Mogck v. Unum Life Insurance Co. of America

289 F. Supp. 2d 1181, 2003 U.S. Dist. LEXIS 16730, 2003 WL 22463376
CourtDistrict Court, S.D. California
DecidedSeptember 16, 2003
Docket3:99-cr-00201
StatusPublished
Cited by22 cases

This text of 289 F. Supp. 2d 1181 (Mogck v. Unum Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mogck v. Unum Life Insurance Co. of America, 289 F. Supp. 2d 1181, 2003 U.S. Dist. LEXIS 16730, 2003 WL 22463376 (S.D. Cal. 2003).

Opinion

ORDER GRANTING IN PART PLAINTIFF’S MOTION FOR ATTORNEYS’ FEES AND COSTS [DOC. NOS. 66, 80]

PAPAS, United States Magistrate Judge.

Plaintiff Kenneth Mogck has filed a motion for attorneys’ fees and costs in the above-captioned matter. 1 The Court has considered the arguments raised in the briefs and finds the matter suitable for *1186 decision without oral argument. See S.D. Cal. Civ. R. 7.1(d)(1). For the reasons set forth below, Plaintiffs motion is GRANTED IN PART.

I.

BACKGROUND

The facts underlying this lawsuit arise from a March 25, 1993 motor vehicle accident in which Plaintiff sustained serious injuries. (Pl.’s Mem. at 1.) At the time of the accident, Plaintiff was insured for long term disability benefits under an insurance policy issued by Defendant UNUM Life Insurance Company of America. 2 Defendant paid Plaintiff occupational long term disability benefits for two years, from June 25, 1993 to June 25, 1995, and then terminated payment by letter dated June 1, 1995. (Id. at 1, 2.) The letter explained that Defendant would not extend benefits past June 25, 1995 as Defendant had determined that Plaintiff no longer met the definition of disability. 3

After pursuing administrative remedies, Plaintiff filed suit against Defendant on February 5, 1999 [Doc. No. 1]. Defendant contended that Plaintiffs action was untimely. The parties filed cross-motions for summary adjudication on the statute of limitations issue. Magistrate Judge Cynthia G. Aaron, 4 finding that Plaintiffs action was contractually barred by the three-year time limitation set forth in Defendant’s policy, 5 issued an order on September 22, 2000 granting Defendant’s motion for summary adjudication and denying Plaintiffs motion for partial summary adjudication [Doc. No. 36]. 6 Plaintiff appealed. On June 10, 2002, the Ninth Circuit issued a published opinion reversing and remanding the case for further proceedings. See Mogck v. Unum Life Ins. Co. of America, 292 F.3d 1025 (9th Cir.2002). The appeals court disagreed with this Court’s determination that Defendant’s June 1, 1995 letter constituted an adequate “request for proof’ under the policy, and found that Defendant thus “never took the steps necessary to trigger the running of the contractual time limitation under the policy.” Mogck, 292 F.3d at 1028. Accordingly, the Ninth Circuit held that Plaintiffs action was not time-barred. Id. at 1029.

*1187 On remand, the parties participated in a Settlement Conference before Magistrate Judge James F. Stiven, which resulted in a settlement agreement dated November 13, 2002. (PL’s Mem. at 4; Def.’s Mem. at 4.) 7 The terms of the settlement included separate lump-sum payments to Plaintiff and Plaintiffs attorneys’ firm, Miller, Mon-son. (Settlement Agreement and Release of Claims at 1.) The parties and Magistrate Judge Stiven agreed that Plaintiffs request for statutory attorneys’ fees and costs would be submitted to the Court by formal motion.

II.

DISCUSSION

A. Entitlement to Attorneys’ Fees and Costs

The long term disability contract at issue in this case is governed by the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et seq. In an ERISA action, a court in its discretion may award attorneys’ fees and costs to either party. 29 U.S.C. § 1132(g)(1). The Ninth Circuit uses a five-factor test to determine whether an ERISA fee award is appropriate. See Hummell v. S.E. Rykoff & Co., 634 F.2d 446 (9th Cir.1980). 8 The five “Hummell ” factors include: (1) the degree of the opposing parties’ culpability or bad faith; (2) the ability of the opposing parties to satisfy an award of fees; (3) whether an award of fees against the opposing parties would deter others from acting under similar circumstances; (4) whether the parties requesting fees sought to benefit all participants and beneficiaries of an ERISA plan or to resolve a significant legal question regarding ERISA; and (5) the relative *1188 merits of the parties’ positions. Hummell, 634 F.2d at 453.

When applying the Hummell factors, a district court should apply its discretion with the remedial purposes of ERISA in mind. See Smith v. CMTA-IAM Pension Trust, 746 F.2d 587, 589 (9th Cir.1984); see also McEkvaine v. U.S. West, Inc., 176 F.3d 1167, 1172 (9th Cir.1999). These purposes “should be liberally construed in favor of protecting participants in employee benefit plans.” Smith, 746 F.2d at 589. “As a general rule, ERISA employee plaintiffs should be entitled to a reasonable attorneys’ fee ‘if they succeed on any significant issue in litigation which achieves some of the benefit the parties sought in bringing suit.’ ” Id., citing Hensley v. Eckerhart, 461 U.S. 424, 433, 103 S.Ct. 1933, 76 L.Ed.2d 40 (1983).

In analyzing the Hummell factors, no one factor is necessarily decisive, and some may not be pertinent in a given case. Carpenters S. Cal. Admin. Corp. v. Russell, 726 F.2d 1410, 1416 (9th Cir.1984). The Hummell factors “reflect a balancing” and not all factors need to weigh in favor of a fee award. McElwaine, 176 F.3d at 1173. The Court will discuss each factor in turn.

1.Defendant’s Culpability or Bad Faith

Plaintiff correctly argues that although a finding of bad faith will always justify a fee award, it is not required. See Smith, 746 F.2d at 590. Plaintiff goes on to argue that, in any event, Defendant did demonstrate bad faith in its handling of Plaintiffs disability claim. (PL’s Mem. at 13.) As Defendant points out, however, the parties never litigated the merits of Plaintiffs claim, and thus the propriety of Defendant’s claims decision was never adjudicated. Accordingly, the Court does not find evidence that Defendant acted in bad faith in this matter.

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289 F. Supp. 2d 1181, 2003 U.S. Dist. LEXIS 16730, 2003 WL 22463376, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mogck-v-unum-life-insurance-co-of-america-casd-2003.