Yates v. Symetra Life Insurance Company

District Court, E.D. Missouri·Decided May 23, 2022·No. 4:19-cv-00154·Unknown

Opinion

UENAISTTEEDR NST DAITSTERS IDCITST ORFI CMTI SCSOOUURRTI EASTERN DIVISION

TERRI M. YATES, ) ) Plaintiff, ) ) v. ) No. 4:19-CV-154 RLW ) SYMETRA LIFE INSURANCE COMPANY, ) ) Defendant. )

MEMORANDUM AND ORDER This closed case under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001, et seq., is before the Court on Plaintiff Terri M. Yates’ Affidavit and Motion for Attorney’s Fees and Costs (ECF No. 74). Defendant Symetra filed a memorandum in opposition (ECF No. 77), and the Court ordered Symetra to file a memorandum setting forth the hourly rate charged by each of its attorneys and submit its billing statements. Defendant complied with the Court’s order (ECF No. 80). Plaintiff did not file a reply in support of her motion and the time to do so has expired. The motion is ready for ruling. For the following reasons, the Court will grant Plaintiff’s Motion for Attorneys’ Fees in the amount of $54,058.50 but will not award Plaintiff her costs. I. Background This removed case was an action for $50,000 in accidental death benefits under ERISA. Plaintiff Terry M. Yates’ (“Plaintiff” or “Ms. Yates”) husband, Johnny Yates, died from a heroin overdose on December 20, 2016, at the age of 50. At the time, Ms. Yates was a participant in an ERISA employee benefits group insurance policy provided by her employer. As Ms. Yates’ spouse, Johnny Yates was an insured under the policy’s coverages for Life Insurance and Accidental Death and Dismemberment. After her spouse’s death, Ms. Yates filed claims under both coverages. Symetra paid the life insurance benefit but denied the accidental death benefit on the ground that Mr. Yates’ death was excluded from coverage by an “intentionally self-inflicted injury” policy exclusion “in view of the fact that the cause of death was due to the insured’s intentional act of using Heroin[.]” (ECF No. 42-4 at 3.) Symetra moved for summary judgment on Plaintiff’s ERISA claim for accidental death benefits, asserting it was entitled to judgment based on Plaintiff’s failure to exhaust administrative remedies, and on the merits of the denial. The Court found that Plaintiff failed to exhaust administrative remedies before filing suit and granted Symetra’s motion for summary judgment on that issue. The Court did not reach the merits of Symetra’s denial and dismissed the case without prejudice.

Plaintiff filed a Motion to Alter or Amend Judgment under Rule 59(e), Federal Rules of Civil Procedure. Plaintiff asserted the Court erred in holding she failed to exhaust administrative remedies that were contained in Symetra’s denial of benefits letter only, because the ERISA plan document at issue did not include a review procedure to exhaust. The Court granted Plaintiff’s post-judgment motion, reconsidered its initial decision, and concluded Plaintiff was not required to exhaust administrative remedies that were not contained in the ERISA plan. Reaching the merits for the first time, the Court concluded on de novo review that Symetra’s decision to deny accidental death benefits was erroneous and that Plaintiff’s claim was not barred by a policy exclusion. The Court entered judgment in Plaintiff’s favor. Symetra filed a Notice of Appeal.

The parties filed a joint motion for extension of time for Plaintiff to file a motion for attorneys’ fees, asking that Plaintiff’s fee motion be due thirty days after the Eighth Circuit Court of Appeals reached a decision on the appeal. The Court denied the motion but granted Plaintiff an additional thirty days to file her motion for attorneys’ fees. See Mem. and Order of Jan. 19, 2022 (ECF No. 73). II. Plaintiff’s Motion for Attorneys’ Fees Plaintiff seeks her attorneys’ fees incurred in bringing this action and in filing the post- judgment motion on which she prevailed.1 Symetra opposes the award of any fees to Plaintiff. A. Applicable Legal Standards “ERISA Section 502(g)(1) . . . permits ‘the court in its discretion [to] allow a reasonable attorney’s fee and costs of action to either party.’” Thole v. U.S. Bank, N.A., 873 F.3d 617, 630 (8th Cir. 2017) (quoting 29 U.S.C. § 1132(g)(1)). “[A]s a threshold matter, ‘a fees claimant must show some degree of success on the merits before a court may award attorney’s fees under § 1132(g)(1).’” Id. (quoting Hardt v. Reliance Std. Life Ins. Co., 560 U.S. 242, 255 (2010)). This “standard is satisfied ‘if the court can fairly call the outcome of the litigation some success on the

merits without conducting a lengthy inquir[y] into the question whether a particular party’s success was “substantial” or occurred on a “central issue.”’ Id. (alteration in original) (quoting Hardt, 560 U.S. at 255). In deciding whether to award fees in ERISA cases, courts are guided by the five non- exclusive factors set forth in Lawrence v. Westerhaus, 749 F.2d 494, 496 (8th Cir. 1984) (per curiam), and “other relevant considerations as general guidelines for determining when a fee is appropriate.” Dakotas and Western Minn. Elec. Indus. Health and Welfare Fund v. First Agency, Inc., 865 F.3d 1098, 1105 (8th Cir. 2017) (quoting Martin v. Ark. Blue Cross & Blue Shield, 299 F.3d 966, 972 (8th Cir. 2002) (en banc)). The factors are: “(1) the degree of the opposing parties’

culpability or bad faith; (2) the opposing parties’ ability to satisfy an award; (3) deterrence of others in similar circumstances; (4) whether the requesting parties sought to benefit all participants and beneficiaries of an ERISA plan, or to resolve a significant legal ERISA question; and (5) the

1Plaintiff requests the Court to declare that its award of attorneys’ fees is “without waiver or prejudice to [her] right to seek additional fees and costs” with respect to Symetra’s appeal. (ECF No. 74 at 1-2.) The Court denies this request. Plaintiff may file an application for attorneys’ fees with the Eighth relative merits of the parties’ positions.” Johnson v. Charps Welding & Fabricating, Inc., 950 F.3d 510, 525 (8th Cir. 2020) (citing Westerhaus, 749 F.2d at 496). The factors are not to be mechanically applied. Id. Further, “The Court need not review each factor ‘exhaustively and explicitly.’” Worlitz v. Bd. of Trustees, Dist. No. 9, 2020 WL 529309, at *1 (E.D. Mo. Feb. 3, 2020) (quoting Griffin v. Jim Jamison, Inc., 188 F.3d 996, 997 (8th Cir. 1999)). B. Discussion As a preliminary matter, Plaintiff ultimately prevailed both on the issue of the exhaustion requirement and on the merits of her benefits claim. She is therefore eligible for consideration for an award of her attorneys’ fees. See Hardt, 560 U.S. at 255. The Court now turns to the relevant factors.

The first factor is the degree of the opposing party’s culpability or bad faith. The Court does not find that Symetra’s conduct in this case was culpable or in bad faith, so this factor is neutral. The second factor is the ability of the opposing party to satisfy an award of attorney’s fees.

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

Yates v. Symetra Life Insurance Company, (E.D. Mo. 2022).

Yates v. Symetra Life Insurance Company (Yates v. Symetra Life Insurance Company) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Hensley v. Eckerhart
461 U.S. 424 (Supreme Court, 1983)
Hendrickson v. Branstad
934 F.2d 158 (Eighth Circuit, 1991)
Emery v. Hunt
272 F.3d 1042 (Eighth Circuit, 2001)
Gary Reece v. Bank of New York Mellon
760 F.3d 771 (Eighth Circuit, 2014)
James Thole v. U.S. Bank, National Assn.
873 F.3d 617 (Eighth Circuit, 2017)
Josh Brewington v. Ben Keener
902 F.3d 796 (Eighth Circuit, 2018)
Adrian Bryant v. Jeffrey Sand Company
919 F.3d 520 (Eighth Circuit, 2019)
Glen Johnson v. Charps Welding & Fabricating
950 F.3d 510 (Eighth Circuit, 2020)
Hardt v. Reliance Standard Life Insurance Co.
176 L. Ed. 2d 998 (Supreme Court, 2010)
Banks v. Slay
875 F.3d 876 (Eighth Circuit, 2017)
McDonald v. Armontrout
860 F.2d 1456 (Eighth Circuit, 1988)