Cintron Parrilla v. Lilly Del Caribe, Inc.

32 F. Supp. 2d 35, 1998 U.S. Dist. LEXIS 19815, 1998 WL 886956
District Court, D. Puerto Rico·Decided November 30, 1998·No. CIV. 98-1630 (DRD)·Published·Cited by 3 cases

Opinion

OPINION AND ORDER

DOMINGUEZ, District Judge.

Pending before this court is a Motion to Dismiss (Docket No. 3) filed by co-defendants Lilly del Caribe (Lilly), Evelyn Rodriguez, Raquel Llivina, Félilx Matos, Lydianne Secóla and Luz E. Soto, and co-defendant Ricardo Flores’ Motion Joining Notice of Removal and Motion to Dismiss (Docket No. 6). Also before the court is plaintiffs’ Opposition to Removal and to Motion to Dismiss (Docket No. 9).

I. BACKGROUND

Co-plaintiffs Kenia Cintron Parilla (Cintron), a Lilly employee, her husband Miguel A. García Méndez, the conjugal partnership formed between them, and their three children filed suit in the Puerto Rico Court of First Instance, Carolina Superior Section on May 5, 1998. Plaintiffs seek benefits under Lilly’s Short Term Disability and Long Term Disability Plans for which co-plaintiff Cintron allegedly qualifies. They also seek extra-contractual damages for mental anguish in the amount of $1,175,000.00. Plaintiffs allege that Cintron is entitled to Lilly’s Short Term Disability and Long Term Disability plan since she suffered from a disabling work related condition. They further contend that defendants wrongfully denied Cintron these benefits despite the fact that she has complied with all the requisites for eligibility. The above mentioned co-defendants removed the ease on June 4, 1998, and now seek to dismiss under Fed. R. Civ. Pro 12(b)(6) for failure to state a claim upon which relief can be granted.

II. STANDARD OF REVIEW

Federal Rule of Civil Procedure 12(b)(6) provides that a party may motion the court to dismiss the case for failure to state a claim upon which relief can be granted. It is well-settled, however, that “a complaint should not be dismissed for failure to state a claim unless it appears beyond doubt that the plaintiff can prove no set of facts in support for his claim which would be entitled to relief.” Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957); see also Miranda v. Ponce Federal Bank, 948 F.2d 41, 44 (1st Cir.1991). The Court must accept as true the well-pleaded factual averments contained in the complaint, while at the same time drawing all reasonable inferences from the allegations in favor of the plaintiff. See McDonald v. Santa Fe Trail Transp. Co., 427 U.S. 273, 276, 96 S.Ct. 2574, 49 L.Ed.2d 493 (1976); Correa-Martinez v. Arrillaga-Beléndez, 903 F.2d 49, 51 (1st Cir.1990); Dartmouth Review v. Dartmouth College, 889 F.2d 13, 16 (1st Cir.1989).

*37 In opposing a Rule 12(b)(6) motion, “a plaintiff cannot expect a trial court to do his homework for him.” McCoy v. Massachusetts Institute of Technology, 950 F.2d 13, 22 (1st Cir.1991). Rather, the plaintiff has an affirmative responsibility to put his best foot forward in an effort to present a legal theory that will support his claim. Id. at 23 (citing Correa-Martinez, 903 F.2d at 52; Dartmouth Review, 889 F.2d 13,16 (1st Cir.1989); Ryan v. Scoggin, 245 F.2d 54, 57 (10th Cir.1957)). Plaintiff must set forth in his complaint “factual allegations, either direct of inferential, regarding each material element necessary to sustain recovery under some actionable theory.” Gooley v. Mobil Oil Corp., 851 F.2d 513, 514 (1st Cir.1988).

III. DISCUSSION .

a. Preemption of state causes of action

Plaintiffs seek benefits under defendant Lilly’s Short Term Disability and Long Term Disability plans. Because this court finds these benefits plans constitute an “employee welfare benefit plan” as defined in § 3(1) of ERISA, plaintiffs’ cause of action is preempted by federal law. ERISA § 3(1) defines an “employee welfare benefit plan” as any plan, fund or program which is established or maintained by an employer for the purposes of providing, either directly or through the purchase of insurance benefits such as medical, dental or disability. 29 U.S.C. § 1002(1). Moreover, it is clearly established in this Circuit that disability and medical benefit plans provided to employees by an employer are welfare benefits subject to ERISA. Johnson v. Watt s Regulator Co., 63 F.3d 1129, 1133 (1st Cir.1995) (group insurance programs for accidental death, dismemberment, and permanent disability qualified as a program of employee benefits under ERISA); Toledo v. Ayerst-Wyeth Pharmaceutical, Inc., 852 F.Supp. 91, 98 (D.P.R.1993) (court found medical benefits plans and short and long term benefit plans in question were welfare benefits governed by ERISA); Sarraf v. Standard Ins. Co., 102 F.3d 991 (9th Cir.1996) (long term disability plan was. an “employee welfare benefit plan” within the meaning of ERISA); Chiles v. Ceridian Corp., 95 F.3d 1505 (10th Cir.1996) (long-term disability plan is an “employee welfare benefit plan” since disability insurance are considered welfare, not pension, benefits). As such, the court finds that Lilly’s Short Term Disability and Long Term Disability plans are “employee welfare benefit plans” governed by ERISA.

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Cintron Parrilla v. Lilly Del Caribe, Inc., 32 F. Supp. 2d 35, 1998 U.S. Dist. LEXIS 19815, 1998 WL 886956 (prd 1998).

32 F. Supp. 2d 35 (Cintron Parrilla v. Lilly Del Caribe, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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