This case involves the question of whether Milwaukee Guardian, a division of Milwaukee Insurance Company (Milwaukee), must pay one-third of its $2,000 medical payment subrogation interest to the law firm of Hauptman, O’Brien, Wolf & Lathrop, P.C. (Hauptman, O’Brien). The answer largely depends upon whether the common fund doctrine applies in this case. The district court found that the common fund doctrine was applicable and ordered Milwaukee to pay $666.66 to Hauptman, O’Brien. Milwaukee appeals to this court.
FACTUAL BACKGROUND
The case was tried to the district court upon the testimony of Timothy O’Brien, an attorney with Hauptman, O’Brien, and statement of the following stipulated undisputed facts. A policy of automobile insurance was issued to Marlene Crouch by Milwaukee on March 4, 1995, which contained medical payment coverage of $2,000. This policy contained a provision giving Milwaukee the right of subrogation for payment of medical expenses against any responsible party from whom its insured recovered damages for medical expenses. On April 10, Crouch was involved in an automobile accident resulting in injuries for which she incurred medical expenses, and pursuant to the policy, Milwaukee made medical payments on behalf of Crouch in the amount of $2,000. The driver of the other vehicle in the accident, Mary Kaufman, was insured by Union Insurance Company. Crouch made a claim against Kaufman for damages arising out of the accident, and Crouch was represented in her claim by O’Brien.
Milwaukee maintains in-house legal counsel to handle all subrogation matters on its behalf. On July 25, 1995, a claims representative of Milwaukee, Susan Zellhoffer, contacted Union to notify it of Milwaukee’s $2,000 subrogation claim. Zellhoffer requested that a separate check be issued directly to Milwaukee in payment of its subrogation claim. In a letter dated October 12, 1995, Zellhoffer again notified Union of Milwaukee’s $2,000 subrogation claim. At no time was there any written or oral fee agreement between O’Brien and Milwaukee, and at no time was O’Brien notified by Milwaukee that it was representing its own interests. O’Brien was, however, sending copies of Crouch’s medical bills to Milwaukee for payment during the settlement process. Crouch’s claim against Kaufman was settled on October 20, for a total of $21,250, and Crouch signed a release of all claims on October 27. O’Brien sent Milwaukee a check for $1,333.34 with a letter explaining that the check was offered as payment in full of the subrogation interest, minus an attorney fee of $666.66. In a letter dated October 22, 1995, Milwaukee returned the check to O’Brien, indicating that Milwaukee was representing its own interests in the subrogation matter and that it would not pay a one-third attorney fee to O’Brien. At no time prior to October 22 was Milwaukee notified by Hauptman, O’Brien of the pending settlement of Crouch’s claim or the release executed in favor of Union.
O’Brien testified at trial that the law firm gathered medical records, took photographs, and interviewed police officers and a witness. The total time expended by the firm in the matter was 31.4 hours. O’Brien admitted on cross-examination that some of the hours spent on the case were attributable to paralegals, but he did not have a breakdown of the hours with him. O’Brien testified that the case was settled for $21,250, and that his fee agreement with Crouch was for a one-third contingency fee, plus expenses. O’Brien also testified that Milwaukee contacted him to find out Union’s address and also wanted O’Brien to be aware of its subrogation interest.
The district court ruled that Union was negotiating with Hauptman, O’Brien, and not with Milwaukee, and that
Hauptman, O’Brien expended time in creating the settlement fund, while Milwaukee only sent a letter and made a telephone call, but made no other efforts toward the recovery of $21,250. The court found that Hauptman, O’Brien proved by a preponderance of evidence that its efforts produced a fund, from which Milwaukee could be paid its subrogation interest, and that Hauptman, O’Brien was entitled to a fee “one-third of the amount recovered
ASSIGNMENTS OF ERROR
Milwaukee appeals to this court and, restated, argues that the trial court erred in finding the common fund doctrine applicable and ordering Milwaukee to pay a one-third attorney fee based on the contract between Hauptman, O’Brien and Crouch.
STANDARD OF REVIEW
Questions of law are presented by the stipulated facts in this case, and an appellate court has an obligation to reach a conclusion independent of that of the trial court in such instances.
In re Guardianship & Conservatorship of Bloomquist,
ANALYSIS
This case first requires a determination of whether the common fund doctrine applies under the above-recited facts. The common fund doctrine has its genesis in Nebraska case law in
United Services Automobile Assn.
v.
Hills,
The applicable rule is that where the holder of the subrogation right does not come into the action, whether he refuses to do so or acquiesces in the plaintiff’s action, but accepts the avails of the litigation, he should be subjected to his proportionate share of the expenses thereof, including attorney’s fees.
Id.
at 133,
We next turn to
Krause
v.
State Farm Mut. Auto. Ins. Co.,
bound by the contract for fees between the plaintiff’s attorney and the insured in the action against the tort-feasor. The allowance depends upon consideration of all of the circumstances including the nature of the contract with the insured and the amount and the nature of the services rendered, and the other principles relating to the award of attorney’s fees under the law.
Id.
at 596,
In
Moyer & Moyer
v.
State Farm Mut. Ins. Co.,
From
United Services Automobile Assn.
v.
Hills,
In this case, the evidence shows that Hauptman, O’Brien expended some effort to create a fund in which Milwaukee had a small interest. Milwaukee argues that Hauptman, O’Brien conferred no substantial benefit on it because liability was clear and the medical bills were a liquidated amount. However, the evidence shows nothing about the accident and does not demonstrate whether liability was obvious or razor thin, nor does the record reveal anything about the injury except that over $4,000 in medical bills were incurred. Moreover, no evidence was presented as to how Union viewed the case. Because Hauptman, O’Brien seeks the fee, it was its burden to prove entitlement to the fee. Thus, it was Hauptman, O’Brien’s burden of proof to show that it did confer a substantial benefit on Milwaukee. O’Brien testified that his firm expended approximately 31 hours in handling the claim, an unspecified portion of which was “paralegal time.”
Milwaukee argues that it was not put on notice that there was a pending settlement and thus cannot be held to have acquiesced in it. However, the stipulated facts show that Hauptman, O’Brien was sending Milwaukee Crouch’s medical bills, and O’Brien testified that a representative from Milwaukee called him to obtain Union’s address and to inform O’Brien of its subrogation interest.
The district court reasoned that “[t]here is no evidence that [Milwaukee] engaged in presenting the details of the claim, answered questions, engaged in the give and take of negotiations, or did anything else to produce recovery of $21,250.” The flaw in this reasoning lies in that Milwaukee is not interested in anything over $2,000. In short, whether Crouch gets $2,500 or $2.5 million, Milwaukee’s interest is the same — $2,000—which means that its approach to the case is materially different from that of Crouch’s lawyers, who are charged with collecting for all of her damages. Milwaukee’s concern was only with what might be called the “easy dollars,” i.e., the first $2,000.
The key to this case, and undoubtedly others similar to it, is the record created by counsel who seeks the fee, because the burden to prove entitlement to the fee is on counsel. The necessary evidence will obviously vary from case to case. But the evidence which shows that die holder of the subrogation interest received a substantial benefit from counsel’s efforts also coincidentally helps prove the factors for awards of attorney fees under
Krause, supra.
The general considerations for awards of attorney fees are well known: the services actually performed, the amount in controversy, the nature of the case, the results obtained, the extent of preparation of the case, the difficulty of the questions involved, the skill required, the customary charges of the bar for similar work, and the character and standing of the attorney. See
Koehler
v.
Farmers Alliance Mut. Ins. Co.,
The proof of substantial benefit to Milwaukee is incomplete. Missing is evidence of the amount in controversy (over and above the medical bills which exceeded the $2,000), the difficulty of the questions involved (assessment of liability and damages), and the nature of the case (for example, obvious liability with generous coverage versus questionable liability with minimum liability limits). In concluding that these are very material elements of Hauptman, O’Brien’s burden of proof, we bear in mind two important points: (1) While the common fund doctrine obligates a subrogated carrier to pay a fee, it does not make the
fee contract between the attorney and the insured automatically binding on the holder of the subrogation interest; and (2) in a case such as this, with $4,369.64 in medical bills and only $2,000 of medical coverage, there is little “contingent” about the recovery for the medical payments. Contingencies arise, for example, when liability of the tort-feasor is something other than obvious, when the defendant fails to reasonably settle the case, or where the injured parties’ damages exceed the liability coverage. See
Shelter Ins. Cos.
v.
Frohlich,
Thus, for these reasons, we find that Hauptman, O’Brien failed to carry its burden of proving a substantial benefit to Milwaukee. Even if it could be said that a substantial benefit was proved, Hauptman, O’Brien failed to adduce evidence upon which the amount of a fee to which it might be entitled could be set. For these reasons, we reverse the decision of the district court and remand the matter for further proceedings consistent with this opinion.
Reversed and remanded for further proceedings.
