Connor, M.D. v. UNUM Life Insurance Company of America

District Court, N.D. California·Decided July 26, 2021·No. 4:19-cv-06552·Unknown

Opinion

CAROLINE L. CONNOR, M.D., Case No. 4:19-cv-06552-YGR

Plaintiff, ORDER GRANTING MOTION FOR ATTORNEYS’ FEES AND COSTS vs.

UNUM LIFE INSURANCE COMPANY OF Re: Dkt. No. 71 AMERICA, Defendant. Plaintiff Caroline L. Connor, M.D., brought this action against defendant Unum Life Insurance Company of America (“Unum”) under the Employment Retirement Income Security Act of 1974, 29 U.S.C. § 1001, et seq. (“ERISA”), challenging the denial of benefits under a long- term disability (“LTD”) plan. On November 24, 2020, the Court granted Dr. Connor’s motion for summary judgment against Unum, finding that Dr. Connor qualified as an eligible employee for disability benefits under the LTD plan. (Dkt. No. 56; “Summary Judgment Order.”) Dr. Connor now moves for an award of attorneys’ fees and costs, seeking $218,900 in attorneys’ fees and $5,430.66 in costs. (Dkt. Nos. 71 and 73.) Unum opposes the motion. (Dkt. No. 72.) (“Opp.”) For the reasons set forth below, the Court finds that an award of attorneys’ fees and costs is appropriate. Accordingly, Dr. Connor’s motion is GRANTED IN PART.1 In any action brought by a plan participant, beneficiary, or fiduciary under ERISA, “the court in its discretion may allow a reasonable attorney’s fee and costs of action to either party.” 29 U.S.C. § 1132(g) (1). In interpreting this statute, the Ninth Circuit has held that a prevailing plan participant, such as Dr. Connor, should “ordinarily recover an attorney’s fee unless special circumstances would render such an award unjust.” Smith v. CMTA-IAM Pension Trust, 746 F.2d 587, 589 (9th Cir. 1984) (internal quotations omitted). Three legal standards apply to this motion. First, the court must decide whether the moving party has “achieved some degree of success on the merits.” Simonia v. Glendale Nissan/Infiniti Disability Plan, 608 F.3d 1118, 1119 (9th Cir. 2010). Second, with respect to determining whether to exercise its discretion to award fees, a court is instructed to consider the following five factors, known as the Hummell factors: (i) the degree of the opposing party’s culpability or bad faith; (ii) the ability of the opposing party to satisfy an award of fees; (iii) whether an award of fees against the opposing party would deter others from acting under similar circumstances; (iv) 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 (v) the relative merits of the party’s positions. Hummell v. S.E. Rykoff & Co., 634 F.2d 446, 452 (9th Cir. 1980). Third, the Court must assess the reasonableness of the requested fees. Hensley v. Eckerhart, 461 U.S. 424, 437 (1983). A. “Some Degree of Success on the Merits” A plaintiff reaches “some degree of success on the merits” if the court “can fairly call the outcome of the litigation some success . . . without conducting a ‘lengthy inquir[y] into the question whether a particular party’s success was substantial or occurred on a central issue.’” Hardt v. Reliance Standard Life Ins. Co., 560 U.S. 242, 255 (2010) (quoting Ruckelshaus v. Sierra Club, 463 U.S. 680, 688 n.9 (1983)). This is not satisfied by achieving “trivial success on the merits” or a “purely procedural victor[y] . . . .” Id. Neither party disputes that Dr. Connor achieved “some degree of success on the merits.” The Court granted Dr. Connor’s motion for summary judgment, finding that she qualified as an eligible employee for disability benefits. (See Summary Judgment Order.) Thus, the Court finds that Dr. Connor satisfies this requirement. B. Hummell Factors After establishing that a moving party achieved “some success on the merits,” the court Simonia, 608 F.3d at 1122. Various combinations of factors can support an award of fees. Paddack v. Morris, 783 F.2d 844, 846 (9th Cir. 1986). 1. Culpability or bad faith While the Court found that Unum interpreted its LTD plan incorrectly, the Court does not have evidence to conclude that such interpretation rises to the level of bad faith. Bd. of Trustees of Mill Cabinet Pension Tr. Fund for N. California v. Valley Cabinet & Mfg. Co., 877 F.2d 769, 774–75 (9th Cir. 1989) (explaining that a pension plan did not act in bad faith despite losing on the merits). That said, the position Unum took in this case bordered on being objectively unreasonable. Thus, this first factor is neutral but leans in favor of a fee award. 2. Ability to Satisfy an Award Unum concedes its ability to satisfy a fee award. (Opp. at 4.) Although Unum argues that this fact alone is insufficient to support a fee award, the Ninth Circuit has suggested otherwise. In Smith, the court accorded great weight to the opposing party’s ability to pay, stating “based on this factor alone, absent special circumstances, a prevailing ERISA employee plaintiff should ordinarily receive attorney’s fees from the defendant.” Smith, 746 F.2d at 590. The Court is not aware of any special circumstances that weigh against a fee award under this factor. Thus, Unum’s conceded ability to pay weighs heavily in favor of a fee award. 3. Deterrence to Others in Similar Situations An award of attorneys’ fees could serve to deter other plan administrators from denying meritorious disability claims. See Carpenters S. Cal. Admin. Corp. v. Russell, 726 F.2d 1410, 1416 (9th Cir. 1984). Unum argues that a fee award is not justified as deterrence because “substantial evidence supported Unum’s denial.” (Opp. at 4.) This argument ignores the fact that the Court granted Dr. Connor’s motion for summary judgment, finding that Unum’s denial decision was in error based on the plain language of the plan. (See Summary Judgment Order.) A fee award would thus reinforce that ERISA plan administrators must consider the plain language of their plans when deciding eligibility. Thus, the third factor favors an award. 4. Significance of Legal Issue or Benefit to Plan Participants to some degree in their future administration of plan benefits,” or clarifies the terms of the plan “by settling a disputed provision or an ambiguity.” Smith, 746 F.2d at 590 (finding that the fourth factor weighed in favor of a fee award because the “decision clarif[ied] the terms of a plan.) Here, Dr. Connor’s litigation will assist plan beneficiaries in the future because they now understand that as defined under LTD’s plan, means working at least 30 hours a week satisfied the minimum requirement for coverage. Thus, the Court finds that the fourth factor weighs in favor of an award. 5. Merits of the Parties’ Positions In granting Dr. Connor’s motion for summary judgment, the Court found Dr. Connor’s position meritorious. (See Summary Judgment Order.) The Court did not find Unum’s positions persuasive. (Id. at 6.) Thus, this final factor weighs in favor of an award. Accordingly, because Dr. Connor obtained “some degree of success on the merits,” and because plan participants should ordinarily recover attorneys’ fees, a balancing of the Hummell factors leads the Court to find an award of fees appropriate here. Thus, Dr. Connor is entitled to fees. C. Reasonable Fees Consist of Reasonable Hourly Rates and Reasonable Hours Spent Once a court finds that a party is entitled to fees, the court must con

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Connor, M.D. v. UNUM Life Insurance Company of America, (N.D. Cal. 2021).

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Related

Hensley v. Eckerhart
461 U.S. 424 (Supreme Court, 1983)
Ruckelshaus v. Sierra Club
463 U.S. 680 (Supreme Court, 1983)
Simonia v. Glendale Nissan/Infiniti Disability Plan
608 F.3d 1118 (Ninth Circuit, 2010)
Moreno v. City of Sacramento
534 F.3d 1106 (Ninth Circuit, 2008)
Hardt v. Reliance Standard Life Insurance Co.
176 L. Ed. 2d 998 (Supreme Court, 2010)
Hummell v. S. E. Rykoff & Co.
634 F.2d 446 (Ninth Circuit, 1980)
Paddack v. Morris
783 F.2d 844 (Ninth Circuit, 1986)
Kim v. Fujikawa
871 F.2d 1427 (Ninth Circuit, 1989)
Gates v. Deukmejian
987 F.2d 1392 (Ninth Circuit, 1992)