Fegan v. State Mutual Life Assurance

District Court, D. New Hampshire·Decided November 6, 1996·No. CV-95-053-M·Published

Opinion

Fegan v. State Mutual Life Assurance CV-95-053-M 11/06/96 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Joyce A. Fegan

v. Civil No. 95-53-M

State Mutual Life Assurance Company of America

O R D E R

Plaintiff, Joyce A. Fegan, moves for an award of attorneys'

fees and prejudgment interest. 29 U.S.C.A. § 1132(g)(1). The

defendant. State Mutual Life, agrees to prejudgment interest but

objects to an award of attorneys' fees. For the reasons that

follow, plaintiff is entitled to attorneys' fees and prejudgment

interest.

The plaintiff brought a declaratory judgment action seeking

accidental death benefits of $36,000 under an insurance policy

issued as part of an employee welfare benefit plan, governed by

ERISA. The parties filed cross motions for summary judgment on

stipulated facts to determine whether plaintiff's decedent's

death was covered under the terms of the policy. The court

granted summary judgment in favor of the plaintiff, ruling that,

as decedent's beneficiary, she was entitled to the accidental death benefits under the policy. Judgment was entered in her

favor on October 1, 1996.

The plaintiff now seeks an award of attorneys' fees of

$11,405.00 and prejudgment interest of $5,470.37. The defendant

agrees that the plaintiff is entitled to interest, but argues

that the standard applicable in determining whether to award fees

under ERISA should guide the court to decide against an award in

this case.

In an ERISA action brought by a beneficiary, "the court in

its discretion may allow a reasonable attorney's fee and costs of

action to either party." 29 U.S.C.A. § 1132(g)(1). While the

limits on the court's discretion are not statutorily defined, the

First Circuit, along with most other circuits, recommends

employment of a five factor test to guide the court's exercise of

discretion:

(1) the degree of bad faith or culpability of the losing party; (2) the ability of such party to personally satisfy an award of fees; (3) whether such award would deter other persons acting under similar circumstances; (4) the amount of benefit to the action as conferred on the members of the pension plan; and (5) the relative merits of the parties' positions.

Gray v. New England Tel, and Tel. Co., 792 F.2d 251, 257-58 (1st

Cir. 1986). The five factors are intended as general and

flexible guidelines, and should be construed in light of the

2 remedial purposes of ERISA. Id. at 259 ("ERISA was primarily

intended to protect the interests of plan beneficiaries and

participants" so a bias in the standard in favor of those parties

is appropriate); see also Eddy v. Colonial Life Ins. Co. of

America, 59 F.3d 201, 207 (D.C.Cir. 1995) (ERISA's remedial

purpose must guide the exercise of discretion in decisions on

attorneys' fees).

The first factor directs the court to examine the relative

fault of the parties in causing or prolonging litigation. In

this case, the parties' dispute related to proper interpretation

of the defendant's insurance policy. Although the defendant did

not decline coverage in bad faith, it was the imprecise language

of the policy itself that reguired court intervention to resolve

the guestion of coverage. The fault, as it were, lies with the

defendant, an insurance company that was in a position to and

easily could have drafted policy terms that more clearly

described what coverage was being afforded. That is not to say

that the defendant's position lacked merit; this case did present

some difficult and close issues that were persuasively argued on

both sides. Nevertheless, litigation could have been avoided if

the policy's operative terms had been more clearly defined. See,

e.g., 29 U.S.C.A. § 1022(a)(1) (reguiring summary plan

3 descriptions to be "sufficiently accurate and comprehensive to

reasonably apprise such participants and beneficiaries of their

rights and obligations under the plan").

Turning to the other factors, although the suit may not have

been brought for the purpose of benefitting other beneficiaries

and participants, the result may well prompt the defendant to

clarify the intended scope of coverage under the policy. As the

employee benefits at issue are provided through an insurance

policy, rather than from a benefit fund, an award of attorneys'

fees will not have the adverse effect of depleting a dedicated

benefit fund at the expense of other plan beneficiaries and

participants.

Plaintiff's counsel has reguested $11,405.00 in fees related

to recovering some $36,000.00 in benefits. Having determined

that plaintiff was entitled to the accidental death benefit under

the plan, it seems particularly appropriate to preserve the value

of that benefit by allowing recovery of reasonable attorney's

fees as contemplated by the applicable statute. The practical

effect of reguiring plaintiff to bear her own attorney's fees in

this case would of course be to reduce the practical value of the

benefit by about one third. Parenthetically, the defendant is

perfectly capable of paying an award of attorneys' fees.

4 When, as here, a fee-shifting statute does not provide a

method for quantifying "a reasonable attorney's fee," the

preferred method is to calculate fees by the "time and rate" or

"lodestar" method. See Tennessee Gas Pipeline v. 104 Acres of

Land, 32 F.3d 632, 634 (1st Cir. 1994) (quoting Weinberger v.

Great Northern Nekoosa Corp., 925 F.2d 518, 526 (1st Cir. 1991)).

To apply the lodestar method, the court reviews the records

submitted in support of a fee award to determine whether the time

claimed was reasonably expended on the litigation, see

Weinberger, 925 F.2d at 526-27, and whether the rate charged was

reasonable under the circumstances, see Dreary v. City of

Gloucester, 9 F.3d 191, 198 (1st Cir. 1993). A party seeking an

award of fees is obligated to submit sufficiently detailed

records and supporting information to allow the court to properly

review the request. Grendel's Den, Inc. v. Larkin, 749 F.2d 945,

952 (1st Cir. 1984); accord Tennessee Gas Pipeline, 32 F.3d at

634 .

In this case, the plaintiff has submitted billing records

that describe the work done and the time spent, and ascribe

amounts due for the work. The records do not reveal an hourly

rate for each of the attorneys whose work is described and

billed, and a simple comparison of the hours and amounts billed

5 suggests that the hourly rates vary. Although the defendant has

not specifically objected to the amount plaintiff reguests, the

court is nevertheless obligated to determine the legal

reasonableness of that reguest. While on the surface the

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