EE FILED AN ALLEGED CLAIM FOR OCCUPATIONAL PNEUMOCONIOSIS ON 8/28/03, RECEIVED NOTICE ON 12/18/03. WORKERS COMP. SENT A LETTER DATED 11/25/03 NOTIFYING ACORDIA, OUR REPRESENTITIVE, THAT EE HAD MADE APPLICATION FOR OP ALONG W/3 OTHER COMPANIES. EE TERMINATED EMPLOYMENT WITH THIS COMPANY ON 08/14/03. CLAIM NO.2004009690.