MUNDRATI v. UNUM LIFE INSURANCE COMPANY OF AMERICA

District Court, W.D. Pennsylvania·Decided September 16, 2025·No. 2:23-cv-01860·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

POOJA MUNDRATI, ) ) Plaintiff, ) ) vs ) Civil Action No. 23-1860 ) UNUM LIFE INSURANCE COMPANY OF ) Magistrate Judge Patricia L. Dodge AMERICA d/b/a UNUM, ) ) Defendant. )

MEMORANDUM OPINION Plaintiff Pooja Mundrati brought this action against Defendant Unum Life Insurance Company of America d/b/a Unum, asserting a claim under the Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1100-1145 (“ERISA”). Her claim arose from Defendant’s decision to deny her claim for long-term disability (“LTD”) benefits. On March 24, 2025, a Memorandum Opinion (ECF No. 49) and orders (ECF Nos. 50, 51) were issued that granted Plaintiff’s motion for summary judgment and denied a motion for summary judgment filed by Defendant. Judgment was entered in Plaintiff’s favor. On April 21, 2025, Defendant filed a notice of appeal (ECF No. 56). On April 7, 2025, Plaintiff filed a motion for attorney’s fees and costs (ECF No. 53), which has been fully briefed (ECF Nos. 59, 72). For the reasons below, Plaintiff’s motion will be granted, but the requested fees will be adjusted as discussed below. I. Relevant Procedural History Plaintiff commenced this action on October 27, 2023, invoking federal question jurisdiction based on the ERISA claim. 28 U.S.C. § 1331, 29 U.S.C. § 1132(a)(1)(B), (e). Following the submission of the administrative record, cross-motions for summary judgment were filed on June 17, 2024 (ECF Nos. 23, 26), and were fully briefed (ECF Nos. 24, 30, 39, 42, 44, 46). Oral argument was held on January 22, 2025. On March 24, 2025, the Court filed a Memorandum Opinion and corresponding orders that granted Plaintiff’s motion for summary judgment and denied Defendant’s motion. The Court held that Defendant acted arbitrarily and capriciously in denying Plaintiff’s request for LTD benefits in

the following respects: (1) Defendant’s decision to classify regular Plaintiff’s occupation as “physician” performing light duties rather than “physiatrist” or “Interventional Spine Physician” performing medium duties was contrary to the evidence and the requirements of the Policy; (2) Defendant provided no basis for refusing to consider records from after the Elimination Period based on “time relevance” when there was no evidence that Plaintiff’s condition deteriorated subsequently; and (3) Defendant did not order an IME even though Plaintiff had subjective symptoms and instead resolved the case by relying on a review of the paper record by its doctors, including Dr. Norris, who had a history of making questionable record review decisions in favor of Unum and who selectively quoted from the record, and ignored the opinions of her treating

physicians. Defendant filed a notice of appeal and the case is on appeal with the United States Court of Appeals for the Third Circuit. On April 7, 2025, Plaintiff filed a motion for attorney’s fees and costs. In response, Defendant moved to stay resolution of Plaintiff’s motion until Defendant’s appeal is resolved (ECF No. 58). On May 28, 2025, the Court denied Defendant’s motion to stay. (ECF Nos. 64, 65.) The parties then filed two stipulations to extend the deadline for Defendant’s response to Plaintiff’s motion which were granted. On July 21, 2025, Defendant filed its response in opposition to Plaintiff’s motion for attorney’s fees and costs (ECF No. 72). II. Analysis A. Standard of Review Rule 54 provides that a motion for attorney’s fees must: (i) be filed no later than 14 days after the entry of judgment; (ii) specify the judgment and the statute, rule, or other grounds entitling the movant to the award; (iii) state the amount sought or provide a fair estimate of it; and (iv) disclose, if the court so orders, the terms of any agreement about fees for the services for which the claim is made.

Fed. R. Civ. P. 54(d)(2)(B). Plaintiff seeks attorney’s fees under ERISA, which states that “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). The Supreme Court has stated that “a fees claimant must show ‘some degree of success on the merits’ before a court may award attorney’s fees under § 1132(g)(1).” Hardt v. Reliance Standard Life Ins. Co., 560 U.S. 242, 255 (2010) (citation omitted). Here, it is undisputed that Plaintiff achieved “some degree of success on the merits” since she was awarded summary judgment in her favor. Defendant does not contend otherwise. Although there is “no presumption that a successful plaintiff in an ERISA suit should receive an award in the absence of exceptional circumstances,” McPherson v. Emp.’s Pension Plan of Am. Re-Insurance Co., 33 F.3d 253, 254 (3d Cir. 1994), the Court of Appeals for the Third Circuit has acknowledged that ERISA defendants “often bear the burden of attorneys’ fees for a prevailing plaintiff or plaintiff class, thus ‘encourag[ing] private enforcement of the statutory substantive rights, whether they be economic or noneconomic, through the judicial process.’” Brytus v. Spang & Co., 203 F.3d 238, 242 (3d Cir. 2002) (quoting Report of the Third Circuit Task Force, Court Awarded Attorney Fees 15 (Oct. 8, 1985), reprinted at 108 F.R.D. 237, 250)). The next step is to evaluate the appropriate factors. B. Evaluation of Relevant Factors The Court of Appeals has held that in determining whether to make any award of fees under ERISA, courts should consider these five factors: (1) the offending parties’ culpability or bad faith; (2) the ability of the offending parties to satisfy an award of attorneys’ fees; (3) the [deterrent] effect of an award of attorneys’ fees against the offending parties; (4) the benefit conferred on members of the . . . plan as a whole; and (5) the relative merits of the parties’ position.

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