Vega-Ortiz v. Cooperativa de Seguros Multiples de Puerto Rico

CourtDistrict Court, D. Puerto Rico
DecidedNovember 24, 2021
Docket3:19-cv-02056
StatusUnknown

This text of Vega-Ortiz v. Cooperativa de Seguros Multiples de Puerto Rico (Vega-Ortiz v. Cooperativa de Seguros Multiples de Puerto Rico) 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
Vega-Ortiz v. Cooperativa de Seguros Multiples de Puerto Rico, (prd 2021).

Opinion

IN THE UNITED STATES COURT FOR THE DISTRICT OF PUERTO RICO

JOEL VEGA ORTIZ, ET AL.,

Plaintiffs,

v. CIV. NO.: 19-2056 (SCC)

COOPERATIVA DE SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.,

Defendants.

OMNIBUS OPINION AND ORDER

Plaintiffs Joel Vega Ortiz, Ernie Rivera Díaz, Gretchen Montalvo Espinosa, Jamilh M. Elias and Maribella Ramos Prieta (“Plaintiffs”),1 participants of the Real Legacy Assurance Retirement Plan (the “Plan”) filed the instant suit for violations of the Employee Retirement Income Security Act of 1974 (“ERISA”), as amended, 29 U.S.C. §§ 1001-1461,

1 Plaintiffs have indicated that they intend to seek class certification. However, to date, the record reflects that they have not done so. VEGA ORTIZ, ET AL. v. COOPERATIVA DE Page 2 SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.

and negligence under Puerto Rico law, against co-defendants Cooperativa de Seguros Múltiples de Puerto Rico (“CSM”), Banco Popular de Puerto Rico (“BPPR”), Ruth E. Gómez Arias (“Ms. Gómez Arias”), Luis J. Vilaró Suárez (“Mr. Vilaró Suárez), Luisana Rincón (“Ms. Rincón”), Aleida Alsina (“Ms. Alsina”), Santander Securities, LLC (“SSLLC”), Troncoso Consulting Group, Inc. (“Troncoso”), Willis Towers Watson US, LLC (“Willis”), John Doe(s), and ABC Insurance Companies (“Co-defendants”). See Docket No. 70-1. Specifically, in their Second Amended Complaint (“SAC”),2 Plaintiffs advance a host of claims grounded in the Co- defendants purported breach of fiduciary duties, co-fiduciary liability, vicarious liability, failure to comply with disclosure

2 Plaintiffs’ original complaint can be found at Docket No. 1. A first amended complaint was filed at Docket No. 46, and after Co-defendants consented to Plaintiffs’ request to once again amend the complaint to include claims for breach of fiduciary duties against Santander Securities, LLC (“SSLLC”), see Docket No. 70, the Court deemed what will be referred to throughout this Omnibus Opinion and Order as the Second Amended Complaint (“SAC”), as filed, see Docket No. 72. VEGA ORTIZ, ET AL. v. COOPERATIVA DE Page 3 SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.

and reporting requirements, and a negligence claim under Puerto Rico law against the Plan’s actuarial firms. Id. Following the filing of the SAC, Co-defendants filed dispositive motions. We now address those motions. The Court will first examine the motion to dismiss filed by Co- defendants CSM, Ms. Gómez Arias, Mr. Vilaró Suárez, and Ms. Rincón (“Cooperativa Defendants”) under Federal Rules of Civil Procedure 12(b)(1), 12(b)(6), and 12(b)(7) (“Cooperativa Defendants’ Motion to Dismiss”). See Docket No. 91. The Cooperativa Defendants posit that dismissal is necessary because Plaintiffs did not exhaust their administrative remedies prior to filing the instant suit. Id. The Cooperativa Defendants also argue that dismissal is warranted because Plaintiffs failed to join: (1) Real Legacy Assurance Company, Inc. (“RLA”); (2) the Puerto Rico Insurance Commissioner (“Commissioner”), (3) Mr. Juan Moldes Rodríguez (“Mr. Moldes Rodríguez”); (4) Ramón L. Ortiz Rodríguez (“Mr. Ortiz Rodríguez”); (5) Mr. Manuel VEGA ORTIZ, ET AL. v. COOPERATIVA DE Page 4 SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.

Díaz (“Mr. Díaz”); and (6) UBS Financial Services, Inc. (“UBS”). Id.3 Plaintiffs opposed, see Docket 124, and the Cooperativa Defendants’ reply followed, see Docket No. 138.4 The Cooperativa Defendants also filed two supplementary motions in support of their Motion to Dismiss. See Docket Nos. 121 and 147. The first of those motions has already been deemed as moot by the Court. See Docket No. 155. The second—which was opposed by Plaintiffs, see Docket No. 149—will be analyzed in tandem with the primary Motion to Dismiss at Docket Number 91. The Court will then address Co-defendant SSLLC’s

3 Co-defendants BPPR, Troncoso, and Ms. Alsina filed a motion to partially join the Cooperativa Defendants’ Motion to Dismiss as to Plaintiffs’ failure to exhaust administrative remedies and failure to join RLA, the Commissioner, Mr. Moldes Rodríguez, and Mr. Ortiz Rodríguez, see Docket No. 92, which we allowed, see Docket No. 116.

4 Motions to partially join the Cooperativa Defendants’ Reply were filed by BPPR and Ms. Alsina, see Docket Nos. 139-140, as to Section I and Section II as to the Commissioner, Mr. Moldes Rodríguez, and Mr. Ramón Ortiz. We allowed the same. See Docket Nos. 145. VEGA ORTIZ, ET AL. v. COOPERATIVA DE Page 5 SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.

Motion to Dismiss, see Docket Nos. 1005 and 101, under Rule 12(b)(6) (“SSLLC’s Motion to Dismiss”). There, SSLLC moves to dismiss the breach of fiduciary and co-fiduciary liability claims advanced by Plaintiffs. That motion was opposed by Plaintiffs, see Docket No. 125, and was followed by SSLLC’s reply, see Docket No. 137. Lastly, the Court will analyze Willis’s Motion to Dismiss under Rule 12(b)(6) (“Willis’s Motion to Dismiss”).6 Docket No. 141. In that motion, Willis moves for dismissal on the grounds that it is not an ERISA fiduciary and because ERISA preempts the negligence claim advanced under Puerto Rico law. Id. Plaintiffs opposed, see Docket No. 143, and Willis replied, see Docket No. 146.

5 While the record shows that the document at Docket No. 100 is pending, that document is merely a cover page for SSLLC’s Motion to Dismiss. SSLLC’s memorandum advancing the substantive reasons as to why all claims against it should be dismissed can be found at Docket No. 101.

6 Troncoso moved to join Willis’s Motion to Dismiss and Reply. See Docket No. 156. The Court granted that request. Docket No. 157. VEGA ORTIZ, ET AL. v. COOPERATIVA DE Page 6 SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.

For the reasons set forth below, the Court DENIES the motions to dismiss at Docket Numbers 91, 100 and 141, and deems as NOTED the Cooperativa Defendants supplementary motion at Docket Number 147. I. Background A. The Plan The Court’s starting point is July 1, 1986, the date that the Plan was established. Docket No. 70-1 at ¶ 21. The Plan was set-up by the Royal Insurance Company of Puerto Rico, Inc., the predecessor in interest to RLA. Id. In late 2003, CSM “acquired 100% of RLA.” Id. at ¶¶ 6, 23. Shortly thereafter, in mid-2004, RLA became the Plan’s Sponsor. Id. at ¶ 22. As a defined benefit plan, the Plan was funded with the contributions made by RLA (or its predecessor in interest). 7 Id. at ¶¶ 28, 72. In order to become a Plan participant, RLA

7 When referring to RLA, Plaintiffs note in the SAC that it also refers to “its predecessor in interest.” As such, throughout this Omnibus Opinion and Order when RLA is mentioned, this also includes “its predecessor in interest.” VEGA ORTIZ, ET AL. v. COOPERATIVA DE Page 7 SEGUROS MÚLTIPLES DE PUERTO RICO, ET AL.

employees had to have turned twenty-one (21) years of age and worked at RLA for at least six (6) months. Id. at ¶ 27. After having worked at RLA for at least five (5) years, Plan participants become fully vested in their accrued benefits pursuant to the Plan. Id. Plaintiffs aver that they are participants of the Plan whose “rights under the Plan are vested.” Id. at ¶¶ 1-5. The Plan was amended on January 1, 2006. Id. at ¶ 26. Those amendments reflect, inter alia, that the Plan was structured in such a way that it was—and would remain—in compliance with ERISA and the Puerto Rico Insurance Code. Id. B. Key Players a. The Plan’s Administrative Committee The Plan’s Administrative Committee, which was appointed by the Board of Directors of RLA, and tasked with serving as the “Plan Administrators,” was made up of the following individuals: (1) Ms. Gómez Arias, Secretary of the VEGA ORTIZ, ET AL. v.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Metzler v. Graham
112 F.3d 207 (Fifth Circuit, 1997)
Mertens v. Hewitt Associates
508 U.S. 248 (Supreme Court, 1993)
Varity Corp. v. Howe
516 U.S. 489 (Supreme Court, 1996)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Beddall v. State Street Bank & Trust Co.
137 F.3d 12 (First Circuit, 1998)
Delgado v. Plaza Las Americas, Inc.
139 F.3d 1 (First Circuit, 1998)
United States v. San Juan Bay Marina
239 F.3d 400 (First Circuit, 2001)
Madera v. Marsh USA, Inc.
426 F.3d 56 (First Circuit, 2005)
Ocasio-Hernandez v. Fortuno-Burset
640 F.3d 1 (First Circuit, 2011)
CIGNA Corp. v. Amara
131 S. Ct. 1866 (Supreme Court, 2011)
Cotte v. Cooperativa De Ahorro Y Credito Yabucoeña
73 F. Supp. 2d 153 (D. Puerto Rico, 1999)
Fernandez-Vargas v. Pfizer Pharmaceuticals, Inc.
394 F. Supp. 2d 407 (D. Puerto Rico, 2005)
Diduck v. Kaszycki & Sons Contractors, Inc.
874 F.2d 912 (Second Circuit, 1989)

Cite This Page — Counsel Stack

Bluebook (online)
Vega-Ortiz v. Cooperativa de Seguros Multiples de Puerto Rico, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vega-ortiz-v-cooperativa-de-seguros-multiples-de-puerto-rico-prd-2021.