Garcia v. Island Program Designer, Inc., Civ. No. 91-1679 (GG).

• Decision Date: 21 April 1992
• Docket Number: Civ. No. 91-1679 (GG).
• Citation: 791 F. Supp. 338
• Parties: Juan Antonio GARCIA, in his capacity as Insurance Commissioner of Puerto Rico, Plaintiff, v. ISLAND PROGRAM DESIGNER, INC., Defendant.
• Court: U.S. District Court — District of Puerto Rico

791 F. Supp. 338

Juan Antonio GARCIA, in his capacity as Insurance Commissioner of Puerto Rico, Plaintiff, v. ISLAND PROGRAM DESIGNER, INC., Defendant.

Civ. No. 91-1679 (GG).

United States District Court, D. Puerto Rico.

April 21, 1992.

Jesus R. Rabell Mendez, Rossello-Rentas & Rabell Mendez, San Juan, P.R.

Yazmin Nadal Arroyo, Legal Advisor, Office of Ins. Com'r, Santurce, P.R.

Roberto A. Angueira, Trial Atty., Tax Div., U.S. Dept. of Justice, Washington, D.C., for the I.R.S.

OPINION AND ORDER

GIERBOLINI, Chief Judge.

This case requires us to rule on the issue of whether the liquidation proceedings of an insurance company initiated in the Superior Court of Puerto Rico by the Insurance Commissioner in his official capacity, qualifies as "business of insurance" as defined under the McCarran-Ferguson Act.¹ We also need to decide if under the McCarran-Ferguson Act, the Puerto Rico Insurance Code² takes precedence over the federal super-priority statute.³

Procedurally, the case is before us pursuant to a motion to remand filed by the Commissioner after the Internal Revenue Service filed a notice to remove the case to this court.⁴

I. BACKGROUND

The facts of this case are uncontested. The Puerto Rico Insurance Commissioner, in his capacity as receiver to distribute the assets of an insolvent Health Maintenance Organization ("HMO"), Island Program Designer ("IPD"), commenced judicial proceedings in Superior Court of Puerto Rico, Bayamón Part, pursuant to the provisions of Chapter 40 of the Insurance Code of Puerto Rico, 26 L.P.R.A. § 4001 et seq.⁵ On January 8, 1988, the local court entered an order extending the deadline to submit claims against the assets of IPD up to and including May 19, 1988. On June 1, 1989, the IRS filed its claims in the Office of the Insurance Commissioner of Puerto Rico. On July 5, 1990, the Insurance Commissioner filed in Superior Court a listing of the priority of claims submitted in the IPD's liquidation. Thereafter, he amended the list of priority claims and, clarified that only the claims filed prior to May 19, 1988, would be considered as timely filed.

The IRS, after receiving permission by the Superior Court, intervened in the case on May 24, 1991, seeking to collect monies owed by the insolvent insurer. The IRS claimed a preference with respect to all other parties, including policyholders, subscribers, providers of services, beneficiaries and insureds, pursuant to 31 U.S.C. § 3713(a)(1)(A) (federal priority statute)⁶. On May 28, 1991, the IRS filed a Notice of Removal to this court.

Plaintiff avers that the federal super-priority statute does not apply to the liquidation proceedings under the Puerto Rico Insurance Code, because the proceedings are part of the "business of insurance" within the purview of the McCarran-Ferguson Act. Accordingly, he argues that Article 40.190, 26 L.P.R.A. § 4019, takes precedence over the federal priority statute, and is therefore not preempted by 31 U.S.C. § 3713, as claimed by the IRS. He further asserts that abstention under the doctrine of Burford v. Sun Oil Co., 319 U.S. 315, 63 S.Ct. 1098, 87 L.Ed. 1424 (1943), is proper because interpretation of a complex and specialized statute drafted to govern the insurance business in Puerto Rico is at issue here.

II. DISCUSSION

As mentioned above, the first issue is whether the liquidation proceedings of an insolvent insurer are part of the "business of insurance" pursuant to the McCarran-Ferguson Act.

Facing similar circumstances, our Circuit in González v. Media Elements, Inc., 946 F.2d 157 (1st Cir.1991) found that federal abstention was appropriate under the doctrine of Burford v. Sun Oil Co., 319 U.S. 315, 63 S.Ct. 1098 (1943). In González, the First Circuit set forth the policy for us to consider in considering to remand these causes of action:

By enacting the Uniform Insurers Liquidation Act, 26 L.P.R.A. § 4001 et seq., Puerto Rico has constructed a comprehensive framework for the liquidation of insolvent insurance companies and the resolution of claims against them. Continued federal litigation may disrupt Puerto Rico's regulatory system in three significant ways: (1) by taking jurisdiction away from the "central administrative forum" in which Puerto Rico's legislature intended to concentrate all `claims against the corporation being liquidated, a method that promotes the orderly adjudication of same.' Calderón v. Commonwealth Insurance Co., 111 D.P.R. 153 (1981); (2) by forcing the Puerto Rico Insurance Commissioner to dissipate the insolvent insurer's funds litigating a claim that could be settled more efficiently in the administrative forum; and (3) by creating the risk that Puerto Rico and the federal court will adopt different interpretations of the policy term at issue here, thus defeating the Commonwealth's interest in a consistent disposition of all claims against the insolvent insurer. Id. at 157. (Citations Omitted).

The intervenor's assertion that the liquidation proceedings are not part of the "business of insurance" or in the alternative, that the federal super-priority statute preempts any state priority statute is not availing and runs contrary to González v. Media Elements, Inc. IRS cites the trilogy of Supreme Court cases interpreting the "business of insurance" under the McCarran-Ferguson Act: Union Labor Life Insurance Co. v. Pireno, 458 U.S. 119, 102 S.Ct. 3002, 73 L.Ed.2d 647 (1982); Group Life & Health Insurance Co. v. Royal Drug Co., 440 U.S. 205, 99 S.Ct. 1067, 59 L.Ed.2d 261 (1979); and SEC v. National Securities, Inc., 393 U.S. 453, 89 S.Ct. 564, 21 L.Ed.2d 668 (1969). However, the circumstances here are distinguishable from the above mentioned cases. As explained by the Sixth Circuit in Fabe v. U.S. Dept. of Treasury, 939 F.2d 341 (6th Cir.1991): "unlike National Securities, Royal Drug, and Pireno, this case does not involve a third-party non-insurer seeking to avoid the provisions of federal law through the operation of the McCarran-Ferguson Act. Rather, it concerns a state law designed to protect the interest of the insureds in their relationship with insurers by providing assurances as to the reliability and enforcement of the policies issued. See National Securities, 393 U.S. at 460, 89 S.Ct. at 568." Id. at 351.

The cases of State of Idaho ex rel. Soward v. United States, 858 F.2d 445 (9th Cir.1988); and Gordon v. United States Dept. of Treasury, 846 F.2d 272 (4th Cir. 1988) are in conflict with González v. Media Elements, Inc., of the First Circuit, cited above. Those cases also addressed the particular issue raised here and rejected the argument that states' liquidation priority statutes regulated the "business of insurance" within the scope of McCarran-Ferguson Act.

With deference to the Fourth and Ninth Circuits we follow the precedent established in 1991 by our Circuit in González, that explicitly found those liquidation proceedings of an insolvent insurer under the Puerto Rico Insurance Code, are part of the "business of insurance". This ruling governs the instant case not only because it is a First Circuit case, but also because it specifically deals with the point at issue here. We only add that those cases failed to discuss whether the federal statute supersedes or not the McCarran-Ferguson Act.

This is not the end of our inquiry, since we must now resolve the second issue of whether the federal super-priority statute, supersedes the McCarran-Ferguson Act. The state law at issue here is the Puerto Rico Insurance Code, an intricate and highly specialized administrative system, adopted by the Commonwealth of Puerto Rico to regulate the life of insurance companies from incorporation to dissolution pursuant to the McCarran-Ferguson Act. Chapter 40 of this code provides a comprehensive program for the rehabilitation and liquidation of domestic insurance companies in Puerto Rico and includes the Uniform Insurers Liquidation Act, contained in sections 4008 to 4014. Said regulation is crucial for consumer protection because insurance companies are not subject to federal bankruptcy proceedings. For this reason, federal courts have often abstained from considering such causes of action, in deference to the state's interest in this matter. See Fabe, supra, 939 F.2d at 346-47; citing Grimes v. Crown Life Insurance Co., 857 F.2d 699 (10th Cir. 1988), cert. denied, 489 U.S. 1096, 109 S.Ct. 1568, 103 L.Ed.2d 934 (1989).

The purpose of the Puerto Rico's Liquidation Priority Statute is to provide a uniform procedure for the Commissioner to request the liquidation of the assets of insolvent insurance companies in Superior Court of Puerto Rico, under several grounds set forth in the statute. 26 L.P.R.A. § 4002 (Article 40.020). Section 4012 of the statute, establishes the priorities for payment of claims, as defined by section 4007. Under § 4012, all claims submitted against an insolvent insurance company are prioritized.⁷ Furthermore, §...