11
law
Upon approval of this
compromise agreement as
and payment in accordance with the provisions
provided by of said orde
of approval said applicants and each of them do hereby release
and forever of and from
discharge said employers and all claims demands actions
said insurance compani
or causes of action o
every kind or nature whatsoever on account of or by reason of
as the injury and death sustained aforesaid by the employee an
in particular of any all and every claim or cause of action
1111 which the undersigned heirs executors representatives or administrators may have had now have or shall hereafter have
13 13
against said employer said insurance
carriers and each of
14 14 them under Division IV of Labor Code of the State of California
15 15
16 16 12 It is agreed by all parties hereto that the filing of this
17 17 document is the filing of an application on behalf of the applicant that it may be set for hearing as a regular applicati
in 19
reserving to the parties the right to put
issue any of the
2020
facts admitted herein and that if hearing is held with this
21 21
document used as an application the defendants shall have
22 available to them all defenses that were available as of the
23 date of filing of this document and that it may thereafter be
24 approved disapproved or a decision issued after a hearing has
25 been held and the matter regularly admitted
26
WITNESS 27 the signature hereof this
28
1967 at
29
day of
30
31
WITNESSES
.
32
The
~
%y
w .
applicant's signature
nT must be attested
two
STEVEN Accent TOE FOR
by disin- terteeresstedted terested
god
god god
before before
cate ee es oom
Cee
eeeeeay
i ee ee -
2
AMERICAN MOTORISTS INSURANCE COMPANY
3
ia
Representative
GINNOCCHIO TAYLOR Fe
ARGONAUT INSURANCE COMPANY
ZONNI ,
.
5
6
7
7 THOMAS PACIFIC EMPLOYERS INSURANCE COMPANY THE TRAVELERS INSURANCE COMPANY , PERKINS BALDWIN & ,
9
By
CALIFORNIA THOMAS CORRECT ep
10
COMPENSATION & FIRE Aucz ACHMENTS
11
CLOPTON
9
PROCESS
Mr. Penny 12
Clopton 13
Hav INSURANCE INSURANCE 14 By Hav INSZURAN-CE ANGE3L
Hav Representative PARRAFINE COMPANY 15 Representative
16
PABCO PRODUCTS
PLANT RUBBER & ASBESTOS WORKS
17
PHLEGER &
Rinald Sci HARRISON 18
By
Rinald
Rinald Rinald Rinald
Sci
Sci
fi
Their Attorneys
2
Their
CHCH7 2
AETNA
CASUALTY
&
SURETY
COMPANY,
STOCKWELL STOCKWELL
2
elr Attorneys
22
MANVILLE SALES CORPORATION A
Insured 2
Division MANVILLE a Corporation
Self
HERLIHY & HERLIHY ,
2
By
Chan Chan aaTRL
2
Their Attorneys
26
a
er
2
28
29
30
31
32
-5-
wee.
+ Neagrees
0 ee. +
+27 ermine Ome, 5
OF RELATIONS DEPARTMENT INDUSTRIAL
a)
.
DIVISION OF INDUSTRIAL ACCIDENTS
WORKMEN'S COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
NELLI W. BAILEY
CASE 65 LA 293-822
Applicant
VS.
FIBERGLASS CORPORATION et al )
Approving Order
Compromise and Release
;
Defendants
hom
ee
ove
tetas
ee 8-11-67 8-11-67 55
Loe
aee
After evaluation of the allegations in the Compromise and Release referred to hereinafter and the facts set forth in the medical reports and medical records filed herein it is my opinion the proposed settlement is adequate
previously The parties to the entitled action have filed a Compromise and Release herein on
August 9 1957
settling this case for $ 10,000.00
in addition to all sums which may have been paid and this Board
approved
and requesting that it be approved
finds that it shohualvdinbge caopnspirdoevreedd tahendentire record , including said Compromise and Release now
IT IS ORDERED that said Compromise and Release is approved
Award is made in favor of NELLIE W. BAILEY
Company Against The Aetna Casualty & Surety Company American Motorists Insurance
Company Argonaut Insurance Company ; Facific Employers Insurance Company
California Compensation & Fire Company Fireman's Fund Insurance
Zant Rubber & Asbestos
Perry
Co./Pabco
Products
; Ma^-vill
Payable as follows
Sales Corporation
By American Motorists Insurance Company
.
To
Fayable as By
:
a
,
Steven Roseman as attorney's fee Steven Roseman for costs advanced John 3. Field M.D.
:
Nellie W. Bailey applicant
follows to applicant
The Actna Casualty & Surety Company Argonaut Insurance Company Pacific Employers Insurance Company California Compensation & Fire Company Fireman's Fund Insurance Company Hant Rubber & Asbestos Works et al Manville Sales Corporation
1,250.00 68.50
250.00
795.50
1,476.00
742.00
1,736.00 805.00
1,75 1,033.00
22.69
DATED AT 100 TELES
AUG
11
.
CALIFORNIA
AUG 1967 pene eg
Tee Faye
11
eee
S
Yas tt
330 00 011
Referee WORKMEN'S
SERVED BY MAIL ON PERSONS SHOWN ON THE OFFICIAL ADDRESS RECORD
Date oe
wee aes
fitmal By fitmall fitmall
fitmall fitmall
Edg
Edg
Ot, Edger
OMPENSATION APPEALS EdgerEdger Edger
FORFM ORM38E 2 FORR M382LY ey,
teat
~-
,
81-86 ae ee
-
3069-853
Fa
RW
one
.
vem
ewe
oe
rs
ed
' WORKERS COMPENSATION
INDUSTRIAL ACCIDENT
APPEALS APPEALS BOARD - CALIFORNIA
COMMISSION prior to 1966
APPLICANT APPLICANT
APPLICANT
WILLARD R. CRADER deceased by spouse
Asbestos Worker
Lola
CASE # POM 1939
DATE CLAIM F~ LED
Dec. 17 1964
INJURY ALLEGED
Injury to lungs injury due to exposure to irrit
ALLEGED DATE OF INJURY
January 1938 - March 3 1964
EMPLOYER INSURER
Fiberglass Engineers Casualty et al including M Travelers
No _ apparent Canadian insurer
:
OTHER NOTES Autopsy cerebral aneurism
DATE OF RESOLUTION
April 20 1967
RESOLUTION
Compromise & Release
7,500 settlement
apportioned among 2 employers insurers
DOCUMENTS COPIED
Compromise
1 Compromise & Release
2 Order Approving C & R
# OF PAG 4
4
_
CLAIMANT
Willard R. Crader
3
California Workers Compensation Appeals Board
CARRIERS INVOLVED
The AETNA Casualty & Surety Co.
oAmerican Automobile Ins Co.
oAmerican Employers Ins Co.
American Motorists Ins Co.
oArgonaut Ins Co.
OAssociated Indemnity Corp.
California Casualty Indemnity Exchange
oCalifornia Compensation & Fire Co. oCasualty Ins Co. of California
Employers Liability Assurance Corp.Ltd
Wisconsin Fidelity Employers Mutual Liability Ins Co. of _ & Casualty Co. of New York
'
Fireman's Fund Ins Co.
General Accident Fire & Life Assurance Corp. Ltd. oGlobe Indemnity Co.
Guarantee Insurance Co.
oGreat American Ins Co.
oHardware Mutual Casualty Co. Sentry Industrial Indemnity Co. oIndustrial Indemnity Exchange
oInsurance Co. of North America
Ins
Co.
Liberty Mutual Ins Co. oLumberman's Mutual Casualty Co. oMaryland Casualty Co. oMichigan Mutual Liability Co.
Mission Insurance Co.
National Automobile & Casualty Ins Co.
oNew Amsterdam Casualty Co.
oOcean Accident & Guarantee Corp.
Pacific Employers Ins Co.
oPacific Indemnity Co.
Reliance Ins Co.
oRoyal Indemnity
Standard Accident Ins Co.)
oSecurity Ins Co. of Hartford U.S. Casualty Ins State Compensation Insurance Fund
oTransport Indemnity Co.
The Travelers Ins Co.
oo.
Co.
oThe United Pacific Ins Co.
oU.S. Fidelity & Guaranty Co.
oZenith National Ins Co.
oZurich Ins Co.
co$o
5/81