Scarangella v. Group Health Inc.

877 F. Supp. 2d 78, 2012 WL 2568098, 2012 U.S. Dist. LEXIS 92433
CourtDistrict Court, S.D. New York
DecidedJuly 3, 2012
DocketNo. 05 Civ. 5298(RJS)
StatusPublished
Cited by1 cases

This text of 877 F. Supp. 2d 78 (Scarangella v. Group Health Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Scarangella v. Group Health Inc., 877 F. Supp. 2d 78, 2012 WL 2568098, 2012 U.S. Dist. LEXIS 92433 (S.D.N.Y. 2012).

Opinion

OPINION AND ORDER

RICHARD J. SULLIVAN, District Judge:

Plaintiff brings this action under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq., alleging that his wife was wrongfully denied benefits under the terms of an employee benefits plan that was insured by Defendant Group Health Inc. (“GHI”) and administered by Plaintiffs employer, Defendant Scarangella & Sons, doing business as Village Fuel (“Village Fuel”). In answering Plaintiffs Complaint, GHI asserted counterclaims against Plaintiff and crossclaims against Village Fuel under ERISA. Village Fuel also brought a crossclaim against GHI. After the Court ruled on Defendants’ cross motions for summary judgment, GHI settled with Plaintiff and voluntarily dismissed its crossclaims against Village Fuel. Village Fuel subsequently moved for attorneys’ fees under ERISA against GHI.

Presently before the Court is the Report and Recommendation (“Report”) of the Honorable Ronald L. Ellis, Magistrate [80]*80Judge, regarding Village Fuel’s motion for attorneys’ fees, as well as objections and responses to objections from both Village Fuel and GHI. For the reasons stated below, the Court adopts the Report in part, but concludes that Village Fuel is not entitled to an award of attorneys’ fees.

I. Background

In early 2002, Village Fuel entered into a contract with GHI, whereby GHI agreed to provide health insurance coverage to Village Fuel’s employees.1 On June 1, 2002, Plaintiff — an employee of Village Fuel — enrolled in the GHI program and received health insurance coverage for approximately two years. In 2004, however, GHI reviewed Plaintiffs eligibility for benefits and concluded that Village Fuel had falsely represented that Plaintiff was eligible for coverage as a full-time employee. In July 2004, GHI informed Village Fuel that it was retroactively terminating health insurance coverage for Village Fuel’s employees, effective June 1, 2002, due to alleged inaccuracies in the documents submitted in support of Village Fuel’s initial application for health insurance coverage.

After the termination of coverage, Village Fuel informed GHI that its termination was “shocking” and that the decision would be “vigorously opposed.” Scarangella v. Group Health Inc., 2009 WL 764454, at *6 (S.D.N.Y. March 24, 2009) Nevertheless, GHI, Village Fuel, and Plaintiff attempted to resolve alleged discrepancies with regard to Plaintiffs employment. See id. at *5-6. When the parties were unable to resolve these disputes, GHI and Plaintiff both initiated lawsuits.

A. Procedural History

After it terminated insurance coverage in July 2004, GHI commenced an action against Village Fuel in New York State Supreme Court, New York County, seeking equitable rescission of the insurance policy it had issued to Village Fuel and recovery of the value of the benefits it paid under the health insurance plan. After filing a responsive pleading in October 2004, Village Fuel removed the state court action to the Southern District of New York in March 2005. The case was assigned to Judge Karas. In April 2005, GHI filed a motion to remand the action to the New York Supreme Court.

In June 2005, while GHI’s motion to remand was pending, Plaintiff commenced the present action, which was also assigned to Judge Karas. Subsequently, GHI and Village Fuel agreed to dismiss the removed action. On August 30, 2005, GHI filed its Answer in this matter, which contained claims for (1) equitable restitution, (2) equitable rescission, and (3) equitable reformation, asserted as counterclaims against Plaintiff and crossclaims against Village Fuel. In September 2005, Plaintiff and Village Fuel filed responsive pleadings in connection with GHI’s claims. In its pleading, Village Fuel also filed a cross-claim against GHI for equitable restitution.

The case was reassigned to my docket on September 4, 2007. Following discovery, on December 3, 2007, GHI filed a motion for summary judgment. Plaintiff and Village Fuel filed opposition papers to the motion, and Village Fuel also filed its own motion for summary judgment. By Memorandum and Order dated March 24, 2009, this Court granted in part and denied in part GHI’s motion, granted in part and denied in part Village Fuel’s motion, and entered partial summary judgment in [81]*81favor of Plaintiff, sua sponte, dismissing GHI’s and Village Fuel’s equitable restitution claims.

After the Court’s ruling, the remaining claims consisted of (1) Plaintiffs claims against Village Fuel and GHI, and (2) GHI’s crossclaims and counterclaims for equitable rescission and equitable reformation. 2009 WL 764454, at *22. As mentioned above, Plaintiff settled with GHI and subsequently withdrew his claim against Village Fuel, and GHI voluntarily dismissed its remaining crossclaims against Village Fuel. (VF Mem. at 13.) The case was closed in July 2009. (Doc. No. 102.)

On August 11, 2009, Village Fuel filed the present motion for attorneys’ fees pursuant to 29 U.S.C. § 1132(g)(1), requesting an award of $303,814.32. This Court referred the motion to Judge Ellis on August 12, 2009.

B. Judge Ellis’s Report and Recommendation

Judge Ellis filed his Report and Recommendation regarding Village Fuel’s application for attorneys’ fees on October 26, 2010. Judge Ellis made three distinct findings regarding the propriety and amount of such an award. First, Judge Ellis analyzed whether Village Fuel was a “prevailing party” or had achieved “some degree of success” on its claims that would, under Hardt v. Reliance Standard Life Insurance Company, — U.S. —, 130 S.Ct. 2149, 176 L.Ed.2d 998 (2010), justify the award of fees. Judge Ellis concluded that Village Fuel did not prevail in prosecuting its equitable restitution claim against GHI or in defending against GHI’s equitable restitution claim, because this Court dismissed both claims as not cognizable under ERISA. (Report at 6.) Judge Ellis also found that Village Fuel did not have success on the merits in defending against GHI’s rescission cross-claim, because the Court did not dismiss that claim on summary judgment. (Id. at 7.) Furthermore, Judge Ellis found that the settlement between GHI and Plaintiff did not constitute “success on the merits” for Village Fuel, because the substantive arguments advanced against GHI by Village Fuel and Plaintiff were wholly distinct. (Id. at 11.) However, Judge Ellis found that Village Fuel had “some degree of success” with regard to GHI’s equitable reformation claim, because, in his estimation, the Court’s comments “indicate its opinion regarding [Village Fuel’s] likelihood of success on the merits.” (Id. at 10.)

Second, Judge Ellis applied the five factors under Chambless v. Masters, Mates & Pilots Pension Plan, 815 F.2d 869 (2d Cir.1987), to determine whether an award of attorneys’ fees was appropriate. After analyzing each factor, Judge Ellis concluded that such an award was warranted.

Third, Judge Ellis limited the fee award pursuant to Hensley v. Eckerhart, 461 U.S.

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Bluebook (online)
877 F. Supp. 2d 78, 2012 WL 2568098, 2012 U.S. Dist. LEXIS 92433, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scarangella-v-group-health-inc-nysd-2012.