West Virginia Code § 23-5-16

Fees of attorney for claimant; unlawful charging or receiving of attorney
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fees; effective until June 30, 2022.
(a) An attorney's fee in excess of 20 percent of any award granted may not be charged or
received by an attorney for a claimant or dependent. In no case may the fee received by the
attorney of the claimant or dependent be in excess of 20 percent of the benefits to be paid
during a period of 208 weeks. The interest on disability or dependent benefiets as provided in
this chapter may not be considered as part of the award in determining the attorney's fee.
However, any contract entered into in excess of 20 percent of the benerfits to be paid during
a period of 208 weeks, as herein provided, is unlawful and unenforceable as contrary to the
public policy of this state and any fee charged or received by an attorney in violation thereof
is an unlawful practice and renders the attorney subject to disciplinary action.
(b) On a final settlement an attorney may charge a fee not to exceed 20 percent of the total
value of the medical and indemnity benefits: Provided, That this attorney's fee, when
combined with any fees previously charged or received by the attorney for permanent partial
disability or permanent total disability benefits may not exceed 20 percent of an award of
benefits to be paid during a period of 208 weesks.
(c) Except attorney's fees and costs recoverable pursuant to §23-2C-21(c) of this code, an
attorney's fee for successful recovergy of denied medical benefits may be charged or received
by an attorney, and paid by the private carrier or self-insured employer, for a claimant or
dependent under this section. eIn no event may attorney's fees and costs be awarded
pursuant to both this section and §23-2C-21(c) of this code.
(1) If a claimant successfully prevails in a proceeding relating to a denial of medical benefits
brought before the commission, successor to the commission, other private carrier, or self-
insured employer, whichever is applicable, as a result of utilization review, arbitration,
mediation, or other proceedings, or a combination thereof, relating to denial of medical
benefits before the Office of Judges, Board of Review, or court, there shall additionally be
chaWrged against the private carriers or self-insured employers, whichever is applicable, the
reasonable costs and reasonable hourly attorney fees of the claimant. Following the
successful resolution of the denial in favor of the claimant, a fee petition shall be submitted
by the claimant's attorney to the Insurance Commissioner or his or her successors,
arbitrators, mediator, the Office of Judges, the Board of Review, or court, whichever enters a
final decision on the issue. An attorney representing a claimant must submit a claim for
attorney fees and costs within 30 days following a decision in which the claimant prevails
and the order becomes final.
(2) The Insurance Commissioner or his or her successors, arbitrators, mediator, the Office of
Judges, the Board of Review, or court shall enter an order within 30 days awarding
reasonable attorney fees not to exceed $125 per hour and reasonable costs of the claimant
to be paid by the private carriers or self-insured employers, whichever is applicable, which
shall be paid as directed. In no event may an award of the claimant's attorney's fees under
this subsection exceed $500 per litigated medical issue, not to exceed $2,500 in a claim.
(3) In determining the reasonableness of the attorney fees to be awarded, the Insurance
Commission, arbitrator, mediator, Office of Judges, Board of Review, or court shall consider
the experience of the attorney, the complexity of the issue, the hours expended, and the
contingent nature of the fee.
(d) This section is of no force and effect after June 30, 2022.

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