Hughes v. Hartford Life and Accident Insurance Company

CourtDistrict Court, D. Connecticut
DecidedFebruary 5, 2020
Docket3:17-cv-01561
StatusUnknown

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

Bluebook
Hughes v. Hartford Life and Accident Insurance Company, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

PATRICIA HUGHES, Plaintiff,

v. No. 3:17-cv-01561 (JAM) HARTFORD LIFE AND ACCIDENT INSURANCE CO., Defendant.

ORDER RE PLAINTIFF’S MOTION FOR ATTORNEY’S FEES AND COSTS

Plaintiff Patricia Hughes moves for an award of attorney’s fees and costs. For the reasons explained below, I will grant Hughes’s motion in part and will award $105,762.25 in attorney’s fees and $3,576.54 in costs. BACKGROUND Hughes brought this action under the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001 et seq., against defendant Hartford Life and Accident Insurance Company (“Hartford Life”) to challenge the termination of her disability benefits. I ruled in Hughes’s favor, remanding the case on the ground that Hartford Life denied Hughes her right to a full and fair review when it refused to give her the opportunity to respond to an expert report that the company obtained while it was reviewing her appeal. See Hughes v. Hartford Life and Accident Ins. Co., 368 F. Supp. 3d 386 (D. Conn. 2019). Following my order of remand, Hughes now moves for an award of attorney’s fees and costs. See Doc. #74. DISCUSSION 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). Still, this discretion “is not unlimited.” Donachie v. Liberty Life Assur. Co. of Boston, 745 F.3d 41, 46 (2d Cir. 2014) (quoting Hardt v. Reliance Standard Life Ins. Co., 560 U.S. 242, 254 (2010)). The Supreme Court has held that an award of attorney’s fees is appropriate only if the party seeking fees has obtained “some degree of success on the merits.” Ibid. (quoting Hardt, 560 U.S. at 255). Indeed, “whether a plaintiff has

obtained some degree of success on the merits is the sole factor that a court must consider in exercising its discretion.” Ibid. In deciding whether to award fees, courts may also—but are not required to—consider the five “Chambless factors”: (1) the degree of opposing parties’ culpability or bad faith; (2) ability of opposing parties to satisfy an award of attorneys’ fees; (3) whether an award of attorneys’ fees against the opposing parties would deter other persons acting under similar circumstances; (4) whether the parties requesting attorneys’ fees sought to benefit all participants and beneficiaries of an ERISA plan or to resolve a significant legal question regarding ERISA itself; and (5) the relative merits of the parties’ positions. Ibid. (quoting Hardt, 560 U.S. at 249 n.1); see also Chambless v. Masters, Mates & Pilots Pension Plan, 815 F.2d 869, 871 (2d Cir. 1987). Hughes contends that my order of remand of her claim constitutes “some degree of success on the merits.” In Hardt, the Supreme Court deemed a fee award appropriate where the district court had remanded a plaintiff’s claim to the plan administrator and opined positively on the merits of her claim, and where the plaintiff was ultimately awarded benefits. 560 U.S. at 255- 56. The Hardt Court explicitly declined to decide “whether a remand order, without more, constitutes ‘some success on the merits.’” Id. at 256. Nor has the Second Circuit decided this question. Many other courts, however, have found “remand simpliciter” to constitute “some success on the merits.” See Valentine v. Aetna Life Ins. Co., 2016 WL 4544036, at *4-*5 (E.D.N.Y. 2016) (collecting cases and concluding “that ‘remand simpliciter’ is sufficient to constitute ‘some success on the merits’ under Hardt and that an endorsement from the Court on the merits of the claim is unnecessary”); see also Gross v. Sun Life Assurance Co. of Canada, 763 F.3d 73, 77 (1st Cir. 2014); McKay v. Reliance Standard Life Ins. Co., 428 F. App’x 537, 546-47 (6th Cir. 2011). As I have previously ruled on this same issue when presented in another case, I am

generally persuaded by the reasoning of the precedent cited above. See Dwinnell v. Fed. Express Long Term Disability Plan, 2017 WL 1371254, at *2 (D. Conn. 2017). That is not to say that I cannot imagine that some kinds of remands might be for highly technical or clerical reasons, such that the act of remand might not qualify as “some degree of success on the merits.” But that is not the nature of the remand here. The remand here was to allow for a full and fair review of Hughes’s claim that she did not receive in the first place. It is sufficient to constitute “some success on the merits” for Hughes. I have also considered the five Chambless factors. With respect to the first factor (bad faith or culpability), I agree with Hartford Life that it did not act in bad faith. As I explained in my prior ruling, Hartford Life’s action was in accord with an interpretation of the regulation that

had been adopted by some federal appeals courts elsewhere in the nation. See Hughes, 368 F. Supp. 3d at 399 (citing decisions of the Eighth, Tenth, and Eleventh Circuits). But for this first factor, there is no requirement of a showing of bad faith; it is enough if Hartford Life nonetheless acted culpably in the sense that it breached a legal duty to plaintiff. See Donachie, 745 F.3d at 47. Hartford Life surely did so here by denying Hughes a full and fair review of her claim. And “[i]n this imperfect world, where human rather than angelic nature is at issue, an individual may be censured or blamed for conduct that is faulty, albeit undertaken in good (if mistaken) faith.” Benjamin v. Oxford Health Ins., Inc., 355 F. Supp. 3d 131, 139 (D. Conn. 2019). As to the second Chambless factor (ability to pay), I think it is clear that Hartford Life is a sizeable corporate entity with plenty of resources to satisfy a fee award. This factor weighs in favor of a fee award. As to the third Chambless factor (deterrence), it is neutral. Although Hartford Life

breached a legal duty, it chose to act in accord with the law as interpreted by three federal courts of appeals outside the Second Circuit. Although I disagree with the views of those courts of appeals, I don’t see a deterrence interest in penalizing a party for adhering to a legal position that finds substantial support in decisions of several federal courts of appeals. As to the fourth factor (importance of issue), this factor weighs in favor of Hughes. The grounds for decision involved an important issue concerning the procedural review of ERISA claims prior to the more recent amendment of the regulation. As to the fifth factor (relative merits of the parties’ positions), this factor weighs mildly in Hughes’s favor. I concluded that there was substantial merit to Hughes’s claim that she was denied a full and fair review. I did not, however, rule on Hughes’s additional claims of error.

All in all, I conclude that the Chambless factors weigh modestly in Hughes’s favor and in support of an award of attorney’s fees. I am “persuaded that awarding attorneys’ fees in the circumstances presented furthers the policy interest in vindicating the rights secured by ERISA.” Donachie, 745 F.3d at 47. Now that brings me to whether the size of Hughes’s attorney’s fees request is reasonable.

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Related

Paul McKay v. Reliance Standard Life Insuran
428 F. App'x 537 (Sixth Circuit, 2011)
Gross v. Sun Life Assurance Co. of Canada
763 F.3d 73 (First Circuit, 2014)
Hardt v. Reliance Standard Life Insurance Co.
176 L. Ed. 2d 998 (Supreme Court, 2010)
Benjamin v. Oxford Health Ins., Inc.
355 F. Supp. 3d 131 (D. Connecticut, 2019)
Hughes v. Hartford Life & Accident Ins. Co.
368 F. Supp. 3d 386 (D. Connecticut, 2019)
Donachie v. Liberty Life Assurance Co.
745 F.3d 41 (Second Circuit, 2014)
Stanczyk v. City of New York
752 F.3d 273 (Second Circuit, 2014)
Restivo v. Hessemann
846 F.3d 547 (Second Circuit, 2017)

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Hughes v. Hartford Life and Accident Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hughes-v-hartford-life-and-accident-insurance-company-ctd-2020.