Morales-Figueroa v. Valdes, D.C. et al
Filing
44
OPINION AND ORDER denying without prejudice 31 Motion to Dismiss for Failure to State a Claim. The Court will enter an Initial Scheduling Order in the coming days. Answer to the Complaint due by 4/21/2016. Signed by Judge Daniel R. Dominguez on 3/24/2016. (JM)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF PUERTO RICO
MIGUEL MORALES FIGUEROA,
Plaintiff,
v.
Civil No. 15-1365 (DRD)
RUBEN VALDES, D.C., et al.,
Defendants.
OPINION AND ORDER
Plaintiff Miguel Morales-Figueroa filed the instant personal
injury lawsuit against Defendants Ruben Valdes, D.C., Alicia M.
Santos,
NCMIC
the
conjugal
Insurance
partnership
Company
under
constituted
diversity
between
them,
and
jurisdiction,
28
U.S.C. § 1332. Pending before the Court are Defendants’ Motion to
Dismiss
(Docket
No.
13),
Plaintiff’s
Response
in
Opposition
to
Motion to Dismiss (Docket No. 14), Defendants’ Reply Plaintiff’s
Response in Opposition to Motion to Dismiss (Docket No. 19), and
Plaintiff’s Sur-reply to Defendants’ Reply (Docket No. 24). For the
reasons provided below, the Court hereby DENIES Defendants’ Motion
to Dismiss.
I.
FACTUAL AND PROCEDURAL BACKGROUND
Plaintiff Miguel Morales-Figueroa (“Plaintiff”) alleges that,
on or about September 18, 2013, Plaintiff visited Ruben Valdes,
D.C.’s
office
seeking
treatment
1
for
back
pain.
Valdes,
a
chiropractor, evaluated Plaintiff on September 24, 2013 and ordered
Plaintiff to receive exercise therapy, followed by icing. Plaintiff
claims he instructed Valdes to not perform any spinal manipulations
on him.
On September 25, 2013, Plaintiff again was ordered to receive
exercise therapy and to ice the affected area. However, on this
day, Plaintiff also had his spine manipulated by Valdes. Plaintiff
alleges that having his spine manipulated severely aggravated his
preexisting back pain to an unbearable degree.
On October 1, 2013, Plaintiff was evaluated by a neurosurgeon
who
diagnosed
associated
him
weakness
with
and
“severe
very
left
severe
L5/S1
radiculopathy
worsening
since
with
Valdes’
chiropractic manipulation on September 25, 2013.” Docket No. 1 at
4. Plaintiff alleges he
has also experienced bowel and bladder
dysfunction, intolerable pain, and inability to sleep for three
days following his September 25 visit to Valdes’ office.
On April 8, 2015, Plaintiff Miguel Morales-Figueroa filed suit
against Defendants Ruben Valdes, D.C. (“Valdes”), Alicia M. Santos
(“Santos”)1, the conjugal partnership constituted between Valdes and
Santos, and NCMIC Insurance Company (“NCMIC”) (“Defendants”). See
Docket
No.
1.
Plaintiff
avers
that
Valdes’
chiropractic
spine
manipulation aggravated his pre-existing back condition, caused him
1
Plaintiff did not include Defendant Santos in his initial complaint.
Instead, Plaintiff amended his initial complaint with leave of the Court to
include her as a named defendant. See Docket No. 29.
2
severe mental and physical pain, and has impaired his ability to
conduct his own business.
On June 3, 2015, Defendants Santos, the Valdes-Santos conjugal
partnership, and NCMIC filed a Motion to Dismiss (Docket No. 13,
restated at Docket No. 31) alleging that the claims against them
were
time-barred.
tolled
the
sending
However,
The
one-year
him
an
movants
statute
argue
of
extra-judicial
because
Plaintiff
that
limitations
claim
did
Plaintiff
not
letter
successfully
against
on
July
any
include
of
Valdes
14,
the
by
2014.
moving
parties in the letter, the limitations period against the movants
was never tolled.
On June 10, 2015, Plaintiff filed a Response in Opposition to
Motion to Dismiss (Docket No. 14). Therein, Plaintiff averred that,
pursuant to landmark Puerto Rico Supreme Court decision Fraguada
Bonilla v. Hosp. Auxilio Mutuo, 186 D.P.R. 365 (2012), the claims
against the movants were not time-barred because the statute of
limitations was tolled against Valdes and he is in perfect solidary
liability with the movants.
On June 29, 2015, Defendants Santos, the conjugal partnership,
and NCMIC filed their reply to Plaintiff’s opposition (Docket No.
19).
Defendants
emphasized
between
that
them
are
re-stated
Santos,
their
Valdes,
distinctly
arguments
and
separate
the
for
dismissal
conjugal
legal
and
partnership
entities,
and
the
statute of limitations had to be tolled with respect to each one of
3
them. Furthermore, Defendants emphasized that Plaintiff was also
under the obligation to separately toll the statute of limitations
for NCMIC, Valdes’ insurance carrier.
II.
STANDARD OF REVIEW FOR MOTIONS TO DISMISS
Federal Rule of Civil Procedure 8(a) requires plaintiffs to
provide “a short and plain statement of the claim showing that the
pleader is entitled to relief.”
Fed. R. Civ. P. 8(a)(2).
Under
Bell Atlantic v. Twombly, 550 U.S. 544, 555 (2007), a plaintiff
must
“provide
the
grounds
of
his
entitlement
[with]
more
than
labels and conclusions.” See Ocasio-Hernandez v. Fortuño-Burset,
640 F.3d 1, 12 (1st Cir. 2011) (“in order to ‘show’ an entitlement
to relief a complaint must contain enough factual material ‘to
raise
a
right
to
relief
above
the
speculative
level
on
the
assumption that all the allegations in the complaint are true (even
if doubtful in fact).’)(quoting Twombly, 550 U.S. at 555) (citation
omitted).
Thus, a plaintiff must, and is now required to, present
allegations
that
“nudge
[his]
claims
across
the
line
from
conceivable to plausible” in order to comply with the requirements
of Rule 8(a).
Id. at 570; see e.g. Ashcroft v. Iqbal, 556 U.S. 662
(2009).
When
occurs
in
considering
a
two-step
a
motion
process
to
dismiss,
under
the
the
Court’s
current
inquiry
context-based
“plausibility” standard established by Twombly, 550 U.S. 544, and
Iqbal, 556 U.S. 662. “Context based” means that a Plaintiff must
4
allege sufficient facts that comply with the basic elements of the
cause of action.
See Iqbal, 556 U.S. at 677-679 (concluding that
plaintiff’s complaint was factually insufficient to substantiate
the required elements of a Bivens claim, leaving the complaint with
only conclusory statements).
all
of
the
allegations
First, the Court must “accept as true
contained
in
a
complaint[,]”
discarding
legal conclusions, conclusory statements and factually threadbare
recitals of the elements of a cause of action.
Iqbal, 556 U.S. at
678. “Yet we need not accept as true legal conclusions from the
complaint
or
‘naked
assertion[s]’
devoid
of
‘further
factual
enhancement.’” Maldonado v. Fontanes, 568 F.3d 263, 268 (1st Cir.
2009) (quoting Iqbal, 556 U.S. 678) (quoting Twombly, 550 U.S. at
557).
Under the second step of the inquiry, the Court must determine
whether, based upon all assertions that were not discarded under
the first step of the inquiry, the complaint “states a plausible
claim
for
relief.”
Iqbal,
556
U.S.
679.
This
second
step
is
“context-specific” and requires that the Court draw from its own
“judicial
experience
and
common
sense”
to
decide
whether
a
plaintiff has stated a claim upon which relief may be granted, or,
conversely, whether dismissal under Rule 12(b)(6) is appropriate.
Id.
Thus,
plaintiff
“[i]n
must
order
allege
to
survive
sufficient
5
a
facts
motion
to
show
to
dismiss,
that
he
[a]
has
a
plausible entitlement to relief.”
F.3d 31, 41 (1st Cir. 2009).
Sanchez v. Pereira-Castillo, 590
“[W]here the well-pleaded facts do
not permit the court to infer more than the mere possibility of
misconduct, the complaint has alleged - but it has not ‘show[n]’
‘that the pleader is entitled to relief.’” Iqbal, 556 U.S. at 679
(quoting Fed. R. Civ. P. 8(a)(2)).
must
be
at
least
as
plausible
Furthermore, such inferences
as
any
“obvious
alternative
explanation.”
Id. at 679-80 (citing Twombly, 550 U.S. at 567).
“A
plaintiff
not
is
allegations
action.”
that
entitled
merely
to
‘proceed
parrot
the
perforce’
elements
of
by
virtue
of
the
cause
of
Ocasio-Hernandez, 640 F.3d at 12, (citing Iqbal, 556 U.S.
679).
The First Circuit has cautioned against equating plausibility
with an analysis of the likely success on the merits, affirming
that the plausibility standard assumes “pleaded facts to be true
and read in a plaintiff’s favor” “even if seemingly incredible.”
Sepúlveda-Villarini v. Dep’t of Educ. of P.R., 628 F.3d 25, 30 (1st
Cir. 2010) (citing Twombly, 550 U.S. at 556); Ocasio-Hernandez, 640
F.3d at 12 (citing Iqbal, 556 U.S. 679); see Twombly, 550 U.S. at
556 (“[A] well-pleaded complaint may proceed even if it appears
that a recovery is very remote and unlikely.”)(internal quotation
marks
omitted);
see
Ocasio-Hernandez,
640
F.3d
at
12
(citing
Twombly, 550 U.S. at 556)(“[T]he court may not disregard properly
pled factual allegations, ‘even if it strikes a savvy judge that
6
actual proof of those facts is improbable.’”).
Instead, the First
Circuit has emphasized that “[t]he make-or-break standard . . . is
that
the
plausible,
combined
[but]
allegations,
not
a
taken
merely
as
true,
conceivable,
must
case
state
for
a
relief.”
Sepúlveda-Villarini, 628 F.3d at 29.
However,
unsupportable
a
complaint
conclusions,
that
rests
periphrastic
on
“bald
assertions,
circumlocutions,
like” will likely not survive a motion to dismiss.
Blanchard, 83 F.3d 1, 3 (1st Cir. 1996).
and
the
Aulson v.
Similarly, unadorned
factual assertions as to the elements of the cause of action are
inadequate as well.
(1st Cir. 2011).
admissible
Penalbert-Rosa v. Fortuno-Burset, 631 F.3d 592
“Specific information, even if not in the form of
evidence,
would
likely
be
enough
dismiss] stage; pure speculation is not.”
at
[the
motion
to
Id. at 596; see Iqbal,
556 U.S. at 681(“To be clear, we do not reject [] bald allegations
on the ground that they are unrealistic or nonsensical. . . . It is
the
conclusory
extravagantly
nature
fanciful
of
[the]
allegations,
nature,
that
rather
disentitles
than
them
their
to
the
presumption of truth.”); see Mendez Internet Mgmt. Servs. v. Banco
Santander de P.R., 621 F.3d 10, 14 (1st Cir. 2010) (The Twombly and
Iqbal standards require District Courts to “screen[] out rhetoric
masquerading
as
litigation.”).
However,
merely
parroting
the
elements of a cause of action is insufficient. Ocasio-Hernandez,
7
640 F.3d at 12 (citing Sanchez v. Pereira-Castillo, 590 F.3d 31, 49
(1st Cir. 2009)).
The First Circuit recently outlined two considerations for
district courts to note when analyzing a motion to dismiss. GarcíaCatalán v. United States, 734 F.3d 100, 104 (1st Cir. 2013). First,
a complaint modeled on Form 11 of the Appendix of the Federal Rules
of Civil Procedure which contains sufficient facts to make the
claim
plausible
is
ordinarily
enough
to
surpass
the
standard
prescribed under Twombly-Iqbal. Id. at 104. Second, district courts
should accord “some latitude” in cases where “[a] material part of
the
information
needed
is
likely
to
be
within
the
defendant’s
control.” Id. (more latitude is appropriate in cases where “it
cannot reasonably be expected that the [plaintiff], without the
benefit of discovery, would have any information about” the event
that
gave
rise
to
the
alleged
injury.)(internal
citations
and
quotations omitted).
III. ANALYSIS
Statute of Limitations for Claims under 1802
The determinative issue in the Court’s analysis is whether
Plaintiff
properly
tolled
the
statute
of
limitations
against
Defendants Santos, the Valdes-Santos conjugal partnership, and/or
NCMIC.
For diversity tort actions such as the instant case, the
statute
of
controls.
limitations
is
substantive
law
and
Puerto
Rico
law
See Erie v. Tompkins, 304 U.S. 64, 78, 58 S.Ct. 817, 822
8
(1938); Guaranty Trust Co. v. York, 326 U.S. 99, 65 S.Ct. 1464
(1945); Daigle v. Maine Medical Center, 14 F.3d 684, 689 (1st Cir.
1994).
Puerto Rico’s Civil Code provides that
personal injury
actions carry a one year statute of limitations from the moment the
aggrieved person has knowledge of the injury.
31 P.R. LAWS §5298;
Rodriguez v. Suzuki Motor Corp., 570 F.3d 402, 406 (1st Cir.2009)
(“the statute of limitations starts to run once the injured party
knows both that he has suffered a harm and who is responsible for
it.”).
Although the general rule establishes that the one-year
term starts on the date the plaintiff becomes aware of the damage
and who caused the damage, if the plaintiff's lack of awareness is
due
to
his
own
negligence
or
carelessness,
the
statute
limitations will begin on the date the alleged tort occurred.
of
The
plaintiff is then presumed to have knowledge of the injury at the
time of the tortious act.2 Montañez v. Hospital Metropolitano, 157
D.P.R. 96 (2002). Based on the pleadings, there appears to be no
dispute
that
the
statute
of
limitations
commenced
on
the
day
Defendant Valdes manipulated Plaintiff’s spine, September 25, 2013.
From that date, Plaintiff had one year to file suit or otherwise
toll the statute of limitations against Defendants.
See De Leon v.
Caparra Center, 147 D.P.R. 797 (1999) (In claims under Art. 1802,
after interrupting the statute of limitations period, Plaintiffs
have one year to file suit).
2
The plaintiff has the burden of proving that he learned of the act at a later
date. Id.
9
Plaintiff argues that, although the statute of limitations
commenced on September 25, 2013, he sent Valdes a demand letter on
July 14, 2014, which interrupted the limitations period. See Docket
No. 75.
Article 1873 of the Civil Code provides three ways by
which the statute of limitations may be tolled.
Tokyo Marine and
Fire Ins. Co. v. Perez & CIA de Puerto Rico, Inc., 142 F.3d 1, 4
(1st Cir. 1998).
This may be accomplished (1) “by the institution
of an action before the courts [;]” (2) “by extrajudicial claim of
the creditor [;] and” (3) “by any act of acknowledgment of the debt
by the debtor.”
Id. (quoting Civil Code of Puerto Rico, 31 P.R.
LAWS §5303)(internal quotation omitted); see also Diaz de Diana v.
A.J.A.S. Ins. Co., 110 D.P.R. 471 (1980)(enumerating the elements
of a proper extra-judicial claim letter). The letter sent on July
24, 2014 constituted an extrajudicial claim of the creditor, and
Defendants admit that Plaintiff adequately tolled the statute of
limitations with respect to Defendant Valdes.
However, the movants
argue that, under Puerto Rico law, an extrajudicial claim letter
addressed
to
limitations
only
against
one
defendant
joint
and
can
only
severally
toll
the
liable
statute
of
defendants
in
perfect solidarity with the named defendant. See Fraguada Bonilla
v. Hospital Auxilio Mutuo, 186 D.P.R. 365 (2012); also see Docket
No.
13.
More
specifically,
Defendants
Santos,
the
conjugal
partnership, and NCMIC claim they are not in perfect solidarity
with Defendant Valdes.
Id.
On the other hand, Plaintiff counters
10
that the movants are perfectly solidary with Defendant Valdes due
to
the
nature
of
the
pre-existing
relationships
between
each
separate moving party and Defendant Valdes.
Before
the
Fraguada
decision,
Arroyo
v.
Hospital
la
Concepcion, 130 D.P.R. 596 (1992) was the controlling precedent on
tolling with respect to joint and severally liable defendants.
Arroyo,
the
solidarity
Puerto
doctrine
Rico
Supreme
“allows
for
court
timely
held
that
inclusion
In
the
of
unitary
a
solidary
tortfeasor not originally included in the action.” Id. Therefore,
in order to toll the statute of limitations as to any one potential
defendant,
a
plaintiff
need
only
have
alleged
in
an
amended
complaint that the new defendant was “solidarily liable for the
damages claimed against the original defendant in the complaint
[that was] filed within the period of limitations prescribed by
law.” Id.
In 2008, the Supreme Court of Puerto Rico expanded their
holding in Arroyo, allowing plaintiffs to add a joint and severally
liable defendant otherwise barred by the statute of limitations
even
though
the
“plaintiff
knew
beforehand
the
identity
and
elements necessary to exercise his cause of action against [that
defendant].” Commonwealth of P.R. v. Shell Oil Co. (In re Methyl
Tertiary Butyl Ether “MTBE” Prods. Liab. Litig.), 959 F.Supp.2d
476, 491 (S.D.N.Y.2013) (citing Garcia Perez v. Corp. Serv. Mujer,
174 D.P.R. 138, 155 (2008)).
11
The
landmark
Fraguada
decision
partly
overruled
Arroyo
by
holding that “the secondary effects of the traditional solidarity—
among
them,
govern.”
the
interruption
of
the
prescriptive
Fraguada, 186 D.P.R. at 381 (2012).
term—do
not
Fraguada further
held that “in actions for damages [involving imperfect solidarity],
the injured party must individually interrupt the prescriptive term
with regard to each joint and several co-causer,” id., and “timely
filing of a complaint against a supposed co-tortfeasor does not
toll the statute of limitations against the rest of the alleged cotortfeasors.” Id. at 377.
Plaintiff argues that there exists perfect solidarity between
all Defendants in the instant case. See Fraguada at 381 (“Perfect
solidarity” can be contracted for or can arise from pre-existing
relationship
ties
between
tortfeasors).
On
the
other
hand,
Defendants contend that the relationships between Defendant Valdes
and the moving parties are imperfect, and Plaintiff incorrectly
relied on the demand letter sent to Defendant Valdes to toll the
limitations period against the remaining defendants.
Tort Solidarity of a Conjugal Partnership under Puerto Rico
Law
If
the
spousal
relationship
is
characterized
by
perfect
solidarity, the suit against Defendant Santos and the Valdes-Santos
conjugal
cannot
partnership
be
considered
is
not
in
time-barred.
solidum
12
unless
However,
the
an
obligation
intention
to
be
solitarily liable clearly arises from the instrument. See Rosario
v. Sandoval, 60 P.R.R. 401, 403 (1942). Joint obligations are not
to be presumed unless there is an express agreement to that effect.
31 P.R. LAWS §3101.
A conjugal partnership in Puerto Rico, pursuant to Articles
1295 to Article 1326 of the Puerto Rico Civil Code, is a concept
which arises from a legally valid marriage wherein a married couple
share
in
the
“earnings
or
profits
indiscriminately
obtained
by
either of the spouses during the marriage . . . share and share
alike,” 31 P.R. LAWS §3621. Both members of a conjugal partnership
are
owners
in
equal
parts
to
all
goods
obtained
during
the
marriage. Montalván v. Rodríguez, 161 D.P.R. 411, 420 (2004).
Despite being characterized by
joint property ownership, a
conjugal partnership constitutes a separate legal entity from its
two spousal members. See Int'l Charter Mortgage Corp., 110 D.P.R.
862 (1981). Therefore, for a court to have jurisdiction over both
spouses and the conjugal partnership when all three have been named
in
a
suit,
it
is
necessary
to
serve
process
on
each
party
separately. Vega v. Bonilla, 153 D.P.R. 588 (2001). A party may not
recover from a spouse or from the conjugal partnership unless they
have been named in the suit and served with process. Nieves Diaz v.
Gonzalez Massas, 178 D.P.R. 820, 860 (2010).3
3
For a court to have jurisdiction over both spouses and the conjugal
partnership when all three have been named in a suit, it is necessary to
serve process on each party separately. Vega v. Bonilla, 153 D.P.R. 588
13
Notwithstanding
separate
from
its
that
the
members,
conjugal
all
debts
partnership
and
is
obligations
legally
incurred
during the marriage are chargeable to the conjugal partnership. 31
P.R. LAWS §3661. However, an obligation entered into for the sole
benefit
of
one spouse
or
entered
into
for
purposes
of
causing
injury or defrauding the other spouse may not be charged to the
conjugal partnership. Banco de Ahorro del Oeste v. Santos, 112
D.P.R. 70, 74 (1982); see also WRC Properties, Inc. V. Santana, 116
D.P.R. 127 (1985).
“The presumption of community property is not synonymous with
joint liability.” Pauneto v. Nuñez, 115 D.P.R. 591, 597 (1984). A
conjugal partnership, or a spouse’s, liability for torts performed
by the other spouse may be both personal or may be charged to the
conjugal partnership. A court faced with this question must make a
determination based on the facts of the case. However, the Puerto
Rico Supreme Court has generally held that, when a spouse’s acts
benefit
the
conjugal
partnership’s
property
partnership’s
shall
also
be
property
liable
interests,
for
the
the
spouse’s
actions. See Garcia v. Montero Saldana, 107 D.P.R. 319 (1978). “He
who expects profits, shall also expect losses.”
SLG v. Pauneto
Rivera, 130 D.P.R. 749, 757 (1992)(internal citations omitted).
(2001). Defendant Santos and the Valdes-Santos partnership first appeared in
the instant suit on August 4, 2015, when Plaintiff filed his Amended
Complaint (Docket No. 29). Both parties agreed to voluntarily appear without
being served. See Docket No. 25 at 1.
14
In
their
Motion
to
Dismiss,
Defendants
allege
Plaintiff’s
complaint contains no allegation that the conjugal partnership or
Defendant Santos benefitted in any way from Defendant Valdes’ work
as
a
chiropractor.
Circuit,
Docket
interpreting
Puerto
No.
31
Rico
at
4.
Law,
However,
has
held
the
that
First
“if
a
[spouse’s] work is profitable for the [conjugal partnership], the
liability will also fall on said [partnership’s] property.” CMI
Capital Mkt. Inv., LLC v. Gonzalez-Toro, 520 F.3d 58, 63-64 (1st
Cir. 2008)(citing Lugo–Montalvo v. Gonzalez–Mañon,
(1975)(holding
a
conjugal
partnership
was
104 D.P.R. 372
liable
for
husband’s
alleged medical malpractice).
At this stage in the proceedings it is unclear whether or not
Defendant Valdes’ chiropractic practice is profitable. Furthermore,
there is no evidence that the Santos-Valdes marriage is governed by
the principles of a conjugal legal partnership. However, there is
an allegation of spousal solidarity which is sufficient at law, as
the
Court
must accept
as
true the
allegations
of
a
complaint.
Iqbal, 556 U.S. 663-664. Further, there is jurisprudence pursuant
to which the pleadings create a rebuttable presumption of spousal
tort solidarity when one of the spouses runs a business for the
benefit of the conjugal partnership. Gonzalez-Toro. Therefore, at
this stage, the Court finds that the pleadings are sufficient to
support the allegation that the conjugal partnership and Defendant
Santos have benefitted from Defendant Valdes’ chiropractic practice
15
and may be, therefore, perfectly solidarily liable to Plaintiff in
this
case.
Accordingly,
Defendants
Santos
and
the
Santos-Valdes
conjugal partnership’s Motion to Dismiss (Docket No. 31) is hereby
DENIED.
Tort Solidarity of an Insurer with its Insured under Puerto
Rico Law
The one-year statute of limitations governing tort actions in
Puerto
Rico
also
applies
to
direct
actions
against
insurers.
Fraticelli v. St. Paul Fire & Marine Insurance Co., 375 F.2d 186
(1st Cir. 1967); see also Ramos v. Cont'l Ins. Co., 493 F.2d 329,
331-32 (1st Cir. 1974). Therefore, Plaintiff was under the same
obligation to bring suit against Defendant NCMIC within one-year
from the date Valdes performed a spinal manipulation on Plaintiff,
September 25, 2013. From that date, Plaintiff had one year to file
suit or otherwise toll the statute of limitations against Defendant
NCMIC.
See De Leon v. Caparra Center, 147 D.P.R. 797 (1999).
Because Plaintiff did not name NCMIC in his demand letter sent on
July
14,
2014,
only
a
finding
of
perfect
solidarity
between
Defendants NCMIC and Valdes would defeat Defendant NCMIC’s Motion
to Dismiss.
Under the Puerto Rico Civil Code, “[a]ny individual sustaining
damages
and
losses
shall
have, at
his
option, a
direct
action
against the insurer under the terms and limitations of the policy.”
26 P.R. LAWS §2003. Because the insurer-insured relationship is
16
born of a contract, the characteristics of the relationship are
governed by the terms of the agreement. Gen. Accid. Ins. Co. P.R.
v. Ramos, 148 D.P.R. 523 (1999).
An insurer’s tort solidarity may not be presumed. Instead,
tort solidarity should clearly arise from the insurance contract
and the insurer’s tort liability will always be limited to what is
established in the terms of the agreement. Id.; see Ruiz Rodriguez
v. Litton Indus. Leasing Corp., 574 F.2d 44 (1978) (holding that
statutory liability of insurer cannot exceed extent of contractual
undertakings with insured, pursuant to Puerto Rican direct action
statute); see also Clinica Dr. Perea v. Hernandez, 85 P.R.R. 738
(1962). However, if an insurer fails to plead the limits of its
liability coverage over its insured, the insurer’s liability will
be “coexistive with the sum claimed in [Plaintiff’s] petition.”
U.S.
Fidelity
&
Guaranty
Co.
v.
Superior
Court,
85
P.R.R.
124
(1962).
Defendants have provided no evidence that NCMIC and Valdes’
insurance contract does not include a solidarity clause. Plaintiff,
on the other hand, would have the Court follow Tokyo Marine and
Fire Ins. Co. Ltd. v. Perez & Cia, De Puerto Rico, Inc., 142 F.3d 1
(1st Cir.1998) where the First Circuit established, interpreting
Puerto
Rico
law,
that
insured
defendants
in
tort
actions
are
solidarity liable with its insurer. However, in order to make a
solidarity determination with certainty, the Court must necessarily
17
have
evidence
shedding
light
on
the
terms
of
the
insurance
contract. At this stage, Plaintiff has pled sufficient facts in his
complaint for the Court to determine that it is plausible that
Defendants NCMIC and Valdes may be solidarily liable. Accordingly,
Defendant
NCMIC’s
Motion
to
Dismiss
(Docket
No.
31)
is
hereby
DENIED.
V. CONCLUSION
Plaintiff has pled sufficient facts for the Court to determine
that
the
perfect
movants’
relationships
solidarity.
Therefore,
with
and
Defendant
for
the
Valdes
reasons
are
of
elucidated
above, the Court hereby DENIES without prejudice Defendants’ Motion
to Dismiss (Docket No. 31). If, after discovery, Defendants produce
evidence regarding the terms of the insurance contract and/or the
characteristics
of
the
conjugal
partnership’s
financial
arrangements, Defendants may restate their grounds for dismissal at
the
summary
judgment
stage.
Accordingly,
Defendants
are
hereby
ordered to file an answer to the complaint within twenty (20) days.
IT IS SO ORDERED.
In San Juan, Puerto Rico, this 24th day of March, 2016.
S/ DANIEL R. DOMÍNGUEZ
DANIEL R. DOMÍNGUEZ
U.S. District Judge
18
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