LAURIE SMITH CAMP, Chief District Judge.
This matter is before the Court on Plaintiff James Riley's Motion to Alter or Amend the Court's Judgment (Filing No. 74) and his Motion for Attorney's Fees (Filing No. 70). The Court has considered the parties' briefs (Filing Nos. 71, 75, 76, 78, 81, and 83) and the accompanying Indexes of Evidence (Filing Nos. 72, 76-1, 76-2, 79, 82, and 84). For the reasons discussed below, Riley's Motion to Alter or Amend the Court's Judgment (Filing No. 74) is granted in part and denied in part, and Riley's Motion for Attorney's Fees (Filing No. 70) is granted.
Defendant Sun Life and Health Insurance Company ("Sun Life") is the underwriter of a group insurance policy that provides long-term disability benefits to the Group Long Term Disability Insurance Plan (the "Plan"). On August 31, 2009, Riley filed suit in this Court, alleging that Sun Life inappropriately reduced Riley's long-term disability benefits under the Plan by deducting the amount of benefits he received from the Veterans Administration ("VA"). (Filing No. 1, Complaint, at ¶¶ 9-19.) On June 18, 2010, this Court entered summary judgment in favor of Defendants and dismissed Riley's Complaint with prejudice. (Filing Nos. 46 and 47.) Riley appealed, and on October 7, 2011, the Eighth Circuit entered its Opinion and Judgment reversing this Court's decision and remanding for proceedings consistent with its Opinion. (Filing Nos. 58 and 59.) The Eighth Circuit also entered an Order granting, in part, Riley's Motion for Appellate Attorney Fees and Costs. (Filing No. 65.) On December 1, 2011, this Court entered its Judgment in favor of Riley and ordered Defendants to pay those appellate fees and costs. (Filing No. 67.)
"Rule 59(e) permits a court to alter or amend a judgment, but it `may not be used to relitigate old matters, or to raise arguments or present evidence that could have been raised prior to the entry of judgment.'" Exxon Shipping Co. v. Baker, 554 U.S. 471, 485 n.5 (2008) (quoting 11 C. WRIGHT & A. MILLER, FEDERAL PRACTICE AND PROCEDURE § 2810.1, pp. 127-28 (2d ed.1995) (footnotes omitted)). District courts have broad discretion in determining whether to grant or deny Rule 59(e) motions. United States v. Metro. St. Louis Sewer Dist., 440 F.3d 930, 933 (8th Cir.2006).
As an initial matter, Defendants ask the Court to stay its judgment so that they can petition the United States Supreme Court for a writ of certiorari. (Filing No. 78, at 5-6.) The Court declines to stay its judgment. As Defendants note, they may seek a stay of judgment in the Supreme Court pursuant to 28 U.S.C. § 2101(f) and Sup. Ct. R. 23.
Riley moves the Court to amend its previous Judgment of December 1, 2011 (Filing No. 67) to require Defendants to pay Riley: (1) amounts due under the Plan, totaling $45,872.00,
The following facts are not in dispute. Riley first became eligible for long term disability benefits under the Plan on January 23, 2005. (Filing No. 19-1, Administrative Record 1 (hereinafter, "AR"); Filing No. 19-4, AR 123.) For that partial month, he was paid a gross benefit of $615.00. (Filing No. 19-4, AR 123.) Riley's gross monthly benefit (for an entire month) was (and continues to be) $2,050.00. (Id. at AR 123, 126.)
At some point, Riley began receiving Social Security Disability Income (SSDI) benefits. Under the Plan, these SSDI payments qualified as "Other Income." (Filing No. 19-3, AR 63.) As such, they were an offset that was subtracted from Riley's gross monthly benefit amount. (Id. at AR 61.) Sun Life determined that the net offset for Riley's monthly SSDI benefits was $1,299.00. (Filing No. 19-4, AR 123, 126.) Taking this offset into account, Riley was (and continues to be) entitled to a net monthly benefit of $751.00 ($2,050.00 - $1,299.00).
The parties dispute when Riley began to receive SSDI benefits, or, more precisely, when the Plan entitled Defendants to begin offsetting those benefits. Although this is the first time the issue has been raised in the proceedings before this Court, Riley and Defendants have disputed the issue for years. Riley contends that he did not begin to receive SSDI benefits until December of 2005. (Filing No. 83, at 2-3.) He points to a letter from the Social Security Administration, dated March 21, 2006, which states: "Beginning December 2005, the full monthly Social Security benefit before any deductions is ... $1352.00." (Filing No. 19-1, AR 3.)
Defendants contend that Riley's SSDI benefits were retroactively awarded in April of 2005, or, in any event, that under the Plan, Sun Life was entitled to offset the SSDI benefits beginning in April of 2005. (Filing No. 78, at 1-4.) Defendants cite a form, apparently filled out by Riley,
(Filing No. 19-3, AR 64.)
Sun Life notified Riley of these policy provisions in a letter of March, 2005, informing him that his claim for long term disability benefits had been approved. (Filing No. 20-5, AR 354-55.) The letter advised that it was Sun Life's practice to estimate the amount of participants' SSDI benefits and reduce their monthly benefits by that amount, and explained that if Riley wished to avoid this preemptive offset, he could provide Sun Life a copy of his receipt of application for SSDI benefits. (Id. at 355.)
From August of 2005, to April of 2006, Sun Life and Riley's attorney, Mark Peterson, exchanged letters discussing what, if any, SSDI benefits Riley was receiving, and how they should be handled under the plan. (Filing No. 20-3, AR 319; Filing No. 19-1, AR 5-8; Filing No. 20-3, AR 315, 304; Filing No. 19-1, AR 2-4.) In April of 2006, Sun Life notified Riley that it had determined that Riley had received a SSDI award beginning in April of 2005. (Filing No. 20-3, AR 301.) Sun Life also notified him that it had failed to offset his SSDI benefits from April 2005 to March of 2006, and requested that Riley pay Sun Life back the surplus. (Id.) Finally, the letter stated that Sun Life was "pend[ing]" Riley's benefits beyond March 31, 2006. (Id.)
In a letter dated May 5, 2006, Peterson responded, requesting documentation of the overpayment and stating that it was his view that Sun Life had waived its claim to recovery or offset of the funds. (Id. at 294.) Sun Life responded in a letter dated July 10, 2006, which quoted the provisions of the Plan set out above. (Id. at 291-93.) In November of 2006, Sun Life again requested repayment of the amounts claimed to be overpaid. (Id. at 276-77.) The letter also stated: "We respect your right to dispute the offset against SSDI benefits as indicated in your letter dated August 4, 2006.
Riley brings this action under § 502(a)(1)(B) of the Employee Retirement Income Security Act of 1974 (ERISA), which allows a plan participant to bring civil actions "to recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan." 29 U.S.C. § 1132(a)(1)(B). However, before filing suit, claimants must exhaust the administrative remedies required under their plan. Angevine v. Anheuser-Busch Cos. Pension Plan, 646 F.3d 1034, 1037 (8th Cir. 2011). This exhaustion requirement is not found in the text of ERISA, but is a judicially-created doctrine that serves important purposes, including, "`giving claims administrators an opportunity to correct errors, promoting consistent treatment of claims, providing a non-adversarial dispute resolution process, decreasing the cost and time of claims resolution, assembling a fact record that will assist the court if judicial review is necessary, and minimizing the likelihood of frivolous lawsuits.'" Id. (quoting Galman v. Prudential Ins. Co. of Am., 254 F.3d 768, 770 (8th Cir.2001)). The exhaustion requirement will be excused only when the claimant can show that "pursuing an administrative remedy would be futile or there is no administrative remedy to pursue." Id.
Riley asks this Court to determine the proper offset for his SSDI benefits under the Plan. This amounts to a claim to "recover benefits due to him under the terms of his plan" under 29 U.S.C. § 1132(a)(1)(B). Riley does not dispute this, or that the law requires exhaustion of administrative remedies as required by the Plan. Instead, he argues simply that he has "previously raised" the issue. (Filing No. 83, at 2, n.3.) Riley points to a letter from February of 2005, in which Peterson requested information regarding Riley's benefits and offsets (Filing No. 19-1, AR 24), and the May 5, 2006, letter from Peterson requesting documentation of the overpayment and stating that Sun Life had waived its claim to recovery or offset of the funds. (Filing No. 20-3, AR 294.) However, these letters do not change the fact that the administrative record contains no indication that Riley appealed this determination or otherwise exhausted his administrative remedies.
The Plan contains provisions explaining that exhaustion of administrative remedies is required before claimants may bring suit under ERISA. (Filing No. 19-4, AR 97-98.) The Plan states that claims for benefits must be submitted to the insurer, and lays out the procedure for appealing adverse determinations. (Id.) Riley followed these provisions when he appealed Sun Life's determination to offset his VA benefits. (Id. at AR 104-117.) His appeal mentions, in passing, that Sun Life also offset Riley's SSDI benefits, but then states that "[t]he issue on appeal is simply whether Sun Life is entitled to offset Mr. Riley's long-term disability benefits against the VA benefits he earned. ..." (Id. at 104-105.) The offset for SSDI benefits is not mentioned again.
Riley has failed to exhaust his administrative remedies with regard to offsets for his SSDI benefits. Accordingly, he may not use this suit to challenge Sun Life's determination of the proper offset for SSDI benefits. Riley's damages will be computed with the SSDI offset beginning in April of 2005, per Sun Life's determination.
The following table sets forth the amounts at issue. The first column of figures shows the payments Defendants have actually made to Riley.
According to Sun Life's determination of the SSDI offset, Riley was overpaid by $1,299 a month, from April of 2005, to March of 2006, for a total overpayment of $15,588. From April of 2006, to December of 2011, the parties agree that Riley should have been paid $751 a month until the present. For some reason, Riley did receive one payment of $751, in December of 2006, which will be deducted from the amounts owed to him. The Court will discuss the total amounts owed below, after taking prejudgment interest into account.
The Court will grant Riley's request for prejudgment interest on the amounts due to him under the plan at the current legal rate. (Filing No. 83, at 3.) Prejudgment interest serves to make claimants whole where they have been denied the use of money they were legally due, and "should ordinarily be granted unless exceptional or unusual circumstances exist making the award of interest inequitable." Stroh Container Co. v. Delphi Indus., Inc., 783 F.2d 743, 752 (8th Cir. 1986).
The Eighth Circuit has held that 28 U.S.C. § 1961, which governs postjudgment interest, also "provides the proper measure for determining" the rate of prejudgment interest on claims for past benefits under ERISA. Mansker v. TMG Life Ins. Co., 54 F.3d 1322, 1331 (8th Cir.1995); accord Sheehan v. Guardian Life Ins. Co., 372 F.3d 962, 969 (8th Cir. 2004) (using method set forth in § 1961 to calculate prejudgment interest for ERISA benefits).
28 U.S.C. § 1961(a) provides that "interest shall be calculated from the date of the entry of the judgment, at a rate equal to the weekly average 1-year constant maturity Treasury yield, as published by the Board of Governors of the Federal Reserve System, for the calendar week preceding. [sic] the date of the judgment." This method yields a rate of 0.11% in the present case. The parties have not expressed a preference for how the interest is to be applied, so the Court will apply annual compounding to the benefits due to Riley, as they became due, from April of 2006 to December of 2011. Defendants have already paid the benefits for the partial month of January 2005 through March 2006. This yields a total of $51,256.68.
This leaves the question of how the $15,588 overpayment should be handled. Riley has asked the Court to determine his entitlement to benefits under the Plan. Riley has failed, however, to exhaust his administrative remedies with regards to Sun Life's determinations of an appropriate SSDI offset. The Court will deduct the $15,588 from the total amount Defendants owe Riley, for a total of $35,668.68.
Riley seeks an award of attorneys' fees, pursuant to Fed. R. Civ. P. 54(d)(2) and 29 U.S.C. § 1132(g)(1). Riley requests $34,209.50 for litigating this matter before this Court,
29 U.S.C. § 1132(g)(1) provides that "[i]n any action under this subchapter ... by a participant, beneficiary, or fiduciary, the court in its discretion may allow a reasonable attorney's fee and costs of action to either party." A party claiming fees under § 1132(g)(1) must achieve "`some degree of success on the merits.'" Hardt v. Reliance Standard Life Ins. Co., 130 S.Ct. 2149, 2158 (2010) (quoting Ruckelshaus v. Sierra Club, 463 U.S. 680, 694 (1983)). Riley has satisfied this requirement.
In determining whether to award attorney's fees, district courts should consider the following factors:
Martin v. Ark. Blue Cross and Blue Shield, 299 F.3d 966, 969 n.4 (8th Cir. 2002) (citing Lawrence v. Westerhaus, 749 F.2d 494, 496 (8th Cir. 1984)). These factors are not exclusive and are only "general guidelines" that are to be considered along with other relevant factors. Id. at 972.
First, Riley argues, and Defendants do not dispute, that Riley sought to "resolve a significant legal question regarding ERISA," i.e., determining whether the Veterans' Benefits Act is similar to the Social Security Act or the Railroad Retirement Act for purposes of a plan subject to ERISA. Second, Riley offers evidence that Sun Life's parent company is well-positioned to pay attorney fees. (Filing No. 71, at 5-6.) While this is not necessarily evidence that Sun Life is well-positioned to pay, Defendants do not dispute their ability to pay. (Filing No. 76, at 5.) With respect to the other factors, the Court finds that they weigh neither in favor of, nor against, the award of attorney fees.
Having considered the above factors, the Court finds that an award of attorneys' fees is appropriate. The Court must next determine what constitutes an appropriate amount. "`The starting point in determining attorney fees is the lodestar, which is calculated by multiplying the number of hours reasonably expended by the reasonable hourly rates.'" Hanig v. Lee, 415 F.3d 822, 825 (8th Cir.2005) (quoting Fish v. St. Cloud State Univ., 295 F.3d 849, 851 (8th Cir.2002)). "When determining reasonable hourly rates, district courts may rely on their own experience and knowledge of prevailing market rates." Id.
Riley was represented by four attorneys, whose average hourly rates are as follows: Ms. Kane: $290; Mr. Peterson: $345; Mr. Padios: $212; and Ms. Boswell: $185. (Filing No. 72-1, Declaration of Nora Kane ("Kane Decl.") at ¶ 18.) In support of the requested rates, Riley has submitted a sworn declaration of his attorney, Nora Kane, which details her education and litigation experience, as well as that of the other attorneys, whose education, background, and expertise are known to her. (Id. at ¶¶ 1-5, 7-11.) Ms. Kane also states she is familiar with the local and national legal markets, as well as the prevailing rates for attorneys primarily engaged in ERISA litigation, and that the rates requested by her and Riley's other attorneys are reasonable. (Id. at ¶¶ 6, 13-18.) Riley also offers declarations from Mark. D. DeBofsky, a Chicago-based attorney with national experience litigating ERISA cases, (Filing No. 72-3, Declaration of Mark D. DeBofsky, at ¶¶ 1-3 ), and Marcia Washkuhn, an Omaha-based attorney with experience litigating ERISA cases (Filing No. 72-5, Declaration of Marcia Washkuhn, at ¶¶ 1-6). Both attorneys state they are familiar with the prevailing rates charged by attorneys in comparable cases, and that Riley's requested rates are fair, reasonable, and consistent with rates charged by other attorneys of comparable experience. (DeBofsky Decl., at ¶¶ 6-7; Washkuhn Decl., at ¶¶ 8-10.) Ms. Washkuhn's experience in the Omaha legal community provides a basis for her knowledge of prevailing rates therein. The Court finds that the requested rates are reasonable.
Defendants reserve most of their challenges for the number of hours billed by Riley's attorneys. Defendants claim that because many the entries for Ms. Kane and Mr. Peterson are billed in half-hour increments, the hours requested are likely inflated. (Filing No. 76, at 8-9.) The Court acknowledges that even billing in quarter-hour increments has been looked upon with disfavor, as it risks bill inflation. Republican Party of Minn. v. White, 456 F.3d 912, 920 (8th Cir. 2006). Defendants also allege that Riley's counsel have "block billed" their entries, but, as with their complaints regarding billing increments, Defendants fail to cite any specific examples. (Filing No. 76, at 9.) Finally, Defendants point to a handful of incidents they claim show over-staffing and excessive or redundant hours. (Id. at 9-10.) The Court finds that the incidents cited do not constitute excessive or redundant hours.
There are a number of factors district courts examine to determine if a request for attorneys' fees is reasonable and whether an upward or downward adjustment from the lodestar amount is warranted. Easley v. Anheuser-Busch, Inc., 758 F.2d 251, 264 n.25 (8th Cir. 1985) (citing Johnson v. Georgia Highway Express, Inc., 488 F.2d 714, 717-19 (5th Cir. 1974)) (setting forth the twelve Johnson factors). Of these twelve factors, the Court considers the following to be the most pertinent, under the circumstances of this case: (1) the time and labor required; (2) the novelty and difficulty of the questions; (3) the skill requisite to perform the legal service properly; (4) the customary fee; (5) the amounts involved and the results obtained; (6) the experience, reputation, and ability of the attorneys; and (6) the "undesirability" of the case.
Having considered these factors, the Court finds that Riley's requested fees are reasonable, and no departure from the lodestar amount is warranted. The Court will award Riley $35,499.50 in attorneys' fees. Post-judgment interest on attorneys' fees is mandatory under 28 U.S.C. § 1961. Jenkins by Agyei v. Missouri, 931 F.2d 1273, 1275-77 (8th Cir. 1991). This interest begins to accrue "from the date the court recognizes the right to such fees in a judgment." Id. at 1277 (quotation omitted). In this case, postjudgment interest shall accrue from the date of this Order and the accompanying Judgment. Accordingly,
IT IS ORDERED: