Estades-Negroni v. Associates Corp. of North America

345 F.3d 25, 14 Am. Disabilities Cas. (BNA) 1478, 2003 U.S. App. LEXIS 20066, 84 Empl. Prac. Dec. (CCH) 41,518, 93 Fair Empl. Prac. Cas. (BNA) 979, 2003 WL 22244952
Court of Appeals for the First Circuit·Decided October 1, 2003·No. No. 02-1852·Published·Cited by 15 cases

Opinion

TORRUELLA, Circuit Judge.

Plaintiff-appellant Nydia Estades Neg-roni (“Estades”) brought an action against the Associates Corp. of North America (“Associates Corporation”), Associates Financial Services (“Associates”), Associates First Capital Corp., and Associates Corpo[28]*28ration of Puerto Rico (collectively “defendants”), alleging unlawful discrimination because of her age and disability in contravention of the Age Discrimination in Employment Act (“ADEA”), 29 U.S.C. §§ 621-634 (2003), the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12182-12189 (2003), and several provisions of Puerto Rico law. The district court granted summary judgment in favor of the defendants; Estades now appeals. After careful review, we affirm.

I. Background1

Estades was hired by Associates in 1986. Between 1989 and 1990, she became aware of financial irregularities regarding loans carried out by some of her eo-work-ers in Associates’ Arecibo I branch. In 1992, Estades reported the irregularities to Juan Irizarry, Group Assistant Vice President at Associates, through his secretary, Haydeé López. As a result of Es-tades’s allegations of fraud, several audits were performed that resulted in the firing of several of her co-workers, including her supervisors, in 1993.

After she reported the irregularities, Estades alleges she experienced a “pattern of discrimination.” According to Estades’s brief, “her supervisors were bothered by Estades’s whistle-blowing activities.” Es-tades contends that, as a result, her workload was increased to the point of being “excessive.” Estades also claims that she requested her workload be reduced to its original level or that an assistant be hired; her employer refused both requests. She also alleges that the director of human resources, at least one of her supervisors, and several of her co-workers at Associates made “age motivated remarks.”2

In March 1996, Estades experienced chest pains and visited a doctor, who diagnosed her with severe depression. On March 21, 1996, Estades, following her doctor’s recommendation, reported to the State Insurance Fund (“SIF”). The SIF examined Estades and found her to be disabled; she was placed on leave to receive medical treatment.

On April 9, 1996, Estades requested short-term disability benefits under Associates’ employee benefits policy (the “Policy”). The Policy was administered by Associates Corporation and managed by Prudential Healthcare Group (“Prudential”). Estades received short-term disability benefits for the maximum period possible, from March 1996 to September 1996.

On May 2, 1996, Carmen Hernández, a social worker with the SIF, interviewed Estades in connection with her request for treatment. SIF referred Estades to Dr. Pablo Pérez Torredo, a psychiatrist, for evaluation. On June 18, 1996, Dr. Pérez Torredo issued his final psychiatric report, diagnosing Estades with adaptive disorder with mixed emotional symptoms and recommending that she receive additional psychotherapeutic treatment.

On August 23, 1996, Associates notified Estades that her short-term disability benefits would expire on September 27, 1996. Associates further informed Estades of [29]*29her right to apply for long-term disability benefits (“LTD”) and recommended that she also apply for Social Security Disability Insurance benefits (“SSDI”) to supplement her income.

On September 25, 1996, Estades applied for LTD. In her application, Estades certified that her emotional state did not allow her to concentrate on and perform her job functions. Furthermore, she stated that the date for her return to work was not available, and that she did not expect to return to any other occupation.

In a letter dated January 7, 1997, Prudential denied Estades’s request for LTD based on lack of medical evidence supporting her claim that her condition kept her from performing her duties as Branch Operations Manager. The denial letter informed her of her right to appeal the denial of LTD. Estades appealed Prudential’s decision in a letter dated February 25,1997.

On March 19, 1997, Estades’s employment with Associates was terminated with an effective date of February 28, 1997, because her short-term disability benefits had expired, her application for LTD had been denied, and she had not reported to work. On April 15, 1997, Prudential reconsidered its denial of LTD and approved Estades’s request retroactively to September 18, 1996. Estades was reinstated in her employment with Associates with LTD status. As part of her LTD benefits, Es-tades was entitled to receive 60 percent of her salary while undergoing treatment. On May 2, 1997, Estades sent a letter to Associates stating her desire to return to work on June 1,1997.

Prudential informed Estades that if her recovery was delayed she could be required to apply for SSDI. She applied, and on July 7, 1997, she was granted SSDI retroactively to September 1996, and the Social Security Administration found that, under its rules, she had become disabled on March 20,1996.

On April 29, 1998, Aetna U.S. Healthcare (“Aetna”), Associates’ new health insurance carrier, sent Estades a letter stating that, based on the medical information in their possession, her claim for LTD had been approved. Aetna further informed Estades that, under a plan provision, she was required to file for SSDI benefits and to provide them with proof of application. The letter further informed Estades that failure to comply would result in suspension and termination of benefits.

Rather than comply with Aetna’s request, Estades told Aetna to ask Prudential for a copy of her SSDI award letter. Estades stated that she refused to provide Aetna with a copy of the letter because “they had been so bad to her.”

On June 2, 1998, Aetna sent Estades a second letter requesting that she inform the company of the status of her SSDI application. On August 11, 1998, Aetna sent Estades a letter informing her that her LTD benefits were terminated effective July 31, 1998, because Aetna had not received from Estades any proof that she had at least applied for SSDI. Aetna further informed Estades that she was entitled to petition for a review of that decision within sixty days. She appealed, but the appeal was denied on October 1, 1998, because Aetna had not received a copy of her SSDI award letter. After October 1, 1998, Estades did not make any further efforts to obtain LTD. Estades has not contacted Associates regarding her availability or desire to return to work since her LTD was terminated in August 1998.

Estades is currently undergoing psychiatric treatment and has not made any attempt to find another job because her psychiatrist has told her she is still unable to work.

[30]*30On June 5, 1998, Estades filed a complaint against defendants alleging that they violated the ADEA and the ADA, and raising supplemental law claims under Puerto Rico Law.3

The defendants moved for summary judgment on all claims. The motion was referred to a magistrate judge, who recommended that the court grant the motion for summary judgment. Estades filed her objections to the report and recommendation.

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Estades-Negroni v. Associates Corp. of North America, 345 F.3d 25, 14 Am. Disabilities Cas. (BNA) 1478, 2003 U.S. App. LEXIS 20066, 84 Empl. Prac. Dec. (CCH) 41,518, 93 Fair Empl. Prac. Cas. (BNA) 979, 2003 WL 22244952 (1st Cir. 2003).

345 F.3d 25 (Estades-Negroni v. Associates Corp. of North America) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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