Fehrenbacher v. UnitedHealthcare Insurance Company

CourtDistrict Court, N.D. Illinois
DecidedJune 5, 2025
Docket1:24-cv-04740
StatusUnknown

This text of Fehrenbacher v. UnitedHealthcare Insurance Company (Fehrenbacher v. UnitedHealthcare Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fehrenbacher v. UnitedHealthcare Insurance Company, (N.D. Ill. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION MICHAEL FEHRENBACHER, et al., ) ) Plaintiffs, ) ) No. 24-cv-04740 v. ) ) Judge Andrea R. Wood UNITEDHEALTHCARE INSURANCE ) COMPANY, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER Plaintiffs Michael Fehrenbacher and M&M Financial & Insurance Agency, Inc. (“M&M”) sold Defendant UnitedHealthcare Insurance Company’s (“UHC”) insurance products until UHC terminated them, purportedly for cause. In particular, UHC contended that it had cause to terminate Plaintiffs based on an investigation that revealed Fehrenbacher had been forging applicants’ signatures on insurance applications. Fehrenbacher, however, claims that UHC falsely accused him of forgery to retaliate against him for reporting certain misconduct on the part of UHC. For that reason, Plaintiffs have brought the present action asserting claims for breach of contract and defamation per se. UHC responded to Plaintiffs’ compliant by filing a motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). (Dkt. No. 8.) After UHC’s motion was fully briefed, Plaintiffs filed a motion for leave to file a First Amended Complaint (“FAC”) and to vacate the stay of discovery. (Dkt. No. 22.) For the reasons that follow, UHC’s motion to dismiss is denied and Plaintiffs’ motion for leave to file an FAC and to vacate the stay of discovery is granted. BACKGROUND For the purposes of the motion to dismiss, the Court accepts as true all well-pleaded facts in the complaint and views those facts in the light most favorable to Plaintiffs as the non-moving parties. Killingsworth v. HSBC Bank Nev., N.A., 507 F.3d 614, 618 (7th Cir. 2007). The complaint alleges as follows.

Michael Fehrenbacher is a licensed insurance agent based in Illinois. (Compl. ¶ 1, Dkt. No. 1-1.) In September 2018, Fehrenbacher and UHC entered into an agreement under which Fehrenbacher would sell UHC’s Medicare Advantage (“MA”) plans and other UHC insurance products to Illinois consumers, and UHC would pay Fehrenbacher commissions on those sales (“Agreement”). (Id. ¶¶ 4–5.) Then, in September 2020, Fehrenbacher assigned to M&M all his rights to commissions due under his agreement with UHC (“Assignment”). (Compl. ¶ 6; Pls.’ Opp’n to Mot. to Dismiss, Ex. A at 189, Assignment, Dkt. No. 17-1.1) Following the Assignment, Fehrenbacher, as an agent of M&M, continued selling UHC insurance products. (Compl. ¶¶ 7–8.) However, on June 12, 2023, UHC terminated its Agreement with Fehrenbacher for cause, claiming that “[a]n internal investigation found multiple enrollees attested that the

signatures on applications [Fehrenbacher] submitted for them were not theirs.” (Compl. ¶ 9; Pls.’ Opp’n to Mot. to Dismiss, Ex. A at 245, Termination Letter.) According to Fehrenbacher, UHC made up its claim that Fehrenbacher was forging applicants’ signatures to retaliate against him for notifying UHC employees of his concern that UHC had been inappropriately soliciting his clients. (Compl. ¶¶ 16–18, 21.) Specifically, several of Fehrenbacher’s clients told him in late 2022 that UHC had solicited them to switch from their

1 The version of the removed state-court complaint attached to the notice of removal in this case did not include the complaint’s exhibits. Thus, Plaintiffs include as an exhibit to their response brief both the complaint and its exhibits. free Veterans Affairs’ primary healthcare coverage to a private UHC plan. (Id. ¶ 16.) Because those solicitations ran afoul of federal regulations, Fehrenbacher contacted UHC to report the misconduct. (Id. ¶¶ 17–18.) After terminating Fehrenbacher, UHC began issuing written statements to several state agencies falsely accusing Fehrenbacher of forging signatures on multiple insurance applications and other fraudulent acts. (Id. ¶¶ 19, 23.)

Based on its labeling of Fehrenbacher’s termination as for cause, UHC has refused to pay the approximately $1.7 million in commissions it owes pursuant to the Agreement. (Id. ¶ 14.) Fehrenbacher denies committing any forgery, claiming his termination can only be deemed to be without cause such that UHC must pay the full $1.7 million it owes. (Id. ¶¶ 10–11, 13–14.) Therefore, he and M&M brought the present action, with both Plaintiffs asserting a breach-of- contract claim against UHC. Moreover, because Fehrenbacher contends that the statements UHC submitted to various state agencies accusing him of forgery were categorically false, he also asserts a claim of defamation per se against UHC. DISCUSSION While Plaintiffs’ proposed FAC would assert new claims for tortious interference with a

business expectancy and tortious interference with contract, it also adds allegations to bolster the existing claims in the presently operative complaint. Thus, the Court will begin by considering the viability of the current complaint’s allegations before turning to address Plaintiffs’ motion for leave to amend. I. Motion to Dismiss To survive a Rule 12(b)(6) motion, “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). This pleading standard does not necessarily require a complaint to contain detailed factual allegations. Twombly, 550 U.S. at 555. Rather, “[a] claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Adams v. City of Indianapolis, 742 F.3d 720, 728 (7th Cir. 2014) (quoting Iqbal, 556 U.S. at 678). UHC moves to dismiss the complaint in its entirety.

A. Breach of Contract Both Plaintiffs assert a breach of contract claim against UHC. Yet UHC argues that, by referring to Plaintiffs collectively, the complaint fails to adequately plead a claim as to either. The Court disagrees. “Group pleading” is not strictly forbidden by the Federal Rules of Civil Procedure, as what matters is whether “the complaint provides sufficient detail to put the defendants on notice of the claims.” Robles v. City of Chicago, 354 F. Supp. 3d 873, 875 (N.D. Ill. 2019). Here, the complaint provides adequate notice that Fehrenbacher’s claim is based on UHC’s alleged breach of the Agreement and that M&M’s claim arises out of the Assignment. Next, UHC contends that Fehrenbacher does not actually have a claim against it for breach of contract because he executed the Assignment assigning his rights under the Agreement

to M&M and the Agreement was later updated to substitute M&M for Fehrenbacher. Curiously, Plaintiffs do not dispute this version of the facts even though the Court does not find them supported by either the complaint’s allegations or its attached exhibits. All the complaint alleges is that “Fehrenbacher executed [the Assignment] to M&M” and then, in 2021, “UHC signed an updated agent agreement.” The Assignment, by its very terms, provides only that Fehrenbacher assigned to M&M his “right, title, interest, claim or demand in and to any and all compensation now due and payable, or which may become due and payable, under existing contracts and agreements.” (Assignment.) And while the complaint attaches an exhibit purporting to be an updated version of the Agreement, that exhibit contains only blanks where the name of UHC’s agent is to be listed and is signed only by UHC. (Pls.’ Opp’n to Mot. to Dismiss, Ex.

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Fehrenbacher v. UnitedHealthcare Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fehrenbacher-v-unitedhealthcare-insurance-company-ilnd-2025.