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The Court considers five factors in determining whether to award disability attorney fees. 1) Did the ERISA governed disability insurance plan act in bad faith? Was it guilty of forcing the claimant into Court? 2) Does the Plan or administrator of the disability plan have the ability to pay the fees if the Court awards them? 3) Would awarding the disability attorney fees act as a deterrent in the future? 4) Did the legal decision have the potential to benefit other plan members? 5) How did the relative merits of each side compare? While the Court has the right to order the disability insurance plan to pay the disability attorney's fees if even one of the above conditions are met, in most cases, the Court only considers the awarding of fees if more than one of the five factors applies. First and foremost, the Court looks at whether the disability attorney succeeded in winning a substantial part of the litigation. Then the Court moves on to considering whether the disability insurance plan had a justifiable position that was taken in good faith. If it did so, the Court may determine that awarding of attorney's fees is not appropriate. Once the Court has determined that compensation to the disability lawyer is appropriate, ERISA establishes a clear set of guidelines. Disability lawyers are only allowed to invoice hours spent productively pursuing successful litigation efforts. Neither hours assisting a disability claimant during the administrative appeals process nor hours spent pursuing information that later proves useless are billable. The invoice for the disability attorney's fees must be itemized carefully. Sufficient details should be present so that the Court can determine whether the work performed is clearly connected to the litigation. This is not mere politeness. ERISA demands this so the Court can recognize when excessive, redundant or otherwise unnecessary charges have been included. In addition to this information, ERISA requires the disability attorney to use a reasonable hourly rate. The disability attorney must provide affidavits from other disability attorneys practicing in the same area stating what those attorneys charge to represent long-term or short-term disability claimants. This gives the Court fees to compare. When the disability insurance plan disagrees with the rate asked by the disability attorney, the Court is able to use these figures to evaluate the appropriateness of the fees. The Court will also consider the expertise of the disability attorney in determining a fair rate. The Court uses 12 factors to adjust the final settlement. Each factor may work alone or combine
Slide 2: forces with the others. 1. The time and labor involved in comparison to the complexity of the case. The more protracted a case, the more hours the Court will expect on the invoice. 2. The novelty and difficulty of the questions brought before the Court. Some cases present a greater challenge, which the Court recognizes it would take more time to research. 3. The skill the attorney had to possess in order to provide acceptable legal services. The simpler the case, the less expertise the case would require. 4. The inability of the attorney to accept other cases in order to handle the claim. A more complex case might not allow a disability attorney to work on other claims at the same time, or at least greatly reduce the number of concurrent clients the disability attorney can work with. 5. The customary fee of other attorneys practicing in the same specialty. This is where the affidavits of other disability attorneys come in. 6. Whether the attorney charges a fixed fee or contingent fees. How an attorney charges fees can be a relevant factor. 7. Time limitations imposed by the client or the circumstances. This factor is comparable to #4, but not quite identical. 8. The amount of money involved in settling the claim and the results obtained. The more money involved, the more likely the disability insurance company or plan is culpable. 9. The experience, reputation, and ability of the disability attorney(s). 10. The 'undesirability' of the disability benefits case. Some cases are more risky for a disability attorney to take. 11. The nature and length of the professional relationship with the client. Some cases take many years to bring to a just result. 12. Awards paid by other courts in similar cases. The Court does compare decisions reached by other Courts across the United States. At the end of the day, a disability insurance attorney can blow it by failing to keep careful records. It does absolutely no good to have the Court determine that the victor in a disability lawsuit has the right to compensation for attorney's fees, if the attorney fails to do his/her part. A recent case, Pakovich v. Verizon Plan, demonstrates this. The Judge agreed that it was appropriate to review the disability attorney's rights to compensation, even though a prior court ruling had denied the right. Unfortunately, the invoicing presented by the attorney stripped the Judge of any power to establish appropriate compensation. The required detailed invoicing was absent. The necessary affidavits confirming the appropriate disability attorney rates within the Massachusetts district were not
Slide 3: produced. The Court had no option but to deny the motion for attorney fees. Providing superior disability attorney services to clients goes beyond securing a reversal of a disability plan's denial of disability benefits. It also includes doing everything possible to reduce the costs to the client. When a disability attorney keeps sloppy records and fails to comply with the basic requirements of ERISA that lawyer has failed to practice law in the most ethical way possible. The best disability attorneys strive to establish all the evidence necessary to secure fair compensation for the attorney fees connected with representing his/her client. This shows moral responsibility. Do more than help your clients to obtain their rightful disability benefits. Help them keep as much of the settlement as possible.
Gregory Dell is a disability lawyer and managing partner of the disability income division of Attorneys Dell and Schaefer. Mr. Dell shares court cases like these so you can appreciate how important hiring an experienced attorney is. Mr. Dell and his team of lawyers have one primary goal - to make sure their clients keep as much of their insurance settlement as possible. They have the experience needed to make that happen. They have assisted thousands of long-term disability claimants with their disability application.
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