Document x1yqeyvZo7L4yQ48p5Zj2jqOb

Six Becker Farm Road Roseland, New Jersey 07068-1743 Telephone: (201) 740-9400 LIBERTY MUTUAL MARCH 30, 1992 SHERWIN WILLIAMS CO 101 Prospect Ave Newark, OH 441 15 GU *^j|| $ REDACTED EMPLOYEE: INSURED: SHERWIN p/VILLIAMS. CO CLAIM NUMBER: WC 324-50B333 ` DATE OF ACCIDENT: 11/17/89.1* I >* Dear Anthony Colangelo: 5-8 is I am writing to you as I have been unable to reach you via phone. Please see the enclosed request for settlement authority and advise if the same can be granted or call this office to discuss the above claim. Should you have any questions feel free to contact me. Thank you. Sincerely, SHlr TORE YNOLDS Claims Dei artment ENCLOSURE WC001 R1 N40344 0007-SWP-005800338 CONFIDENTIAL ROSELAND CLAIMS MARCH 17, 1992 ROSELAND CLAIMS ATTENTION: DON GRUNSTRA REDACTED I |tl DONALD 6RUNS1 h/ * MAR ^ ^ % >,j a a ^ -!- f f- '4!l " ASSIST/ T CLAIMS MANAGER RE: vs. Sherwin Williams Co. File No: 324-508333 - || Date Of Injury: 11/17/89'' liA k !m '* [t Vt SETTLEMENT AUTHORIZATION REQUEST: This matter was last heard on ^January 28, 1992 before Judge Boyle in Newark Workers1 Compensation; tCourt.J This matter concerns a denied accident of 11/17/89. The claimant!!-alleges being exposed to chemicals while operating a forklift on-s(ll/17/89. The claimant alleges loss of breath which resulted in him being;?transported to St. James Hospital for treatment. The claimant missed, .approximately 2 weeks of work and returned with no further problems;/'/The claimant is markedly obese, has a history of a prior prostatectomy, and hiatal hernia, also has a history of pneumonia . ;knd bronchitis. Liberty Mutual has not extended -any payments of .temporary disability or permanent disability. * 7 *(i,,, REDACTEI The petitioner's attorney, Mortimers Wald of West Orange, N. J. has filed a Normal Claim Petition against our insured. This petition alleges permanent disability resulting ;from,';the alleged exposure on 11/17/89. Mr. Wald has also petitioned for 'the Second Injury Fund to be named REDACTED as a correspondent. The petitioner1 s.- attorney has medical evaluations which states that is-5tptally disabled. We have an exam from Dr. Edwin Rothfeld, dated ^February 13, 1990, and March 21, 1991, in which Dr. Rothfeld estimates^permanent disability at .20% of partial total for chronic obstructive;^- lungfdisease. Dr. Rothfeld however, does not relate this disability *,in any, way to employment with our insured, however, he relates? this disability to hypertension, obesity, varicose veins and!;riPn-insulin dependent diabetes mellitus. Based on the above issues of questionable liability and causal relation, I am requesting that Authorization; l>e#extended to dispose of this claim for up to $50,000 pursuant to N.J.S.'A: 34:15-20. lease grant authorization to ./settle'- this claim for $50,000 pursuant I h N.J.S.A. 34:15-20. JRE ARNOLDS SENIOR CLAIMS ADJUSTER AR/i N40344.01 0007-SWP-005800339 CONFIDENTIAL