Gonzalez Villanueva v. Warner Lambert

339 F. Supp. 2d 351, 34 Employee Benefits Cas. (BNA) 1096, 2004 U.S. Dist. LEXIS 20359, 2004 WL 2291200
CourtDistrict Court, D. Puerto Rico
DecidedSeptember 30, 2004
DocketCIV. 01-1322SEC
StatusPublished
Cited by8 cases

This text of 339 F. Supp. 2d 351 (Gonzalez Villanueva v. Warner Lambert) 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
Gonzalez Villanueva v. Warner Lambert, 339 F. Supp. 2d 351, 34 Employee Benefits Cas. (BNA) 1096, 2004 U.S. Dist. LEXIS 20359, 2004 WL 2291200 (prd 2004).

Opinion

OPINION AND ORDER

CASELLAS, District Judge.

This is an action for benefits under the Employee Retirement Income Security Act, 29 U.S.C. § § 1001, et seq. (“ERISA”), for compensation on account of an alleged failure to provide notice of continuation of medical plan coverage under the Consolidated Omnibus Budget Reconciliation Act, 29 U.S.C.A. §§ 1161 et seq. (“COBRA”), and for dismissal without just cause pursuant to Puerto Rico Act No. 80 of May 30, 1976, 29 L.P.R.A. § § 185a et seq. (Act. No. 80), brought by Plaintiff Alma González Villanueva against her former employer, Pfizer Pharmaceutical, Inc. (formerly Warner-Lambert), and their plan administrator, Medical Card System, Inc. (MCS).

Now pending before the Court is Defendants’ motion for summary judgment (Docket #29). Plaintiff has timely opposed said request (Docket # 40). Defendants have filed a reply (Docket # 43), and Plaintiff has filed a sur-reply (Docket #46). In addition, Defendants have also filed a motion supplementing their motion for summary judgment (Docket # 47) and, in turn, Plaintiff has also supplemented her opposition (Docket #48). After a careful review of the parties’ filings and the applicable law, we find that Defendants’ motion must be GRANTED.

Background

Plaintiff was an employee of Warner-Lambert who was a participant in several benefits plans maintained by said company for its employees, including the medical plan, the Short Term Disability (STD) Benefits Plan, and the Long Term Disability (LTD) Benefits Plan. Due to a medical condition, Plaintiff commenced sick leave in August of 1998, and later began to receive STD benefits. Eventually, on January 4, 1999, she applied for LTD benefits. After compiling and evaluating the medical evidence supplied by Plaintiff and her employer, as well as the results of an independent evaluation, Co-defendant MCS denied Plaintiffs application for long term benefits, inasmuch as she was found not to be totally disabled under said Plan. Plaintiff appealed said decision. Ultimately, however, the decision was upheld on appeal.

In the meantime, in September of 1999, Pfizer received a copy of a notification from MCS addressed to Plaintiff regarding her denial of LTD benefits. Since Plaintiff had been absent from work in excess of one (1) year and had exhausted all medically related leave, Pfizer considered Plaintiff to be voluntarily terminated, and proceeded to issue the corresponding termination documents, including the termination of medical plan benefits, and the issuance of the corresponding notice of employee rights in regard to the Company’s benefits, including the COBRA notice.

However, due to an error in the internal notification procedure, Plaintiffs employment was not terminated until February 29, 2000, even though she had been notified in September of 1999 that her medical plan benefits would cease as of October 1, 1999. Notwithstanding, at the time of her termination in February 2000, Plaintiff was sent the corresponding COBRA notice. Subsequently, Plaintiff was approved *355 for Social Security Disability (SSD) benefits and Pfizer took the decision to reinstate her retroactively to the medical plan coverage. Pfizer reinstated Plaintiffs benefits effective March 1, 2000, exactly one day after her termination.

On March 7, 2001 Plaintiff filed a civil action before the Puerto Rico Court of First Instance, Bayamón Superior Part alleging that Defendants had unlawfully denied her LTD benefits, had failed to properly notify her of her rights under COBRA, and had terminated her employment without just cause. Thereafter, on March 20, 2001, Defendant Warner-Lambert removed said claim to this Court based on federal question jurisdiction pursuant to 28 U.S.C. §§ 1441 and 1446.

Standard of Review

Fed.R.Civ.P. 56(b) provides that: “A party against whom a claim ... is asserted ... may, at any time, move with or without supporting affidavits for a summary judgment in the party’s favor as to all or any part [of the claims asserted against him/her].” The Court may grant the mov-ant’s motion for summary judgment when “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c); See also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202(1986); NASCO, Inc. v. Pub. Storage, Inc., 29 F.3d 28 (1st Cir.1994). “The principal judicial inquiry required by Rule 56 is whether a genuine issue of material fact exists.” 10A Charles A. Wright, Arthur R. Miller & Mary Kay Kane, Federal Practice and Procedure: Civil 3d § 2725, p. 401.

In this regard, the First Circuit Court of Appeals has noted that for a dispute to be “genuine,” there must be sufficient evidence to permit a reasonable trier of fact to resolve the issue in favor of the non-moving party. U.S. v. One Parcel of Real Prop., 960 F.2d 200, 204 (1st Cir.1992); see also Boston Athletic Assn. v. Sullivan, 867 F.2d 22, 24 (1st Cir.1989); Medina-Muñoz v. R.J. Reynolds Tobacco, 896 F.2d 5, 8 (1st Cir.1990) (“[a] ‘genuine’ issue is one that must be decided at trial because the evidence, viewed in the light most favorable to the nonmovant, would permit a rational factfinder to resolve the issue in favor of either party.”) (citations omitted).

By like token, “material” means that the fact is one that might affect the outcome of the suit under the governing law. Morris v. Gov’t Dev. Bank of P.R., 27 F.3d 746, 748 (1st Cir.1994). “A fact is material if it tends to resolve any of the issues that have been properly raised by the parties.” Wright, Miller & Kane, supra, § 2725 at p. 419. “Not every genuine factual conflict necessitates a trial. It is only when a disputed fact has the potential to change the outcome of the suit under the governing law if found favorably to the nonmov-ant that the materiality hurdle is cleared.” Martínez v. Colón, 54 F.3d 980, 983-984 (1st Cir.1995).

In addition, when determining whether to grant summary judgment, the Court may not weigh the evidence. Casas Office Machs., Inc. v. Mita Copystar Am., Inc., 42 F.3d 668 (1st Cir.1994). Summary judgment “admits of no room for credibility determinations, no room for the measured weighing of conflicting evidence such as the trial process entails.”

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Bluebook (online)
339 F. Supp. 2d 351, 34 Employee Benefits Cas. (BNA) 1096, 2004 U.S. Dist. LEXIS 20359, 2004 WL 2291200, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gonzalez-villanueva-v-warner-lambert-prd-2004.