ROSLYN O. SILVER, Senior District Judge.
Defendants Joseph and Pauline Roesler move for summary judgment and the law firm of Levenbaum & Cohen moves for an award of attorneys' fees and costs. As set forth below, the Roeslers are entitled to summary judgment and Levenbaum & Cohen is entitled to its attorneys' fees and costs.
The parties disagree on the most basic of facts, making it difficult to set forth a
The Roeslers later retained the law firm of Levenbaum & Cohen
On October 28, 2011, Blood Systems and the Plan (collectively, "Plaintiffs") filed this suit, seeking to recover the approximately $50,000 the Plan paid out for Mr. Roesler's medical care. Plaintiffs named as defendants the Roeslers as well as Levenbaum & Cohen. According to Plaintiffs, the Summary Plan Description ("SPD") for the Plan provides that if the Plan pays for medical care as a result of an injury caused by a third-party, the Plan has a right to subrogation and reimbursement from the payments or settlements received by the participant from the third-party. (Doc. 100-1 at 105). In other words, and as applied here, Plaintiffs believe the SPD means they are entitled to recover $50,000 from the settlement the Roeslers received from the other driver. Plaintiffs apparently did not care whether that $50,000 came from the Roeslers or from Levenbaum & Cohen.
In September 2012, the Court granted summary judgment on Plaintiffs' claims against Levenbaum & Cohen. In doing so, the Court concluded Plaintiffs' remedy, if any, lay against the Roeslers and not against the attorneys who handled the third-party tort claim. Levenbaum & Cohen seek the attorneys fees they incurred in obtaining that result. And the Roeslers have now filed their own motion for summary judgment, presenting three arguments: 1) this suit is not timely; 2) the SPD is not an enforceable document under ERISA;
Summary judgment is appropriate where "there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). Only genuine disputes will prevent summary judgment. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). "Factual disputes that are irrelevant or unnecessary will not" preclude entry of summary judgment. Id.
Plaintiffs' claims against the Roeslers depend on a number of basic propositions. Those propositions include: the Plan is an ERISA-governed "employee welfare benefit plan";
The parties agree that ERISA itself does not contain a statute of limitations applicable to Plaintiffs' claims. Therefore, the Court must borrow "the most analogous state statute of limitations." Wetzel v. Lou Ehlers Cadillac Group Long Term Disability Insurance, 222 F.3d 643, 646 (9th Cir.2000). When borrowing a state statute of limitations, the task is to apply "the local time limitation most analogous to the case at hand." Lampf v. Gilbertson, 501 U.S. 350, 355, 111 S.Ct. 2773, 115 L.Ed.2d 321 (1991) (emphasis added). In other words, the issue is not which state statute of limitations is a "perfect" fit for the federal claim, but which statute of limitations is the closest fit. DelCostello v. Int'l Brotherhood of Teamsters, 462 U.S. 151, 171, 103 S.Ct. 2281, 76 L.Ed.2d 476 (1983). And when picking the closest fit, a federal court must "accept[ ] the state's interpretation of its own statutes of limitations." Barajas v. Bermudez, 43 F.3d 1251, 1258 (9th Cir. 1994) (quotation and citation omitted).
Plaintiffs' claims against the Roeslers are, in effect, claims for benefits. The Ninth Circuit has already ruled that the "most analogous state statute of limitations" on claims for benefits is the state statute of limitations for actions on a written contract.
In Redhair v. Kinerk, Beal, Schmidt, Dyer & Sethi, P.C., the court concluded the term "employment contract" in A.R.S. § 12-541(3) should be given its "ordinary meaning." 218 Ariz. 293, 183 P.3d 544, 546 (Ariz.Ct.App.2008). That meaning is: "a contract between an employer and employee in which the terms and conditions of employment are stated." Id. (quotation omitted). This definition is not limited to "agreements affecting a term of employment or altering or limiting the at-will presumption." Id. at 547 (quotation omitted). Instead, it includes "all contracts defining specific responsibilities of the employer to the employee." Id. at 548. That is, any agreement related to "the nature, conditions, or duration" of employment is subject to A.R.S. § 12-541(3). Id. at 549. Using this broad construction, the Redhair court concluded a contract between an employee and employer for payment of a bonus was an "employment contract" subject to the one-year limitations period. Id.
For purposes of the present case, the question is whether an ERISA plan should be viewed as an "employment contract" as that term was defined by the Redhair court. To begin, there can be no dispute that the agreement between Blood Systems and the Roeslers regarding healthcare benefits was a contract. Harlick v. Blue Shield of Cal., 686 F.3d 699, 708 (9th Cir.2012) ("An ERISA plan is a contract...."). It is also indisputable that the parties' contract defined "specific responsibilities of [Blood Systems] to [the Roeslers]." Redhair, 183 P.3d at 548. Under the parties' contract, Blood Systems agreed to provide Pauline Roesler additional compensation in the form of paying for medical care in return for Pauline Roesler's continued employment. Accordingly, using the interpretation of "employment contract" adopted in Redhair, claims regarding benefits under an ERISA plan qualifies as claims under an "employment contract."
Equating ERISA disputes as subject to special limitations periods applicable to employment disputes is in line with decisions from two courts of appeals. In Adamson v. Armco, Inc., 44 F.3d 650 (8th Cir.1995), the Eighth Circuit addressed which Minnesota statute of limitations should apply to a claim for ERISA benefits. The choice was between Minnesota's general six-year limitations period for written contracts or its "two-year statute of limitations for wage claims." Id. at 652. Looking to Minnesota's interpretation of its own statutes, the Eighth Circuit found that Minnesota courts applied the two-year period to "all damages arising out of the
The Third Circuit reached a similar conclusion in Syed v. Hercules Inc., 214 F.3d 155 (3d Cir.2000). As in Adamson, the question was the applicable limitations period for an ERISA claim for benefits. Accepting that a claim for benefits should be analogized to a contract dispute, the court noted that "Delaware, in essence, has two statute of limitations for contract disputes." Id. The court, therefore, had to determine which of the two statutes was "more appropriate." Id. at 159. The first statute provided a three-year period "for general actions on a promise." Id. The second statute imposed a one-year period on "a claim of wages, salary, or overtime for work, labor or personal services performed,... or for any other benefits arising from such work, labor or personal services performed." Id. Looking to a pre-ERISA case from the Delaware Supreme Court, the court noted that the one-year period had been applied to a claim under a "disability wage plan." Id. And looking to a pre-ERISA case from the District of Delaware, the court noted the one-year period was meant to apply to "all claims arising out of the employer-employee relationship." Id. (quotation and citation omitted). Based on these earlier cases, the Third Circuit concluded Delaware's one-year limitations period applicable to employee "benefits" was the most analogous state limitations period for a claim for benefits under ERISA.
Based on these decisions from the Eighth and Third Circuits, as well as Arizona's interpretation of its own statute of limitations,
Switching from the long-accepted limitations period of six-years to the one-year limitations period might be viewed as harsh when applied to the usual case of an individual seeking to recover ERISA benefits. But the possible harshness of a one-year limitations period is significantly mitigated by two underlying aspects of the law applicable to most ERISA claims for benefits. First, the possibility of contractual limitations periods. And second, the special accrual rule for ERISA claims.
ERISA plans and their participants are usually allowed to contractually agree on a particular limitations period. See, e.g., Spinedex Physical Therapy, U.S.A., Inc. v. United Healthcare of Ariz., 2012 WL
The second reason the Court believes the one-year limitations period is acceptable is the special accrual rule applicable to most claims for benefits. A claim for benefits usually requires administrative exhaustion. And a claim formally accrues only when the "benefits are actually denied, or when the insured has reason to know that the claim has been denied." Withrow v. Halsey, 655 F.3d 1032, 1036 (9th Cir.2011) (citation and quotation omitted). Therefore, individuals who file suits seeking benefits will have already gathered their evidence, presented their arguments, and gone through an entire administrative process. Requiring an individual file her suit within one year of that administrative process ending is reasonable.
In summary, Plaintiffs concede their claims accrued on November 10, 2009. The most analogous state statute of limitations to Plaintiffs' claim is Arizona's limitations period on "employment contract" disputes. And application of that period is consistent with federal policy. Therefore, Plaintiffs' claims asserted close to two years after they accrued are not timely and the Roeslers' are entitled to summary judgment.
Levenbaum & Cohen obtained summary judgment on Plaintiffs' claims and now seek to recover the attorneys' fees it incurred in doing so. ERISA authorizes an award of attorneys fees to a party who achieves "some degree of success on the merits." Hardt v. Reliance Standard Life Ins. Co., 560 U.S. 242, 130 S.Ct. 2149, 2158, 176 L.Ed.2d 998 (2010). Once a party achieves some success, the court should not "favor one side or the other" when deciding whether to award attorneys' fees. Estate of Shockley v. Alyeska Pipeline Service Co., 130 F.3d 403, 408 (9th Cir.1997).
There is no dispute that Levenbaum & Cohen were sufficiently successful to support an award of attorneys' fees. Therefore, the Court must analyze the following five factors to determine whether an award of fees is appropriate:
Cline v. Industrial Maintenance Engineering & Contracting Co., 200 F.3d 1223, 1235 (9th Cir.2000) (quoting Hummell v. S.E. Rykoff & Co., 634 F.2d 446, 453 (9th Cir.1980)). Each factor should be considered and "no single ... factor is necessarily decisive." Simonia v. Glendale Nissan/Infiniti Disability Plan, 608 F.3d 1118, 1122 (9th Cir.2010). Therefore, the Court addresses each factor below.
The first factor is Plaintiffs' degree of culpability or bad faith in bringing their claims against Levenbaum & Cohen. Hummell, 634 F.2d at 453. As recounted in the motion seeking fees, Levenbaum & Cohen made repeated efforts to explain to Plaintiffs that the settlement funds had been disbursed to the Roeslers long before this case began. Levenbaum & Cohen also explained that the funds it had retained from the settlement had already been internally disbursed. Thus, at the very start of this case it was not clear what "specific fund" Plaintiffs believed Levenbaum & Cohen had in its possession that could be the subject of suit. But even more importantly, the funds disbursed to the Roeslers were sufficient to cover the full amount Plaintiffs were seeking in this case. Therefore, there was no need for Plaintiffs to involve Levenbaum & Cohen as an additional defendant. Plaintiffs' decision to sue Levenbaum & Cohen indicates some degree of culpability and weighs in favor of awarding fees.
The parties agree that the second factor, Plaintiffs' ability to satisfy an award of fees, is met in that Plaintiffs have such an ability. Hummell, 634 F.2d at 453.
The third factor is "whether an award of fees would deter others from acting in similar circumstances." Hummell, 634 F.2d at 453. Plaintiffs admit that awarding fees "may deter future groundless claims" but they claim "it is equally possible that it will tend to deter meritorious ones." (Doc. 116 at 5). The Court does not agree with the latter portion. Plaintiffs decided to sue Levenbaum & Cohen on very tenuous claims when they had clear claims against the Roeslers. Moreover, Plaintiffs never had a firm factual basis for asserting Levenbaum & Cohen remained in possession of a specific fund. Accordingly, deterring claims such as Plaintiffs' would not chill meritorious
The fourth factor is whether Plaintiffs "sought to benefit all participants and beneficiaries of an ERISA plan." Hummell, 634 F.2d at 453. Levenbaum & Cohen argue this factor is not applicable. Plaintiffs counter that refusing to award fees against Plaintiffs would benefit all participants in the Plan by preserving the Plan's "financial viability." (Doc. 116 at 6). The Court agrees that preserving the financial viability of health plans benefits all participants. But the economics of enforcing subrogation provisions are much more complicated than Plaintiffs admit. See, e.g., Scott M. Aronson, ERISA's Equitable Illusion: The Unjust Justice of Section 502(A)(3), Employee Rights and Employment Policy Journal (2005) ("Subrogation recoveries are used to increase executive compensation or shareholder dividends, not to reduce premiums."). And health plans should not be immune from attorneys' fees whenever they file subrogation actions. Overall, the present circumstances render the fourth factor neutral.
The final factor is "the relative merits of the parties' positions." Hummell, 634 F.2d at 453. Plaintiffs' claims against Levenbaum & Cohen were not strong. This factor favors awarding fees.
On balance, the five factors support awarding Levenbaum & Cohen its attorneys fees. Plaintiffs did not object to the hourly rate or number of hours claimed by Levenbaum & Cohen. And having reviewed Levenbaum & Cohen's submissions, the hourly rates are appropriate and the number of hours spent on this case were reasonable. Therefore, Levenbaum & Cohen will be awarded $30,700 in attorneys' fees and non-taxable costs of $600.42.
Accordingly,