Ryan R. and S.R. v. United Healthcare Insurance Company; United Behavioral Health; Dynamic Consulting LLC; and Guideline Inc.

• Court: District Court, D. Utah
• Decided: January 16, 2026
• Docket: 2:25-cv-01171
• Status: Unknown

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF UTAH CENTRAL DIVISION

RYAN R. and S.R., MEMORANDUM DECISION AND Plaintiffs, ORDER GRANTING PLAINTIFFS’ MOTION FOR LEAVE TO PROCEED v. ANONYMOUSLY (DOC. NO. 4) UNITED HEALTHCARE INSURANCE COMPANY; UNITED BEHAVIORAL HEALTH; DYNAMIC CONSULTING LLC; Case No. 2:25-cv-01171 and GUIDELINE INC., Magistrate Judge Daphne A. Oberg Defendants.

S.R. and S.R.’s father, Ryan R., brought this action alleging Defendants violated the Employee Retirement Income Security Act of 19741 (ERISA) by denying insurance coverage for care S.R. received as a minor.2 Because Plaintiffs filed this case using only initials and a partial name, the court ordered them to file either an amended complaint under their full names or a motion for leave to proceed under initials.3 Plaintiffs filed a motion to proceed under initials.4 Because this case involves S.R.’s highly sensitive and personal health information, Plaintiffs’ motion is granted. Any party

1 29 U.S.C. § 1001 et seq. 2 (See Compl., Doc. No. 1.) 3 (See Order to Show Cause, Doc. No. 2.) 4 (See Pls.’ Mot. for Leave to Proceed Anonymously, Doc. No. 4.) who objects to Plaintiffs proceeding under initials may file a motion to vacate this order within seven days of the party’s appearance in this case.5 LEGAL STANDARDS Under Rule 10 of the Federal Rules of Civil Procedure, “[t]he title of the complaint must name all the parties.”6 “Absent permission by the district court to proceed

anonymously, . . . the federal courts lack jurisdiction over the unnamed parties, as a case has not been commenced with respect to them.”7 However, Rule 5.2 of the Federal Rules of Civil Procedure provides that minors may be named using initials unless the court orders otherwise.8 Additionally, a party may proceed anonymously in “exceptional cases involving matters of a highly sensitive and personal nature, real danger of physical harm, or where the injury litigated against would be incurred as a result of the disclosure of the [party’s] identity.”9 In deciding whether to permit anonymity, courts exercise discretion in weighing these privacy interests against the public’s interest in access to legal proceedings.10

5 See DUCivR 10-2(d). 6 Fed. R. Civ. P. 10(a); see also Fed. R. Civ. P. 17(a) (requiring an action to “be prosecuted in the name of the real party in interest”). 7 Nat’l Commodity & Barter Ass’n v. Gibbs, 886 F.2d 1240, 1245 (10th Cir. 1989). 8 Fed. R. Civ. P. 5.2(a)(3). 9 Femedeer v. Haun, 227 F.3d 1244, 1246 (10th Cir. 2000) (quoting Doe v. Frank, 951 F.2d 320, 324 (11th Cir. 1992)). 10 See id. ANALYSIS Where this case involves highly sensitive and personal health information, and Defendants do not oppose Plaintiffs’ motion, the motion is granted. Plaintiffs’ complaint contains sensitive details about S.R.’s personal circumstances and the serious mental health issues S.R. confronted as a minor.11 Because this information is “of a highly

sensitive and personal nature,” S.R. has a strong interest in the protection of S.R.’s identity.12 Although S.R. is now an adult, this case relates to care S.R. received as a child.13 Additionally, Ryan R.’s anonymity is warranted where disclosure of his full name would reveal S.R.’s identity.14 Further, public interest in the identities of the parties in this proceeding appears limited. This case does not involve the sorts of important public issues giving rise to common interest—such as cases “attacking the constitutionality of popularly enacted legislation.”15 Instead, this case involves private individuals challenging the denial of

11 (See generally Compl., Doc. No. 1.) 12 Femedeer, 227 F.3d at 1246 (quoting Frank, 951 F.2d at 324). 13 See Tony M. v. United Healthcare Ins., No. 2:19-cv-00165, 2025 U.S. Dist. LEXIS 18132, at *4 (D. Utah Jan. 31, 2025) (unpublished) (permitting ERISA plaintiff to proceed pseudonymously where the case related to medical care the plaintiff received as a minor); Doe v. USD No. 237, No. 16-cv-2801, 2017 U.S. Dist. LEXIS 142435, at *31 (D. Kan. Sept. 1, 2017) (unpublished) (“The fact that Doe was a minor at all times material to the allegations of the complaint is at the forefront of the Court’s analysis [of whether the plaintiff could proceed pseudonymously].”). 14 See S.E.S. v. Galena Unified Sch. Dist. No. 499, No. 18-2042, 2018 U.S. Dist. LEXIS 116054, at *4 (D. Kan. July 12, 2018) (unpublished) (noting a child “and his parents share common privacy interests based on their inseparable relationship,” because disclosure of a parent’s identity would effectively disclose the child’s identity). 15 See Femedeer, 227 F.3d at 1246. insurance benefits for care received by a minor. Any public interest in this case is limited (at least at this time) to the precedential or persuasive value of the rulings in the case. The use of pseudonyms does not diminish this value. CONCLUSION Where this case implicates matters of a highly sensitive and personal nature regarding care received by a minor, the motion’® is granted. Plaintiffs may proceed pseudonymously in this action. Within seven days of this order, Plaintiffs shall file, under seal: a notice containing the full legal names of Ryan R. and S.R."” That filing shall remain under seal unless otherwise ordered. Plaintiffs shall also provide this notice to Defendant. Any party who objects to Plaintiffs proceeding under initials may file a motion to vacate this order within seven days of the party’s appearance in this case. '8 DATED this 16th day of January, 2026. BY THE COURT: Splut A. 4 United States Magistrate Judge

16 (Doc. No. 4.) 17 See DUCivR 10-2(a)(1)(B); see also W.N.J. v. Yocom, 257 F.3d 1171, 1172 (10th Cir. 2001) (“If a court grants permission [to proceed pseudonymously], it is often with the requirement that the real names of the plaintiffs be disclosed to the defense and the court but kept under seal thereafter.” (citing Nat’) Commodity & Barter Ass’n, 886 F.2d at 1245)). 18 See DUCivR 10-2(d).