Opinion

AKINS

Court
District Court, M.D. North Carolina
Filed
Apr 28, 2026
Cited by
0 cases
Authority
More cited than 40.4%

“[T]he trigger for bringing a[n] MSP[A] claim is not the pendency of a disputed tort claim, but the established obligation to pay medical costs... .” (internal quotation marks omitted)

How later courts described this case

  • “[T]he trigger for bringing a[n] MSP[A] claim is not the pendency of a disputed tort claim, but the established obligation to pay medical costs... .” (internal quotation marks omitted)
  • “[I]n the usual case in which all federal-law claims are eliminated before trial, the balance of factors to be considered . . — Judicial economy, convenience, fairness, and comity — will point toward declining to exercise jurisdiction over the remaining state-law claims.”

Written by the judges who cited it.

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE MIDDLE DISTRICT OF NORTH CAROLINA

BRANDON RULUND AKINS, )

)

Plaintiff, )

)

v. ) 1:25cv712

)

TASHI LATWON RATLIFF, et al., )

)

Defendants. )

MEMORANDUM OPINION, ORDER, AND RECOMMENDATION

OF UNITED STATES MAGISTRATE JUDGE

This matter comes before the undersigned United States

Magistrate Judge on an Application to Proceed in District Court

Without Prepaying Fees or Costs (Docket Entry 1) (the

“Application”) filed by Brandon Rulund Akins (the “Plaintiff”) in

conjunction with Plaintiff’s pro se complaint (Docket Entry 2) (the

“Complaint”) against, as relevant here, GEICO Indemnity Company

(the “Defendant”) (see id. at 1).1 For the reasons that follow,

the undersigned will (i) grant the Application for the limited

purpose of recommending dismissal of Plaintiff’s lone federal

claim, under 28 U.S.C. § 1915(e)(2)(B), for failure to state a

claim, as well as dismissal without prejudice of any state claim(s)

under 28 U.S.C. § 1367(c)(3), and (ii) resolve ancillary motions

relevant to the Application and Complaint (see Docket Entries 7,

13, 21, 23, 26).

1 Docket Entry page citations utilize the CM/ECF footer’s

pagination.

LEGAL STANDARD

“The federal in forma pauperis statute, enacted in 1892 and

presently codified as 28 U.S.C. § 1915, is designed to ensure that

indigent litigants have meaningful access to the federal courts.”

Neitzke v. Williams, 490 U.S. 319, 324 (1989). To balance this

public interest with the potential administrative burden on the

courts, the statute provides, in relevant part, that “the court

shall dismiss the case at any time if the court determines that the

action . . . fails to state a claim on which relief may be

granted,” 28 U.S.C. § 1915(e)(2)(B)(ii).

A complaint falls short of that requirement when it does not

“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) (internal citations omitted)

(quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “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.” Id. Further,

“the tenet that a court must accept as true all of the allegations

contained in a complaint is inapplicable to legal conclusions.

Threadbare recitals of the elements of a cause of action, supported

by mere conclusory statements, do not suffice.” Id.2

2 Although “[a] document filed pro se is to be liberally

construed, and a pro se complaint, however inartfully pleaded, must

(continued...)

2

BACKGROUND

The Complaint seeks relief against Defendant (see Docket Entry

2 at 14-15) for its alleged “failure to comply with its obligations

under the Medicare Secondary Payer Act (‘MSPA’)” (id. at 2), see 42

U.S.C. § 1395y, its “breach of [the] common law duty of good faith

and fair dealing” (Docket Entry 2 at 2), and its “repeated

violations of the North Carolina Unfair Claims Settlement Practices

Act, N.C. Gen. Stat. § 58-63-15(11), and the Unfair and Deceptive

Trade Practices Act, N.C. Gen. Stat. § 75-1.1” (Docket Entry 2 at

2).°

2(...continued)

be held to less stringent standards than formal pleadings drafted

by lawyers,” Erickson v. Pardus, 551 U.S. 89, 94 (2007) (internal

citation and quotation marks omitted), the United States Court of

Appeals for the Fourth Circuit has “not read Erickson to undermine

Twombly’s requirement that a pleading contain more than labels and

conclusions,” Giarratano v. Johnson, 521 F.3d 298, 304 n.5 (4th

Cir. 2008) (internal quotation marks omitted) (dismissing pro se

complaint); accord Atherton v. District of Columbia Off. of Mayor,

567 F.3d 672, 681-82 (D.C. Cir. 2009) (“A pro se complaint .. □

‘must be held to less stringent standards than formal pleadings

drafted by lawyers.’ But even a pro se complainant must plead

‘factual matter’ that permits the court to infer ‘more than the

mere possibility of misconduct.’” (first quoting Erickson, 551 U.S.

at 94; then quoting Igbal, 556 U.S. at 679)).

3 In addition to Defendant and its insured, the Complaint

named “Government Employees Insurance Company (GEICO)” and “Geico

Insurance Company, LLC” as defendants upon its filing. (Docket

Entry 2 at 1.) Plaintiff thereafter moved twice to amend the

caption and clarify his claims against Defendant, rather than the

other entities named in the Complaint. (See Docket Entries 13,

26.) Defendant “consent[ed] to Plaintiff’s [first] request”

(Docket Entry 17 at 1) to “remov[e ] other named entities [aside

from Defendant]” (Docket Entry 13 at 2) and did not respond to the

second, substantially similar motion (see Docket Entry 26; Docket

(continued...)

According to the Complaint:

On or about the evening of July 25, 2024, at

approximately 9:00 p.m., Plaintiff [ ] operated his

vehicle lawfully and responsibly when he was violently

rear-ended by a vehicle operated by Defendant[’s insured]

. . . [who] was at the time insured by Defendant [ ].

The force of the collision caused immediate and serious

physical injuries to [ ] Plaintiff, necessitating

emergency medical attention and transport via ambulance

to Hoke Hospital.

Plaintiff was diagnosed and treated for multiple

injuries, including:

• Acute cervical and lumbar strains

• Paraspinal tenderness

• Persistent migraines

• Concussion-like symptoms including

dizziness, lethargy, confusion, and vision

disturbances

• Psychological trauma

These injuries required, and continue to require, ongoing

treatment including physical therapy and psychological

counseling.

On or about date [sic], [Defendant] offered Plaintiff a

settlement of $3,000 without requiring any Medicare or

TRICARE lien documentation. However, this directly

contradicts [Defendant’s] current position and

demonstrates an inconsistent and unreasonable delay

tactic.

3(...continued)

Entries dated Nov. 17, 2025, to present). The undersigned will

therefore grant the first of those motions (Docket Entry 13) as to

the termination of “Government Employees Insurance Company (GEICO)”

and “Geico Insurance Company, LLC” (id. at 1-2) as defendants and

will terminate the second motion (Docket Entry 26) as moot. See

Fed. R. Civ. P. 15(a)(2). Additionally, Plaintiff pursued a

negligence claim against Defendant’s insured (see Docket Entry 2 at

4) before settling with that individual (see Docket Entry 25 at 1-2

(noticing voluntary dismissal of Defendant’s insured); id. at 4-5

(providing copy of written release)).

4

(Id. at 3-4 (paragraph numbering, parenthetical, internal brackets,

and stray quotation mark omitted); see also Docket Entry 2-1 at 1;

Docket Entry 2 at 10 (alleging that “Plaintiff declined to accept

[Defendant’s] inadequate offer”).)

The Complaint further alleges that “Defendant . . . has

acknowledged liability and issued partial [p]ayments to [ ]

Plaintiff in the amount of: $18,846.37 for the total loss of

[ P]laintiff’s vehicle [and] $788.72 for rental car reimbursement”

(id. at 4 (bullet points omitted)) and that “the remaining dispute

pertains solely to damages, not liability” (id. at 5).

Continuing, the Complaint alleges:

Plaintiff provided [Defendant] with clear, undeniable,

and thoroughly documented evidence of medical expenses,

physical injuries, and legal liability stemming from the

July 25, 2024 collision caused by Defendant[’s insured].

These irrefutable facts were supported by hospital

records, diagnostic imaging, therapy notes, and incident

reports which left no reasonable doubt regarding the

extent of the damages or [ ] Defendant’s responsibility.

[Defendant’s] refusal to engage fairly, despite this

overwhelming documentation, constitutes a severe and

deliberate breach of its duty to act in good faith.

Over the course of several months, Plaintiff consistently

communicated with [Defendant], submitting multiple

requests for resolution via phone calls, emails, portal

messages, and formal written notices for a settlement

instead of litigation. At each turn, [Defendant] either

ignored or misrepresented the law about legal

requirements, intentionally delaying a response, [and]

refusing to enter into good-faith negotiations.

(Id.; see also id. at 5-6 (alleging that Defendant’s

“representative made false and obstructive statements approximately

20 times” and listing allegedly false and obstructive statements).)

5

Additionally, the Complaint alleges that “Plaintiff is

enrolled in both Medicare and TRICARE and, as a result of injuries

sustained in the [ ] collision, incurred substantial medical

expenses related to treatment, therapy, and diagnostic care.” (Id.

at 8; see also id. at 11 (alleging that “Plaintiff is a Medicare

recipient with TRICARE as secondary insurance”).) According to the

Complaint, Defendant “[f]alse[ly s]tate[d]” that it “is legally

required to obtain a summary of verification of Medicare and

TRICARE lien payments prior to making a settlement offer or

discussing settlement numbers with [ ] Plaintiff.” (Id. at 6

(internal quotation marks omitted).) That statement, the Complaint

alleges, “is entirely inaccurate and serves as a delay tactic” (id.

at 10).

Moreover, the Complaint alleges that “Plaintiff provid[ed

Defendant with] all medical notes, bills and billing statements

from Tricare” (id. at 6; see also id. at 11 (alleging that

“Plaintiff submitted all required documentation to Defendant [ ],

including proof of significant injuries and medical expenses

exceeding $25,000”)). The Complaint further alleges that

Defendant’s “continued refusal to make an offer [of settlement]

under the pretext of needing lien information” (id. at 12) caused

“Plaintiff [to] suffer[] financial losses, worsening physical

conditions due to delayed treatment, prolonged emotional distress,

and interference with his federally protected rights” (id.), all of

6

which “should be compensated accordingly” (id. at 8; see also id.

at 14-15 (requesting, among other forms of relief, “compensatory

damages in the amount of $500,000” and “punitive damages in the

amount of $500,000%)).

DISCUSSION

I. Failure to State a Claim

Plaintiff seeks relief against Defendant for its alleged

“failure to comply with its obligations under the Medicare

Secondary Payer Act” (id. at 2).

“During the initial years of the Medicare program after its

enactment in 1965, Medicare acted as the first payer for many

medical services ... . In 1980 and 1981, in part due to rising

Medicare costs, Congress enacted and amended the Medicare Secondary

Payer statute.” Marietta Mem’l Hosp. Emp. Health Benefit Plan v.

DaVita Inc., 596 U.S. 880, 882 (2022). “That statute as amended

makes Medicare a ‘secondary’ payer,” id. at 882-83, “in certain

circumstances when both Medicare and a non-Medicare entity have

independent duties to pay for a covered person’s healthcare costs,”

DaVita Inc. v. Virginia Mason Mem’1l Hosp., 981 F.3d 679, 684 (9th

Cir. 2020). The MSPA “creates a federal coordination of benefits

between primary and secondary payers. Worker’s compensation plans,

liability insurance plans, and no fault insurance plans act as

primary payers, and Medicare benefits act as secondary payers.”

Humana Ins. Co. v. Paris Blank LLP, 187 F. Supp. 3d 676, 677-78

(E.D. Va. 2016) (internal citations omitted). “When a primary plan

is responsible for payment for medical services, a secondary payer

may make a conditional payment on behalf of the beneficiary and

then seek recovery for such conditional payment from the primary

plan.” Id. at 678.

“The MSP[A ] provides two mechanisms for enforcing a primary

plan’s recoupment obligation. First, the United States may sue to

recover the amount from the primary plan or from the individual or

entity to whom the primary plan has paid the funds.” Penegar v.

Liberty Mut. Ins. Co., 115 F.4th 294, 297 (4th Cir. 2024) (citing

42 U.S.C. § 1395y(b)(2)(B)(iii)). “Second, and pertinent to [this]

case, private parties may sue to recover double damages from a

primary plan that has failed to provide for primary payment in

accordance with the MSP[A ].” Id. (citing 42 U.S.C.

§ 1395y(b)(3)(A)). “The ostensible purpose of [the private cause

of action] . . . is ‘to help the government recover conditional

payments from insurers or other primary payers.’” Id. at 298

(quoting Netro v. Greater Balt. Med. Ctr., Inc., 891 F.3d 522, 524

(4th Cir. 2018)).

Turning to the text of the statute, the MSPA “establishe[s] a

private cause of action for damages (which shall be in an amount

double the amount otherwise provided) in the case of a primary plan

which fails to provide for primary payment (or appropriate

reimbursement) in accordance with paragraphs (1) and (2)(A)” of

8

subsection (b) of the statute. 42 U.S.C. § 1395y(b)(3)(A).4

“Paragraph (2)(A) . . . forbids Medicare from paying for services

when a primary plan is responsible, ‘except as provided in

subparagraph (B).’” MSPA Claims 1, LLC v. Kingsway Amigo Ins. Co.,

950 F.3d 764, 771 (11th Cir. 2020) (quoting 42 U.S.C.

§ 1395y(b)(2)(A)). In turn, “subparagraph (B) states that a

primary plan must reimburse Medicare ‘if it is demonstrated that

such primary plan has or had a responsibility to make payment with

respect to such item or service.’” Id. (quoting

§ 1395y(b)(2)(B)(ii)). “A primary plan’s responsibility for such

payment,” according to the MSPA, “may be demonstrated by a

judgment, a payment conditioned upon the recipient’s compromise,

waiver, or release (whether or not there is a determination or

admission of liability) of payment for items or services included

in a claim against the primary plan or the primary plan’s insured,

or by other means.” 42 U.S.C. § 1395y(b)(2)(B)(ii).5

4 Paragraph (1) sets forth “[r]equirements of group health

plans,” 42 U.S.C. § 1395y(b)(1), not implicated here.

5 “Other means” of demonstrating responsibility to pay “must

involve an enforceable obligation such as a judgment or

settlement,” Caldera v. Ins. Co. of the State of Pa., Civ. Action

No. 11-321, 2012 WL 360183, at *4 (S.D. Tex. Feb. 2, 2012), aff’d

on other grounds, 716 F.3d 861 (5th Cir. 2013); see also Sullivan

v. Farm Bureau Mut. Ins. Co. of Mich., No. 1:10cv909, 2011 WL

1231264, at *3 (W.D. Mich. Apr. 1, 2011) (requiring a showing of

“something akin to judicial determination or settlement”).

9

Accordingly, “[t]he private cause of action under the MSPA

requires three elements: (1) a primary plan, (2) that is

responsible to pay for an item or service, and (3) that failed to

make the appropriate payment to Medicare for the item or service.”

Sims v. PMA Ins. Co., No. 1:20cv249, 2021 WL 369675, at *7 n.8

(M.D.N.C. Feb. 3, 2021).

As to the first element, the term “primary plan” includes, as

relevant here, “an automobile or liability insurance policy or

plan,” 42 U.S.C. § 1395y(b)(2)(A)(ii). The second and third

elements of an MSPA claim represent “two important conditions

precedent that must be satisfied prior to invoking this cause of

action. First, Medicare must have actually made payments on

Plaintiff’s behalf.” Sullivan v. Farm Bureau Mut. Ins. Co. of

Mich., No. 1:10cv909, 2011 WL 1231264, at *3 (W.D. Mich. Apr. 1,

2011) (internal quotation marks and citation omitted). See also,

e.g., Leggette v. B.V. Hedrick Gravel & Sand Co., No. 3:04cv530,

2006 WL 6809606, at *11 (W.D.N.C. May 24, 2006) (“[An] MSP[A]

‘double damages’ claim may be maintained only where Medicare has,

in fact, paid claims that a primary insurer should have, but

refused, to pay.”). “The second condition precedent is that the

insurer must be ‘responsible’ for making the payments.” Sullivan,

2011 WL 1231264, at *3. “Until [a d]efendant[’s] responsibility to

pay for a Medicare beneficiary’s expenses has been demonstrated

(for example, by a judgment), [a d]efendant[’s] obligation to

10

reimburse Medicare does not exist under the relevant provisions.”

Glover v. Liggett Grp., Inc., 459 F.3d 1304, 1309 (11th Cir. 2006).

Here, the Complaint fails to allege the existence of any

payments made on Plaintiff’s behalf by Medicare; instead, it merely

alleges that “Plaintiff is a Medicare recipient” (Docket Entry 2 at

11) who “incurred substantial medical expenses” (id. at 8), and

that the “total cost of [those] medical expenses exceeds $25,000”

(id. at 4). Even liberally construed, these allegations fall short

of “[t]he requirement of actual payment by Medicare as a

prerequisite to maintaining a[n MSPA] action,” Leggette, 2006 WL

6809606, at *11, as nothing in the Complaint indicates that

Medicare or its affiliates “incurred costs covering [Plaintiff’s]

medical expenses,” MSP Recovery Claims, Series LLC v. Grange Ins.

Co., No. 5:19cv219, 2019 WL 6770729, at *17 (N.D. Ohio Dec. 12,

2019), which a primary payer (such as Defendant) should have born,

or for which Plaintiff may properly seek “reimbursement,” 42 U.S.C.

§ 1395y(b) (3) (A), under the MSPA.® “Moreover, absent [allegations

6 The Complaint’s allegations that “Plaintiff provid[ed

Defendant with] all medical notes, bills and billing statements

from Tricare” (Docket Entry 2 at 6 (emphasis added)) — “a federal

health insurance program administered by [the Department of

Defense] to provide medical care to current and retired service

members and their families,” County Bd. of Arlington Cnty. v.

Express Scripts Pharmacy, Inc., 996 F.3d 243, 248-49 (Ath Cir.

2021) (internal quotation marks and brackets omitted) — also prove

insufficient, because only “the United States [or its authorized

representative] may institute and prosecute legal proceedings

against a third party payer to enforce a right of the United States

under [TRICARE],” 32 C.F.R. § 220.7(a)-(b); see also 10 U.S.C.

(continued...)

11

concerning Plaintiff’s] submission of [his medical] claims to and

payment of at least some portion of them by Medicare, it [would be]

impossible to calculate the amount of damages subject to doubling,”

Leggette, 2006 WL 6809606, at *11, further rendering the

Complaint’s allegations insufficient. See id. (explaining that

“the baseline for double damages is not the amount billed by the

provider, but the damages Medicare actually incurred as a result of

the primary plan’s failure to pay” (citing 42 U.S.C.

§ 1395y(b)(3)(A))).

The Complaint also fails to allege facts “demonstrat[ing] that

[a] primary plan has or had a responsibility to make a payment with

respect to” Plaintiff’s medical expenses. 42 U.S.C.

§ 1395y(b)(2)(B)(ii). As noted above, “[o]ne way to demonstrate

such a responsibility is by showing that the primary plan had a

contractual obligation to pay.” MSP Recovery Claims, Series LLC v.

American Fam. Connect Prop. & Cas. Ins. Co., No. 23cv20105, 2023 WL

2536444, at *3 (S.D. Fla. Mar. 16, 2023) (brackets and internal

6(...continued)

§ 1095(e)(1) (“The United States may institute and prosecute legal

proceedings against a third-party payer to enforce a right of the

United States under this section.”). However, even if the

Complaint’s allegations that (A) “Plaintiff is a Medicare recipient

with TRICARE as secondary insurance” (Docket Entry 2 at 11) and (B)

TRICARE produced “bills and billing statements” to Plaintiff (id.

at 6) combined to support the inference that (C) Medicare incurred

expenses, too, given TRICARE’s status “as secondary” to Medicare

(id. at 11 (emphasis added)), the Complaint nonetheless fails to

allege Defendant’s demonstrated responsibility to reimburse

Medicare’s expenses, as explained in the discussion that follows

above.

12

quotation marks omitted). Despite alleging that Defendant

“acknowledged liability and issued partial [p]ayments .. . for the

total loss of [ P]laintiff’s vehicle . . . [and his] rental car

[expenses]” (Docket Entry 2 at 4), the Complaint does not allege

the existence of a settlement agreement that could “demonstrate □□

. . [Defendant’s] responsibility,” 42 U.S.C.

§ 1395y(b) (2) (B) (11), to reimburse Medicare for Plaintiff’s medical

expenses.’ On the contrary, the Complaint attempts to hold

Defendant liable for its “refusal to make a settlement offer”

(Docket Entry 2 at 12 (emphasis added); see also id. at 2 (alleging

“delay and obstruction of settlement”), 5 (alleging that Plaintiff

“submitt[led]” and Defendant “ignored” multiple “written notices for

a settlement instead of litigation”), 6 (alleging existence of

7 The Complaint’s contention that, because Defendant

“acknowledged liability and issued partial payments” for

Plaintiff’s vehicle and rental car expenses (Docket Entry 2 at 4),

“the [instant] dispute pertains solely to damages, not liability”

(id. at 5) represents a legal conclusion which the Court need not

accept at this stage of the proceedings, see Igbal, 556 U.S. at

678. Moreover, aS a general matter, “[Defendant’s] payment of

property damages cannot create an acknowledg[]ment of its liability

for [Plaintiff’s] personal injuries,” Denis v. Liberty Mut. Ins.

Co., 791 F.2d 846, 849 (llth Cir. 1986), nor can it

“demonstrate[ Defendant’s] . . . responsibility,” 42 U.S.C.

§ 1395y(b) (2) (B) (11), to reimburse Medicare for the cost of those

injuries. Likewise, Defendant’s “offer[ of] a settlement of

$3,000” (Docket Entry 2 at 4) cannot suffice “to prove the validity

of the claim [against Defendant] that the [ ] offer was meant to

settle,” Macsherry v. Sparrows Point, LLC, 973 F.3d 212, 224 (4th

Cir. 2020); see also Sharp v. City of Elizabeth City, No. 2:23cv52,

2023 WL 9051270, at *3 (E.D.N.C. Dec. 29, 2023) (refusing to

“consider [a] settlement demand for purposes of determining whether

[the] plaintiff has stated a valid claim”).

13

promises to “provide a settlement offer” which “[Defendant] failed

to honor” (internal quotation marks omitted)), 14 (alleging that

Defendant “withh[eld] settlement”)). That attempt falls short,

however, as “[t]he MSP[A] itself does not impose a duty to pay on

[Defendant but] . . . [i]nstead[ ] presupposes an existing

obligation,” Virginia Mason Mem’l Hosp., 981 F.3d at 684 (internal

quotation marks omitted), which the Complaint does not plead. See

also Fresenius Med. Care Holdings, Inc. v. Brooks Food Grp., Inc.,

Civ. Action No. 3:07cv14, 2007 WL 2480251, at *7-8 (W.D.N.C. Aug.

28, 2007) (explaining that “[t]he MSPA makes it a condition

precedent to reimbursement that there be a ‘demonstrated

responsibility’ to pay for items or services” and that “[t]o hold

otherwise would open a primary insurer to double damages each time

it contests a claim, rather than only when it fails to pay after

responsibility has been established”).

In sum, the Complaint fails to allege payments made by

Medicare and “Defendant[’s demonstrated] responsibility for th[ose]

payments. If and when such a [settlement or] determination is made

. . . [and] Defendant[] fail[s] to reimburse [Medicare for] the

appropriate funds, then the MSPA allows for a private cause of

action for double damages.” Fresenius, 2007 WL 2480251, at *8.

Absent such facts, the Complaint fails to state a claim.8

8 Alternatively, because “[Plaintiff’s] suit remains

contingent upon Defendant[’s] failing to [reimburse Medicare] after

(continued...)

14

II. State-Law Claims

The Complaint pursues claims against Defendant for breach of

the “duty of good faith and fair dealing” (Docket Entry 2 at 5;

accord id. at 12) and “violat[ions of] North Carolina’s Unfair

Claims Settlement Practices Act .. . and the Unfair and Deceptive

Trade Practices Act” (id. at 12; accord id. at 9, 13, 14-15).

Facts supporting jurisdiction must appear in the complaint,

see Pinkley, Inc. v. City of Frederick, 191 F.3d 394, 399 (4th Cir.

1999), and the party asserting federal jurisdiction bears the

burden of “show[ing] that jurisdiction does, in fact, exist,” Davis

v. Pak, 856 F.2d 648, 650 (4th Cir. 1988) (internal quotation marks

omitted). Here, the Complaint invokes (A) the Court’s “original

jurisdiction under 28 U.S.C. § 1331” (Docket Entry 2 at 3),

alleging that “Plaintiff’s [MPSA] claims arise under the laws the

United States” (id.), and (B) the Court’s “supplemental

jurisdiction over Plaintiff’s state law claims” (id.).

8(...continued)

[a demonstration of its responsibility to pay] occurs .. .

[Plaintiff’s] claim is not currently fit for judicial decision

. . . [and] should be dismissed as premature.” Sims, 2021 WL

369675, at *7; see also id. at *5-7, *7 n.8 (dismissing MSPA for

failure to plead both responsibility to pay and failure to

pay/reimburse and noting that a “merits analysis would turn on the

same factors affecting the jurisdictional analysis”); Sullivan,

2011 WL 1231264, at *3 (“[The pllaintiff’s original [c]omplaint

attempts to simultaneously litigate his MSP[A] claim with the

underlying claim. The MSP[A] claim is accordingly premature

. . .”); Mason v. American Tobacco Co., 346 F.3d 36, 43 (2d Cir.

2003) (“[T]he trigger for bringing a[n] MSP[A] claim is not the

pendency of a disputed tort claim, but the established obligation

to pay medical costs... .” (internal quotation marks omitted)).

15

Federal courts possess “original jurisdiction of all civil

actions arising under the Constitution[ and] laws . . . of the

United States,” 28 U.S.C. § 1331. When a court possesses federal

question jurisdiction over a federal claim, “[a] claim that neither

arises from a federal question nor satisfies the requirements for

diversity jurisdiction may nevertheless be entertained in federal

court [via] supplemental jurisdiction under 28 U.S.C. § 1367.”

Mebane v. GKN Driveline N. Am., Inc., 499 F. Supp. 3d 220, 231

(M.D.N.C. 2020). “Under supplemental jurisdiction, ‘[t]he state

and federal claims must derive from a common nucleus of operative

fact’ where a plaintiff ‘would ordinarily be expected to try them

all in one judicial proceeding.’” Id. (quoting United Mine Workers

of Am. v. Gibbs, 383 U.S. 715, 725 (1966)).

Importantly, supplemental jurisdiction constitutes “a doctrine

of discretion,” United Mine Workers, 383 U.S. at 726, in regards to

which “[n]eedless decisions of state law should be avoided,” id.

As such, if “federal claims are dismissed before trial, . . . the

state claims should be dismissed as well.” Id.; see also 28 U.S.C.

§ 1367(c)(3) (“The district courts may decline to exercise

supplemental jurisdiction over a claim . . . [if] the district

court has dismissed all claims over which it has original

jurisdiction[.]”).

Although Plaintiff’s MSPA claim raises a federal question, the

Complaint pursues state-law claims which arise under North Carolina

16

law? and thus do not satisfy federal question jurisdiction.

Therefore, given the foregoing recommendation of dismissal of

Plaintiff’s federal claim, the Court should decline to exercise

supplemental jurisdiction over Plaintiff’s state-law claims. See

Carnegie-Mellon Univ. v. Cohill, 484 U.S. 343, 350 n.7 (1988)

(“[I]n the usual case in which all federal-law claims are

eliminated before trial, the balance of factors to be considered

. . — Judicial economy, convenience, fairness, and comity — will

point toward declining to exercise jurisdiction over the remaining

state-law claims.”).*°

III. Ancillary Motions

In addition to the Application, Complaint, and the motions to

amend resolved in footnote 3 above, this case comes before the

undersigned on Defendant’s Motion to Dismiss (Docket Entry 7)

(“Dismissal Motion”), Defendant’s Motion to Strike Plaintiff’s

9 “North Carolina [law, rather than federal law,] recognizes

a cause of action for a breach of the implied covenant of good

faith and fair dealing,” Nadendla v. WakeMed, 24 F.4th 299, 307

(4th Cir. 2022) (emphasis added), and Plaintiff’s claims for

“[s]tatutory violations under North Carolina law” (Docket Entry 2

at 14) plainly arise under state law.

10 Additionally, diversity of citizenship jurisdiction —

which the Complaint does not invoke (see Docket Entry 2 at 3) —

does not exist for Plaintiff’s state-law claims because the

Complaint fails to allege Defendant’s citizenship (see id. at 2

(alleging only Plaintiff’s status as a “resident of .. . North

Carolina”)). See also MicroPicture Int’l, Inc. v. Kickartz, No.

3:05cv34, 2005 WL 8174556, at *1 (W.D. Va. July 25, 2005) (“[A]

party alleging jurisdiction based on diversity of citizenship

clearly must state the citizenship of all parties involved in the

action.”).

17

Surreply to the Dismissal Motion (Docket Entry 23) (“Motion to

Strike”), and Plaintiff’s Motion for “In Camera Inspection of

Exhibit A” (Docket Entry 21) (“Inspection Motion”), which Plaintiff

attached to his response in opposition the Dismissal Motion (see

Docket Entry 15-1). (See also Docket Entry dated Dec. 10, 2025

(referring Inspection Motion); Docket Entry dated Feb. 19, 2026

(referring Dismissal Motion and Motion to Strike).)

In light of the foregoing recommendation that the Court

dismiss this action, the undersigned (A) will terminate the Motion

to Strike as moot and (B) will recommend that the Court terminate

the Dismissal Motion as moot. Likewise, the Inspection Motion asks

the “Court to conduct an in-camera inspection of [ ] transcribed

audio recordings” (Docket Entry 21 at 1 (emphasis omitted))

submitted with Plaintiff’s response to the Dismissal Motion (see

Docket Entry 15; Docket Entry 15-1). The undersigned has reviewed,

and thus “inspected,” those materials (which appear on the public

docket and generally amount to verified pleadings (see, e.g.,

Docket Entry 15-1 at 2)) in the course of addressing the Dismissal

Motion, Application, and Complaint, and will therefore terminate

the Inspection Motion as moot.

IV. Plaintiff’s Inaccurate Pleadings

Lastly, in recommending dismissal of the instant action, the

undersigned also admonishes Plaintiff for failing to confirm the

accuracy of his pleadings, as required under Federal Rule of Civil

18

Procedure (the “Rules”) 11, and warns Plaintiff that any future

filings containing errant or fabricated citations may result in

sanctions, including orders to pay an opposing party’s reasonable

attorney’s fees. See Fed. R. Civ. P. 1il(c).

Rule 11(b6) provides, in relevant part, that:

By representing to the court a pleading, written motion,

or other paper .. . [an] unrepresented party certifies

that to the best of the persons’s knowledge, information,

and belief, formed after an inquiry reasonable under the

circumstances... the claims, defenses, and other legal

contentions are warranted by existing law or by a

nonfrivolous argument for extending, modifying, or

reversing existing law or for establishing new law.

Fed. R. Civ. P. 11(b) (emphasis added).

“Rule 11 applies to pro se parties as well as parties

represented by counsel.” Walker v. Tillerson, No. 1:17cv732, 2018

WL 1187599, at *9 (M.D.N.C. Mar. 7, 2018), aff’d sub nom. Walker v.

Pompeo, 735 F. App’x 69 (4th Cir. 2018). “All litigants, pro se

and practitioners [alike], must ensure that the legal authority

they cite actually exists and is properly characterized in all

filings.” United States v. Boice, No. 1:20crl167, 2025 WL 2076452,

at *4 n.4 (E.D. Va. June 23, 2025).

Here, the Complaint alone contains at least 11 citations to

cases that either do not exist or do not stand for the legal

propositions that Plaintiff invoked. (See, e.g., Docket Entry 2 at

7, 9, 10, 11, 13 (citing Alford v. Motors Ins. Corp., 104 N.C. App.

537 (1991), Barber v. Perry, 61 N.C. App. 134, 300 S.E.2d 387

(1983), Estate of Harvey v. Kore-Kut, Inc., 364 N.c. 394, 700

19

S.E.2d 231 (2010), Estate of McCall v. United States, 206 F. Supp.

3d 1304 (N.D. Fla. 2016), and Calderon v. GEICO Gen. Ins. Co., No.

1:19cv362 (M.D.N.C. Jan. 26, 2021) — none of which exist at those

citations); id. at 14 (citing “Kusulas v. GEICO” without further

identifying information), 15 (citing “In re. COVIDrelated coverage,

[as a] 2024 NC Supreme Court decision affirming insurer liability

for wrongful denial,” despite a cursory search revealing that the

only potentially relevant North Carolina Supreme Court decision

from that year affirmed dismissal of a plaintiff’s insurance-

related claims, see Cato Corp. v. Zurich Am. Ins. Co., 386 N.C.

667, 676, 909 S.E.2d 144, 151 (2024)).

Similarly, Plaintiff’s subsequent filings contain over a dozen

dubious citations. (See, e.g., Docket Entry 4 at 1, 5, 6, 8

(citing Calderon three times and Estate of McCall five times at

non-existent citations); Docket Entry 5 at 3 (citing United States

v. Harris, No. 1:19cr44, 2021 WL 1089411, at *2 (M.D.N.C. Mar. 22,

2021), and Robinson v. Bowser, No. 1:15cv596, 2015 WL 11571094, at

*1 (M.D.N.C. Mar. 22, 2021), neither of which exists as cited);

Docket Entry 8 at 3 (again citing Harris and Bowser at non-existent

citations); Docket Entry 13 at 2 (citing R.S. v. Board of Dirs. of

Woods Charter Sch. Co., No. 1:16cv119 (M.D.N.C. Apr. 19, 2016), and

stating that “[t]his Court granted a pro se plaintiff’s motion to

amend to add and correct parties early in litigation” in that case,

despite (A) the absence of any docket entry or decision rendered in

20

R.S. v. Board on the date cited, compare id., Docket Entry 5 (Mar.

11, 2016), with id., Docket Entry 6 (May 9, 2016), and (B) the

plaintiff in that case proceeding exclusively with counsel, not pro

se, see id., Docket Entry 2 at 1 (noticing appearance of counsel on

action’s commencement); Docket Entry 26 at 3 (again citing R.S. v.

Board for same unfounded proposition) .)

“The [undersigned] understands that Plaintiff is proceeding

pro se, but that does not allow [him] to flaunt the [ R]Jules and

haphazardly file pleadings without completing any due diligence.”

Lucas v. Scharf, No. 3:25cvl1015, 2026 WL 642917, at *2 (W.D.N.C.

Feb. 25, 2026); see also id. (“Even a cursory Google search would

[have] reveal[ed] that these cases do not exist [as cited].”).

More pointedly, Plaintiff’s submissions foreground an issue that

“[c]lourts across the country are grappling with,” In re Nwaubani,

No. 25-9517, 2026 WL 687194, at *3 (4th Cir. Mar. 11, 2026), in

that citations such as Plaintiff’s to “nonexistent cases .. . are

the frequent posterchild” for “the use of generative [artificial

intelligence] in materials submitted to the court,” id.; see also

Kruglyak v. Home Depot U.S.A., Inc., 774 F. Supp. 3d 767, 770 (W.D.

Va. 2025) (“Tt has become widely known that [artificial

intelligence] platforms sometimes ‘hallucinate,’ meaning they

provide inaccurate responses. In the legal research context, these

hallucinations can include the generation of fictitious case cites

and misrepresentations of case summaries or holdings[.]”).

21

At this juncture, the undersigned need not determine “whether

[Plaintiff] drafted [the foregoing pleadings] with the assistance

of artificial intelligence or not,” Kideckel v. Foreign Nation of

Can., No. 1:24cv2907, 2026 WL 125208, at *3 (D.D.C. Jan. 16, 2026)

(internal quotation marks omitted), appeal filed, 2026 WL 125208

(Jan. 23, 2026), and need only advise that Plaintiff’s citations to

non-existent or wholly inapplicable authorities almost certainly

contravene his obligations under Rule 11. See, e.g., Suiter v. Gm

- Gen. Motors, LLC, No. 5:24cv54, 2026 WL 701683, at *8 (W.D. Va.

Mar. 12, 2026) (“Regardless of whether [the plaintiff] used these

tools, submitting a filing containing fabricated authority . . . is

unacceptable and . . . could also constitute a violation of [Rule]

11, for which the court may impose sanctions.” (internal quotation

marks omitted)). The undersigned therefore warns Plaintiff that

subsequent filings containing such blatant fabrications may result

in sanctions.

CONCLUSION

The Complaint fails to state a claim on which relief may be

granted, and the Court should decline to exercise supplemental

jurisdiction over Plaintiff’s state-law claims. Consistent with

that recommendation, the undersigned has resolved or recommended

resolution of ancillary motions and has warned Plaintiff that

filings containing citations to inaccurate or non-existent

authorities may subject him to sanctions under Rule 11.

22

IT IS THEREFORE ORDERED (A) that the Application (Docket Entry

1) is GRANTED for the sole purpose of entering this Recommendation

and (B) that Plaintiff is WARNED that the Court may impose

sanctions for future failures to confirm the accuracy of his

pleadings and other filings.

IT IS FURTHER ORDERED (A) that Plaintiff’s first Motion to

Amend Caption and Clarify Defendants (Docket Entry 13) is GRANTED

as to the termination of “Government Employees Insurance Company

(GEICO)” and “Geico Insurance Company, LLC” as defendants and (B)

that the Inspection Motion (Docket Entry 21), the Motion to Strike

(Docket Entry 23), and Plaintiff’s second Motion to Amend Caption

and Clarify Defendants (Docket Entry 26) are TERMINATED AS MOOT.

IT IS RECOMMENDED (A) that Plaintiff’s lone federal claim be

dismissed pursuant to 28 U.S.C. § 1915(e)(2)(B)(ii) for failure to

state a claim, as well as that the Court decline to exercise

supplemental jurisdiction over Plaintiff’s state claim(s) under 28

U.S.C. § 1367(c)(3), and (B) that the Dismissal Motion (Docket

Entry 7) be TERMINATED AS MOOT.

This 28th day of April, 2026.

/s/ L. Patrick Auld

L. Patrick Auld

United States Magistrate Judge

23

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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