Mark Messing v. Provident Life & Accident Ins.

Court of Appeals for the Sixth Circuit·Decided August 27, 2024·No. 23-1824·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 24a0371n.06

No. 23-1824

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT FILED Aug 27, 2024

KELLY L. STEPHENS, Clerk

)

MARK M. MESSING, )

Plaintiff-Appellant, ) ON APPEAL FROM THE ) UNITED STATES DISTRICT v. ) COURT FOR THE WESTERN ) DISTRICT OF MICHIGAN PROVIDENT LIFE & ACCIDENT INS. CO., )

Defendant-Appellee. )

OPINION

)

Before: CLAY, ROGERS, and KETHLEDGE, Circuit Judges.

CLAY, J., delivered the opinion of the court in which KETHLEDGE, J., joined in full, and ROGERS, J., joined in part and in the result. ROGERS, J. (pg. 13), delivered a separate concurring opinion.

CLAY, Circuit Judge. Under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq., “reasonable attorney’s fees and costs” are available to either party at the district court’s discretion, so long as that party achieved some success on the merits. See id. § 1132(g)(1). After successfully appealing the denial of his long-term disability benefits before this Court, Plaintiff Mark Messing sought attorneys’ fees on remand. Despite his clear success in getting his monthly benefits reinstated, the district court denied his request. Although we disagree with the district court’s holding that attorneys’ fees were not warranted in this case, Messing nonetheless failed to submit sufficient evidence to show the reasonableness of his request for over $250,000 in attorneys’ fees. For the reasons set forth below, this Court AFFIRMS the district court’s order denying Plaintiff’s request for attorneys’ fees.

I. BACKGROUND

A. Factual Background

For nearly twenty years of his life, Messing worked as a full-time personal injury lawyer.

In August 1985, Messing purchased a long-term disability (“LTD”) insurance policy from Defendant Provident Life and Accident Insurance Company. The terms of Messing’s policy provide for lifetime benefits for disability due to sickness starting before the age of 60. Specifically, if Messing was deemed unable to perform the substantial and material duties of his occupation, the policy would provide him with monthly payments of $3,080 for life.

After struggling with depression for several years, Messing was admitted to the hospital for his depression in January 1997. Although Messing attempted to return to work following his hospitalization, his depression continued to significantly affect his daily life, and he never returned to full-time capacity. At the time, Messing was approximately 43 years old. In March 1998, Messing filed a claim with Provident, explaining that his severe depression and psychiatric condition prohibited him from working as an attorney. Provident approved Messing’s claim. However, since this initial approval, Messing has faced a consistent uphill battle to receive the payouts to which he is entitled under the policy that he purchased.

Indeed, mere months after Provident’s approval of Messing’s claim, Provident reversed course and terminated Messing’s benefits, prompting Messing to bring suit in federal court. After the district court ruled that it would review the language and application of the policy de novo, instead of deferring to Provident’s benefits determination, Provident quickly agreed to a settlement with Messing and resumed monthly payments. Then, in 2007 and 2011, Provident offered lump sum settlements to Messing, which would have allowed Provident to terminate Messing’s monthly

benefit payments by paying a mere percentage of the present total value of Messing’s policy. Messing declined these offers.

Meanwhile, without the extreme stress of his prior occupation as a trial attorney, Messing’s symptoms related to his chronic depression began to improve. In 2012, Messing was able to stop taking his depression medicine but continued to regularly attend therapy. Six years later, without any evidence that Messing’s disability status had changed, Provident initiated a full review of Messing’s restrictions and limitations. Senior Disability Specialist, Jennifer Crowley, requested updated records from Messing’s treating psychiatrist, Dr. Laura Franseen. Provident’s in-house specialist, Dr. Alex Ursprung, then reviewed Dr. Franseen’s report and noted that it was unclear whether Messing could return to work. Provident also hired an independent consultant to fly in, Dr. Craig Lemmen, who conducted a lengthy interview with Messing and concluded that “[t]here [was] no objective evidence that [Messing] would not be able to practice as an attorney, should he desire to do so.” Lemmen Rep., R. 38-15, Page ID #2494. Based on its spontaneous investigation, Provident determined that Messing was “in remission” and accordingly terminated Messing’s payments on October 26, 2018. Although Messing appealed and provided significant competing evidence that clearly indicated he could not return to performing the substantial duties of his occupation as a trial attorney, Provident’s appeals division affirmed the termination of Messing’s benefits.

B. Procedural History

In April 2020, Messing brought suit in district court pursuant to ERISA, seeking the recovery of withheld benefits and the reinstatement of monthly payments. During the pendency of this litigation, Provident learned that Messing had performed a handful of legal services between

1999 and 2013. Based on this information, Provident brought a counterclaim seeking to recover overpaid benefits pursuant to § 502(a)(3) of ERISA, 29 U.S.C. § 1132(a)(3).

The district court affirmed the termination of Messing’s benefits, holding that the weight of the evidence in the administrative record supported the conclusion that Messing was no longer disabled. In addition, the district court granted Messing summary judgment on Provident’s counterclaim, concluding that Provident could not show that it had been induced into making payments it otherwise would not have made.

Both parties appealed, and we affirmed the district court’s judgment disposing of Provident’s counterclaim. See Messing v. Provident Life & Accident Ins. Co., 48 F.4th 670, 686 (6th Cir. 2022). However, we reversed the district court’s determination that Provident properly terminated Messing’s benefits. Id. at 682. Applying de novo review, we determined that the preponderance of the evidence showed that Messing remained unable to return to work as an attorney. Id. at 679–82. Specifically, only Messing’s doctor, Dr. Callaghan, directly addressed the question of whether Messing could return to work, and “[h]e squarely stated Messing could not.” Id. at 680.

Following Messing’s success on appeal and reinstatement of benefits, he sought to recover his attorneys’ fees and costs in district court. Despite Messing’s clear victory in this litigation, the district court held that Provident was not sufficiently “culpable” to warrant an award of attorneys’ fees in Messing’s favor. The court highlighted the purported closeness of the case, explaining that both parties’ positions had merit. Accordingly, the district court declined to grant attorneys’ fees to Messing. As an alternate holding, the district court held that, based on the limited evidence that Messing submitted in support of his fees request, the court could not determine whether his requested amount was reasonable. Specifically, Messing refused to file itemized billing invoices,

and instead “filed affidavits which simply attest to the total number of hours worked on by each attorney or paralegal during this multi-stage litigation.” Order, R. 78, Page ID #3570 n.1. Messing timely appealed the denial of attorneys’ fees and asks this Court to reverse.

II. DISCUSSION

A. Standard of Review

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