Glover v. Hartford Life and Accident Insurance Company

CourtDistrict Court, D. New Hampshire
DecidedJuly 28, 2022
Docket1:20-cv-00358
StatusUnknown

This text of Glover v. Hartford Life and Accident Insurance Company (Glover v. Hartford Life and Accident Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Glover v. Hartford Life and Accident Insurance Company, (D.N.H. 2022).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Sarah T. Glover

v. Civil No. 20-cv-358-LM Opinion No. 2022 DNH 089 P Hartford Life and Accident Insurance Company

O R D E R Plaintiff Sarah Glover brought this action under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq., seeking a declaration that defendant Hartford Life and Accident Insurance Company improperly denied her disability benefits. After Glover filed her lawsuit, Hartford Life agreed to review its denial of benefits, determined Glover was entitled to disability benefits, and agreed to pay her back benefits from July 2017 to the date of settlement. Glover now moves for attorney fees and costs under 29 U.S.C. § 1132(g)(1). Doc. no. 19. Hartford Life objects. For the following reasons, the court grants Glover’s motion for attorney fees and costs but reduces the amount Glover requests. BACKGROUND1 Glover is a primary care physician at Dartmouth-Hitchcock Clinic, where she started working in March 2012. Glover participates in a Group Long Term

1 The court draws the following facts from the complaint, the answer, Glover’s ERISA claim file, and the parties’ briefs on the motion for attorney fees and attachments. The facts appear to be undisputed. Disability Plan (the “Plan”) maintained by Dartmouth-Hitchcock. Hartford Life is the Plan’s administrator and, as its fiduciary, maintains the authority to determine participants’ eligibility for disability benefits. The Plan requires Hartford Life to

provide disability benefits to participants if they meet the Plan’s criteria, including if a disability prevents them from working full-time. In the summer of 2015, Glover began working part-time after she started to experience extreme fatigue and cognitive deficiencies that interfered with her ability to work full-time as a physician. Glover has continued to experience these symptoms, at varying degrees of severity, since that summer. Glover has worked part-time since the onset of her symptoms, seeing patients in the morning and

taking naps or otherwise resting during the afternoon. Glover first applied for disability benefits in March 2016, seeking benefits from November 2015. In spring 2016, Hartford Life determined that Glover was entitled to disability benefits because she could not work full-time as a physician. By early 2017, however, Hartford Life began to reassess Glover’s eligibility for disability benefits and retained Dr. Imad Durra to conduct a review of Glover’s medical

records. In June 2017, Dr. Durra reported that he found no objective evidence that Glover suffered from cognitive impairments that would prevent her from working full-time as a physician. Relying on Dr. Durra’s report, Hartford Life terminated Glover’s disability benefits as of July 4, 2017. In January 2018, Glover appealed Hartford Life’s decision through the Plan’s administrative appeal process. Hartford Life retained a new expert, Dr. Joshua Lewis, to independently review Glover’s medical records, including new records since Dr. Durra’s initial report. Like Dr. Durra, Dr. Lewis concluded that Glover did not suffer from any disabilities that would prevent her from working full-time

as a primary care physician. In March 2018, Hartford Life, relying on Dr. Lewis’s report, affirmed its decision to deny Glover disability benefits. In a notice informing Glover of its decision, Hartford Life stated that Glover had exhausted her administrative remedies, that its decision was now final, and that Glover’s sole remedy was to file suit in federal court. Glover brought suit in this court in March 2020, alleging that Hartford Life improperly denied her benefits under ERISA. She asserted three claims: (1)

Hartford Life failed to provide her a full and fair review of her claim under 29 U.S.C. § 1133 and 29 C.F.R. § 2560.503-1(h) because it did not provide her with a copy of Dr. Lewis’s report or allow her to respond to the report prior to denying her appeal; (2) Hartford Life erroneously concluded that her medical records did not demonstrate she was disabled and thus improperly denied her disability benefits under 29 U.S.C. § 1132(a)(1)(B); and (3) she was entitled to attorney fees and costs

under 29 U.S.C. § 1132(g)(1). Almost immediately after Glover filed suit, the parties began negotiating a possible settlement. On May 28, 2020, Hartford Life offered a “remand” of the case to allow Hartford Life to make a new determination about Glover’s eligibility for disability benefits, including by considering Glover’s updated medical records. The parties, however, disputed whether Glover would be entitled to attorney fees if they resolved the case during the remand. The parties failed to resolve their disagreement over attorney fees. Nonetheless, on September 21, 2020, the parties filed a joint motion to stay Glover’s action against Hartford Life pending a remand

of her claim. Per the stipulation, Hartford Life agreed to reconsider Glover’s benefits claim in accordance with its May 2020 offer. Hartford Life commissioned two doctors, Drs. Gabriel Jasso and Benjamin Kretzmann, to conduct separate, independent reviews of Glover’s medical file. In his report, Dr. Jasso concluded that there was no indication Glover suffered from cognitive impairments that would prevent her from working full-time as a physician.

Dr. Kretzmann concluded, however, that the medical records showed that Glover was functionally impaired and unable to work more than part-time as a doctor. Dr. Kretzmann noted that, although Glover’s symptoms waxed and waned, her medical records demonstrated that she had consistently suffered from cognitive impairments and extreme fatigue since 2015. Dr. Kretzmann further noted that Glover’s more recent medical records showed that she continued to suffer from these

symptoms. Dr. Kretzmann opined that Glover suffered from functional restrictions or limitations on her ability to work full-time as a physician from July 4, 2017, through the date of his report. In February 2021, after receiving these reports and conducting a job requirement review for Glover’s position, Hartford Life determined that the information currently in Glover’s file indicated that she was entitled to disability benefits under the Plan from July 4, 2017, forward. Pursuant to this conclusion, Hartford Life provided Glover $174,597.14 in back benefits. Hartford Life’s determination mooted Glover’s substantive ERISA claims, but the parties continue

to dispute whether Glover is entitled to attorney fees.

DISCUSSION The sole issue before the court is whether Glover is entitled to attorney fees and costs under ERISA. Participants of plans covered under ERISA may bring civil suits to recover wrongfully-denied benefits. 29 U.S.C. § 1132(a)(1)(B). Section 1132(g)(1) provides district courts discretion to award either party reasonable

attorney fees and costs in any action brought under § 1132(a). Determining whether to award a plaintiff attorney fees and costs under § 1132(g) requires a three-step inquiry. See Gross v. Sun Life Assur. Co. of Canada

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