B.C., individually and on behalf of R.C., a minor v. UNITED HEALTHCARE INSURANCE COMPANY, UNITED BEHAVIORAL HEALTH, and the CNA RETIREE CONSUMER DRIVEN HEALTH PLAN

District Court, D. Utah·Decided July 14, 2026·No. 2:21-cv-00032·Unknown

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF UTAH

B.C., individually and on behalf of R.C., a MEMORANDUM DECISION AND minor, ORDER GRANTING IN PART [84] PLAINTIFF’S MOTION FOR Plaintiffs, ATTORNEY’S FEES

v. Case No. 2:21-cv-00032-DBB

UNITED HEALTHCARE INSURANCE District Judge David Barlow COMPANY, UNITED BEHAVIORAL HEALTH, and the CNA RETIREE CONSUMER DRIVEN HEALTH PLAN,

Defendants.

Before the court is Plaintiff’s Motion for Attorney’s fees.1 BACKGROUND This case involves an insurance coverage dispute arising under the Employee Retirement Income Security Act of 1974 (“ERISA”).2 Plaintiff alleged that R.C., a minor, received mental health care at a residential treatment facility beginning in June 2019 that was covered by an ERISA Plan and that Defendants improperly denied coverage.3 Plaintiff brought claims for ERISA violations and for violations of the Mental Health Parity and Addiction Equity Act of 2008 (“MHPAEA”).4 The parties filed cross motions for summary judgment in October 2022. In her motion, Plaintiff argued that Defendant’s coverage denials were arbitrary and capricious and

1 Mot. Attorney’s fees (“Fee Motion”), ECF No. 84, filed Feb. 16, 2026. 2 29 U.S.C. §1001 et. seq. 3 Amended Compl. ¶¶ 1–5. 4 Id. ¶¶ 43–85. that Defendants violated the MHPAEA.5 In their motion, Defendants argued that their adverse

benefit determination was not arbitrary and capricious under ERISA.6 Defendants also argued that, in the event the court “rule[d] in favor of Plaintiffs,” the matter should be remanded for further consideration.7 On January 10, 2024, the court entered an order denying Defendants’ motion and granting in part Plaintiff’s motion.8 The court held that Defendant United Behavioral Health (“United”) acted arbitrarily in denying Plaintiff’s claim by (1) failing to address the opinions of R.C.’s treating caregivers, even when explicitly asked to do so by Plaintiff9 and by (2) making inaccurate statements about the likelihood that R.C.’s problems would threaten his or others’ safety that were contradicted by the administrative record.10 In light of United’s failure to

adequately explain the basis for the denial, the court remanded the case for further evaluation and did not reach the merits of the MHPAEA claim.11 Following remand, United reversed its denial of the claim for the treatment period from June 17, 2019, through June 29, 2020, but maintained that additional treatment was not covered.12 Subsequently, United reversed its denial of the remaining treatment period from June 30, 2020, through January 20, 2021.13 Plaintiff now seeks attorney’s fees and interest.14

5 Pl. Mot. Summ. Judgment (“Pl. MSJ”) 32, 35, ECF No. 62, filed Oct. 14, 2022. 6 Def. Mot. Summ. Judgment (“Def. MSJ”) 18, ECF No. 60, filed Oct. 14, 2022. 7 Id. at 40. 8 Order Denying and Granting in Part Mot. Summ. Judgment (“MSJ Order”), ECF No. 82, entered Jan. 10, 2024. 9 Id. at 8–9. 10 Id. at 10–12. 11 Id. at 13. 12 Fee Motion 2–3; September 4, 2024, Letter on Remand Review, ECF No. 93-2, filed Apr. 29, 2026. 13 Fee Motion 3; November 27, 2024, Letter on Remand Review, ECF No. 93-3, filed Apr. 29, 2026. 14 See Fee Motion. STANDARD In an ERISA action, “the court in its discretion may allow a reasonable attorney’s fee and costs of action to either party.”15 “A fee claimant need not be a prevailing party to be eligible for an award of attorney’s fees and costs under ERISA.”16 Instead, a court may award fees and costs under § 1132(g)(1), “as long as the fee claimant has achieved ‘some degree of success on the merits.’”17 The Tenth Circuit Court of Appeals has established five factors a court may consider in deciding whether to exercise its discretion to award attorney’s fees and costs under ERISA: (1) the degree of the opposing party’s culpability or bad faith; (2) the opposing party’s ability to satisfy an award of fees; (3) whether an award of fees would deter others from acting under similar circumstances; (4) whether the party requesting fees sought to benefit all participants and beneficiaries of an ERISA plan or to resolve a significant legal question regarding ERISA; and (5) the relative merits of the parties’ positions.18

“No single factor is dispositive and a court need not consider every factor in every case.”19 Further, “[t]he award of prejudgment interest is considered proper in ERISA cases” and is “appropriate when its award serves to compensate the injured party and its award is otherwise equitable.”20 DISCUSSION Plaintiff requests (1) the payment of the ERISA benefits that Defendants have approved, (2) prejudgment interest on the benefits, and (3) attorney’s fees and costs.21

15 29 U.S.C.A. § 1132(g)(1). 16 Cardoza v. United of Omaha Life Ins. Co., 708 F.3d 1196, 1207 (10th Cir. 2013). 17 Hardt v. Reliance Standard Life Ins. Co., 560 U.S. 242, 245 (2010) (quoting Ruckelshaus v. Sierra Club, 463 U.S. 680, 694 (1983)). 18 Cardoza, 708 F.3d 1196 at 1207. 19 Id. 20 Allison v. Bank One-Denver, 289 F.3d 1223, 1243 (10th Cir. 2002), as amended on denial of reh’g (June 19, 2002). 21 See Fee Motion 1. I. Benefits Plaintiff first asks the court to order payment of the $356,718 in benefits that Defendants approved for R.C.’s treatment.22 She contends that, though Defendants approved coverage in this amount, they have not yet paid the benefits, so an order that the payment be made is necessary.23 Defendants agree that the amount of benefits owed for approved coverage between June 17, 2019, and January 21, 2021, is $356,718.24 In the absence of any dispute, the court orders that Defendants pay Plaintiff the benefits owed. II. Prejudgment Interest Plaintiff next asks the court to order payment of prejudgment interest in the amount of 10% per annum on the unpaid claims for benefits.25 She argues that prejudgment interest is

appropriate because Defendants retained the benefits of the funds rightfully owed to Plaintiff during the years between the covered treatment and the final decision to approve benefits.26 Plaintiff also argues that a 10% rate is appropriate under Utah law, which states that “the legal rate of interest for [a] contract, including a contract for services, a loan or forbearance of any money, goods, or services, or a claim for breach of contract is 10% per annum” unless the parties expressly specify a different rate.27 Plaintiff proposes that the interest be calculated at $97.73 per day28 beginning sixty days after the midpoint of the treatment period.29 She argues that this date

22 Id. at 2–3. 23 Id. at 3. 24 Opposition to Motion for Attorney’s fees (“Opp’n”) 4, ECF No. 93, filed Apr. 29, 2026. 25 Fee Motion 3. 26 Id. at 5. 27 Utah Code Ann. § 15-1-1(2). 28 Calculated by taking 10% of the $356,718 benefits owed for a total of $35,671.80 in interest per annum and then dividing it by 365 days per year to get $97.73 of interest owed per day on the total benefits. 29 Fee Motion 5. Plaintiff further explains that, as of the date of her motion, 2,082 days have elapsed from the interest start date. Id. This places the proposed date to begin calculating interest approximately on June 5, 2020.

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B.C., individually and on behalf of R.C., a minor v. UNITED HEALTHCARE INSURANCE COMPANY, UNITED BEHAVIORAL HEALTH, and the CNA RETIREE CONSUMER DRIVEN HEALTH PLAN, (D. Utah 2026).

B.C., individually and on behalf of R.C., a minor v. UNITED HEALTHCARE INSURANCE COMPANY, UNITED BEHAVIORAL HEALTH, and the CNA RETIREE CONSUMER DRIVEN HEALTH PLAN (B.C., individually and on behalf of R.C., a minor v. UNITED HEALTHCARE INSURANCE COMPANY, UNITED BEHAVIORAL HEALTH, and the CNA RETIREE CONSUMER DRIVEN HEALTH PLAN) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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