Sears, Roebuck De Puerto Rico, Inc. v. Soto-Rios

920 F. Supp. 266, 1996 U.S. Dist. LEXIS 4085, 1996 WL 146422
CourtDistrict Court, D. Puerto Rico
DecidedMarch 27, 1996
DocketCivil 94-1633 (PG)
StatusPublished
Cited by2 cases

This text of 920 F. Supp. 266 (Sears, Roebuck De Puerto Rico, Inc. v. Soto-Rios) 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
Sears, Roebuck De Puerto Rico, Inc. v. Soto-Rios, 920 F. Supp. 266, 1996 U.S. Dist. LEXIS 4085, 1996 WL 146422 (prd 1996).

Opinion

OPINION AND ORDER

PEREZ-GIMENEZ, District Judge.

Before the Court are cross-motions for summary judgment, and the parties’ oppositions thereto. For the reasons stated herein, plaintiffs motion is DENIED and defendants’ motion is GRANTED. Accordingly, this case shall be DISMISSED.

I. Background

a. The Worker’s Compensation Act

Plaintiff, Sears, Roebuck de Puerto Rico, Inc. (“Sears”), a Delaware corporation, employs approximately 3,500 persons at its Puerto Rico facilities. As such, it is subject to Puerto Rico Worker’s Accident Compensation Act, Act No. 45 of April 18, 1935, as amended, codified at 11 L.P.R.A. § 1, et seq. (“the Act”). The Act establishes a comprehensive, compulsory, employer-funded insurance system which covered Sears and its employees during the years relevant to this case. The Act provides an employee injured on the job compensation for medical and rehabilitation expenses without requiring the employee to prove that the employer was at fault. Employers, consequently, receive immunity from suit. 11 L.P.R.A. § 21.

The Act creates a State Insurance Fund Corporation (“the Fund”) under the direction of an Administrator (“the Administrator”). Co-defendants Pedro Soto Rios and Alberto Bacó Wantzelius are, respectively, the current and former Administrators of the Fund. The Fund has also been named as a co-defendant. See 11 L.P.R.A. § 1b-1(d) (authorizing the Fund to sue and be sued in its own name).

The Act requires every covered employer to file no later than July 20 of each year a “declaration” showing the wages paid during the previous fiscal year. A late filing can jeopardize the employer’s insured status. 11 L.P.R.A. § 28. The Act authorizes the Administrator to assess premiums for the year following the report period. 11 L.P.R.A, § 26. If the employer does not pay the premium before the end of the relevant semester, the employer is not insured against any accident that occurs during that semester. If the employer pays after the due date established by the Administrator but before the end of the semester, then the employer is only insured for the period after the payment. 11 L.P.R.A. § 28, ¶ 6.

Employers who make the statutorily required payments but who, “for any ... cause,” are denied coverage are not entitled to rebates of their premium payments. 11 L.P.R.A. § 26, ¶ 10. Uninsured employers are not entitled to statutory immunity, although their employees may still receive compensation from the Fund. 11 L.P.R.A. § 16. In the event that the Fund must pay the medical or other expenses of employees of uncovered employers, the Fund may seek indemnification for such payments from the employer. Id. Employers denied coverage may appeal the decision, and are entitled to make their case at hearings whose procedures must “follow[ ], as far as possible, the practice observed in the Superior Court.” Id.

b. Facts of Sears’ Complaint

Sears’ complaint stems from the Administrator’s determination that Sears was uninsured for portions of three consecutive semesters from 1990-1992. The undisputed facts concerning each specific semester of contested coverage are as follows:

First semester of the 1990-91 Worker’s Compensation Year. Payment for this semester’s premium — for coverage from July 1, 1990 through December 31, 1990 — was due *269 on November 30,1990. Sears alleges that as of October 30, 1990, it had not received an invoice from the Fund. Sears further alleges that for the next six weeks it tried, in vain, to obtain a report from the Fund. Sears tells of unanswered phones, unretumed messages, and of a report by the Fund that it was having difficulty preparing Sears’ invoice. Sears did not receive the invoice until December 18, 1990, whereupon Sears made immediate payment. The Fund subsequently declared Sears an uninsured employer for the period from July 1, 1990 until December 18, 1990 on the grounds of the late payment, and, according to Sears, “wrongfully” retained the premium payment.

First semester of the 1991-92 Worker’s Compensation Year. The declaration for this semester was due on July 22, 1991. Sears avers that the declaration arrived on-time at a post-office box established by the Fund. The Fund did not process the declaration, however, until July 24, 1991. The Fund subsequently declared Sears uninsured for the period up to the date on which Sears paid its premium, November 13, 1991, despite the fact that Sears made the payment before it was due. Thus, Sears was uninsured from July 1, 1991 until November 13, 1991.

Second semester of the 1991-92 Worker’s Compensation Year. The payment for this semester was due on April 6, 1992. Sears mailed it via registered mail on April 3,1992. The stamp indicating receipt by the Fund’s post office box shows that the payment was made available to the Fund on April 6, 1992. The Fund, however, did not process Sears’ payment until April 7, 1992, and, therefore, declared Sears uninsured for the entire semester.

Thus, to summarize, Sears alleges that the Fund made it constructively impossible for Sears to make its first semester 1990-91 payment, and that the Fund capriciously denied Sears coverage as a result of the Fund’s own administrative ineptitude. As for the following two semesters, Sears alleges that the Fund illegally denied it coverage, because receipt by the Fund’s post-office box constitutes timely delivery (for both premium payments and declarations). The Fund contests Sears’ characterization, asserting that Sears simply failed to comply with the terms of the Act, and was therefore appropriately denied coverage.

c. Legal Grounds of Sears’ Claim

Based on the above, Sears brought the instant 42 U.S.C. § 1983 complaint, alleging that the Fund’s conduct violated no less than four separate constitutional provisions: the right to both procedural and substantive due process (Fifth and Fourteenth Amendments); the Fifth Amendment’s “Takings” clause; as well as the Eighth Amendment’s prohibition against excessive fines. As relief, Sears seeks the invalidation of 11 L.P.R.A. §§ 26 and 28, both facially and/or as applied; equitable relief in the form of a declaration of Sears’ insured status for all time periods in question; compensatory damages; and reasonable attorneys fees and costs.

Neither Sears nor the Fund contests the Court’s jurisdiction over this matter, which is premised on 28 U.S.C. § 1331 (federal question jurisdiction) and § 1342 (federal jurisdiction over actions seeking enforcement of constitutional rights under 42 U.S.C. § 1983). Declaratory relief is authorized under 28 U.S.C. §§ 2201 and 2202. Venue is proper in this District under the criteria set forth in 28 U.S.C.

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Bluebook (online)
920 F. Supp. 266, 1996 U.S. Dist. LEXIS 4085, 1996 WL 146422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sears-roebuck-de-puerto-rico-inc-v-soto-rios-prd-1996.