Pakovich v. Verizon LTD Plan, No. 10-1889 (7th Cir. 2011)

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Justia Opinion Summary

Plaintiff worked as a sales representative when she became disabled and sought long-term disability benefits under the company's ERISA plan (“the Plan”) after a series of back surgeries.
In her suit under 29 U.S.C.1132(a)(1)(B) the district court held that she was ineligible for benefits after the first 24 months; the Seventh Circuit remanded. Having not heard from the Plan for almost five months, plaintiff again filed suit under ERISA, claiming that silence constituted a deemed denial of her benefit claim. A little over a month later, the Plan informed her that it would pay the benefits, moved to dismiss the case as moot. The district court denied the motion, issued a judgment against the Plan for the exact amount it had agreed to pay, and denied plaintiff's motion for fees. The Seventh Circuit vacated the grant of summary judgment on the benefit claim, which was moot, and affirmed denial of fees. The district court had jurisdiction over the fee claim, but the plaintiff did not adequately substantiate her request.

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In the United States Court of Appeals For the Seventh Circuit Nos. 10-1889 & 10-3083 L ISA P AKOVICH, Plaintiff-Appellee, v. V ERIZON LTD P LAN, Defendant-Appellant. Appeal from the United States District Court for the Southern District of Illinois. No. 3:09-cv-00090-MJR-PMF Michael J. Reagan, Judge. A RGUED A PRIL 6, 2011 D ECIDED JULY 22, 2011 Before F LAUM, E VANS, and T INDER, Circuit Judges. F LAUM, Circuit Judge. This case comes to us for a second time. Lisa Pakovich worked as a retail sales representative for Verizon when she became disabled and sought long-term disability benefits under Verizon s ERISA plan ( the Plan ) after a series of back surgeries. On the first appeal, we reversed the district court s decision that Pakovich was ineligible for long-term disability benefits after the first twenty-four months and 2 Nos. 10-1889 & 10-3083 remanded to Broadspire Services, Inc., the Plan Administrator, to determine her eligibility for benefits during that time period. Having not heard from the Plan for almost five months, Pakovich again filed suit under ERISA, this time claiming that the Plan s silence constituted a deemed denial of her benefit claim. She requested disability benefits pursuant to ERISA § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), and attorney fees pursuant to ERISA § 502(g), 29 U.S.C. § 1132(g). A little over a month later, the Plan informed her that it would pay the benefits she requested in her complaint and shortly thereafter moved to dismiss the case as moot. The district court denied the motion, issued a judgment against the Plan for the exact amount it had agreed to pay Pakovich, and later denied Pakovich s motion for fees. We vacate the district court s decision granting Pakovich summary judgment on her benefit claim, but affirm its denial of her fee request. I. Background Pakovich initially filed suit under ERISA § 502(a) against Broadspire, seeking long-term disability benefits from the ERISA Plan after Broadspire determined that she was no longer entitled to them ( Pakovich I ). The district court concluded that Broadspire s decision to terminate Pakovich s long-term disability benefits under the own occupation standard (under which Pakovich must have been unable to perform the essential functions of Nos. 10-1889 & 10-3083 3 her sales position with Verizon to receive benefits) was arbitrary and capricious, and thus that Pakovich was entitled to disability benefits for the first twenty-four months. It further found that she was not entitled to disability benefits beyond twenty-four months because she did not qualify under the any occupation standard (under which benefits were available only if Pakovich was disabled from all occupations). It thus awarded Pakovich benefits from May 14, 2004, through July 16, 2004, but denied benefits beyond July 16. On appeal, we reversed the district court s decision that Pakovich was ineligible for benefits beyond twenty-four months and remanded to the Plan Administrator to determine her eligibility for benefits during that time period. Pakovich v. Broadspire Servs., Inc., 535 F.3d 601, 607 (7th Cir. 2008). We also denied her request for attorney fees, costs, and expenses incurred on appeal. Id. We issued our opinion on July 24, 2008, and the district court remanded Pakovich s claim to the Plan Administrator on September 4, 2008. Having not heard whether the Plan would pay any occupation benefits for almost five months, Pakovich filed a second suit ( Pakovich II ) on January 30, 2009, under ERISA § 502(a)(1)(B), this time against the Plan,1 claiming that the Plan s failure to determine her benefits between September 4, 2008, and January 29, 2009, con- 1 The suit was originally filed against Broadspire, Verizon Communications, Inc., and AETNA Insurance Company, but the Plan was later substituted as the proper defendant. 4 Nos. 10-1889 & 10-3083 stituted a deemed denial of her benefits claim. She sought all the benefits to which she was entitled under the terms of the Plan, interest on all unpaid amounts, and legal fees, costs, and expenses incurred in pursuing the case. On March 6, 2009, a little over a month after filing Pakovich II, Pakovich s counsel learned from the Plan s claim handler that the Plan had agreed to pay her any occupation benefits from July 15, 2004. On April 7, 2009, Pakovich was sent a letter with a check that paid back benefits and past due interest owed since 2004. The letter also indicated that Pakovich would continue to receive benefits from the Plan as long as she remained qualified. The payments compensated Pakovich for the entire amount she sought for her benefit claim in Pakovich II. On April 14, 2009, the defendants in Pakovich II filed a motion to dismiss under Federal Rule of Civil Procedure 12(b)(1) for lack of subject matter jurisdiction, arguing that the case was moot because the Plan had paid the benefits Pakovich sought in her complaint and agreed to continue paying them in the future as long as she remained eligible. After the district court denied the motion, Pakovich filed a motion for summary judgment that sought monthly benefits in the amount the Plan was already paying her and attorney fees. The Plan cross-moved for summary judgment. On March 24, 2010, the district court granted summary judgment for Pakovich, concluding that she was disabled under the any occupation standard and ordering the Plan to pay Pakovich disability benefits on a monthly Nos. 10-1889 & 10-3083 5 basis until she turned sixty-five years old or Verizon, consistent with the terms of the Plan and ERISA, determined that Pakovich was no longer entitled to the benefits. The district court denied Pakovich s request for attorney fees in a separate opinion and later rejected her Rule 60 motion to reconsider that decision. The Plan appeals the district court s decision that Pakovich s benefit claim was not moot, and Pakovich appeals the district court s denial of her request for fees. After briefly discussing jurisdiction, we review each argument in turn. II. Discussion A. Appellate Jurisdiction Briefing came in two rounds, the first addressing the district court s mootness decision, the second regarding its denial of Pakovich s motion for fees. The first briefs debate whether the matter was a final order under 28 U.S.C. § 1291 when the district court had yet to rule on Pakovich s motion for fees. This case comes to us as one consolidated appeal with nothing pending in the district court. We thus exercise jurisdiction pursuant to 28 U.S.C. § 1291. B. Mootness Pakovich s complaint in Pakovich II seeks long-term disability benefits under a deemed denial theory claiming that the Plan had not notified Pakovich of whether 6 Nos. 10-1889 & 10-3083 she was eligible for benefits under the any occupation provision almost five months after the district court remanded her case to the Plan Administrator and legal fees under ERISA § 502(g), ERISA s fee-shifting provision. Despite the fact that the Plan had paid Pakovich the benefits she requested in her complaint and agreed to continue paying into the future, the district court determined that Pakovich s claim for benefits was not moot. It then granted Pakovich summary judgment on her benefits claim, ordered the Plan to pay her longterm disability benefits, and later denied Pakovich s request for attorney fees. On appeal, the Plan argues that the district court lacked subject matter jurisdiction because the case was moot after it agreed to pay the benefits Pakovich requested in her complaint. Whether a case has been rendered moot is a question of law that we review de novo. Zessar v. Keith, 536 F.3d 788, 793 (7th Cir. 2008) (quoting Fed n of Adver. Indus. Representatives, Inc. v. City of Chi., 326 F.3d 924, 928-29 (7th Cir. 2003)). We conclude that Pakovich s benefit claim became moot when the Plan paid it in full, but that the district court retained equitable jurisdiction to adjudicate her fee claim. Federal courts lack subject matter jurisdiction when a case becomes moot. In re Repository Techs., Inc., 601 F.3d 710, 716-17 (7th Cir. 2010); Cornucopia Inst. v. U.S. Dep t of Agric., 560 F.3d 673, 676 (7th Cir. 2009). Accordingly, if an event occurs while a case is pending . . . that makes it impossible for the court to grant any effectual Nos. 10-1889 & 10-3083 7 relief whatever to a prevailing party, the [case] must be dismissed. Cornucopia Inst., 560 F.3d at 676 (internal quotation marks and citations omitted). While an entire claim is not mooted simply because the specific relief it sought has been rendered moot, [to avoid dismissal based on mootness, the party seeking relief] must . . . demonstrate that the court s adjudication would affect it in some way. Id.; see also United States v. Segal, 432 F.3d 767, 773 (7th Cir. 2005) ( When making a mootness determination, we consider . . . whether it is still possible to fashion some form of meaningful relief to the [plaintiff] in the event he prevails on the merits. (internal quotation marks and citations omitted)). Importantly, a claim for fees cannot save a case from becoming moot. Cornucopia Inst., 560 F.3d at 676. We agree with the Plan that Pakovich s benefit claim is moot and that the district court erred in concluding otherwise. After Pakovich filed her complaint and before the Plan moved for dismissal, the Plan paid Pakovich the benefits she requested in her complaint, including the amount she was owed at the time and the proper amount going forward. Since Pakovich had received everything she requested in her benefit claim, that claim became moot and the district court lacked jurisdiction to enter summary judgment against the Plan. See Silk v. Metro. Life Ins. Co., 310 Fed. Appx. 138, 139-140 (9th Cir. 2009) (finding that a claim for own occupation benefits became moot after the defendant paid the benefits) (not selected for publication); see also Cornucopia Inst., 560 F.3d at 675-76 (holding that a FOIA claim becomes moot after the government produces all 8 Nos. 10-1889 & 10-3083 documents a plaintiff requests); Holstein v. City of Chi., 29 F.3d 1145, 1147-48 (7th Cir. 1994) (finding a claim moot where the defendant offered the plaintiff all damages to which he was entitled). Finding Pakovich s benefit claim moot leaves us with a more challenging question. Because a claim for attorneys fees is separate from the merits of the action, Cornucopia Inst., 560 F.3d at 676 (citing Budinich v. Becton Dickinson & Co., 486 U.S. 196, 200 (1988)), we must address whether the district court retained jurisdiction to adjudicate Pakovich s claim for attorney fees under ERISA § 502(g) after her underlying benefit claim became moot. We conclude that it did. In the FOIA context, courts exercise equitable jurisdiction to adjudicate fee claims in similar circumstances. Specifically, when a plaintiff seeks information under FOIA and associated attorney fees, courts retain equitable jurisdiction to adjudicate the fee claim after the defendant produces the requested information and thus renders the FOIA claim moot. See, e.g., Cornucopia Inst., 560 F.3d at 676-78; Anderson v. U.S. Dep t of Health & Human Servs., 3 F.3d 1383, 1385 (10th Cir. 1993) ( Dismissing the [FOIA] action as moot . . . did not affect plaintiff s right to seek attorney s fees; the fee request survive[d] independently under the court s equitable jurisdiction. (quoting Carter v. Veterans Admin., 780 F.2d 1479, 1481 (9th Cir. 1986)). We extend our FOIA jurisprudence into the ERISA context, and hold that where a plan participant or beneficiary sues to recover benefits under ERISA § 502(a) on a Nos. 10-1889 & 10-3083 9 deemed denial theory and attorney fees under ERISA § 502(g), and the plan pays the benefit claim in full shortly after the plaintiff files suit, courts retain equitable jurisdiction to adjudicate the fee claim. Were courts to lack jurisdiction, opportunistic plans could routinely delay deciding whether to pay benefit claims until participants and beneficiaries file suit, effectively requiring them to incur legal costs unrecoverable under ERISA § 502(g) in order to receive benefits to which they are legally entitled. In this case, if plans routinely pay benefit claims in full shortly after participants and beneficiaries file suit, seeking, perhaps, to avoid having to pay the plaintiff s costs for bringing the ERISA suit, plans could significantly blunt ERISA § 502(g). That provision permits certain ERISA plaintiffs who achieve some degree of success on the merits of their ERISA suits to recover the legal costs they incurred in achieving that success. Hardt v. Reliance Standard Life Ins. Co., 130 S.Ct. 2149, 2152, 2158 (2010) (quoting Ruckelshaus v. Sierra Club, 463 U.S. 680, 694 (1983)); see also 29 U.S.C. § 1132(g). Thus, if courts lacked jurisdiction over claims for attorney fees in cases like Pakovich s, a financial barrier to seeking ERISA benefits would exist such that plaintiffs should sue for benefits only if their expected recovery of benefits exceeded their legal fees. Such a barrier would contradict one of ERISA s primary policies, to protect the interests of participants in employee benefit plans and their beneficiaries . . . by providing for appropriate remedies, sanctions, and ready access to the Federal courts. 29 U.S.C. § 1001(b). Permitting courts to exercise equitable jurisdiction thus effectu- 10 Nos. 10-1889 & 10-3083 ates Congress s intent. After concluding that the district court retained jurisdiction over Pakovich s claim for attorney fees, we now turn to the substance of its decision. C. Attorney Fees Pakovich requested attorney fees and costs under ERISA § 502(g) for her appeal in Pakovich I and for the entirety of Pakovich II. We denied her request for fees and costs incurred on appeal in Pakovich I. After, the district court denied her request for fees in Pakovich II and her motion for reconsideration under Federal Rule of Civil Procedure 60(b), which permits courts to relieve a party . . . from a final judgment, order, or proceeding for . . . mistake, inadvertence, surprise, or excusable neglect, and, among other things, for any other reason that justifies relief. FED. R. C IV. P. 60(b). Pakovich challenges the district court s denial of her fee claim under ERISA § 502(g) and her motion to reconsider. We review the district court s initial decision for abuse of discretion, Herman v. Cent. States, Se. & Sw. Areas Pension Fund, 423 F.3d 684, 695 (7th Cir. 2005), and we apply an extremely deferential abuse of discretion standard when reviewing the district court s denial of Pakovich s motion for reconsideration, Eskridge v. Cook Cnty., 577 F.3d 806, 808 (7th Cir. 2009) (quoting Easley v. Kirmsee, 382 F.3d 693, 697 (7th Cir. 2004)). Because relief under Rule 60(b) is an extraordinary remedy and is granted only in exceptional circumstances, a district Nos. 10-1889 & 10-3083 11 court abuses its discretion only when no reasonable person could agree with the decision to deny relief. Eskridge, 577 F.3d at 809 (quoting McCormick v. City of Chi., 230 F.3d 319, 327 (7th Cir. 2000)). ERISA § 502(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. 29 U.S.C. § 1132(g)(1). When the district court denied Pakovich s fee petition, our case law provided that only prevailing parties were entitled to recover under ERISA § 502(g)(1). See, e.g., Sullivan v. William A. Randolph, Inc., 504 F.3d 665, 670 (7th Cir. 2007). Since, 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). Hardt, 130 S.Ct. at 2156; see also Huss v. IBM Med. & Dental Plan, Nos. 10-1061, 10-2749, slip op. at 27, 2011 WL 1388543, at *12 (7th Cir. Apr. 13, 2011). Instead, it explained that a claimant must show some degree of success on the merits before a court may award attorney s fees under § 1132(g)(1). Id. at 2158 (quoting Ruckelshaus, 463 U.S. at 694). It further wrote that trivial success on the merits or a purely procedural victor[y] is inadequate, but that it is sufficient 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. (quoting Ruckelshaus, 463 U.S. at 688, n.9). Hardt did not, however, modify the second step in evaluating a fee petition. Id at 2158 n.8. Accordingly, 12 Nos. 10-1889 & 10-3083 after concluding that a party has shown some degree of success on the merits and is thus eligible for fees, courts must determine whether fees are appropriate. Huss, slip op. at 27-28, 2011 WL 1388543, at *12. To award fees, court[s] must find the non-prevailing party s litigation position was not substantially justified. Huss, slip op. at 28, 2011 WL 1388543, at *12. Although we have used a five-factor test to inform the substantially justified standard,2 the inquiry focuses on whether the [d]efendant[ s] litigation position was substantially justified and taken in good faith or whether [it was] out to harass [the plaintiff]. Id. at *13, slip op. at 28. We affirm the district court s denial of Pakovich s request for fees and costs. In its initial decision denying fees and costs, the district court considered Pakovich a prevailing party, concluded that the Plan s opposition to Pakovich II did not meet the standard of good faith, and ultimately found a fee award warranted. But 2 The five factors include: (1) the degree of the offending parties culpability or bad faith; (2) the degree of the ability of the offending parties to satisfy personally an award of attorneys fees; (3) whether or not an award of attorneys fees would deter other persons acting under similar circumstances; (4) the amount of benefit conferred on members of the pension plan as a whole; and (5) the relative merits of the parties positions. Herman, 423 F.3d at 696 (internal quotation marks and citations omitted). Nos. 10-1889 & 10-3083 13 it nonetheless denied Pakovich s fee claim based on our denial of her request for fees on appeal in Pakovich I and her failure to properly substantiate her claim in Pakovich II. In particular, it explained that Pakovich did not provide receipts, invoices, or vouchers to verify the costs she sought. It further reasoned that there was no documentation supporting her request for fees that would indicate a reasonable hourly rate or the amount of time reasonably spent on the case, among other things. See Stark v. PPM Am., Inc., 354 F.3d 666, 674 (7th Cir. 2004) ( The burden of proving the market rate is on the applicant. ). It wrote that Pakovich submitted merely an invoice showing the billing charges from her counsel and someone referred to as SGS, whom the district court could not identify. The district court was unwilling to speculate on whether the fees and costs were reasonable, and thus denied Pakovich s claim. Pakovich then moved for reconsideration under Rule 60(b), contending that she had substantiated her claim in the form of an affidavit reflecting that the parties agreed that her counsel s rate of $300 and her paralegal s rate of $90 were reasonable. The district court again denied Pakovich s claim, this time explaining that she had attached the affidavit as an exhibit to her motion for summary judgment instead of her fee petition (she filed both documents on the same day), and that her petition did not refer the court to the affidavit filed with her motion for summary judgment. It further noted that, among other things, the affidavit purported to include an exhibit reflecting the time and expenses Pakovich s counsel devoted to the litigation that was not attached 14 Nos. 10-1889 & 10-3083 to the petition, and that her petition cited to multiple exhibits that itemized her counsel s time, but that one was not attached. Pakovich does not challenge these findings on appeal. Thus, we need not determine whether Pakovich achieved some degree of success on the merits under Hardt or whether the Plan s conduct was substantially justified. 3 We must decide solely whether the district court abused its discretion by denying Pakovich s fee claim based on our denial of fees in Pakovich I and her inadequate filings in Pakovich II. Pakovich cites no authority demonstrating that the district court abused its discretion. First, she requests that we grant the fees from Pakovich I that we have already denied, contending that we should reevaluate our decision in Pakovich I in light of the Plan s conduct in Pakovich II. We disagree. On rehearing in Pakovich I, we explained that assuming . . . Broadspire Services is the loser, it cannot be said that its position on appeal was simply to harass Pakovich, when it was defending the district court s approach to a novel issue in this Cir- 3 That said, we recognize that exercising equitable jurisdiction in cases like Pakovich s would be unhelpful if similar plaintiffs could not meet the standard in Hardt. We believe that a plan participant or beneficiary achieves some degree of success on the merits, and is thus eligible for attorney fees under § 502(g), where she, as here, seeks to recover benefits on a deemed denial theory and the plan pays the entire amount requested shortly after the plaintiff files suit. Nos. 10-1889 & 10-3083 15 cuit. Pakovich v. Broadspire Servs., Inc., 2008 U.S. App. LEXIS 17597, at *2 (7th Cir. Aug. 14, 2008). The fact that the Plan engaged in more questionable conduct after Pakovich I, which formed the basis of Pakovich II, does not alter our conclusion that its conduct in Pakovich I was substantially justified. Pakovich II involves a benefit claim based on a deemed-denial theory, a theory not pursued in Pakovich I. Further, to the extent Pakovich asks us to overturn case law that directs courts to determine whether the losing party s position was substantially justified, see, e.g., Huss, slip op. at 28, 2011 WL 1388543, at *12, she provides no compelling reason for doing so. See Mers v. Marriott Int l Group Accidental Death & Dismemberment Plan, 144 F.3d 1014, 1023 n.5 (7th Cir. 1998) ( We require compelling reasons to overturn Circuit precedent. ). Pakovich s arguments for fees incurred in Pakovich II are similarly unpersuasive. First, she concedes that the district court had discretion to deny her fee claim, but points out that the Plan did not challenge the time her counsel claims to have devoted to the case, her counsel s hourly rate, or the costs sought, and argues that the district court thus abused its discretion in denying fees. Pakovich misunderstands the law. The district court was not obliged to award fees merely because the Plan did not specifically oppose those elements of Pakovich s fee claim, especially when Pakovich s fee petition nowhere argued that a $300 rate was reasonable; it merely used that figure to calculate its fees in one of the exhibits attached to its petition. It was Pakovich s burden to present evidence of a reasonable rate, see Stark 16 Nos. 10-1889 & 10-3083 v. PPM Am., Inc., 354 F.3d 666, 674 (7th Cir. 2004), among other things, and the district court had no obligation to scour Pakovich s filings looking for evidence that might have satisfied that burden. Further, we disagree with Pakovich s contention that the Plan conceded in its opposition to her fee petition that $300 was a reasonable hourly rate. It merely calculated for the sake of argument the fees to which it believed Pakovich should be entitled if the court used the rate Pakovich requested; it did not concede that the rate was reasonable. Finally, Pakovich s argument that her failure to adequately substantiate her fee request was inadvertent and excusable under Rule 60(b) is unhelpful. Without more, we find no abuse of discretion. III. Conclusion For the foregoing reasons, we V ACATE the district court s decision granting summary judgment for Pakovich on her benefits claim, and A FFIRM its denial of her fee request. 7-22-11

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