Cynthia Sessoms v. USHealth Advisors, LLC

Court of Appeals for the Fourth Circuit·Decided May 21, 2026·No. 25-2086·Unpublished

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 25-2086

CYNTHIA MICHELLE SESSOMS, Individually and on Behalf of all Others Similarly Situated,

Plaintiff – Appellee,

v.

USHEALTH ADVISORS, LLC, Defendant – Appellant.

Appeal from the United States District Court for the Eastern District of North Carolina, at Raleigh. Terrence W. Boyle, District Judge. (5:24-cv-00580-BO-BM)

Argued: May 5, 2026 Decided: May 21, 2026 Amended: May 21, 2026

Before KING, WYNN, and THACKER, Circuit Judges.

Reversed and remanded by published opinion. Judge King wrote the opinion, in which Judge Wynn and Judge Thacker joined.

ARGUED: Jeffrey Aaron Backman, GREENSPOON MARDER LLP, Fort Lauderdale, Florida, for Appellant. Jacob Lawrence Phillips, JACOBSON PHILLIPS PLLC, Winter Park, Florida, for Appellee. ON BRIEF: John H. Pelzer, Roy Taub, GREENSPOON MARDER LLP, Fort Lauderdale, Florida, for Appellant. Manuel S. Hiraldo, HIRALDO P.A., Fort Lauderdale, Florida; David M. Wilkerson, WILKERSON JUSTUS, LLC,

Asheville, North Carolina, for Appellee.

KING, Circuit Judge:

In this interlocutory appeal from the Eastern District of North Carolina, defendant USHealth Advisors, LLC (hereinafter “USHealth”), challenges the district court’s adverse August 2025 ruling that plaintiff Cynthia Sessoms’s putative class action lawsuit — which alleges a violation of the Telephone Consumer Protection Act (the “TCPA”) by USHealth — should not be referred to arbitration under the Federal Arbitration Act (the “FAA”). See Sessoms v. USHealth Advisors, LLC, No. 5:24-cv-00580 (E.D.N.C. Aug. 22, 2025), ECF No. 27 (the “Denial Order”). According to the Denial Order, because USHealth is not a third-party beneficiary of an online agreement between Sessoms and a so-called “lead generating service provider” — specifically, a non-party named NextGen Leads, LLC (hereinafter “NextGen”) — USHealth is unable to enforce the arbitration clause contained therein, pursuant to applicable Delaware law. As explained below, we are constrained to reject the Denial Order’s rationale for refusing to compel arbitration of the TCPA claim alleged by Sessoms against USHealth. And as a result, we therefore reverse the district court’s Denial Order of August 2025. We otherwise remand for entry of an order compelling arbitration and staying these federal court proceedings pending arbitration.

I.

A.

As background, in October 2024, plaintiff Sessoms, individually and on behalf of all others similarly situated, filed this putative class action against USHealth in the Eastern District of North Carolina. See Sessoms v. USHealth Advisors, LLC, No. 5:24-cv-00580

(E.D.N.C. Oct. 9, 2024), ECF No. 1 (the “Complaint”). By her single-count Complaint, Sessoms alleges that, on February 27, 2024, USHealth caused a prerecorded voice message to be transmitted to her cellular telephone offering health insurance information, without USHealth obtaining any prior express consent from Sessoms, in violation of the TCPA.

After answering the Complaint in December 2024, USHealth eventually moved in March 2025 to compel arbitration of Sessoms’ TCPA claim. See Sessoms v. USHealth Advisors, LLC, No. 5:24-cv-00580 (E.D.N.C. Mar. 5, 2025), ECF No. 18. 1 Therein, USHealth related that, in December 2023 and January 2024, Sessoms had visited a “lead generation” website — operated by the entity called NextGen and its subsidiary, named FirstQuoteHealth — to request health insurance quotes. USHealth alleges that Sessoms, who completed an online form which included a hyperlink listing various “Marketing Partners” as entities from which Sessoms had agreed to receive solicitations, gave her express consent to NextGen to receive telemarketing calls from, inter alia, USHealth.

Although USHealth acknowledged that Sessoms had never signed a contract with USHealth containing an arbitration clause, USHealth maintained that the online “Terms

1

For completeness, we observe that USHealth filed in February 2025 an earlier motion in the district court to compel arbitration. See Sessoms v. USHealth Advisors, LLC, No. 5:24-cv-00580 (E.D.N.C. Feb. 13, 2025), ECF No. 15. Therein, USHealth apparently submitted a “a different version of the [at-issue] Terms . . . that expressly stated that marketing partners are third party beneficiaries of the arbitration provision.” See Br. of Appellant 5. After Sessoms pointed out that such language was not the operative version to which she would have agreed at the time she contracted with NextGen, however, USHealth filed, in March 2025, “a corrected motion and declaration attaching the Terms quoted above, which contain no such third-party beneficiary language.” Id. Accordingly, in the context of this appeal, our analysis concerns only the propriety of the Denial Order’s challenged disposition of USHealth’s present March 2025 motion to compel arbitration.

and Conditions” — drafted by NextGen and agreed to by Sessoms — contain the applicable and pertinent arbitration clause. Specifically, USHealth claimed that Sessoms had agreed to FirstQuoteHealth’s four-page online agreement, which is entitled “Terms of Use.” According to USHealth, the Terms of Use had been drafted by NextGen and were otherwise found on FirstQuoteHealth’s website, which site is operated by NextGen. Relevant here, the Terms of Use initially state — in bold capital letters — as follows:

THESE TERMS AND CONDITIONS . . . ARE A LEGAL AGREEMENT BETWEEN YOU, THE USER, AND US (THE OWNER OR OPERATOR OF THIS WEBSITE) . . . . THIS AGREEMENT PROVIDES THAT ALL DISPUTES BETWEEN YOU AND US WILL BE RESOLVED BY BINDING ARBITRATION.

See J.A. 114. 2 Furthermore, the Terms of Use describe NextGen as a “lead generator” that “receives a fee from third parties for matching your inquiry with them.” See J.A. 114. The Terms of Use likewise emphasize that NextGen has no role in a transaction between visitors to the FirstQuoteHealth website (i.e., Sessoms) and pertinent third parties (i.e., USHealth):

[1] NextGen is not a licensed insurance provider, does not offer any insurance products or services, and has no responsibility for any products or services you may purchase or obtain from third parties who receive your information.

That is a contract or transaction solely between you and them.

[2] You agree that NextGen is not to be liable for any loss or damage for any information, products and services offered by third parties to you.

Id. at 114-115.

2

Citations herein to “J.A. __” refer to the contents of the Joint Appendix filed by the parties in this appeal.

Meanwhile, the arbitration clause — which was also contained in the Terms of Use that were agreed to by Sessoms on FirstQuoteHealth’s website — states as follows:

CONSENT TO ARBITRATE – Except where prohibited by law, You and we agree that all claims, disputes or controversies arising out of or relating to the use of this website, to the services provided by NextGen, any consents you have provided to us, or to any acts or omissions for which you may contend NextGen or its affiliates, members, officers or directors is liable relating thereto or to the information, products, or services of third parties, shall be finally, and exclusively, settled by binding arbitration.

See J.A. 116.

Against this backdrop, USHealth maintained in the underlying proceedings that arbitration of all issues is warranted. According to USHealth, Sessoms and NextGen’s arbitration clause incorporated the American Arbitration Association’s (the “AAA”) Rules, and delegated all arbitrability questions — including whether USHealth could enforce such a clause — to an arbitrator. USHealth alternatively maintained that, if the district court is clothed with the authority to decide whether USHealth could enforce the arbitration clause, USHealth would be permitted to do so as a third-party beneficiary under Delaware law.

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