Liens & Settlement

Making Lienholders Share the Cost of the Recovery

A lienholder that shares in the settlement should share in the fees and costs that produced it. How the common-fund doctrine works, where plan language overrides it, and how it stacks with Medicare and Medicaid offsets.

Calculator and settlement disbursement statement on a desk

The lienholder's opening position is always the same: pay us in full, off the top, before the client sees a dollar. What that position quietly assumes is that the lienholder gets the benefit of the recovery without paying any part of the cost of creating it. The common-fund doctrine is the tool that corrects the imbalance, and too many plaintiff lawyers disburse without ever raising it. Used properly, it forces a lienholder that shares in the settlement to share in the attorney fees and litigation costs that produced the settlement.

The principle, and why it exists

The common-fund doctrine rests on a simple equity: a party who benefits from a fund created by another's effort should bear a fair share of the expense of creating it. When your work and your client's risk generate a settlement, and a lienholder reaches into that settlement for reimbursement, the lienholder has taken the benefit of the fund. The doctrine says it cannot take that benefit while leaving the entire cost of production on the client. The result is a pro-rata reduction of the lien, reflecting the lienholder's share of the fees and costs.

The mechanics are arithmetic. If the fee and cost load on the case runs, say, 40 percent of the gross, then a lien subject to the doctrine is reduced by roughly that same fraction, because the lienholder is effectively charged its share of what it took to build the fund. On a six-figure lien, that reduction is often the largest single lever on the client's net.

Where it applies, and where plan language overrides it

The doctrine reaches many state statutory liens, hospital liens in a number of jurisdictions, and Medicaid recoveries in states that recognize procurement-cost sharing. The harder and more valuable question is ERISA.

The ERISA plan wrinkle

The Supreme Court answered the ERISA question in US Airways v. McCutchen. The Court held that a self-funded ERISA plan's clear reimbursement terms control, and that equitable doctrines cannot override language the plan actually wrote. But the Court also held the other half of the rule: where the plan is silent on the allocation of attorney fees, the common-fund doctrine fills the gap as a default, and the plan must bear its share. The lesson is that the plan document decides everything. If the summary plan description and the governing plan do not expressly disclaim the common fund, you have a strong argument to reduce the reimbursement by the fee-and-cost fraction.

So demand the full plan, not the reimbursement letter the plan's recovery vendor sends. Recovery vendors routinely assert first-dollar rights the plan text does not support. Read the actual language for an express fund-cost disclaimer and a clear made-whole waiver before you concede the plan escapes the doctrine.

Medicare, Medicaid, and the statutory analogs

Medicare builds a version of the doctrine into its regulations. When the government's conditional-payment recovery is at issue, the procurement-cost rules reduce Medicare's demand to account for the attorney fees and costs of obtaining the settlement, and the reduction can be substantial when the fee load is high relative to the total. Medicaid practice varies by state, but many programs recognize a procurement offset, and the Ahlborn line of authority limits recovery to the portion of the settlement fairly allocable to past medical expenses. The two doctrines stack: allocate the settlement to shrink the recoverable base, then apply the common-fund reduction to what remains.

The lienholder wants its number calculated on the gross. Your job is to move every defensible dollar to the net before that calculation runs.

Putting it into the disbursement

Raise the doctrine in writing, early, and in the reduction demand itself. Set out the fee-and-cost fraction, show the arithmetic, and cite the authority that governs the particular lien. Hold the disputed portion in trust rather than disbursing over an unresolved objection, and paper the file so the client's net is defensible if anyone questions it later. For the interplay with hospital and provider liens, see our liens and settlement coverage, and for the treatment-side records that drive the medical component of these funds, our medical malpractice reporting. The appellate decisions applying McCutchen and its state analogs are tracked in our case law and settlements analysis.

The takeaway

Every lien that shares the recovery should share the cost of it, unless a plan document or a statute clearly says otherwise. Get the governing text, run the fee-and-cost fraction, and make the lienholder carry its part. The difference lands entirely in the client's pocket, which is the number that ends up defining the representation.

The LawyersTrend Brief · Fridays

One weekly email. Every new article.

Friday mornings — every PI article we publish that week, plus rankings updates and key verdicts. Free. One-click unsubscribe.