Eric Patterson v. UnitedHealth Group, Inc.

CourtCourt of Appeals for the Sixth Circuit
DecidedDecember 2, 2025
Docket25-3175
StatusPublished

This text of Eric Patterson v. UnitedHealth Group, Inc. (Eric Patterson v. UnitedHealth Group, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eric Patterson v. UnitedHealth Group, Inc., (6th Cir. 2025).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 25a0327p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ ERIC L. PATTERSON, on behalf of himself and all │ others similarly situated, │ Plaintiff-Appellant, │ > No. 25-3175 │ v. │ │ UNITEDHEALTH GROUP, INC.; UNITED HEALTHCARE │ SERVICES, INC.; UNITED HEALTHCARE INSURANCE │ COMPANY; OPTUM, INC.; SWAGELOK COMPANY, │ Defendants-Appellees. │ ┘

Appeal from the United States District Court for the Northern District of Ohio at Cleveland. No. 1:23-cv-00378—J. Philip Calabrese, District Judge.

Decided and Filed: December 2, 2025

Before: SILER, NALBANDIAN, and READLER, Circuit Judges. _________________

COUNSEL

ON BRIEF: Patrick J. Perotti, Patrick J. Brickman, DWORKEN & BERNSTEIN CO., L.P.A., Painesville, Ohio, Benjamin P. Pfouts, THE HENRY FIRM, Chagrin Falls, Ohio, for Appellant. Wesley E. Stockard, LITTLER MENDELSON, P.C., Atlanta, Georgia, Noah G. Lipschultz, LITTLER MENDELSON, P.C., Minneapolis, Minnesota, for Appellees. _________________

OPINION _________________

READLER, Circuit Judge. Eric Patterson has had a long-running dispute with UnitedHealth Group, his insurer and health plan administrator. In short, Patterson claims that United collected reimbursement for medical expenses paid on Patterson’s behalf even though his health plan gave United no such right. For that reason, Patterson sued United and others under No. 25-3175 Patterson v. UnitedHealth Group, Inc., et al. Page 2

the Employee Retirement Income Security Act of 1974 (ERISA). The district court dismissed those claims, and we largely affirmed the district court on appeal. See Patterson v. United HealthCare Ins. Co., 76 F.4th 487 (6th Cir. 2023). While that appeal was pending, however, Patterson filed an action in state court asserting state law claims against defendants that echoed in substance his federal claims. Defendants removed on the grounds that ERISA completely preempted Patterson’s state law claims and sought dismissal of what it viewed to be a lawsuit duplicative of its federal case. The district court again granted dismissal, and Patterson again appealed. We agree with the district court and affirm.

I.

We adopt our previous statement of the facts, which we summarize here. See Patterson, 76 F.4th at 491–92. United provided health insurance to Patterson and his wife through Patterson’s employer, Swagelok Company. As ERISA governed Patterson’s health plan, see 29 U.S.C. §§ 1101, 1103(a), United, in accordance with ERISA requirements, delivered to Patterson a summary plan description, which offered a synopsis of his plan’s terms. See id. § 1022(a). Patterson, however, did not receive a copy of the full plan document.

According to the plan summary, if Patterson recovered from a third party for an insured incident, the plan had a right to claim reimbursement from that recovery. That language came to the fore when Patterson sustained injuries in a collision with a semi-truck. United covered his accident-related medical bills as required. At the same time, Optum, United’s agent and subsidiary, informed Patterson that it would invoke the plan’s reimbursement rights if he recovered from the other driver. To that end, Patterson sued the other driver’s employer in state court and, within the same action, sought declaratory judgment against the plan as to reimbursement. During the litigation, Patterson alleged that United falsely claimed that a full plan document did not exist. Ultimately, Patterson recovered from the other driver’s employer, and, in so doing, struck an agreement to pay his plan $25,000 in reimbursement.

Ordinarily, that would have settled the matter. But as fate would have it, Patterson’s wife sustained injuries in an unrelated traffic accident just months after her husband. Things went for Ms. Patterson much like they did for Mr. Patterson: United paid the medical bills, Optum No. 25-3175 Patterson v. UnitedHealth Group, Inc., et al. Page 3

notified the Pattersons about reimbursement, and Patterson’s wife sued the other driver in state court while simultaneously seeking a declaratory judgment against the plan. This time, however, United produced in discovery the very plan document it had previously claimed not to exist. The newly revealed plan document stated that it controlled in case of any discrepancy between it and the plan summary. And, unlike the summary, the document had nothing to say about a reimbursement obligation on the Pattersons’ part. On that basis, the state court entered a declaratory judgment in Ms. Patterson’s favor, holding that the Pattersons’ plan did not allow United to collect reimbursement. The Ohio Court of Appeals affirmed. Patterson v. Am. Fam. Ins. Co., 178 N.E.3d 573, 581 (Ohio Ct. App. 2021).

With his plan document in hand, Patterson sued United, Optum, Swagelok, and others under ERISA’s civil enforcement provision, 29 U.S.C. § 1132(a), alleging that defendants defrauded him out of the $25,000 he previously paid in reimbursement. The district court granted defendants’ motion to dismiss on standing grounds and for failure to state a claim. Patterson v. UnitedHealthcare Ins. Co. (Patterson I), No. 21-cv-470, 2022 WL 279952, at *5, 7 (N.D. Ohio Jan. 31, 2022). Patterson appealed. We mostly affirmed the dismissal of his claims, allowing only his ERISA claim under § 1132(a)(3) to proceed. Patterson, 76 F.4th at 500. The action remains pending before the district court on remand. Id.; see Patterson v. UnitedHealthcare Ins. Co. (Patterson II), 762 F. Supp. 3d 643, 666 (N.D. Ohio 2025).

That takes us to the present lawsuit and its relationship to the first. In Patterson’s earlier case, the district court dismissed Patterson’s federal claims on the merits, and, as a result, declined to exercise supplemental jurisdiction over the state law claims. Patterson I, 2022 WL 279952, at *7–9. While our ruling on Patterson’s first appeal was pending, he refiled his state law claims in state court, naming United, Optum, and Swagelok as defendants. On behalf of himself as well as two putative classes, Patterson asserted claims for fraudulent and negligent misrepresentation, conversion, civil conspiracy, and unjust enrichment. Defendants removed the action to federal court and sought dismissal; Patterson moved to remand.

The district court sided with defendants. In its view, Patterson’s state law claims were a repackaged version of his still-pending ERISA lawsuit. Patterson II, 762 F. Supp. 3d at 665–66. After all, the district court reasoned, both actions rested on the same factual events and sought No. 25-3175 Patterson v. UnitedHealth Group, Inc., et al. Page 4

the same outcome: a return of the $25,000 Patterson says he should not have had to pay because of the plan’s terms. Id. As a result, the district court accepted defendants’ argument that ERISA completely preempted Patterson’s state law causes of action. Id. Yet rather than direct Patterson to replead his claims, the district court opted to dismiss the action outright. Id. Why? Patterson, recall, already had one pending ERISA suit—the remand of his original appeal—and the district court had just denied defendants’ motion to dismiss that action. Id. at 655–60. In place of allowing duplicate lawsuits to proceed, the district court dismissed this later-filed action. Id. at 666. Patterson appealed, which brought the parties back before us.

II.

We review de novo both the district court’s refusal to remand and its dismissal of Patterson’s complaint. City of Cleveland v. Ameriquest Mortg.

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Eric Patterson v. UnitedHealth Group, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/eric-patterson-v-unitedhealth-group-inc-ca6-2025.