Simonia v. Glendale Nissan/Infiniti Disability Plan

608 F.3d 1118, 49 Employee Benefits Cas. (BNA) 1545, 2010 U.S. App. LEXIS 13015, 2010 WL 2521036
Court of Appeals for the Ninth Circuit·Decided June 24, 2010·No. 09-56025·Published·Cited by 55 cases

Opinion

TALLMAN, Circuit Judge:

Plaintiff-Appellant Aleck Simonía appeals the district court’s denial of his motion for attorney’s fees under the Employee Retirement Income Security Act of 1974 (“ERISA”). See 29 U.S.C. § 1132(g). We affirmed the district court’s grant of summary judgment in favor of his former employer’s health care plan in Simonía v. Glendale Nissan/Infiniti Disability Plan, No. 09-55569, 2010 WL 1896455 (9th Cir. May 12, 2010). We stayed consideration of his attorney’s fee appeal pending the Supreme Court’s disposition of Hardt v. Reliance Standard Life Insurance Co., - U.S. -, 130 S.Ct. 2149, 2152-53, - L.Ed.2d - (2010). District courts must now determine whether an ERISA fee claimant has achieved “some degree of success on the merits” before awarding fees under § 1132(g). Id. But the Supreme Court expressly declined to foreclose the possibility that, once a court has determined that a litigant has achieved some degree of success on the merits, it may then evaluate the traditional five factors under Hummell v. S.E. Rykoff & Co., 634 F.2d 446 (9th Cir.1980), before exercising its discretion to grant fees. See Hardt, 130 S.Ct. at 2158 n. 8.

Because we continue to believe that “district courts should have guidelines to apply in the exercise of their discretion under § 1132(g),” Hummell, 634 F.2d at 453, we hold that district courts must consider the Hummell factors after they have determined that a litigant has achieved “some degree of success on the merits,” Hardt, 130 S.Ct. at 2152-53. Even assuming Simonia achieved some degree of success on the merits, we agree with the district court’s conclusion that fees are nonetheless inappropriate after applying the Hummell factors. We therefore affirm the denial of fees to Simonia.

I

Simonia became physically disabled on April 8, 2003, as the result of a herniated lumbar disc. On that date, Simonia possessed disability insurance under his employer’s ERISA plan, which was insured by the Continental Casualty Company (“Continental”). Shortly thereafter, Continental began paying Simonia disability in *1120 surance benefits. On November 30, 2003, the Hartford Insurance Company (“Hartford”) bought Simonia’s policy from Continental and began paying Simonia’s benefits.

On April 19, 2007, Hartford determined that Simonia was no longer disabled due to a physical disability but was instead disabled based on a mental disorder subject to his ERISA plan’s twelve-month payment limit. On April 27, 2007, Hartford was informed that Simonia had been awarded $1,551 per month in Social Security Disability Insurance (“SSDI”) benefits retroactively, effective October 1, 2004, which' — when combined with other forms of income — allegedly should have been offset to some extent against his payments from Hartford. Hartford retroactively recalculated Simonia’s benefits and determined that Simonía had allegedly been overpaid by $22,309.51.

On May 18, 2007, Hartford informed Simonía that (1) he would no longer be receiving payments for a physical disability, but rather for a mental disability subject to the plan’s twelve-month mental disorder limitation, and (2) he had been overpaid by $22,309.51 and would not be receiving any further benefits until Hartford received a personal check or money order in that amount.

II

Simonía filed his declaratory judgment lawsuit on December 12, 2007, challenging Hartford’s classification of his disability as a mental disorder subject to the plan’s twelve-month payment limit. Hartford counterclaimed for $8,589 — the amount Simonía had allegedly been overpaid based on his retroactive SSDI benefits less the amount recouped by withholding twelve months’ worth of Simonia’s mental disorder payments.

On October 16, 2008, Simonía informed Hartford that the Social Security Administration had retroactively reduced his SSDI award, and he requested that Hartford recalculate the alleged overpayment. On December 5, 2008, the parties settled the counterclaim and stipulated to its dismissal. Simonía did not prevail in his claims against Hartford for continuing benefits. Simonía thereafter filed a motion seeking $63,745 in attorney’s fees because he “was successful as a counter-defendant in that the defendant dismissed its counterclaim.”

The district court, applying the five factors in Hummell, 634 F.2d at 453, denied the motion for fees. Simonia timely appealed. We have jurisdiction pursuant to 28 U.S.C. § 1291.

Ill

In an ERISA action, “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). In Hardt, the Supreme Court held that “a fee claimant need not be a ‘prevailing party’ to be eligible for an attorney’s fees award under § 1132(g)(1).” 130 S.Ct. at 2156. Instead, the Court reasoned that Ruckelshaus v. Sierra Club, 463 U.S. 680, 694, 103 S.Ct. 3274, 77 L.Ed.2d 938 (1983), governs, and 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, 130 S.Ct. at 2158-59 (quoting Ruckelshaus, 463 U.S. at 694, 103 S.Ct. 3274).

The Court noted that a claimant does not satisfy that requirement by achieving a “ ‘trivial success on the merits’ or a ‘purely procedural victor[y].’ ” Id. (quoting Ruckelshaus, 463 U.S. at 688 n. 9, 103 S.Ct. 3274) (alteration in original). However, a claimant can satisfy that requirement if “the court can fairly call the outcome of the litigation some success on the merits without conducting a lengthy inquirfy] into the question whether a par *1121 ticular party’s success was substantial or occurred on a central issue.” Id. (alteration in original) (citation and internal quotation marks omitted).

Only after passing through the “some degree of success on the merits” door is a claimant entitled to the district court’s discretionary grant of fees under § 1132(g)(1). In Hardt, the Supreme Court said, “We do not foreclose the possibility that once a claimant has satisfied this requirement, and thus becomes eligible for a fees award under § 1132(g)(1), a court may consider the five factors adopted by the [Fourth Circuit] Court of Appeals ... in deciding whether to award attorney’s fees.” 130 S.Ct. at 2158 n. 8. In the Ninth Circuit, the discretionary decision to award fees has traditionally been governed by the five factors set forth in Hummell, 634 F.2d at 453, which mirror the Fourth Circuit’s factors in Hardt. Those factors are:

Free access — add to your briefcase to read the full text and ask questions with AI

Simonia v. Glendale Nissan/Infiniti Disability Plan, 608 F.3d 1118, 49 Employee Benefits Cas. (BNA) 1545, 2010 U.S. App. LEXIS 13015, 2010 WL 2521036 (9th Cir. 2010).

608 F.3d 1118 (Simonia v. Glendale Nissan/Infiniti Disability Plan) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related