Estades Negroni v. Associates Corp. of North America

208 F. Supp. 2d 144, 2002 U.S. Dist. LEXIS 12507, 2002 WL 1413690
CourtDistrict Court, D. Puerto Rico
DecidedMay 28, 2002
DocketCivil 98-1645(JAG)
StatusPublished
Cited by5 cases

This text of 208 F. Supp. 2d 144 (Estades Negroni v. Associates Corp. of North America) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estades Negroni v. Associates Corp. of North America, 208 F. Supp. 2d 144, 2002 U.S. Dist. LEXIS 12507, 2002 WL 1413690 (prd 2002).

Opinion

OPINION AND ORDER

GARCIA-GREGORY, District Judge. 1

On July 18, 2000, defendants the Associates Corp. of North America (“Associates *145 Corp”), Associates Financial Services (“Associates”), and others (collectively “defendants”), moved for summary judgment against plaintiff Nydia Estades Negroni’s (“Estades”) claims brought under the Age Discrimination in Employment Act (“ADEA”), 29 U.S.C. § 621, et seq., the American with Disabilities Act (“ADA”), 42 U.S.C. § 12182, et seq., and supplemental state claims under Puerto Rico’s Law 80 and Law 100 (Docket No. 45). On April 23, 2001, the motion was referred to Ú.S. Magistrate Judge Justo Arenas for a report and recommendation (Docket No. 83). On June 13, 2001, the Magistrate Judge recommended that the Court grant defendants’ motion and dismiss Estades’s claims (Docket No. 85). On June 25, 2001, Es-tades filed objections to the report and recommendation (Docket No. 86). Upon review of the objections, the Court adopts the Magistrate Judge’s report and recommendation.

FACTUAL BACKGROUND 2

Estades was hired by Associates in 1986. Between 1989 and 1990, Estades became aware of certain financial -irregularities regarding loans being carried out by some of her co-workers in Associates’s Areeibo I branch. In 1992, Estades reported the irregularities to Mr. Juan Irizarry, Group Assistant Vice President at Associates, through his secretary, Ms. Haydée Lopez. As a result of Estades’s allegations of fraud, several audits were performed and in 1993, several of her co-workers, including her supervisors, were fired.

In March 1996, Estades complained of chest pains and visited a doctor. The doctor diagnosed Estades as suffering from severe depression. On March 21, 1996, Estades, following her doctor’s recommendation, reported to the State Insurance Fund (“SIF”). After an examination by the SIF, Estades was declared to be disabled and was submitted to medical .treatment on leave. On April 9, 1996, she requested short-term disability 'benefits under Associates’ employee benefits policy (the “Policy”). The Policy was administered by Associates Corp. and managed by Prudential Healthcare Group (“Prudential”). Estades received Associates’ short-term disability benefits from March 1996 to September 1996, the maximum date benefits were available. As part of her short-term benefits, Estades received 100% of her salary. On May 2, 1996, Ms. Carmen I. Hernandez, a social worker with the SIF, interviewed Estades in connection with her request for treatment. During the interview, Estades stated that she did not want to return to work at Associates. SIF referred Estades to Dr. Pablo O. Perez Torredo, a psychiatrist, for evaluation. On June 18, 1996, Dr. Perez Torredo issued his final psychiatric report regarding Estades’s request for treatment. Dr. Perez Torredo diagnosed Estades as suffering from adaptive disorder with mixed emotional symptoms and recommended that she be referred for additional psychothera-peutic 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 her 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. Estades certified in her application 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. On November 8, 1996, SIF *146 discharged Estades with a disability. 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. Furthermore, she was informed 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, inasmuch as 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. As a result, Estades was reinstated in her employment with Associates on LTD status. As part of her LTD, Estades was entitled to receive 60% of her salary while undergoing treatment. Prudential further informed Estades that, if her recovery was delayed, she could be required to apply for SSDI. On July 7, 1997, Estades was granted SSDI retroactively to September 1996, inasmuch as 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 had been approved. Aetna further informed Es-tades that, under a plan provision, she was required to file for SSDI and must provide them with proof of application. The letter further informed Estades that failure to comply within thirty days would result in an immediate suspension of benefits. Furthermore, failure to comply within thirty days from the suspension of benefits would result in termination of benefits.

Estades refused to comply with Aetna’s request. Estades told Aetna that they should ask Prudential for a copy of her SSDI approval 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 them on 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, inasmuch as Aetna had not received from Estades proof that she had at least applied for SSDI. Aetna further informed Estades that she was entitled to petition for a review of their decision within sixty days. On October 1, 1998, Aetna sent Estades a letter denying her appeal since they 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 after she was denied LTD in August, 1998. Estades is currently under psychiatric treatment with Dr. Walter Pagan and takes Prozac, Tranxene, and Klonopin. Estades has not made any attempt to find another job because her psychiatrist has told her she is still unable to work.

DISCUSSION

A. Summary Judgment Standard.

The Court’s discretion to grant summary judgment is governed by Rule 56

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208 F. Supp. 2d 144, 2002 U.S. Dist. LEXIS 12507, 2002 WL 1413690, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estades-negroni-v-associates-corp-of-north-america-prd-2002.